Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Briarcroft Dawlish Road Teignmouth Devon TQ14 8TG three star excellent service 02/11/2006 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Samways Date: 0 7 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Briarcroft Dawlish Road Teignmouth Devon TQ14 8TG 01626774681 01626774681 briarcroft@bluebottle.com 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) : Elaine Louisa Ann Walsh,Mr John Patrick Walsh care home 20 Number of places (if applicable): Under 65 Over 65 18 20 dementia old age, not falling within any other category Conditions of registration: 0 0 Ground Floor to be registered for Service Users with OP category only Date of last inspection Brief description of the care home Briarcroft is a detached house, situated close to Teignmouth town centre and set back from the main road. There are sea views from some windows. Briarcroft is registered to care for up to 20 people over the age of 65, who may have dementia. There are keypad locks on the main entrances, and an attractive level decked area in a garden that is secure. Accommodation is on two floors with a passenger lift to the first floor. There is a spacious lounge, separate dining area and a sun lounge. All but one room is for single occupation. There is a separate self contained flat on the lower ground floor. The flat has two bedrooms, a lounge and dining area as well as its own kitchen and conservatory. Care Homes for Older People
Page 2 of 9 0 2 1 1 2 0 0 6 Brief description of the care home Fees range from £363 to £430 per week. The Home owners will provide a copy of their inspection report to any serious enquirer who does not have access to the web site. Care Homes for Older People Page 3 of 9 What we found:
This was an unannounced inspection carried out in response to some concerns expressed by visitors to the home that the standard of care had declined since the care manager had left several months before. On the day of the inspection it was discovered that the care manager had been re-employed in her previous role and had commenced work the day before. Both the registered provider and staff spoken to said that they were pleased that she had returned and were confident that care would start to improve. The assessment process was discussed with the care manager. She stated that they have a first contact form which they complete with the persons details and a brief history. When the person has been referred by social services they have a care plan provided by the social worker. However, on examining the records for a person recently admitted to the home the information obtained by the home and that provided by social services was sparse. This potentially places the person at risk because the care plan the home devises, detailing the care the staff are required to provide, is based on the assessment. Other records seen were variable in the quality and quantity of infrmation provided. The assessment is particularly important when the person concerned is unable to provide information themselves. The care manager agreed that more attention needs to be paid to information gathering about any potential resident. The care plans for four people living in the home were examined including those for some of the most recent admissions to the home. The care plans, which should detail the care required by the person concerned, were found to be variable in quality. Some were clear about what the staff should do to assist the person while others were not. The care manager agreed that the care plans needed to be re-structured to make them clearer and to ensure that they were fully completed. The care plans also need to be signed and dated by the person writing them and by the person they concern or their representative to ensure that their views have been taken into consideration. Care plan reviews also need to show when they took place, who was involved and what, if any, modifications were made. It was found that daily records had not been consistently completed so it was not always possible to see what the person had been doing or how they had been during the day or at night. This needs to be addressed. In discussion with the care manager she agreed that the care plans, daily records and care plan reviews were not adequate. Concerns had been raised by some visitors that their relatives had been found wearing other peoples clothes and they had seen other residents wearing their relatives clothing. This can affect the persons dignity and implies a lack of respect by the staff for the people living in the home. This was discussed with the registered manager/provider who stated that the issue had been raised at staff meetings and she was monitoring the situation. However, during the inspection those living in the home were seen to be clean and well dressed. Care Homes for Older People Page 4 of 9 Concerns had been raised by a visitor to the home about the behaviour of some members of staff which resulted in the dignity of a resident being compromised. As a result they also questioned the training staff had been given. This was discussed with the registered manager/provider who stated that the member of staff mainly at fault had been asked to leave the home. The other staff had been reminded of the appropriate way to approach caring for people and had been told that any other behaviour would not be tolerated. She said that there had been a marked improvement in staff attitudes. During the inspection people were seen to be approached with kindness and good humour to which they responded positively. Staff training was discussed with the registered manager/provider who produced the training records she had kept. These showed that staff had had some appropriate training but the records need to be managed in a way that is easy to ascertain who has done what training, what the gaps are and who needs to attend refresher sessions. What the care home does well: 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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 1 3 14 The needs of any potential resident must be fully assessed prior to a accommodation in the home being offered. This is to ensure that the home can meet the persons needs. 25/07/2009 2 7 15 25/07/2009 Care plans must detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal,and social care needs of the person concerned are met. These must be reviewed at least monthly and updated as necessary and all plans and reviews signed and dated by those concerned. This is to ensure that all those providing care are clear about what they are required to do for each person living in the home and that those living in the home or their representatives are involved in planning and reviewing the care. Care Homes for Older People Page 7 of 9 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 1 10 The system for managing the personal laundry of those living in the home should be designed to ensure that they only have their own clothing at all times. Staff training records need to be managed in a way that clearly identifies what training staff have undertaken and when, any gaps there are in their training and when staff need to attend refresher sessions. 2 30 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 9 of 9 - 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!
