Inspection on 06/06/07 for Brinton Care Home

This inspection was carried out on 6th June 2007.

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

Brinton Care Home 09/06/06

Brinton Care Home 02/12/05

Brinton Care Home 10/05/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Brinton Care Home 103-104 Stourport Road Kidderminster Worcs DY11 7BQ Lead Inspector Rachel McGorman Key Unannounced Inspection 6th & 11th June 2007 10:00 Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 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 Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 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 Adults 18-65. 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. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brinton Care Home Address 103-104 Stourport Road Kidderminster Worcs DY11 7BQ 01562 825491 01562 824753 hayley_martin2@yahoo.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) Minster Pathways Limited Haley Martin Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One person with an additional physical disability and one person with an additional mental disorder. 9th June 2006 Date of last inspection Brief Description of the Service: Brinton Care Home is registered to provide residential care for up to four people who have a learning disability, which may include challenging behaviour. In addition, the home may also accommodate one person who has an additional physical disability and one person who also experiences mental health problems. Brinton Care Home is a detached, four bedroomed house situated approximately one mile from Kidderminster town centre. The interior of the building has been upgraded to provide a good standard accommodation for the four people who live there. There is access to public transport and a range of amenities and facilities. The home also has a minibus, for the benefit of the people who live at the home. Brinton Care Home was first registered in June 2004 and is owned by Minster Pathways Ltd.. Mr Colin Farebrother is the Responsible Individual, and support to the home is provided by Mrs Maria Baughurst, the Operations Manager, and Ms Jacqui Matthews, the Area Manager. The weekly fees range from £1000-£1800. The stated aim of the home is to foster an atmosphere of care and support, which both enables residents to live a full and interesting, and as independent a life-style as possible, where positive choice and personal development are encouraged, and to also help each person to achieve their potential. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine key inspection, was to monitor the care provided at the home, to assess how well the service meets the needs of the people who live there, in relation to the stated aims and objectives, and to follow up previous requirements and recommendations. Preparation for the inspection included looking at previous reports, and considering the various contacts made with the home since the last inspection. The two visits were unannounced and took a total of 6 hours. The inspector spent time with all the people living at the home, although several residents are not easily able to communicate their views verbally, and particularly with a person who they do not know well. One person also asked specifically to discuss an issue that concerned him. Observation of the interactions of the residents with the people who support them was very positive, and the relationship between them was seen to be respectful and considerate. During conversations with staff, comments were made about what it is like to work for the company, how the home is organised and how they support the people who live at The Brinton. In addition the opportunities for training and the supervision they are given in doing their work was also discussed. The care records of service users were seen, and discussion about the content held with the Registered Manager, who was on duty throughout the inspections. The care plan of one service user was inspected in detail for case tracking purposes. The inspector was also able to meet with the responsible individual, Mr Colin Farebrother, and to discuss the plans for the upgrading and extension of the home, and also proposals for future management arrangements. A tour of the house was undertaken, and the records kept in respect of the maintenance of equipment, and safe working practices were also seen, including the fire log and the accident book. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 6 What the service does well: Brinton Care Home is a friendly place, and visitors are made welcome. There is evidence of mutual respect and consideration between service users and staff. The atmosphere throughout the home was calm and relaxed, when residents were at home. Several people were out doing various things during both visits. Relevant information about the service, and what can be provided, is available to service users and their families, and can be produced in an appropriate format. This is reviewed regularly to ensure that it is up to date and accurate, and therefore able to assist prospective residents and their families to make the right decisions about their care. The procedures relating to the assessment and admission of people who want to live at the home are detailed and they are implemented thoroughly. The needs of prospective residents are identified, to enable staff to determine if the needs of the individual can be met appropriately at the home. The involvement of family members is encouraged in the care planning and review processes and in the daily life of the home, which benefits everyone. Residents are encouraged to make more decisions about their lives, both within the home and also outside in the community. Opportunities for each person to do the things they enjoy are increasing, and as a result their life skills and confidence are also developing. The various activities are supported by risk assessment and detailed guidelines, which promote the safety of residents and enables them to have more independence. The home has a vehicle to provide transport for residents, to enable them to undertake various activities in the community. A good standard of personal and health care is provided for each resident at the home, and the staff work well with other professionals and agencies, to help improve and maintain their health, with obvious benefit to service users. The policies and procedures relating to the administration of medication and the training provided for staff, help to ensure that residents are protected. The arrangements for purchasing food give everyone a choice about their meals and mealtimes and greater involvement in the running of the home. The complaints procedure is produced in picture format and circulated to everyone involved with the home, to enable them to voice any concerns. A record is also maintained of all the comments made about the home, which helps to give a balanced view of the service that is being provided for residents. