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Inspection on 12/12/05 for Brimington Care Centre

Also see our care home review for Brimington Care Centre for more information

This inspection was carried out on 12th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Full assessments should ensure that the home is aware of the service users needs prior to admission. Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. These activities consisted of group activities, visits by entertainers, and outings. Service users were given the opportunity to exercise their right of choice, as much as they were able to do so. Quality assurance systems were in place. These systems will assist the manager`s and company to measure the home against expected outcomes.

What has improved since the last inspection?

The company has complied with 4 of the 5 requirements. The outstanding requirement was relating to repairs to the environment.

What the care home could do better:

The registered person should comply with the previous requirement and address the issue of training, from this inspection.

CARE HOMES FOR OLDER PEOPLE Brimington Care Centre Manor Road Brimington Chesterfield Derbyshire S43 1NN Lead Inspector Ivan Barker Unannounced Inspection 12th December 2005 09:00a 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 Brimington Care Centre DS0000019946.V272198.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. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brimington Care Centre Address Manor Road Brimington Chesterfield Derbyshire S43 1NN (01246) 559777 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) Southern Cross Care Homes Limited Mrs Josephine Teresa Jackson Care Home 45 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (39) of places Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The registered person will only admit service users into the home who have: Dementia, Alzheimer`s Disease, Picks Disease, Huntingdon`s Chorea, Creutzfeldt-Jakob Disease, Korsakoff`s, Psychosis, Artereo-Sclertotic Dementia conditions, who are in the latter stages of the illness, and with present similar clinical features, as Dementia, and require personal care. 2. The Unit must have at least one member of staff trained in Dementia care on each shift. 3. 6 DE service users can only be accommodated in the specialist unit, which has keypad locks and is located to the left of the main entrance. 20th June 2005 Date of last inspection Brief Description of the Service: Brimington Care Centre is a purpose built home. It consists of two units. One providing personal care to elderly service users, the other providing dementia care with specific diagnosis, which are listed as part of the conditions of registration. The Dementia unit consists of 6 bedrooms, a bathroom, and a lounge / diner. The Elderly unit is on two floors, with bedrooms on both floors. There is a large lounge and dining room on the ground floor and a lounge / diner on the first floor. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on several of the ‘key standards’), and the previous requirements. The persons present at the inspection were: Mrs J Jackson, manager. Mrs T Saunders, Regional manager. Within this inspection, which occurred over a three hour period, the inspector toured the building relating to the previous requirements, spoke with service users, and staff and examined some documentation. What the service does well: What has improved since the last inspection? What they could do better: The registered person should comply with the previous requirement and address the issue of training, from this inspection. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 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. Brimington Care Centre DS0000019946.V272198.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 Brimington Care Centre DS0000019946.V272198.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): Standard 3 Accurate assessments will ensure that the home has sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: The home received service users’ assessments from the Social Services Care managers, or the hospital. These documents were either received in the post or faxed to the home. The manager or senior staff prior to admission to the home assessed all service users. The new company had introduced new assessment documents, which were more extensive than the previous documents. The manager informed the inspector that she had yet to use the new documentation. Brimington Care Centre DS0000019946.V272198.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): Standards 7,8 and 9. EVIDENCE: These standards were assessed at the previous inspection. However the previous requirements were assessed. All requirements had been acted upon and resolved. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 10 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): Standards 12, 13 and 14. Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. EVIDENCE: There was an Activities co-ordinator who was employed for 20 hours per week. The manager informed the inspector that she worked on a flexible basis and worked the occasional weekend, but the majority of her time was Monday to Thursday. The inspector was shown evidence that there was a programme of activities and outings were planned. The Activities Co-ordinator kept a record of the service user’s participation in the activities and outings. The activities included the making of calendars, board games and dominoes. The outing included a trip to a pantomime, shopping trips, visits to the garden centre and local pub. A carol service was planned for the festive period. A minibus was available to service users. This vehicle was shared by several of the homes within the company Service users were able to access the local village, being accompanied by staff or their relative or visitor. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 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 the following standard(s): Standards 16 and 18. As far as could be established the home took complaints seriously and acted upon the issues. The staff had not received training, which should make them more aware of Adult Protection issues. EVIDENCE: The complaints procedure was displayed, and contained the necessary information. The complaint book was examined and no complaints were outstanding. No one during the inspection asked to see the inspector to voice any complaints. The inspector received only positive comments regarding the home. The inspector was shown the training records relating to training in Adult Protection. It was acknowledge by the managers that the home was unable to provide evidence that staff had received training in Adult Protection. The region manager informed the inspector that the home was sending managers on the ‘training for trainers’ course. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 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 the following standard(s): Standards 19, 24, 26 The environment, monitored at this inspection, had not been maintained to the required standard to provide a safe, well-maintained environment for services users. EVIDENCE: These standards were assessed at the previous inspection. However the previous requirements were assessed at this inspection. All requirements had been acted upon and resolved, except for the following: On exanimation of bath panel, it was established that the bath required attention. The manager advised the inspector that a new bath was to be fitted. The agreed timescale, taking into consideration the festive period, was 2 months. The floor covering within the kitchen had not received attention, despite it being raised by the Commission for Social Care Inspection inspector and Environmental Health. The managers informed the inspector that the floor Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 13 cover was on order. An agreed timescale for this, taking into consideration the festive period was 6 weeks. Brimington Care Centre DS0000019946.V272198.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): Standards 27,29 and 30. The necessary documentation designed to protect the service users were in the staff files. Staff had received moving and handling, fire and other training. An up to date workforce will contribute to the delivery of care. EVIDENCE: On examination of the duty rosters and from information from the manager, the inspector established the following: On the am shifts, there were 1 senior carer and 6 care assistants. On the pm shifts, there were 1 senior carer and 5 care assistants. On the night shifts, there were 1 senior carer and 3 care assistants. Providing care to 42 service users, over the 2 units. In addition there was the manager, who was supernumerary, and an administrator. On the examination of 4 staff files, all contained the information required within Schedule 2 and 4. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 15 On examination of the staff training records the inspector established that the staff had received their annual Moving and Handling training, and Fire training. The inspector was shown evidence that 5 staff had not attended the two previous training sessions, regarding fire training. As a ‘catch up’ session, these individual were to attend a session on the 22nd December. The inspector commended the home for having systems, which identified that some staff were yet to attend the session, and ensuring that all staff attended over the 12 month period. Also other training course had been undertaken, for example; dementia training. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 16 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): Standards 31,33,35 and 38 The management of the home does comply with the requirements of the Care Homes Act. Quality assurance systems will assist the managers and company to measure the home against expected outcomes. EVIDENCE: A registered manager was in post. She had undertaken the registered managers award. The company had quality assurance systems, which were implemented by both the manager and the region manager. On examination of the staff supervision records, the inspector found evidence that supervision had occurred. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 17 Regarding the service users’ personal monies the home operated a basic credit and debit system, but involved the storage of monies in separate envelopes. On examination of 3 accounts, it was found that the contents of the envelopes of two accounts were correct and one was incorrect. Coins were found to be in the bottom of the large plastic envelope, some of this money was used to correct the balance. The inspector discussed the methods of storage and accounting of personal monies with the manager and regional manager, and it was agreed that the ‘envelope system’ was one of the most likely systems to create problems, for example the lack of availability of change to ensure that the balances were correct, the issue of loose change falling from the envelopes and to ensure that errors were not created, as each account had to be handled and balance at each transaction. Regulation 26 visit occurred and there was documentary evidence to support this. As far as could be established there were no health and safety issues except if any were raised with the previous sections of the report. Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 18 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 3 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 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X X X X X X 2 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 3 X 3 X 3 3 X 3 Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES 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 2 3 Standard OP18 OP26 OP26 Regulation 18 16 16 Requirement The registered person must ensure that all staff receive training in Adult Protection. The registered person must ensure that the bath facility is repaired and in working order. The registered person must ensure that the floor covering in the kitchen is repaired to meet the standards expected by the Environmental Health Department. Timescale for action 12/02/06 12/02/06 23/01/06 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 Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Brimington Care Centre DS0000019946.V272198.R01.S.doc Version 5.0 Page 21 - 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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