Inspection on 19/02/09 for Briar Dene

This inspection was carried out on 19th 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.

Other inspections for this house

Briar Dene 09/10/08

Briar Dene 25/10/06

Briar Dene 07/02/06

Briar Dene 20/12/05

Briar Dene 02/03/05

Briar Dene 09/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Briar Dene 71-73 Burniston Road Scarborough North Yorkshire YO12 6PH     The quality rating for this care home is:   two star good service 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. Lead inspector: Pauline ORourke     Date: 1 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Briar Dene 71-73 Burniston Road Scarborough North Yorkshire YO12 6PH 01723361157 F/P01723361157 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 John Kelly care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 1 3 1 0 2 0 0 8 Briar Dene is a large, detached property standing in its own grounds on the north side of the town. The care home is located reasonably close to all main community facilities including the public transport network. There are parking spaces available for several vehicles. The building, a former hotel, has been adapted to provide care for a maximum of 27 people who are accommodated by virtue of age or infirmity. The home provides 25 single and one shared bedroom, all with en-suite facilities, on two floors and there is a passenger lift. Mr. John Kelly is the registered provider/manager and Mr. Mark Kelly helps in management of the service. Mr. Kelly together with a staff team made up of care staff, kitchen, dining room and domestic staff, provide accommodation, personal care, meals, laundry and domestic services. An activities organiser provides leisure and recreational activities for people on a weekly basis, and many people in the home are able to go out unaided or with the assistance of visitors or staff. Information, including Commission for Social Care Inspection reports, is given to prospective and established people in the home detailing the accommodation, facilities and services provided. The weekly fee is quoted by the provider as being Care Homes for Older People Page 4 of 24 Brief description of the care home three hundred and eighty pounds to four hundred pounds per week in October 2008. People pay separately for hairdressing, private chiropody, toiletries, magazines, papers and transport. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: -Reviewing information that has been received about the home since the last inspection. Care Homes for Older People Page 6 of 24 A visit to the home by one inspector that lasted for four and a half hours. During the visit to the home twelve people who live there and four staff spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Briar Dene for the people living there. The Registered Manager John Kelly was not present for the inspection but his son Mark Kelly was available throughout the day and at the end of the inspection for feedback. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken, What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are admitted to Briar Dene have their needs assessed before they are admitted, so that their needs can be met. Evidence: Three case records were examined, one of which was of someone who had been recently admitted to the home. These showed that prior to admission, information had been obtained about the person, their circumstances and background, and any needs, which were to be met. Some of this information was detailed but not all of the needs identified had any detail as to the type of support required. Discussion with people confirmed that they had had chance to visit the home prior to admission. Where someone is placed through the care management process his or her assessment information is used to inform the admissions process. The Statement of Purpose and Service User Guide were seen during this inspection Care Homes for Older People Page 10 of 24 Evidence: and they contained the information necessary to allow people to gain an understanding of what Briar Dene had to offer. These documents could be further improved by including an equality and diversity statement that outlines the different strands of the larger community whose needs could be met at Briar Dene. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care and suport they need. The staff provide support in a way that promotes independence and dignity of the people who live at Briar Dene. Evidence: Three care plans were seen and each of them contained a care plan. These are reviewed each month although there was no evidence that the person they were about had signed them. Staff keep daily records for each person and this information feeds in to the review process. Information in the care plans also indicated that people access health services as necessary. One person said the staff will call the doctor if you need one and feedback from health care professionals said Staff maintain good working relationships with the doctors and the nursing team and we have worked well with Briar Dene staff several times where someone has been near the end of life and have found them always kind, caring, willing and professional in their approach to the needs of all involved Care Homes for Older People Page 12 of 24 Evidence: At the last inspection several areas of concern were raised about the standard of medication storage and administration. Those areas raised have since been rectified. The records pertaining to the medication were found to be accurate. The records now show the date that the medciation entered the home and the quantity of medication received. The list of staff authorised to administer medciation now includes an example of their signature. This means any errors can be traced back to the the person invovled. The MAR charts seen were accurate and upto date. Where medciation had been changed this was now dated and witnessed by two members of staff. The storage of the medicaines was appropriate. A storage cupboard for controlled drugs had been obtained and a specialist trolley for dispensing the medcation had been provided. Staff had also been made aware of the new medication policy and thos people responsible for the adminstration of medicines ahd signed to say they had read and understood the updated policy. