Inspection on 01/02/06 for Briarwood

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Briarwood 30/10/08

Briarwood 02/11/06

Briarwood 26/08/05

Briarwood 14/12/04

Briarwood 08/06/04

Briarwood 03/03/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Briarwood 12 Station Avenue Bridlington East Riding Of Yorks YO16 4LZ Lead Inspector Mr M. A. Tomlinson Unannounced Inspection 1st February 2006 10:30 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 Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Briarwood Address 12 Station Avenue Bridlington East Riding Of Yorks YO16 4LZ 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) 01262 679233 01262 679233 Mrs Jacqueline Vera Blower Mrs Jacqueline Vera Blower Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (7) of places Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th August 2005 Brief Description of the Service: Briarwood is a detached three-storey property located in a residential area of Bridlington. It is conveniently situated for all of the main community facilities including the public transport network. On and off-road parking is available. The home provides accommodation and personal care for a maximum of seven (7) older people some of who may have dementia. Nursing care is not provided. Should such care be required on a short-term basis, the community health care team will provide it. The home also provides accommodation and personal care on a respite care basis. The service users accommodation is located on the ground and first floors. A stair lift provides access to the upper floor. The registered providers private accommodation is on the upper floor. There are three double bedrooms and one single. All of the bedrooms are currently being used for single accommodation. The bedrooms have en suite facilities consisting of a toilet and a wash-hand basin. The service users have the use of a lounge and dining room on the ground floor. There are some internal steps on the ground floor. The home has a large pleasant garden with an aviary. The garden is accessible to the service users. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two statutory inspections to be undertaken by the Commission for Social Care Inspection during this inspectoral year. The inspection was unannounced. It took a total of three and a half hours including preparation time and telephone discussions with two relatives of the service users. The inspection primarily focussed on the requirements and recommendations made during the previous inspection undertaken on 26th August 2005. This report should, therefore, be read in conjunction with the report of the previous inspection. Discussions were held with the registered provider, the member of staff on duty and both service users. Some statutory records were examined. Feedback was provided for the Registered Provider on the completion of the inspection. 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. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: These standards were not assessed on this occasion. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: Whilst these standards were not fully assessed on this occasion, it was apparent from discussions with the registered provider, the service users and their relatives that the health needs of the service users continued to be met with appropriate input from health and social care professionals. Examples were provided by the service users as to how their health needs had been addressed. It was evident from the discussions with the registered provider that she placed considerable emphasis on the health and wellbeing of the service users including the promotion of high standards of personal hygiene. On the day of the inspection the service users were dressed in clean and appropriate clothing. It was noted that one was wearing make up and jewellery. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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 the following standard(s): None EVIDENCE: These standards were not fully assessed on this occasion. It was apparent, however, that the service users had been encouraged to remain active by participating in social activities both within and external of the care home. Both, for example, attended the local hairdresser and one continued to attend a local day centre on one day a week. The service users confirmed that they are taken out shopping. The relatives of the service users also confirmed this. One service user received regular visits from members of the local church. It was noted that both service users were in the process of knitting and that they had daily papers and magazines available. On the day of the inspection the service users were spending their time in the lounge looking at passing traffic and people. They did appear, however, to be somewhat apathetic and said that they would like to do other things but had no idea as to what these ‘other things’ were. From discussions with the service users it was apparent that they did not particularly enjoy becoming old and the associated loss of their independence. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 10 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): None EVIDENCE: These standards were not assessed on this occasion. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 11 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): None EVIDENCE: Although these standards were not fully assessed on this occasion, it was apparent that the home continued to be maintained, decorated and furnished to a good standard. The home presented as being comfortable and domestic in character. The premises were extremely clean and totally free from any offensive odours. The relatives of the service users confirmed that this standard of cleanliness was the norm. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 12 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): 27, 28, and 30 The service users are provided with appropriate support from an experienced and competent staff team. EVIDENCE: It was evident from the home’s records and discussions with the registered provider that there had been no regression in terms of the staffing level since the previous inspection. The service users and their relatives expressed satisfaction with quality of service provided by the staff. All of the staff had achieved a National Vocational Qualification at level 2 and had received training in mandatory subjects such as moving and handling and fire procedures. Certificates of qualifications were displayed. It was evident from observation of the staff that they had established a good relationship with the service users. They presented as having a good understanding of the service users’ needs and of those elements of care, such as the promotion of independence and choice, which go to provide the service users with a good quality of life. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 13 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 The service users and staff are provided with appropriate management support. EVIDENCE: The registered provider indicated that they had no immediate intention of obtaining a National Vocational Qualification (NVQ) at level 4 in care or the Registered Manager’s Award. The registered provider is, however, a NVQ Assessor. Their rationale for this being that they had managed a care home for approximately thirty years and consequently had, in their opinion, amassed considerable and relevant management experience. They had previously trained and qualified as a registered nurse thereby gaining the required level of knowledge and experience in the provision of care. They had, however, allowed their nursing registration to lapse. They also stated that they were possibly going to retire in approximately five years time. The registered provider demonstrated a good understanding of her responsibilities and had, Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 14 with the exception of this standard, taken action to ensure that the home met the National Minimum Standards. The fire record was examined. It provided confirmation that the fire system and appliances had been serviced and staff had received training on the subject of fire safety. The records showed that the service users had also been provided with basic training in fire evacuation procedures. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X X Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 16 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 OP31 Good Practice Recommendations The registered provider should give serious consideration to undertaking the Registered Manager’s Award. Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Briarwood DS0000019651.V278873.R01.S.doc Version 5.1 Page 18 - 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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