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Inspection on 06/02/09 for Brantwood Residential Care Home

Also see our care home review for Brantwood Residential Care Home for more information

This inspection was carried out on 6th February 2009.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Brantwood Residential Care Home 112 Congleton Road Sandbach Cheshire CW11 1HQ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: June Shimmin Date: 0 6 0 2 2 0 0 9 Information about the care home Name of care home: Address: Brantwood Residential Care Home 112 Congleton Road Sandbach Cheshire CW11 1HQ 01270760076 01270753013 brch@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Robert Shaw care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 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 person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is 21 Date of last inspection Brief description of the care home Brantwood is a large detached Victorian house set in its own grounds in Congleton Road, Sandbach. It is a privately owned home that provides care for older people. It has 21 single bedrooms but two of these could be used as double rooms if necessary. All of the rooms have en suite facilities. Accommodation is on two floors and is accessible via two staircases, one of which has a stair lift. There are two lounges, a Care Homes for Older People Page 2 of 9 Brief description of the care home dining room, conservatory and a sitting room, which is adjacent to the reception area. There are enough toilets and bathrooms for the number of residents living in the home. There is a kitchenette next to the dining room where residents or visitors can make themselves drinks and snacks if they wish. There is a large enclosed garden at the back of the house with a gazebo for the residents to use; this is fully accessible to residents and is well maintained. Information on the fee payable for this service is available from the home owners. Care Homes for Older People Page 3 of 9 What we found: Choice of Home We looked at the assessments of two people who had recently moved into Brantwood. The registered manager did these assessments before the people were admitted and the content of the assessments included sufficient information for a care plan to be drawn up so that the individual needs of each person would be met. The registered manager also provided evidence that people are given a contract after they are admitted to the home so they know what they can expect in terms of facilities and services and how much this will cost. Although there was some information about the persons background in relation to their family, work and social history this was limited and could be more detailed so that staff can provide person centred care. Health and Personal Care We looked at two care plans. The care plan for a person who was admitted to Brantwood on a permanent basis was detailed and included any identified risks so they could be monitored. The care plan had been reviewed so that changing care needs were recorded and so that staff were informed of any new actions that needed to be taken to ensure that the person received the care they needed. The registered manager told us that the home does not provide a care plan for people admitted for a short break and that sufficient information is obtained during the assessment process to enable appropriate care to be provided. In this instance the home records daily progress notes to indicate care provided and any changes. We looked at how the home was managing medication. Several minor concerns were raised about the recording of one drug whereby the exact doseage was not recorded. This was important as the doseage varied during the week and records needed to demonstrate that the correct dose had been administered on each occasion. The homes medication policy was quite brief and had not been reviewed since 2005 so that the guidance was not up to date. The registered manager had started to keep a record of medication returned to the pharmacy but there was no record after October 2008 that this was happening so that the home could not prove that medication had been returned. The home was not managing controlled drugs in a safe manner so that records might not be correct and there was no audit of how this was being managed. Daily Life and Social Activities We spoke to four people living in the home. Several said that they could stay in their own room if they wished and were given choice in their daily lives about how they spent their day. One person commented that there was not much stimulation. The home no longer has an activity coordinator and staff do some activities with people living in the home if they have sufficient time during their working day. Several activities were detailed on the notice board in one of the lounges. The registered manager said that more able people go for walks in the local community and people are taken to the local shops by car if they wish. The standard of catering at Brantwood is good and on the day of our visit people were offered fish in a variety of ways according to their preferences. The home also keeps a record of peoples dietary Care Homes for Older People Page 4 of 9 preferences so that they are given food they like. The owners are still doing the food preparation themselves but are actively trying to recruit a new cook. The food provided looked appetising and the owners said that they try to use mainly fresh produce so people are given good quality food. Complaints and Protection Brantwood provides appropriate policies and procedures relating to complaints and safeguarding adults so people living in the home know they are protected. The home has not received any complaints in the last 8 months. Environment Brantwood offers a very pleasant, clean and well maintained environment to people living there. Of particular note was the calm, quiet and relaxed atmosphere and the variety of lounges so that people had a choice of where to spend their day. Several minor points regarding the environment were discussed with the owners during the visit. Staffing Staffing levels at Brantwood appeared to be satisfactory during the visit. Both owners take an active part in the running of the home and the registered manager, who is a c0-owner lives on site so is available at all times. This is important at night when there is only one care assistant on duty. Staff working at the home are highly regarded by people living in the home, one person commenting, very good, well looked after and well fed. We looked at the recruitment records of one staff member who had recently started work at the home. All necessary documentation was in place and the registered manager said that the staff member was working under supervision until a full security check had been received from the Criminal Records Bureau. Management Brantwood is well run and this is enhanced by the active involvement of both owners who demonstrate a commitment to high standards of care. They have recently conducted a survey into standards of care and were able to provide evidence that people living in the home are satisfied with the care and facilities provided. For instance one question related to spiritual needs with 14 people stating, I feel my opinions and beliefs are listened to and respected and 16 commenting, treated with dignity and respect by all staff. What the care home does well: Brantwood provides a comfortable, pleasant, homely and well maintained environment for people living there. Standards of care are good so people know they are well cared for. Brantwood is well managed and run in the best interests of people living there. The standard of food provided is good and people are able to express choice in their Care Homes for Older People Page 5 of 9 daily lives. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered manager must ensure that there is a safe system for the management of controlled drugs This is so that controlled drugs are managed in a safe way 06/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 The registered manager should ensure that the recording of drugs with variable doses is accurate to demonstrate that the correct dose is given at all times. The registered manager should ensure that the medication policy is reviewed and updated to reflect current best practice. 2 9 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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