Inspection on 21/02/06 for Briar Hill House

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Hill House 24/06/09

Briar Hill House 30/05/07

Briar Hill House 07/09/05

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Radbrook Nursing Home

The Conifers Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Briar Hill House 51 Attlee Crescent Rugeley Staffordshire WS15 1BP Lead Inspector Mrs Joanna Wooller Unannounced Inspection 21 February 2006 10:00 X10015.doc Version 1.40 Page 1 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 Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 2 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. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Briar Hill House Address 51 Attlee Crescent Rugeley Staffordshire WS15 1BP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01332 296200 home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Pauline Kincaid Care Home 28 Category(ies) of Physical disability (28), Physical disability over registration, with number 65 years of age (28) of places Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 28 PD - Minimum age 60 years on admission One PD Service user - Minimum age 44 years on admission Date of last inspection 7th September 2005 Brief Description of the Service: Briar Hill House was purpose-built in 1992. It is situated close to Rugeley Town centre. This 28-bedded home is presently owned by Methodist Homes. The Manager, Mrs Kincaid, has been in post for many years and has a wealth of knowledge and experience in elderly care. She is supported by her Deputy Manager. The home is divided on two identical levels and each floor has 14 bedrooms, a large lounge, a spacious dining room and an individual kitchenette. All bedrooms are single occupancy and have ensuite facilities, which include WC, sink and a walk-in shower. Seven of the bedrooms have separate adjoining lounge areas for the use of the service user and their families. A variety of specialist equipment was available for the service users who require assistance. The home has a beautiful garden, which is accessible to all service users. There is a water feature and summerhouse sited in the grounds. The home has its own hairdressing salon/relaxation room. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The lead inspector carried out this unannounced inspection. The manager was in the home and a senior nurse was in charge of the morning shift. There was a peaceful ambiance throughout the home and a pleasant atmosphere with residents going about their usual routines supported by carers and nurses. No issues relating to complaints had been received by the CSCI or issues of abuse reported. Staffing was found to be in order and a full team of permanent staff worked in the home. The visit was uneventful and all requests from the inspectors were met. What the service does well: What has improved since the last inspection? What they could do better: Presently no issues were raised. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 6 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 Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 the following standard(s): 3 All service users are admitted to the home following a pre-admission assessment completed by a trained nurse. Confirmation that their individual assessed needs can be met whilst in the home is given in writing. EVIDENCE: Each service user is individually assessed prior to admission and this was evidenced within the care records seen at the visit. Prospective service users and their relatives are able to visit the home at any time to ensure they are making the right choice for their new home. The statement of purpose and informative service user guide assists the service users to make the right choice. Their families, in choosing the home, had supported those service users spoken to by the inspector. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 the following standard(s): 8,10 Service users’ individual health, personal and social care needs are all set in individual care records which were well documented and reviewed monthly. Robust policies and procedures are in place at the home. EVIDENCE: Each service user has an individual care record, which was evidenced by the inspector as being well-written, informative and updated monthly to ensure needs were being met. Personal details were clearly documented. Named nurses have responsibilities to each of their service users and the relevant care records. Individual care audits were evident within the care records completed by the manager. The home’s policies and procedures promote the good practice of safe administration of medication and no issues were raised relating to medicines at this visit. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 10 The home is extremely well supported by local GP’s and Pharmacy services Specialist nurses are regular visitors in the home to offer support for the nurses in meeting the service users needs, and there was evidence of their involvement. Again as at previous visits there was evidence that service users were treated with respect and their privacy upheld by the interaction of staff. Staff were witnessed knocking on bedroom doors prior to entering. Service users are continually assured by the manager and the staff that at the time of their death they and their family will be treated with respect and sensitivity. On the notice board there was a display of ‘Thank You’ letters and appreciation cards, which had been sent to the staff. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 the following standard(s): 13, 14, 15 Service users are encouraged to maintain full contact with all their family, friends and community links whilst in the home. Wholesome and appealing meals are cooked in the home and service users benefit from freely exercising choice and preferences, which are documented. EVIDENCE: A monthly events poster continues to be displayed around the home, for service users and their families to be involved in social activities. The homes activity coordinator contributes greatly to the day-to-day life of the service users as she excels herself in the art of social care and recreational activities for all the service users. A dedicated team of trained volunteers, who offer a variety of activities to enhance the service users day, support her. Service users spoken to again commented that they enjoy the input and say the balance is just right. During the inspection visit many service users were enjoying a bingo session that was being called by two schoolgirls on work experience. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 12 Notice boards were evident throughout the home with events photographs and thank you letters. Visitors are welcome at any reasonable time and visitors were evident during the visit. Those spoken to say they felt content with the care and that their relatives always felt welcome on arrival to the home. Environmental health had visited within the last 12 months and the home was found to be compliant. A balanced and appetising menu was displayed with choices available to suit individual preferences. Service users spoken to say that the meals are enjoyable and that the carers tempt them with other choices if they do not like the main meal, this ensures that their daily intake is adequate. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 A robust policy and procedure is evident throughout the home to deal with complaints and concerns. Relatives and service users felt able to raise concerns with confidence that it would be dealt with promptly. EVIDENCE: The complaints procedure is evident throughout the home and within the statement of purpose and service user guide. No complaints had been received by the CSCI since the last inspection. Legal rights of service users are protected, and preferences are documented within their individual files. Service users continue to feel that the professional staff protected them from abuse by their endearing manner and genuine interest in looking after the older person. Staff had received training in identifying abuse and reporting it. All staff receive instruction on whistle-blowing on induction to the home and this is revisited through staff meetings and supervision. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 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 the following standard(s): 19, 21, 23, 24, 25 The service users do live in a clean, safe and well-maintained environment. Specialist equipment and suitable facilities assist individuals as required. Rooms are personalised and comfortable. EVIDENCE: The environment of the home was again found to be exceptionally clean, hygienic and tidy in all areas inspected. The home had evidenced that it is well maintained, with an excellent maintenance folder of records available to demonstrate this. Each service user is able to personalise their bedroom as they so wished and there was evidence that this is appreciated. Specialist equipment is evident in the home and within the maintenance folder as being well maintained. Pressure relieving mattresses in varying forms are on each bed in the home. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 15 A mattress audit is undertaken at least annually. Independence is encouraged and promoted appropriately throughout the day with individual assistance given as required. Communal areas remain light and airy with varying seating arrangements. The dining areas are also in a designated area; tables are laid with cloths and flowers that are appealing to the eye. The nurse call system had been refitted last year in all service users areas and this was seen as a big improvement, along with the cordless telephone system that had also been installed. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Service users’ needs are continuing to be met by the carefully recruited staff that are suitably trained and professional in their manner. EVIDENCE: Staffing levels are continually monitored to ensure that the needs of the service users can be met. Staffing rotas were made available for the inspector as evidence of staffing levels and staff competence. All staff is first aid trained and have a food hygiene qualification. 100 of care staff is NVQ 2 trained and further training to NVQ level 3 is promoted. Two to three trained nurses are on duty for each shift, supported by care staff. Each trained nurse has a responsibility to a specialist subject such as continence and wound care. This link nurse role promotes current good practice within the home. The recruitment policy and procedure is in place, which demonstrates the managers’ commitment to employing and developing highly qualified, professional staff. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 17 Training for all employees is recorded and monitored. The home benefits from a bank of staff to cover sickness and holidays and no agency staff are employed. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 18 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 36, 37, 38 The home is run and managed for the benefit of the service users. Staff are suitably supervised and they and the service users are safeguarded by the policies and procedures in home. The health, safety and welfare of service users and staff are promoted. EVIDENCE: There was evidence in the home that the home is run in the interest of the service users. Choice and service users’ opinions are listened to and actioned. Staff and relatives confirmed that the service users’ wishes and choices are promoted within the home. Service users spoken to felt that they felt secure in the home and they belonged there. There were no financial issues raised. Policies and procedures protected service users’ financial interests. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 19 The positive ethos and strong leadership within the home is open and welcoming. The manager and her team are well respected by the service users and their relatives/representatives. Staff supervision is in place with neat documentation and relevant matters being addressed. The health, safety and welfare of staff and service users is promoted and protected by the rigorous testing, recording and monitoring of systems within the home. The maintenance person maintains the home in a professional manner and the records seen by the inspector evidence this. Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X 4 X 3 3 3 X STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X 4 X 4 4 4 Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations Briar Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Hill House DS0000063821.V284384.R01.S.doc Version 5.1 Page 23 - 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!