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good meals and a social and recreational programme helps them to maintain their interests and hobbies. Evidence: People are encouraged to follow their own daily routines and people in the home reflected this. One said there are activities to do each afternoon if I want to join in I can and things are arranged if you want to take part in them An activities organiser is employed and recent organised events include, a banjo singer, Macmillan coffee morning, music therapist a local choir visiting and clothes fairs. People can have visitors at any reasonable time and several spoken with said that they were always made welcome and offered refreshments and they are kept informed of any concerns about their relative. A visitors policy is available and it is kept in the Service User Guide. People are encouraged to manage their own financial affairs and information about independent advice is given to people on admission to the home. Where someone Care Homes for Older People Page 14 of 24 Evidence: needs support with their daily monies then it is kept in the safe and records are kept. The records and cash amounts seen were accurate and up to date. The meals provided are freshly cooked each day using local produce where possible. The meals are planned a week in advance but only the main course is clearly identified, the vegetables are seasonal so this element of the meal is flexible. The meal at lunch time offers an alternative rather than a direct choice whilst there is a choice for the tea meal. People in the home do not directly influence the menus but their opinion is sought or offered to the manager. People said most of the meals are good and the food is alright the food is brilliant. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make a complaint using information provided by the home and are protected by the awareness of staff from potential abuse. Evidence: There is a complaint procedure in place and people spoken with were clear about who they would take any concerns to. One person said I would tell the head nurse if I was not happy and I would go to Mr Kelly if I had any problems. Feedback received through the surveys indicated that people knew who to speak to if they were unhappy. Staff spoken with were aware of the complaints policy and the Whistle Blowing policy. An Adult protection protocol is in place and staff were aware of their responsibilities under this procedure. This protocol has recently been updated to bring it in line with the local authorities guidelines as outlined in the document No Secrets. Staff have received training in Adult protection issues through their National Vocational Qualifications level 2 course. They have also received training from Mr Kelly about this policy. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a warm, comfortable and safe environment. They can access all areas of the home, which encourages independence. Evidence: Briar Dene is a two-storey building and has a lift so that people can access all areas. A tour of the building was carried out and it was seen to be well maintained, clean and odour free. The health and safety checks to ensure the safety of the building have been carried out. People have their own bedrooms and those seen had been personalised by the individual. There is one communal lounge, this room is a large open plan room and the furniture is arranged to encourage small groups of people to sit together or people can choose to sit by themselves. Feedback received from people in the home said the home is kept spotless and clean and the home itself is in lovely surroundings with trees and gardens which are looked after regularly The laundry is well situated and suitable for the needs of the home. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home are supported by staff who have been vetted before they started their employment and who receive some training to help them in their role. Evidence: At the time of the visit there was a team manger, three care workers, and four ancillary staff on duty. The staff team meets the needs of the people in residence. Staff spoken with said that there was usually enough staff on duty to allow for the level of support required by people to be provided there was also some opportunity for activities in the afternoon. The people in the home said the staff are wonderful and will do anything for you, the staff are very good at all times and cheerful. Feedback from a health care professional said the staff are pleasant, respectful to the clients and visiting professionals. More than 50 of the staff have completed a National Vocational Qualifications level two in care. Staff also said that they also keep their health and safety training up to date. Staff who manage the medication have completed the learning distance course in the safe handling of medicines. Staff said that they did receive supervision but this was not always recorded. The senior staff also have regular team meetings, although not all staff are included in these meetings. Care Homes for Older People Page 18 of 24 Evidence: Four staff files were seen and these contained some of the necessary pre-employment checks, three of the four files seen only contained one written reference instead of two. Although for the most recently employed member of staff there were two references. There was no evidence that staff have received any training in the aging process covering topics such as Alzheimers or Parkinsons. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed but they have limited input in to the development of the service they receive. Health and safety systems are in place Evidence: Mr Mark Kelly manages the home on a day-to-day basis and reports directly to the Registered manager Mr John Kelly. The Registered manager calls in to the home each day to ensure that everything is running smoothly. There is a very basic quality assurance system in place. This consists of questionnaires being given to people living in the home. It is recommended that this survey should be extended to include all stakeholders. It is also recommended that as part of the quality monitoring system regular meetings should be established to allow people living in the home to become more involved in the development of the service. The annual quality assurance system should feed in to an annual development plan based on improving the service provided at Briar Dene. Care Homes for Older People Page 20 of 24 Evidence: The Registered Manager has provided information to people in the home about where they may seek independent support with their finances. Where peoples monies are held in the office the cash and records seen tallied and were accurate. Proper records are kept along with receipts for any monies spent on behalf of someone in the home. The health and safety records were checked and all were found to be up to date. The fire safety training records have been updated and all staff have received fire training in line with the guidance provided by the Fire and Rescue service. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 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 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 Care Homes for Older People Page 23 of 24 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!