Inspection on 06/12/05 for Briarfields

This inspection was carried out on 6th December 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

Briarfields 16/11/06

Briarfields 14/07/05

Briarfields 06/12/04

Briarfields 08/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Briarfields Raby Crescent Belle Vue Shrewsbury Shropshire SY3 7JN Lead Inspector Pat Scott Unannounced Inspection 6th December 2005 09:30 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 Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 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. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Briarfields Address Raby Crescent Belle Vue Shrewsbury Shropshire SY3 7JN 01743 353374 01743 232943 briarfields@coucareshrop.demon.co.uk 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) Coverage Care Shropshire Limited Carole Jane Williams Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: Briarfields is registered with the Commission for Social Care Inspection to provide a residential care service to 40 older people. The home is situated in Belle Vue close to Shrewsbury town centre. It is a well established home set in its own grounds. Briarfields is one of a number of care homes run by the ‘Coverage Care’ organisation. The registered manager Ms Carol Williams manages the home on a day-to-day basis. Briarfields offers single room accommodation for 38 service users and one shared room. The home has been designed to provide sitting, recreational and dining space in 4 separate areas. The garden is well maintained and accessible providing a safe attractive area for residents to use. A separate day centre is also on site. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 6th December 2005 commencing at 09.30am for a duration of two and a half hours by one inspector. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records (including care plans for 4 service users). The statement of purpose was used to assess how far the home’s objectives to be able to meet service user requirements and expectations were being met. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis by the Head of Operations for Coverage Care. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. The Commission does not currently have any concerns regarding this home. What the service does well: Only nominated and trained staff are involved in giving medication to service users. Procedures are in place to ensure the wrong drug is not administered. The home provides for the nutritional needs of service users well and are considering applying for the healthy eating award. The manager recognises the importance of providing palliative care for service users in the terminal phase of their illness and aims to develop staff skills within this area. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The manager and staff in working with other health care professionals have provided sensitive and professional palliative care for service users at the end of their life. By adopting the nationally recognized approaches to palliative care below, the home would further enhance the quality of end of life care provided and exceed standard 11. • The Liverpool Care Pathway (LCP); and • Gold Standard Framework. The LCP format transfers the hospice model of care into the care home setting and will facilitate multi-professional communication. It provides guidance on the different aspects of care required, including comfort measures, anticipatory prescribing of medicines and discontinuation of inappropriate interventions. Psychological, spiritual care and family support is included. 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. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 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 Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 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): These standards were not assessed at this inspection. EVIDENCE: Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 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): 9,11 Through appropriate training and development the manager and staff at Briarfields are improving their skills to provide for service users’ needs for healthcare and support. EVIDENCE: The manager demonstrated her knowledge and intention to be more involved in the End of Life Initiative. A discussion was held regarding national frameworks as detailed in the summary. The home ensures that service users and their families have access to support through all stages of treatment. Medicines are kept safely with full records of their receipt, administration and disposal. Reviews of medication are conducted by the GP on a regular basis. The home stocks some non-prescribed remedies that are authorised by the GP. Wherever possible and depending on their capabilities, service users are enabled to take responsibility for their own medicines. One service user does this and appropriate storage is provided. Service users stated that they receive their medication from staff at the correct times of the day. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 10 There were some gaps on the administration charts which the home must address. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 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): 12,13,14,15 Staff have a good understanding of the service users support and leisure needs and use this to assist them to exercise choice and control in their lives. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The way in which service users are informed of activities taking place is good with an emphasis on more meaningful pastimes tailored to individual needs and reviewed at service user meetings. Minutes of the last resident meeting held on 25.10.05 detailed forthcoming entertainment and recent events enjoyed. Service users spoke of the food and mealtimes as being a social event and that they enjoyed good tasty meals. Menus seen demonstrate that the food provided is nutritious, well balanced and appealing. Menus and food were discussed at the resident meeting during which they expressed their satisfaction with the food provided. The cook holds relevant qualifications and has undertaken a course related to nutrition for the elderly. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 12 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): 18 Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: On the whole, all service users spoken with were very happy with life at Briarfields. They said they knew whom they could speak to if they were worried about anything. Staff training contains information regarding adult protection. A staff file seen demonstrated this. Regulation 37 incident reports are sent to the CSCI as required by legislation. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 13 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): 26 The laundry is organised to ensure that service users clothes and bed linen are always clean and fresh. EVIDENCE: Domestic staff were on duty during the inspection and all areas had been maintained to a high degree of cleanliness and hygiene. The laundry room was in a mess but functional and a new laundry assistant is about the start work. Service users stated that their clothes are washed nicely and are always returned to them. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 14 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): 29,30 The home’s procedures provide a safe framework for the recruitment of staff that is followed consistently in order to protect service users. Staff are provided with training relevant to their job roles to ensure that service users assessed needs are addressed and that they are not put at risk EVIDENCE: Staff are supported to undertake NVQ and a variety of other training. The manager hopes to improve on the 70 ratio of NVQ2 qualified staff within 2005 or soon after. The staff recruitment file was seen of the most recent employee. All required checks were in place that demonstrated the home’s vetting procedures were thorough. Staff observed carrying out their duties were seen to be responsive and understanding of individuals wishes and needs. There were enough care staff in numbers and skill mix to meet the needs of service users. Domestic and catering staff are employed to ensure the critical care role is not impeded. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 15 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): 31,33,35 The manager is experienced and competent and management systems and practices ensure that the home is well run for the benefit of the residents. Service users views are regularly sought and they perceive them as having an effect in changing how the home is run EVIDENCE: Discussions with the manager demonstrated that she continues to strive for excellence and find innovative ways to provide the service to the ‘community’ that is involved with the home be it service users, visitors, day care, relatives, in-house staff and outside health care professionals, etc. Coverage care conduct a yearly satisfaction survey that is due to take place. Service users are provided with other forums where they can air their views. A Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 16 service user recently admitted for a short stay said she had found it easy to talk to staff and that they always had time to listen to her. Residents’ valuables and small sums of money lodged with the home for safe keeping were fully accounted for and audited monthly. Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X X Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 18 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. 1 Refer to Standard OP9 Good Practice Recommendations To monitor how staff complete the medication charts Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Briarfields DS0000020663.V253918.R01.S.doc Version 5.0 Page 20 - 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. 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