Inspection on 27/01/06 for Brantwood Residential Care Home

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brantwood Residential Care Home 06/02/09

Brantwood Residential Care Home 02/06/07

Brantwood Residential Care Home 07/02/07

Brantwood Residential Care Home 05/08/05

Brantwood Residential Care Home 24/02/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Brantwood Residential Care Home 112 Congleton Road Sandbach Cheshire CW11 1HQ Lead Inspector Judith Morton Unannounced Inspection 11:30 27 January 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brantwood Residential Care Home Address 112 Congleton Road Sandbach Cheshire CW11 1HQ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01270 760076 01270 753013 Mr Robert Shaw Miss Sally Ann Bissett Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 21 service users in the category of OP (old age not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 4th and 5th August 2005 Date of last inspection Brief Description of the Service: Brantwood is a large detached Victorian house situated in it’s own grounds in Congleton Road, Sandbach. It has 21 single bedrooms but two of these could be used as double rooms if required. All of the rooms have en suite facilities. The home was first registered in November 1994 and provides residential care for older people. Accommodation is on two floors and is accessible via two staircases, one of which has a stair lift. There are two lounges, a dining room, conservatory and a sitting room, which is adjacent to the reception area. The home currently has two bathrooms and six toilets. There were initially three bathrooms but the ground floor bathroom, which was next to the kitchen, has been removed to provide the residents with a kitchenette. The new owners also have plans to provide an adapted bathroom extension on the ground floor. New double glazed windows have been installed, together with a fully fitted kitchen. There is a large enclosed garden to the rear of the property with a gazebo for the residents to use. The building and furnishings are maintained to a high standard. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours. The requirements made at the first inspection were reviewed, together with a small number of standards that had not already been checked. Three residents were spoken with and four staff members, including the manager. Two care plans were checked. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The residents will sign their agreement to being accommodated in a particular room once the room number has been added to their contract. EVIDENCE: The residents have a contract agreement between them and the home. The resident’s identified their room through ‘flower’ name plaques. Some of these have now been removed and replaced by numbers. This will make it easier for the residents to remember and will make room identification easier in emergencies. The numbers have also been added to those resident’s contracts. There are still some resident’s contracts that need to have the room numbers adding once the name plaques have been removed and the number put on their door. (See recommendation 1) Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 11 New care plans have been developed. These are very clear but minor improvements need to be made so that all the residents care needs are recorded, together with information on how they should be met. EVIDENCE: Two care files were checked. The files were very clear and photographs of the residents were on the front of each. Although work was ongoing on the care plans, they still required additional information to ensure all of the residents’ care needs would be met. Ie. For example, on the last inspection it was identified that one resident who had a stroke did not have the information clearly recorded. New staff would need to know this information and which side of her body has been effected in order to deliver the care appropriately. This, and other information previously identified on care plans, had not yet been added. The care plans should be signed and dated so that it is evident when they have been reviewed and updated. (See requirement 1) Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 9 The wishes of each resident in the event of them developing a terminal illness or their death had not been recorded on all files. However, the question had been added to the admission form and was asked as a matter of course to any new residents. The manager said that this had also been discussed with the existing residents, some of who had asked for the information to be held separately in the office and not on their file. The manager said that she intended that the residents’ own care file would eventually be held in the lockable draw in their room and they said they would not like to see that sort of information whenever they read their file. (See recommendation 2) Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 15 The increase in activities provided at Brantwood will ensure the residents are kept stimulated and active The residents said that the food was very much improved and they now receive a varied and wholesome diet that they enjoy. EVIDENCE: The manager had made some enquiries into entertainers available in the local area. Six of the residents join in Tai Chi every Monday. There is also a singer who visits the home on a monthly basis; another person plays games such as ‘Play Your Cards Right’. There is a volunteer who has visited the home for a long time now who will talk with the residents or play cards. Since the last inspection the manager had arranged a firework party, which received a very good response from the residents. Christmas was also a great success with a number of residents choosing to stay at the home for their Christmas dinner before going to their relatives, as they said they like the cooking so much. An Easter card competition is also to be arranged. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18 The complaints procedure is effective although minor improvements are needed to recording so that the outcome of complaints is clear. Staff must undertake training on awareness of abuse to adults so that residents can be protected from possible harm and poor practice. EVIDENCE: The complaint procedure had not yet been altered to include a statementadvising people that complaints can be made to the Commission for Social Care Inspection at any time. (See recommendation 3) The forms available on which to record a complaint contained all of the relevant information. However, there was no method of analysing the number and type of complaints received. It was suggested to the manager that it would be beneficial if this were held together in a book so that complaints could be tracked through to completion. The information could also be checked, possible patterns recognised and training needs identified. (See recommendation 4) Adult abuse awareness training had not been provided for staff. This had been a requirement from the last inspection. However, there are policies and procedures in relation to No secrets and whistle blowing, a ‘No Secrets’ video and the Department of Health document available in the home. The manager ensures that all staff sign to say they have read and understood the adult abuse policy. (See requirement 2) Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 26 The improvements in the kitchen and other facilities in Brantwood will greatly benefit the residents. EVIDENCE: There had been a number of changes made within the home since the last inspection. There had been a new fully fitted kitchen installed, which included ‘industrial’ appliances such as dishwasher and double oven. The kitchen was exceptionally clean with clear work surfaces and newly tiled walls. The microwave and food preparation boards had also been replaced. In addition to this there was a small kitchen off the lounge/dining room for use by the residents. This contained a microwave and fridge and milk was placed in the fridge daily. The manager has plans for a single storey extension to the home so that a new bathroom with an assisted bath can be made available for the residents. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 13 A number of the bedrooms had also been decorated and new co-ordinating furniture had been provided. The home was warm, clean and well furnished. One resident accompanied me to see her bedroom. She was very pleased with it and particularly with the double width shower cubicle she had in her en-suite bathroom. The manager had installed a number of smoke detectors within the home. A new contractor will be providing fire awareness training at the home. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 The residents are further protected by the homes recruitment procedures together with the training and supervision of all new staff. EVIDENCE: The manager had employed two new staff since the last inspection. Both staff were from overseas and had been provided by an agency. The agency had provided the manager with all documentary evidence in relation to staff identity, qualifications and permission to work in Britain. Both staff are able to speak and understand English. The manager said she worked alongside the new staff for a number of weeks initially as their induction. The staff were still working under supervision of the manager. Both staff had signed to say they had read and understood the policies and procedures. The manager continues to experience difficulties in recruiting a chef/cook to the home despite a number of various efforts made to advertise the position. The manager will continue to prepare the meals for the residents until a replacement can be found. In addition to training already provided, continence awareness training was to be provided to all care staff on 8th February and medication training was arranged for 3 care staff, including the two new staff, on March 21st. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 15 One of the domestic staff who was spoken with was very complimentary of the new management. She said she was pleased to have the appropriate, good quality equipment to do the job properly. She referred specifically to cleaning fluids, gloves, aprons, hand wash, paper towels and linen and cleaning trolleys. She had worked at the home for a long time but had never received any formal training. She said she would consider training if it was appropriate. (See recommendation 5) Staff had received training specific to the residents they care for. Some of the staff had worked there for a long time and were clearly competent. However, the skills and experience of many of the staff was not reflected as there were few staff who had undertaken NVQ level 2. The achievement of this would give a more accurate picture of the ability of the staff team at Brantwood. (See recommendation 6) Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 33 All of the residents are aware of who the manager is and feel she is approachable. EVIDENCE: The manager has a good awareness of her role towards both staff and residents. She works alongside the other care staff at the home. She has also been unable to recruit a cook and has continued to prepare the meals for the residents herself. This high profile presence around the home is reflected in the residents’ comments when asked about the manager. All of the residents spoken with are fully aware of who the manager is and they feel she is very helpful and kind. One resident said the manager has made lots of good changes at Brantwood, particularly in the food. Another resident, when asked said that she could approach the manager if she had a problem and she knew something would be sorted out. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 17 The manager meets and consults regularly with the residents. She said that she intends to do a quality assurance exercise in March and will send questionnaires out to all residents, their families and professionals who attend the home. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X X X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The care plans must clearly identify all of the residents care needs and how these are to be met. All staff must undertake awareness of adult abuse training. Timescale for action 01/05/06 2 OP11 13 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP2 OP11 OP16 Good Practice Recommendations The number of the room occupied by each resident should be added to their contract. The wishes of the residents in the event of terminal illness or death should be discussed and recorded on their file. The complaints procedure should read that a person can complain to the Commission for Social Care Inspection at any time, and the recording of the complaint should include the outcome of the investigation and how the complainant was informed of this. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 20 4 5 6 OP16 OP30 OP30 The manager should consider keeping a complaints book so that numbers and types of complaints can be analysed for patterns and to determine any training issues. Appropriate training should be sought for domestic staff. Care staff should undertake NVQ level 2 in care. Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 21 Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Brantwood Residential Care Home DS0000062465.V254587.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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