Inspection on 18/07/05 for Briar House

This inspection was carried out on 18th July 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 House 07/11/06

Briar House 12/12/05

Briar House 02/12/04

Briar House 26/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Briar House, 186 Bury Old Road, Heywood, Lancashire, OL10 3LN. Lead Inspector Diane Gaunt Unannounced 18th July 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 House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Briar House Address 186 Bury Old Road, Heywood, Lancashire, OL10 3LN. 01706 621906 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Anna Ellis Mrs Anna Ellis Care Home Only 3 Category(ies) of Learning Disability 3 Learning Disability Elderly 1 registration, with number of places Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That within the maximum registered numbers (3) the home can provide care and accommodation for up to 3 people with Learning Disability (LD). 2. One named service user in the category of LD(E) (Learning disabilities over the age of 65 years of age) may be accommodated within the overall number of registered places. Date of last inspection 2nd December 2004 Brief Description of the Service: Briar House is a large semi-detached house providing care and accommodation for up to 3 persons with a learning disability. The property provides 3 single bedrooms, along with 2 living rooms, and a large dining/kitchen area. There are well-maintained gardens to the front and rear of the property as well as parking for several cars. The home is situated in Heywood and has good access to local shops and bus routes, between Bury, Heywood and Rochdale. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours. The inspector spoke with three residents, one carer and the deputy manager. Two residents had also filled in comment cards before the inspection, saying what they thought about the care. Requirements listed at the end of the report include 3 which had not been met from earlier inspections. What the service does well: What has improved since the last inspection? What they could do better: The staff must have more training to make sure they learn more about the job and to keep up with new ways of caring. They must also meet with the manager more often to talk about how they do the job. Staff must also keep better paperwork of how residents’ money has been spent. A supporter or volunteer should be found for one resident who has no family, friends or social worker. The pipe by the front door must be made safe and the gap in the floorboards filled in. The doorbell should be mended. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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 House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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 House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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 Users’ individual needs were assessed in full prior to admission, ensuring staff were prepared to meet those needs. EVIDENCE: All three residents had lived at Briar House for some considerable time on a long-term basis. Full care management assessment was completed in respect of each of them prior to admission. The home also had in place an assessment format that would be used for any future admissions. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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) 7 and 9. Residents made day to day decisions about their lives and were satisfied with the level of risk and independence undertaken. Staff were appropriately involved in assisting residents with their finances but did not keep sufficiently detailed records. EVIDENCE: Observation and discussion with two residents showed that all residents were able to make decisions and choices regarding their day to day care. It was noted that one resident’s independent activities had reduced. Discussion with her and another resident confirmed that both were happy with the choices, level of risk and independence they enjoyed whilst living at Briar House. One resident attended a local People First advocacy group and had regular contact with an advocate. Another resident’s right to access the community alone was restricted, this was seen to be recorded in the care plan and on a risk assessment. Individual arrangements were in place with regard to resident’s finances. The two residents who were able to discuss their choices with the inspector advised that they were happy with current arrangements and talked about how they liked to save or spend their money. A solicitor held Power of Attorney in Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 10 respect of one of these residents. Receipts were seen to be held at the house in respect of items bought on behalf of one resident, these purchases exceeded the weekly personal allowance, but no clear record of weekly transactions was held to show the deficit. Records for another resident recorded only incomings and no record or receipts were held with regard to outgoings. Records for the thirds person did not record when savings were transferred. Risk assessments were held on file and had been reviewed shortly before the inspection. Related policies and procedures with regard to risk taking and missing persons were available. