Inspection on 14/11/05 for Briarwood Nursing & Residential Home

This inspection was carried out on 14th November 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

Briarwood Nursing & Residential... 10/07/07

Briarwood Nursing & Residential... 18/07/06

Briarwood Nursing & Residential... 07/02/05

Briarwood Nursing & Residential... 24/05/04

Briarwood Nursing & Residential... 20/10/03

Briarwood Nursing & Residential... 21/07/03

Briarwood Nursing & Residential... 29/08/02

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

CARE HOMES FOR OLDER PEOPLE Briarwood Nursing & Residential Home Normanby Road Eston Middlesbrough TS6 6SA Lead Inspector Jane Bassett Unannounced Inspection 14th November 2005 10:00 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 Nursing & Residential Home DS0000000149.V250955.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. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Briarwood Nursing & Residential Home Address Normanby Road Eston Middlesbrough TS6 6SA 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) 01642 456222 01642 454777 Premier Nursing Homes Limited Mrs Gaynor Mallaby Care Home 49 Category(ies) of Dementia - over 65 years of age (49) registration, with number of places Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow the admission of service users aged 60 years plus. Date of last inspection 28th June 2005 Brief Description of the Service: Briarwood is a 49- bed care home providing both personal and nursing care to older peaople with dementia. It is a three-storey purpose built home providing 49 single bedrooms on the ground and first floor all with ensuite toilet facilities. There is a passenger lift giving acess to the upper floors. The home provides two lounges and dining facilities on each floor accomodating residents. There is a garden area situated at the front of the building. THe home is situated close to local amenities, shops and public transport. There are car parking facilities for use of visitors to the home. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection the inspectors spoke to two residents, one relative, four staff and the manager. It was not possible to get feedback from the majority of the residents due to their capabilities and frailty, however the inspectors noted that all appeared settled and comfortable in their surroundings. Documentation including plans of care and staff records were examined. A tour of the building took place. The home submitted a pre inspection questionnaire. The inspectors spent a total of fours hours at the home. What the service does well: What has improved since the last inspection? Evidence seen indicates that work has been carried out to develop risk assessments in relation to the use of bedrails. Plans of care seen reflected the resident’s needs identified in assessment as required at the previous inspection. Documentation seen in relation to staff recruitment indicated POVA first checks are carried out as required at the previous inspection. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 6 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 Nursing & Residential Home DS0000000149.V250955.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 Briarwood Nursing & Residential Home DS0000000149.V250955.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 on this occasion. EVIDENCE: Briarwood Nursing & Residential Home DS0000000149.V250955.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): 7&9 Residents and family were positive and satisfied with the care that they receive. Plans of care seen contain sufficient information that should ensure all care needs are met. Policies and procedures in relation to the handling of medication promote the safety and wellbeing of the residents. EVIDENCE: During the inspection six residents files were examined, these were found to contain assessments, plans of care and evaluation. Plans of care seen reflected all the needs of the residents identified within the assessment process as required at the previous inspection. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 10 Evidence was seen that showed the home has developed risk assessment documentation in relation to the use of bedrails as required at the previous inspections. Risk assessments seen contained evidence of consultation and agreement. Those residents and the family member who spoke to an inspector expressed their satisfaction with the care they received. One resident said ‘its really nice here everyone is so close’, another said ‘ I am happy here’. An audit of medication found no concerns with regard to the ordering, storage, administration and disposal of medication. The home has a policy and procedure in relation to the handling of medication. Staff who spoke to the inspector confirmed that medication is administered by either qualified nurses or senior care staff who have undertaken safe handling of medication training. Briarwood Nursing & Residential Home DS0000000149.V250955.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): 15 The home offers a varied and nutrious diet that meets the needs and preferences of the residents. EVIDENCE: The home has a planned menu that offers choice and variety. Staff who spoke to the inspector confirmed that resident’s preferences are accommodated and alternatives to the menu are offered if required. Staff confirmed fresh fruit was available. Menus were seen to be displayed. Resident’s files seen contained evidence of nutritional assessment. Staff who spoke to the inspector all said that special diets are catered for and the involvement of a dietician is sort where necessary. Staff also stated that there were sufficient stocks of food and this was available to make snacks when catering staff were not on duty. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 12 Lunch was observed in the ground floor dining area. The tables were appropriately set and staff were available to assist where necessary. Lunch was seen to be relaxed and unrushed. One resident who spoke to the inspector said ‘the food is always good’. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 13 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): These standards were not assessed on this occasion. EVIDENCE: Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 14 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): 19 The home continues to be well maintained, it was found to be clean and odour free, providing a pleasant environment for residents. EVIDENCE: The home was found to be clean, tidy and odour free. Decoration was seen to be well maintained. The manager confirmed that worn armchairs seen at the previous inspection have been replaced. Staff who spoke to the inspector said that there were not aware of any health and safety issues. Resident’s bedrooms which were seen were found to be personalised with pictures and ornaments. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 15 A relative who spoke to an inspector commented on the environment stating ‘ its clean and well maintained’. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 16 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): 28, 29 & 30 The home has a policy and procedure in relation to recruitment of staff that should promote the protection of the residents. Staff have received appropriate training to enable them to meet the needs of the residents. EVIDENCE: During the inspection files of three staff recently recruited where examined. These were found to contain the appropriate documentation and evidence of required checks. Staff told the inspector that they were encouraged and supported to attend training. Evidence was seen to indicate staff had undertaken, manual handling, first aid, infection control, health and safety, POVA, fire safety, challenging behaviour and dementia awareness training. Senior care staff have undertaken safe handling of medication training. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 17 Information contained in the pre inspection questionnaire indicated that 90 of care staff have achieved NVQ at level 2 or above. Staff who spoke to the inspector told her there were sufficient staff to meet the needs and provide the care required. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 18 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 Evidence indicated that the home promotes residents wellbeing and is run in their best interests. EVIDENCE: The manager of the home has the appropriate nurse and management qualifications. Family and staff who spoke to the inspectors expressed confidence in the management of the home. The inspector was told there is an open door policy and issues raised are addressed appropriately. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 19 Evidence was seen that regular resident, relative and staff meetings take place. The manager produces a regular newsletter. A relative told the inspector the home has ‘ a very good manager and super staff’. The home has recently undertaken a quality audit carried out by an external agency RDB (Research Development and Benchmarking). Regulation 26 visit reports are supplied to the Commission for Social Care Inspection on a monthly basis. Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 20 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 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X x Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 21 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. Refer to Standard Good Practice Recommendations Briarwood Nursing & Residential Home DS0000000149.V250955.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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