Inspection on 08/09/05 for Briar Court Nursing Home

This inspection was carried out on 8th September 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

Briar Court Nursing Home 27/01/09

Briar Court Nursing Home 06/09/06

Briar Court Nursing Home 31/01/06

Briar Court Nursing Home 08/11/04

Briar Court Nursing Home 14/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Briar Court Nursing Home Address 59 Hutton Avenue Hartlepool TS26 9PW Lead Inspector Jean Pegg Unannounced 8 September 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Briar Court Nursing Home Address 59 Hutton Avenue Hartlepool TS26 9PW 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) 01429 224442 01429 275800 Castlebeck Care (Teesdale) Limited Mrs Elizabeth White CRH 11 Category(ies) of LD Learning disability (11) registration, with number of places Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12 November 2004 Brief Description of the Service: Briar Court is a registered care home with nursing. The home provides accomodation for eleven younger adults with a learning disability. Briar Court is a detached house in a private residential area in Hartlepool. The home is within easy walking distance of the town centre and local amenities. There is good access to public transport. The home provides single bedroom accomodation, two lounge areas, one dining room, kitchen, laundry and a garden to the rear of the house. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on Thursday September 8 and lasted for five and a half hours. Time was spent talking to the people who lived and worked at the home, checking care plans and other records and by having a guided tour around the house. After the inspection, service users filled in and returned comment cards about the home. Seven of the eight service users who returned questionnaires said that they felt well cared for and that staff treat them well. Six of the eight said that they liked living at the home. More results of the questionnaire and comments made by staff and service users will be included in parts of this report. What the service does well: Staff at the home complete lots of assessments to help identify service user needs. Service users were able to talk about what was in their care plans and what they hoped to do in the future. Service users are helped to develop skills that will help them to take reasonable risks as part of every day life. Service users are encouraged to develop skills that will help them to live an independent life, and take part in activities they enjoy. Everyone is encouraged to use as many of the local facilities as possible for example the college, leisure centre, shops and cafes. Service users are encouraged to be responsible for their own lives as far as possible. And this is different for each person depending upon their skills and need. One service user said “there are good day service packages – I get on well with them (the staff). I like being occupied, I want to be as independent as possible and I can do that here.” Service users’ medication is handled in a way that protects service users from harm. Briar Court is clean, nicely decorated and furnished. The people who live there are able to choose how their bedrooms are decorated and furnished and most of them have their own toilets, showers or baths. There are a lot of different rooms for people to share. Some of these rooms are to relax in and some are used to help learn skills like cooking, washing and ironing. Six out of eight service users who returned a questionnaire form said that they liked living at the home. One service user wrote “I like living at Briar Court. I have turned my bedroom into a bed-sit and I enjoy my own kettle and fridge as well.” Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 6 There are plenty of staff working at the home to meet service user needs. The home can also get extra help from other health care staff and non health care staff employed by the Castlebeck Care group. Lots of different checks are carried out on new staff before they are allowed to work at the home. 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. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Detailed assessments are carried out for each service user. The results of the assessments are used to write individual care plans. EVIDENCE: Two service user files were checked. A range of different assessments and follow on assessments had been completed. The results of these assessments were used to inform the care plans written. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6&9 Service users spoken to were involved in the preparation of their care plans. Service users are assisted to manage and take risks as part of an independent lifestyle. EVIDENCE: Two service user care plans were looked at in detail and two service users were spoken to about their care plans. Individual care plans are signed by service users and key workers and are reviewed by both parties during the monthly progress meeting. Service users were familiar with and were able to talk about their current care plans, and, what would be in future care plans. Risk assessments are completed and agreed with service users. Actions to reduce risks is specified clearly in the assessments. The manager also described how service users role play different situations that help to develop independent living skills and in some cases, manage risks. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,16 Service users are provided with opportunities for personal development to help them enjoy independence. Service users are encouraged to take part in appropriate activities of their choice. Service users are encouraged to be part of the local community and access community facilities. The degree of structure in the home is dependant upon individual service user needs. Seven of the eight service users who returned questionnaires said that they felt that their privacy was respected. EVIDENCE: The manager described the content of some of the day services packages that are provided for service users. Some service users took part in a cooking session held in the training kitchen on the afternoon of the visit. One service user said “there are good day service packages – I get on well with them (the staff). I like being occupied, I want to be as independent as possible and I can Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 11 do that here.” One service user said that they would like to do more about “budgeting” and would like to have more structured free time during the afternoon on Wednesday, Thursday and Friday. Another service user wrote “I receive a lot of care because I have been here so long and people want to know where we are and what we are doing all the time.” Service users also