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Inspection on 31/08/05 for Braunstone Firlands Care Centre

Also see our care home review for Braunstone Firlands Care Centre for more information

This inspection was carried out on 31st August 2005.

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.

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

What the care home does well

Braunstone Firlands has a detailed assessment process, which leads to the devising of individual care plans, which reflect the individual needs of residents. Staff record in residents daily records detailed notes, which reflect the care plans of individuals and contact with health care professionals.

What has improved since the last inspection?

The Registered Manager advised that staff were now more involved with the development of care plans as recommended at the last Inspection.

What the care home could do better:

The process of supervision being formalised, the inclusion of an agenda and the recording of discussions could improve the supervision of staff, this would promote consistency, and provide staff with an opportunity to prepare and reflect. Resident`s quality of life and care provision would benefit from an appointment of an Activity Organiser to ensure the frequency and variety of recreational pursuits.

CARE HOMES FOR OLDER PEOPLE Braunstone Firlands Care Centre Gooding Avenue Braunstone Leicester LE3 1JS Lead Inspector Linda Clarke Unannounced 31 August 2005, 11:00am st 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 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. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Braunstone Firlands Care Centre Address Gooding Avenue Braunstone Leicester LE3 1JS 0116 2558809 0116 2558809 None Prime Life Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Barbara Chiswell Care Home 24 Category(ies) of Dementia (14), Dementia - over 65 (24), Mental registration, with number Disorder (14), Mental Disorder - over 65 (24) of places Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person under 55 years of age falling within categories MD or DE may be admitted into the Home. No person falling within category MD or DE may be admitted into the Home when there are 14 persons in total of these category/combined category acc. Date of last inspection 5th July 2005 Brief Description of the Service: Braunstone Firlands Care Centre is a care home providing personal care and accommodation for twenty-four service users with mental health conditions including dementia. Braunstone Firlands had twenty single rooms and two shared rooms, without en-suite facilities. The home has a rear courtyard garden, which is accessible to residents. Braunstone Firlands is part of the Prime Life Group and is situated in Braunstone, Leicester. The entrance to the home is opposite Braunstone Park and has easy access to the City Centre. The home is easily accesible by private or public transport. Accommodation is provided over two floors with acess between the floors being via stairs or a passenger lift. Communal areas are provided on both floors of the home. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 11.00am and 3.30pm. Opportunity was taken to look around parts of the home, spend time with residents, view records, which included viewing the care plans of four residents residing at the home, all of which are in receipt of nursing care. The Registered Manager facilitated the Inspection, spending time with the Inspector. 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. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 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 standard(s) 1 and 3. Standard 6 is not applicable. The admission process is well managed; with individual care needs being assessed and written information as to services supplied. EVIDENCE: Braunstone Firlands has a Statement of Purpose, which outlines the care and accommodation offered to residents, arrangements for staffing including staff training, additional information is contained within the Prime Life brochure. The admission procedure is adequate in that assessments of individuals are carried out by a Social Worker as part of the referral process for those residents who are funded by Social Services; the Registered Manager has an assessment tool, which she uses to assess the needs of potential self-funding residents. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 11. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: The care plans and records of four residents were viewed, all of which were of residents in receipt of nursing care. Care plans were detailed as to individual’s health care needs and were supported by risk assessments, and night care plans, all were regularly reviewed and amended as necessary. Care plans also including specific information pertaining to illness and death, where indicated by residents and/or relatives. Daily records reflect the health care input of residents, comments being consistent with their care plan. On the day of the Inspection a General Practitioner visited the home and reviewed the health and medication needs of several residents with the individual residents themselves and the Registered Manager. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12 and 13. Resident’s would benefit from a consistent and organised approach to the provision of social activities and recreational pursuits. EVIDENCE: The Inspector read the daily records of four residents, since the last Inspection it was noted that these residents have had regular contact with relatives and friends, only one record contained information as to a residents participation in a recreational activity, which was to watch the procession of the local Carnival. The Registered Manager confirmed that internal activities were no longer bought in, in part this is due to the cost, care staff find it difficult to provide activities as their is insufficient time as the level of residents cares needs is high. The Managing Director of Prime Life Limited was visiting Braunstone Firlands at the time of the Inspection, the ad-hoc provision of internal activities was discussed with him, and he confirmed this would be reviewed. To ensure residents are provided with the opportunity to engage in worthwhile recreational pursuits it is strongly recommended that the appointment of an Activity Organiser be considered. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 18 Policies and procedures are in place for the protection of adults from abuse. EVIDENCE: Braunstone Firlands as part of Prime Life Limited has detailed polices and procedures outlining the roles and responsibilities of all staff in the protection of adults from abuse. Care staff that study to attain a National Vocational Qualification in Care as part of the award study the protection of adults from abuse, which incorporates the Department of Health’s Guidance on the Protection of Vulnerable Adults. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 11 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 standard(s) Standards within this section were not inspected on this occasion. EVIDENCE: Standards within this section were not inspected on this occasion. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29. The recruitment, training and deployment of staff ensure the care needs of residents are met. EVIDENCE: On the day of the Inspection the Registered Manager along with four care staff were on duty, supported by ancillary staff. A qualified nurse is on duty at all times, meeting the needs of those residents in receipt of nursing care. Braunstone Firlands currently employs eight care staff of which three have attained a level 2 National Vocational Qualification in Care. The records of two staff that have recently been recruited were viewed, all were found to contain the relevant documentation, consistent with the protection of residents. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 36. Opportunities are provided for residents, relatives and staff to participate and comment on the day-to-day running of the home. EVIDENCE: A relative and resident meeting was held in July 2005, which provides an opportunity for individuals to meet with the Registered Manager and comment on the day-to-day running of the home. The minutes of the meeting were read by the Inspector, which evidenced that two relatives attended the meeting. Care staff meetings also take place with minutes being taken; a staff meeting was taking place on the day of the Inspection. Financial arrangements concerning residents are not handled within Braunstone Firlands, financial matters are managed within the head office of Prime Life Limited. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 14 The Registered Manager confirmed that the recommendation made at the last Inspection with regards to the formalisation and recording of staff supervisions has not been implemented. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x 3 x x x Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 16 No Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action 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. Refer to Standard 12 36 Good Practice Recommendations It is strongly recommended that an Activity Organiser be appointed to provide residents with regular and varied activities. It is recommended that the process of supervision is formalised, to include an agenda, which ensures consistency of supervision for the benefit of staff and residents, and a record is made of items discussed. Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Braunstone Firlands Care Centre C51 C01 S1893 Braunstone Firlands V246458 310805 Stage 4.doc Version 1.40 Page 18 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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