Inspection on 10/08/05 for Braunton

This inspection was carried out on 10th 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.

Other inspections for this house

Braunton 06/01/09

Braunton 24/01/08

Braunton 12/10/07

Braunton 08/06/06

Braunton 06/02/06

Braunton 21/02/05

Braunton 20/08/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Braunton Residential Home Limited 23 Grove Avenue Yeovil Somerset BA20 2BD Lead Inspector Lesley Jones Announced Wednesday 10 August 2005 th 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. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Braunton Residential Home Address 23 Grove Avenue Yeovil Somerset BA20 2BD 01935 422176 01935 422176 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) Braunton Residential Home Limited Mrs Alexandra Vickery Care Home 9 Category(ies) of Learning Disability (1) and Old Age (8) registration, with number of places Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One named service user with learning disabilities under the age of 65. Date of last inspection 21st February 2005 Brief Description of the Service: Braunton is a family run home providing accommodation and support for nine older people in domestic scale accommodation. Mr & Mrs Lambert, the owners, continues to be directly involved in the management of the home. Their daughter Alexandra Vickery is the registered manager and another daughter provides administrative support for the home. The management team, are supported by a small staff team. Residents are encouraged to maintain links with family and the wider community. The emphasis is on providing care within a ‘homely’ environment. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over approximately seven hours following a satisfactory inspection in February 2005. During this time the Inspector spoke individually with the majority of the services, with the owner Mrs Lambert, registered manager Mrs Vickery two staff members, and reviewed premises and a small sample of care plans and other records. This inspection confirmed previous judgements – this home is a well run service, providing a good standard of care to older people. There are good systems in place underpinning administration and overall a satisfactory standard of record keeping. Training for staff is good. Residents were very positive about the service they receive. What the service does well: What has improved since the last inspection? Since the last inspection, the management team have ensured that all the POVA checks required in relation to staff recruitment are carried out. All residents now have individual files to promote confidentiality. Improved facilities have been provided for the storage of medication. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 6 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. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 7 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 Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 8 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) 3,6 These standards are met. The evidence demonstrates that appropriate assessments are carried out before any offer of a place is made. EVIDENCE: Two new residents have been admitted since the last inspection. Varying levels of assessments involving multi-disciplinary professionals are undertaken prior to admission. This combined with the homes pre-admission assessment provides a baseline for the ongoing assessment during the trial period following admission. There is no intermediate care offered at this home. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 9 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) 7,8,9,10 Good systems are in place to ensure that these standards are met. EVIDENCE: Assessment takes place prior to admission. The management team visit prospective residents in their own homes or hospital prior to placement. All new admissions are on a trial basis, which allows for further in-house assessment until the placement is confirmed. The home works closely with locally based multi-disciplinary professionals to ensure that health care needs are met, and where necessary involves specialist help. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 10 Four designated members of staff have responsibility for administering medication, and there is some additional training planned for these staff from Yeovil College on the safe handling of medication. Residents are supported to maintain control of their medication if possible. The home is aware that the CSCI pharmacist and locally based pharmacists work together to ensure that systems operated in care homes are appropriate and safe. The local pharmacist last visited in June 2005 and left a positive report, which indicated that the recommendation s made at the previous visit has been implemented. Health and personal care needs are well organised with regard to the dignity and privacy of individual residents. Service users said that they were treated with kindness and respect. This is a small home with one main living/dining room area where the majority of people tend to congregate during the day. Some people entertain visitors in their own rooms; alternatively the conservatory area is available. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 11 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) 12,13,14,15 These standards are met. EVIDENCE: Routines are flexible and the management team ensure that individual choices and preferences are taken into account. Residents also confirmed that this is the case. Visitors are welcomed and the home has well-established links with the local community. The management team are clearly aware of the individual needs and preferences of the people living here. The majority of people appear to prefer spending most of their time in the communal parts of the home however, the staff team are aware of the problems of potential isolation for those who choose to stay in their rooms for long periods. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 12 Discussion with service users and observations confirmed that meals are taken either in the communal dining room or in individual rooms according to their individual preferences. The meal provided during the inspection appeared appetising and a pleasant smell of cooking was evident during the morning. The management team ensure that staff carefully monitor likes and dislikes plus specific dietary needs. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 13 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) 16.18 These standards are met. Conversations with service users confirmed that the majority of people were confidant about who they could speak to if they had any concerns. The home has an appropriate complaints procedure in place and complaints are fully investigated. EVIDENCE: Feedback from residents indicate that staff are approachable, including Mrs Vickery and Mrs Lambert. Residents are mostly able to resolve things without recourse to formal complaint. The management in the home encourage residents to speak their mind and express their wishes and preferences. This would not detract from complaining formally should issues requiring this arise. There was evidence to show that correct procedures have been followed with the appointment of staff. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 14 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) 19, 26 These standards are met. EVIDENCE: Braunton was originally the family home of Mr and Mrs Lambert and their family before it was converted into a residential home. Braunton is domestic in style and scale, and has a homely appearance. The owner ensures that the home is well maintained and meets the needs of the people living here. The home is not suitable for those who rely on wheelchairs for their mobility and the management team take this into account when new ‘long term’ admissions are considered. The home is clean, pleasant and hygienic. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 15 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) 27,29,30 There is good evidence to support these standards. EVIDENCE: The staff team are engaged in the full range of activities here, from direct care task to cooking and laundry maintenance. There are sufficient numbers of staff and at the last inspection; seven members of the team had NVQ II (or above) qualifications. The number of staff with this qualification has reduced, due to some changes to the staff group. The management team ensure that admissions are carefully selected in order to maintain the level and quality of support provided here. Staff records were sampled and were in good order. The management team are keen to ensure that staff are appropriately trained. Mrs Lambert continues to provide support as an NVQ assessor for all staff. There was evidence that staff had completed a number of training courses over the past year, these included specialist training on working with people with dementia, and focusing on meeting the needs of people as individuals (Person Centred Planning). Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 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 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) 33,35,38 These standards are met. The views of service users and their families are sought through the use of questionnaires. All service users are supported by their families regarding the management of their finances Appropriate safeguards are in place to ensure the protection of service users. The management team ensure that the health and safety of those who live and work in the home is promoted. EVIDENCE: The management team seek the views of service users and their families, through the use of questionnaire. Since the last inspection, practice within the home has changed to ensure that where appropriate, questionnaire are given primarily to service users with the involvement of relatives as necessary. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 17 All service users are supported by their families regarding the management of their finances. The home does not act as appointee for any service user. It was evident that staff are aware of the homes policy in relation to involvement in individual finances and of not accepting gifts from residents. The management team confirmed that all the appropriate safeguards are in place to ensure the protection of service users. Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 19 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. Refer to Standard 29 Good Practice Recommendations The management team must ensure that all staff have two references which are dated. If telephone references are taken in lieu of a written reference. (whilst waiting for a written reference to be returned), this must be taken before a new member of staff starts work Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Braunton Residential Home Limited DD53-DO2 S54718 Braunton V233578 100805 Stage 4.doc Version 1.30 Page 21 - 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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