Inspection on 06/09/05 for Briardene Care Home

This inspection was carried out on 6th 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

Briardene Care Home 30/06/09

Briardene Care Home 03/06/09

Briardene Care Home 01/05/09

Briardene Care Home 16/02/09

Briardene Care Home 16/09/08

Briardene Care Home 11/06/07

Briardene Care Home 08/06/06

Briardene Care Home 14/12/04

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

CARE HOMES FOR OLDER PEOPLE Briardene Care Home Newbiggin Lane Westerhope Newcastle upon Tyne NE5 1NA Lead Inspector Ian Armstrong Announced 06 September 2005 09:30 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 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. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Briardene Care Home Address Newbiggin Lane Westerhope Newcastle upon Tyne NE5 1NA 0191 286 3212 0191 286 6820 adrian@grantwilliamson.co.uk Windmill Hills Limited 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) Ms Margaret MacInnes Robertson CRH 59 Category(ies) of DE(E) Dementia - Over 65 - 31 registration, with number OP Old Age - 28 of places Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 25/4/05 Brief Description of the Service: Briardene is a care home with nursing providing care for older people with physical and mental health needs. the home is owned and managed by Windmill hills Limited which is part of a larger group which provides care services for a variety of client groups. The home is staffed by Registered General Nurses supported by care staff. The philosophy of care is to support the residents in their activities of daily living and to provide for their physical and mental health needs. The home is situated in Newbiggen Lane in the west of the city of Newcastle upon Tyne fairly close to local shops and public transport links. The building is comprised of three floors, the top floor being staff accommadation. The lower two floors are resident accommadation with 62 single bedrooms all with en-suite facilities. On each of these floors there are a number of bathrooms and toilet facilities also lounge and dining rooms. The home has a visitor coffee room facility and hairdressing room. There is also a kitchen and laundry room. To the rear of the home there is a very nice garden and patio area. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection of the home and took place over six hours. The inspector looked around some parts of the building and a number of records were inspected. Ten residents and twelve members of staff and two visitors were spoken to. What the service does well: 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. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 7 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 standard(s) 1,2,3. 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. EVIDENCE: The service user guide and statement of purpose documents were read these provide good information about the homes services and facilities.A number of residents contracts were read and all of these were found to be satisfactory describing their conditions of stay in the home. Four residents pre-admission assessment records were seen and the standard of these was found to be good Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 8 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 standard(s) 7,8,9,10. The service users 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. EVIDENCE: Five Gp practises are used by the home and working relationships are good. Health care record documents showed that residents health care needs were being well met. The systems for the storage, administration, receipt and disposal of medications were checked and found to be satisfactory. Four residents care records were read these showed a good variety and range of care plans written. With evidence of monthly evaluations of these taking place. Resident’s assessment documents were also found to be good. Gender of staff is identified for personal care tasks. Staff are instructed to knock before entering resident bedrooms. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 9 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 standard(s) 12,13,14,15. Service users find in the main 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 generally receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Records in the home showed a good variety of social events taking place these included, Red Nose day, St Patrick’s day, Clothes fayre, French theme night with cheese and wine, Italian theme night with entertainer, Barbaque night with entertainer, Pie & pea suppers, Residents trips to the coast. Church services are held in the home every other week. The home has a Social committee comprised of staff and residents which decides on future events. A resident in the home was spoken to she said she has frequent trips out from the home. This resident showed me a large amount of garden ornaments she had bought and these made a wonderful display in the homes garden. The home has an Open visiting policy and relatives can stay overnight if they wish. The homes activities programme could do with some further development to provide a wider variety of in home activities for the residents. Menus in the home were seen and were generally satisfactory however sandwiches in the menus must specify their ingredients. Breakfasts must also state what food is Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 10 offered not as at present cooked breakfast. Evidence was read of residents being encouraged to choose what clothes to wear each day. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16,18. Service users and their relatives and friends are confident that their complaints will be listened to, and acted upon. Service users are protected from abuse. EVIDENCE: Since the last inspection there has been one complaint and this is currently being investigated. The homes Complaint policy was read and is of a good standard. The POVA policy was also read and is also of a good standard. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19,24,26. Service users generally live in a safe well-maintained environment. Service users live in safe, comfortable bedrooms with their own possessions around them. The home is clean pleasant and hygienic. EVIDENCE: Some parts of the building were visited and generally looked to be well maintained. However the following matters need to be addressed; a number of residents bedroom doors are too fierce in closing. The homes sensory facility room door if left open,a fire door guard needs to be purchased. The bathroom whose water temperature was found to be 49 centrigrade was requested to be kept locked until the temperature was adjusted to within normal range. A number of residents bedrooms were seen these were in the main nicely personalised with lots of personal possessions. Those parts of the home that were seen were clean and hygienic with no obvious smells or odours Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. Service users needs are met by the numbers and skill mix of staff.Service users are supported and protected by the homes recruitment policy and practises. Staff are trained and competent to do their jobs. EVIDENCE: Staff duty rosters were seen these provided the following information; Ground floor, Am, 1 Qualified and 4 care staff, Pm, 1 Qualified and 4 care staff, Nights 1 Qualified and 2 care staff, First floor, Am, 1 Senior and 5 care staff, Pm, 1 Senior and 4 care staff, Nights, 1 Senior and 2 care staff. These staffing levels are in line with the assessed needs of the residents. Two staff files were seen these showed that satisfactory checks and references had been carried out. Staff training records were seen 11 staff are trained to NVQ level 2 and 3 staff at NVQ level 3. Thirteen further staff are soon to commence NVQ training. Levels of training for staff in the home were found to be good. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,38. The home is run in the best interests of service users. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are generallyand protected. EVIDENCE: Records for Relative meetings and Staff meetings were read agendas for these were appropriate for the client group. Residents involvement in deciding social events is to be applauded. Resident monies records were checked there was evidence of regular personal expenditures, with two staff signatories for all transactions. Money balances were checked and found to be correct. The homes Accident book records were checked and found to be satisfactory. The Fire log book all checks were satisfactory, however levels of in- house fire instruction for staff were found to be unsatisfactory. Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 x x x x 4 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 2 Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 16 none 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 15 Regulation 16.2(i) Requirement Menus in the home need to specify what is cooked for breakfast each day. Sandwiches their ingredients must be specified. Door closure mechanisms in the home to be checked as some at present are too fierce in closing. The homes sensory room if this is to be kept open a fire door guard must be purchased. The bathroom with the raised water temperature to be kept locked until the problem is rectified. Staff in the home must receive in-house fire instructions in line with those specified in the fire log book. Timescale for action 30/10/05 2. 3. 4. 19 19 19 23.2(b) 23.2(b) 23.2(b) 30/9/05 30/9/05 6/9/05 5. 38 23.4(d) 6/9/05 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 12 Good Practice Recommendations The weekly activities programme could be further developed to provide a greater variety of activies. B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 17 Briardene Care Home Briardene Care Home B53 B03 S60363 Briardene V234569 060905 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington NE23 6UR 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. 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