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 11 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) 12, 13, 15, and 17. Residents chose the activities they took part in, both at home and in the local community, ensuring their enjoyment of daily and leisure pursuits. Staff supported residents in maintaining personal and family relationships where they existed. Residents were offered a healthy diet; daily choice of food ensured they enjoyed their meals. EVIDENCE: Residents each undertook activities of their choosing during the day. Two residents interviewed said they enjoyed their activities and would not wish to do anything else. On weekdays, one attended a day centre, and another had a paid job at a day centre. Arrangements were made for activities for the other resident on a day to day basis, either going out to shops, the local park or for a ride in the car. If staying at home a variety of pastimes were provided, including knitting, colouring and reading. This resident was observed enjoying each of these pastimes during the inspection and progress with regard to communication skills was noted. Not all the pastimes were age-appropriate, the deputy was aware of this and said efforts had been made to find more ageappropriate books without success. The manager may wish to make further Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 12 enquiries. When not at work or at the day centre residents said they enjoyed visits to the cinema, playing pool, singing in the church choir, going to Bingo, eating out, and shopping. All three residents were looking forward to a holiday in Blackpool later in the year. None of the residents had regular contact with relatives although staff helped one resident to try to maintain contact. One resident regularly met up with friends and an advocate, and another went out regularly with a volunteer. There were no external links for the other service user. Residents said they were able to choose what to eat each day. Evidence of this practice was seen when they arrived home from the day’s activities with chip muffins that they had asked for on their way home. Observation and discussion showed they clearly enjoyed their food. The deputy manager said healthy eating was promoted and a balance was usually achieved. Meals eaten were recorded each day. Inspection of the record showed fresh fruit and vegetables were regularly eaten, along with other foods of the residents’ choice. Recommendation had been made that residents were weighed monthly. Inspection of the record showed that this had not been achieved, the deputy manager said that this was because residents did not always want to be weighed. It was agreed their refusal would be recorded in future. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 13 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) None of these standards were inspected on this occasion. EVIDENCE: Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 14 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 of these standards were inspected on this occasion. EVIDENCE: Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 15 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 With a few minor exceptions the house was safe, accessible and wellmaintained, residents enjoyed living there. EVIDENCE: The house was safe, accessible and well-maintained with the following exceptions: the doorbell did not work, there was a gap in the floorboards under the carpet in the hall and a pipe was protruding from the ground close to the front door. The house was clean and in good decorative order. Rooms were bright, comfortable, roomy and free from odour. Gardens were seen to be in good order. Residents were proud of the new planters which had been bought to brighten the back garden. They said they enjoyed sitting out in the good weather. There had been no Environmental Health or Greater Manchester Fire inspections since the last CSCI inspection. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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) 35 and 36 Residents benefited from a partially qualified staff team who were well supported but not formally supervised. EVIDENCE: Since the last inspection two staff had attended external TOPSS induction training, three staff had attended medication training and four had attended video training relating to the protection of vulnerable adults. Two care staff had an NVQ level 2 and the deputy manager had an NVQ level 3. However, the remaining two staff had not completed foundation training and were not enrolled on NVQ courses. Requirement made over 12 months prior to this inspection had not been met. Neither had staff received 5 days training each year to keep themselves up to date with current practice. Staff said they received support from the manager and deputy on a day to day basis. Supervision sessions based on direct observation had been undertaken by the registered manager but discontinued before the last inspection. Annual appraisals were not held and there were no regular, recorded supervision sessions between the manager and staff, although two staff meetings had been held in January and March. Requirement made over 12 months prior to this inspection had not been met. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 17 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 of these standards were inspected. EVIDENCE: Briar House, F06 F56 S25493 Briar House V230432 30.06.05 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 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 x 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 2 x 3 Standard No 31 32 33 34 35 36 Score x x x x 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Briar House, Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 19 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 35 Regulation 18 Requirement Skills for Care foundation training must be provided for those staff not undertaking NVQ level 2 (Original timescale 30.08.2004). A minimum of 5 days training must be provided for each staff member each year. (Original timescale: 30.03.2004) Staff must be supervised on a formal basis at least 6 times each year (Original timescale:30.08.2004) Financial records must be kept as required by Regulation 17(2) Schedule 4.9. The protruding pipe by the front door must be made safe. The gap in the floorboards in the hall must be filled. Timescale for action 31.10.2005 2. 35 18 31.12.2005 3. 36 18 31.10.2005 4. 5. 6. 7 24 24 17 Schedule 4 13 13 31.08.2005 30.09.2005 30.09.2005 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 7 Good Practice Recommendations Whenever possible, receipts should be kept in respect of F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 20 Briar House, 2. 3. 13 19 purchases made on behalf of residents. An advocate or volunteer should be sought for the resident who has no contact with family or friends. The doorbell should be mended. Briar House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 House, F06 F56 S25493 Briar House V230432 30.06.05 Stage 4.doc Version 1.30 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. 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!