described in detail some of the activities they were planning to get involved with including education and work opportunities. The manager said that one service user already has employment in a local shop. There were also certificates framed on bedroom walls showing achievements at college. Six of the eight service users who completed questionnaires said that the home provided suitable activities. Service users spoke of involvement in and use of local community facilities including leisure, educational and retail facilities. One service user was out for the day shopping independently in Middlesbrough. She was very proud of her achievement when she got back to the home later that afternoon. Service users spoke about weekend entertainment in the home including ‘Tina’s Tavern’ and weekend trips to York. Daily routines have some structure in that day service activities are planned for service users who need them. Service users were asked for permission to enter their bedrooms as part of the inspection, one service user said no and this was respected. Service users have keys to their own rooms. A training kitchen and laundry room are available for service users to use under supervision. There are no designated smoking areas in the building but smoking is allowed in the garden. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The home has polices and procedures in place for dealing with medication that help to protect service users. EVIDENCE: The manager described the procedure followed by staff when medication is ordered, stored, administered and disposed of. Records, documents, storage facilities etc. were seen that confirmed the managers words. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None None of these standards were assessed. EVIDENCE: Seven of the eight service users who completed questionnaires said that they knew who to speak to if they were unhappy with their care. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28 & 30 Briar Court provides a homely environment that has been adapted to keep service users safe. Single bed room accommodation is offered to all service users. Bedrooms are decorated and furnished to suit the individual service user’s taste. The home has plenty of toilets and bathrooms to meet individual service user needs. A range of shared spaces are available for service users to use. The home is clean and hygienic. EVIDENCE: The home is a large detached house that is situated in the middle of a residential street in Hartlepool. The home has been adapted to meet relevant guidance yet still retains a homely type of environment. The home provides accommodation for eleven service users. Living accommodation includes two Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 15 lounge areas, one dining room, training kitchen and laundry and garden area. Both internally and externally the home is kept to a good standard being well furnished and decorated. The home is within walking distance of all local amenities. The home has an allocated budget for redecoration. Both the Fire Officer and Environmental Health Officer have visited during the last eighteen months and the manager reported that there were no outstanding issues. All service users are provided with single bedroom accommodation seven of which have en-suite facilities. All bedrooms have a wash hand basin. Bedrooms have been decorated to suit the occupants’ personal taste and all occupants are issued with their own door keys. Each bedroom is furnished to a good standard and includes the items of furnishing identified within this standard for example bed, table, chest of drawers etc. There were also pieces of personal equipment seen in bedrooms for example CD players, fridges etc. One service user wrote in their questionnaire “I like living at Briar Court. I have turned my bedroom into a bed-sit and I enjoy my own kettle and fridge as well.” In addition to seven bedrooms having en-suite facilities, the home also provides one bath and one shower room for service users. These rooms are fitted with emergency call systems in place. As stated earlier, the home has two lounge areas and one dining room. There are two kitchens, one for main meal preparation and one for service users to develop cooking skills (the training kitchen). There is also a training laundry. Outside there are well kept gardens, which is where service users who choose to smoke have to go. The two laundry areas are well equipped with washing machines and dryers that have the specified programmes to meet hygiene needs. The machines and equipment are also suitable for service users to use so that they can develop independent living skills for example, being able to wash and iron their own clothes. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 & 34 Staff are offered training to do their job and at least half of the carers are trained to National Vocational Qualification (NVQ) level 2. The home has access to a good mix and ratio of staff to ensure that service user needs are met. Recruitment practices within the home meet regulation standards so that service users are protected by proper checks being carried out on new employees. EVIDENCE: Rotas show that eight of the fifteen care staff employed at the home have National Vocational Qualification (NVQ) level 2. One new member of staff spoken to said that “From the word go, I’ve been given all the training needed. It was excellent when I first started.” Staff rotas show that the home has at least one qualified nurse and at least three carers on duty during the day and at least one qualified nurse and one carer on duty during the night. The home also has a full time manager who is a qualified nurse, and domestic/catering staff. The manager can also ask for additional support from other health care and non health care professionals who are employed by the Castlebeck Care group. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 17 Two recruitment files were checked for staff who had been employed since the last inspection. All records and checks required by regulation had been obtained. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None None of these standards were assessed. EVIDENCE: Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Briar Court Nursing Home Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 20 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. Refer to Standard 28 Good Practice Recommendations Facilities for those who want to smoke should be improved to provide shelter during the bad weather. Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Briar Court Nursing Home B54 S148 Briar Court V223952 220805 Stage 4.doc Version 1.40 Page 22 - 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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