Inspection on 15/08/05 for Briarvale Care Home

This inspection was carried out on 15th August 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

Briarvale Care Home 24/05/06

Briarvale Care Home 14/12/05

Briarvale Care Home 13/01/05

Briarvale Care Home 03/09/04

Briarvale Care Home 18/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Briarvale Care Home 158 Ashby Road West Shepshed Leicestershire LE12 9EE Lead Inspector Keith Charlton Unannounced 15 August 2005 at 3.30pm 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. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Briarvale Care Home Address 158 Ashby Road West Shepshed Leicestershire LE12 9EE 01509 829283 01509 829603 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) Mr Stephen Boggins and Mr Malcolm Wood Ms Ruth Wardhaugh Care Home 10 Category(ies) of LD - Learning Disability - 10 registration, with number of places Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: - Date of last inspection 13/1/05 Brief Description of the Service: Briarvale is registered to provide care for 10 people with learning disabilities.The accommodation consists of 10 single bedrooms. There has been an extension, which removed the only double bedroom and created 4 new bedrooms, all with en suite facilities. A new service users lounge was also created on the ground floor.It is pleasantly furnished and decorated to a generally good standard .There is a large garden and patio area to the rear where service users can sit out.The home is situated close to Shepshed town centre and local shops are within easy reach. Most service users attend local day centres. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. Care staff were on duty to assist with the inspection process. For the second inspection day on 1/9/05 the Registered Manager assisted with the completion of the inspection. Planning for the Inspection included assessing notifications of significant events sent to the Commission for Social Care Inspection by the home. There have been no complaints received regarding the home in the past year. The Inspections took place between 15.45 and 18.45 on the first day and included a tour of the building, inspection of records and direct and indirect observation of care practices. The Inspector spoke with three residents, three members of staff and the Registered Manager. What the service does well: What has improved since the last inspection? What they could do better: If radiator covers were fitted to all communal radiators, service users would be protected from the risk of scalding. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 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. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 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 Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 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 The assessment process is managed well, which ensures admission to the home is appropriate to the individual’s needs EVIDENCE: All current service users have been placed by local authority social services departments, and copies of assessments and care plans completed by social workers were available for inspection. An individual plan is developed for each resident, which includes details of any risks identified during the assessment and of any restrictions, which are felt to be necessary as a result. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 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 The individual needs and choices of clients are well met. EVIDENCE: Staff said service users can make decisions about their own lives wherever possible e.g. what time to get up and go to bed, to clean their own bedrooms, to help out in domestic chores if they wish etc. All service users require assistance with their finances and medication and this is managed appropriately. Individual plans contained details of the circumstances in which service users’ rights to make particular decisions may have to be limited, e.g. the need to accompany on trips outside because of the lack of road skills. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 10 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) 13,15,17 Clients have a good lifestyle. EVIDENCE: Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 11 Staff said that service users use a range of community facilities including local shops, pubs, theatres, the park and leisure centre as well as attending specific groups for people with learning disabilities. Service users use public transport, taxis and the mini-bus provided. Staff stated relatives are encouraged to visit and are invited to any parties or celebrations within the home; this was evidenced in written information. The Registered Manager has set up relatives meetings and a Quality Assurance questionnaire to ask relatives what they think of the service this situation is commended. The menus appeared to offer a varied diet; the staff team are commended for the presentation of menus, which contain pictures of a number of meals to enable service users to choose. The meal, which was served during the inspection smelled and tasted satisfactory; a service user said that they had enjoyed the meal. The staff were seen to assist and encourage a service user to eat and using appropriate equipment. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 12 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) 20 Medication is managed safely. EVIDENCE: Staff stated that none of the current service users are able to manage their own medication. There are medication policies and procedures in place to inform staff practice. Medication records are well kept; there is a system whereby two staff sign for any medication, which is given to ensure that mistakes are not made. Staff said they had received training on medication administration from a college. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 13 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) 23 Service users are protected by staff who are trained to understand and respond to protection issues. EVIDENCE: Policies and Procedures relating to abuse are provided to inform staff. The staff spoken with knew what steps to take if no action was forthcoming from Management in relation to any concerns that they may raise. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 14 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 Clients live in a homely and comfortable environment. EVIDENCE: The home presents as clean and attractive and service users have many personal possessions in their rooms including pictures, models, photos, videos and music systems etc, this is commended. The first floor shower room has been retiled and refloored and this and a further two service users bedrooms are to be redecorated. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 15 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) 33 Clients benefit from a dedicated staff group, which are deployed to meet service user needs. EVIDENCE: Staffing levels during the course of the inspection met the relevant minimum standards. There are three care staff on duty when service users are in the home and a waking staff member of staff on duty at night. The level of staff reflects the individual needs of service users living in the home. The staff spoken with appeared enthusiastic about providing a good service to residents. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 16 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) 39,42 Service users benefit from the proactive management of the home. EVIDENCE: Service users have meetings to discuss relevant issues; relatives also have meetings and have completed questionnaires on the running of the home. Risk Assessments have been carried out for all safe working practices. Relevant Health and Safety training has been carried out or is planned including first aid, food hygiene etc. There are still some uncovered radiators which could pose a scalding risk to service users. The Manager is to review risk assessments and fit covers as needed as there are a number of service users who could be at risk. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 17 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x 4 x 4 x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Briarvale Care Home Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 18 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 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 42 Good Practice Recommendations It is recommended that the Manager review risk assessments and fit radiator covers to communal radiators as needed as there are a number of service users who could be at risk 2. Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire 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 Briarvale Care Home DC01 C01 Briarvale V49403 150805 Stage 4.doc Version 1.40 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. 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. 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