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? The information about the home and the services that can be provided has been reviewed and updated, and now accurately describes the purpose and aims and objectives of the home for the people living there. Care planning procedures have been reviewed, and the Person Centred Planning approach introduced, which should improve the quality of life of each resident. There is an ongoing commitment from the management of the home, to the further development of the service, and to putting the people who live at the home at the centre of everything. Progress in accessing more activities for residents in the local community was evident, and these opportunities should help to increase their enjoyment of life. The development of Health Care Monitoring has provided very clear picture of the health care needs of each person, and details of any treatment that has been given, or that may be ongoing, can be obtained from these documents, which assists staff in meeting the needs of each individual. Facilities are being improved for the people who live and work in the home by the further development and upgrading of the property and the ongoing maintenance of the premises. Residents and staff who live or work at the home, benefit from the recruitment and selection procedures, the training programme, and the support and supervision provided by the organisation, which has helped to improve the stability of the team. The building is being maintained to a satisfactory standard, and is comfortable, safe and clean. Further developments will improve facilities for residents and staff, specifically regarding the laundry and proposed games facility. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 8 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. The summary of this inspection report can be made available in other formats on request. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 9 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 Outcomes Statutory Requirements Identified During the Inspection Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information provided for people who are considering moving to the home, will help them to make the right decision about their future care arrangements. The assessment process is detailed and thorough to ensure that the home is able to provide the care that is needed. The admission procedure includes planned visits to the home to meet other residents and the staff, and this helps everyone to know if the home will be suitable. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 11 EVIDENCE: A Statement of Purpose and a Service Users Guide have been produced, and can be made available in a suitable format when required. A copy of the Statement of Purpose was seen, and this document had been reviewed an updated recently. Relevant and detailed information is included for residents and their families, about the services and facilities that can be provided at the home. The Service Users Guide has also been reviewed recently, and the updated version has been produced specifically for the resident, and contains pictures to enable a clearer understanding. Information is included about the contract and also how the make a complaint. In addition a brochure gives more information about the home, and this has also recently been updated. The manager said she intends to amend all the information about the home when the building work is completed, and include the additional facilities that will be available for the people who live there. A comprehensive policy outlines how the admission of new residents to the home will be achieved. Evidence was seen of the assessment and admission procedures, and how these had been implemented previously, as there have been no recent admissions to the home. The file of one resident was inspected in detail as part of the case tracking process. There is an extensive assessment by staff from the home, and a Community Care Assessment is prepared by a social worker from the placing authority. These documents were viewed by the inspector and seen to be very detailed. There is a suitable, introductory period planned for each person, and the care manger confirmed that several visits are made to the home before a decision is made about future care arrangements, and that information is discussed with the resident and their family about the service that can be provided by the home. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plan of care is based on the initial assessment, which clearly identifies the assessed needs of each resident, and how these will be met. The ongoing development of the person centred approach to the care of each resident helps to ensure that all the decisions made revolve round them. The key-worker system ensures that the people living at the home are supported in making choices in all areas of their lives. Assessments are in place and enable a responsible approach to the risks associated with the various activities of daily living. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 13 EVIDENCE: Care planning procedures have been further developed at the home, and those seen detailed the specific needs of each person and how these are to be met. An individual plan of care is produced for each resident, which is based on the initial assessment undertaken at the time of admission. The content of the plan is reviewed regularly, to ensure that it accurately reflects the care that is provided. A review of the placements of three residents have been undertaken recently by Social Services, with the possibility of transfer to a supported living scheme. One service user said, ‘he was very happy at his home’, and was ‘very concerned that he may not have a choice in the matter’, but was very clearly indicating that he had no wish to move. Another person was quite positive about the proposal, and said, ‘although things were alright here, he would be quite happy to have a change, and in fact he would welcome it’. The issues were discussed with the care manager who is attempting to resolve the matter, and to reduce the anxiety of the resident who is worried. The care plan seen during the visit was informative, gave a clear profile of the resident, and shows that life at the home revolves around the people who live there. Observation of the relationship between the staff and the people they support, and also talking with one of the residents, provided good evidence of the person centred approach that is taken at the home. Staff gave a clear account of the routines of the people they support, and their care needs. Two key-workers are assigned to each resident, and staff showed that they understand their role in ensuring that appropriate care is provided. Examples were discussed about how the confidence of one person has improved, and how he is able to achieve many more of the things that he enjoys doing, for example, visiting friends and going out on his bike. A weekly planner records five areas of each day, and what the resident intends to do during these times. The care plan covers every aspect of the needs and wishes of the person. Changes are monitored over a period of time, and amendments made when necessary. A pen picture of the individual is included, together with details about contacts, personal and health care, ‘keeping track’, which covers arrangements for meals, housework, shopping, clothes, activities and outings. Risk assessments are completed, in relation to the premises, to the activities undertaken and any restrictions imposed, and also in respect of every aspect of the life of each person. The details relating to risk assessments are well documented, and are reviewed regularly to reflect any changes. They also include guidelines to provide staff with a better understanding of the situation. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 14 People living at the home sometimes challenge the service. The care plan describes how this is managed, and staff have access to the Behaviour Management Team. Records of any intervention are maintained, and include the cause, the type of behaviour, the response and the outcome. Residents are encouraged to deal with their own finances, with the support of staff, and detailed records are kept about dealing with money on their behalf. One person is able to manage his own money, but unrestricted access has resulted in previous overspending, therefore some limitations are applied, and these are recorded appropriately. The manager is not the appointee for anyone. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The opportunities made available to residents, and their regular contact with family and friends, enable them to live a full and interesting life. The involvement of each individual in planning their activities, both within and outside the home, means that they are able to choose what they wish to do. There is a flexible approach to the provision of a healthy diet, and each person is encouraged to decide what to eat and when. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 16 EVIDENCE: Residents living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range activities. There has been some progress in accessing activities within the local community, although these opportunities could be further explored, for those who wish, to increase their enjoyment of life. An individual programme of activities is arranged with each resident that acknowledges their preferences, and the daily routines revolve around their personal choice. The wishes of every individual are respected and recorded. If they decide they don’t want to do something or to go somewhere, then they don’t have to. Evidence was noted in the care plan of one person who did not wish to go to the sea-life centre. A weekly plan for proposed activities is produced and a record is maintained about what each individual has achieved that day. The one seen by the inspector included, family contacts, cycle rides, using the lap top, cooking, going to town, listening to music or watching a video, visiting friends, going out for a drive, doing chores, going for a walk in the park, having a picnic, cleaning the minibus, and attending to personal hygiene. Residents are encouraged and supported by staff to achieve their identified goals, and to develop and maintain their life skills, by doing general household chores, although one person was obviously not keen to be involved in these menial tasks, although he could occasionally be persuaded. The home has a vehicle for transporting residents to their placements, to visit places of interest, or to see their families and friends. There were many comings and goings noted during the course of the inspectors visits. Involvement with relatives and friends is actively encouraged, and everyone has regular contact with their family. A record is maintained of all visitors to the home. The arrangements regarding the provision of food reflect the individual likes and dislikes of each resident, and everyone takes their turn in helping to prepare a menu for that week, although this can change. For example, during the visit one resident decided he would like to go on a picnic, and two others then decided to go too, so they all spent some time deciding what food they would like to take. On other occasions someone may decide they would like to go out for a meal, or have a takeaway, and these changes were recorded. Each person is involved in food shopping with staff, and they assist with preparing snacks and drinks. Healthy eating is promoted for everyone, and a record is kept of the food provided. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manner in which support is provided by staff helps to ensure that the rights of each resident are respected, when meeting their personal and health care needs. The care that is provided at the home revolves around the people who live there, and their complex needs are understood and met in an appropriate way. The procedures for the administration of medication ensure that the health of each resident is promoted, and that they are protected. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 18 EVIDENCE: The personal and healthcare needs of each resident are well documented. Discussion with the manager and staff showed how they understand and are able to respond to the needs of residents in an appropriate way. One person was able to discuss how this worked for him, and confirmed that his personal care is provided in privacy, and that he is given help by staff only if needed. Reviews are undertaken regularly with each individual to ensure that any change in their needs is responded to appropriately, and these are also recorded. The independence and dignity of each individual is promoted, and a relaxed and flexible approach maintained towards their personal care needs. Health Action Plans have not been introduced for residents living at the home, although some information from the Worcestershire HAP format has been included in the residents Health Monitoring Record, which are also produced in picture format. These contain detailed information on general health and weight issues, and all visits to the doctor or consultant, involvement of the nurses, attendance at clinics, sight, hearing, dental checks, and chiropody treatment are recorded. A very clear picture of the health care needs and any treatment that has been given of the resident can be obtained from these documents, which help to ensure that appropriate care is provided. The healthcare of the people who live at the home is closely monitored, and an initial health assessment is done on admission, which is then regularly updated. The consent of each person is obtained, and that of their family or representative, to record their health related information and to also pass this on to the relevant people if necessary. Additional specialist support and advice is sought from the primary health care team, and other health professionals, when needed, and information about appointments with consultants, and how their advice is implemented is well documented. Medication arrangements at the home are satisfactory, and residents are protected by the policies and procedures that are in place. Information about medication is provided for residents in picture format, to aid their understanding. A Monitored Dosage System is in use, and the local Pharmacist undertakes a regular check to ensure that the correct procedures are being followed. The Medication Administration Records were seen and had been completed to a good standard, and staff were observed to be administering medication correctly. Training has also been provided for staff. Regular reviews of the medication prescribed for residents at the home are undertaken, and only two people take any medicines at present. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their family or a representative are able to express any concerns, through a clear and effective complaints procedure. The awareness of the management, together with the training provided for staff, ensures the protection of the people who live at the home, from all forms of abuse. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 20 EVIDENCE: A clear procedure for the investigation of complaints has been produced, which enables people to voice their concerns, and all issues are responded to immediately, the care manager said, to prevent them developing into a larger problem. The document has been produced in a format that is clear to residents, and discussions have been held with the families of the people who live at the home to make sure they understand the process. The Care Manager confirmed that there have been no complaints about the service since the previous inspection, but several compliments had been recorded by visitors to the home about the positive attitude of staff, the progress that was seen in the development and behaviour of one resident, and the way people are always made welcome at the home. An appropriate procedure is in place relating to the many aspects of abuse and the protection of vulnerable adults, and all staff had received training as part of their induction process. Discussions with staff showed they have an awareness of these issues, and also an understanding of their individual role as an advocate for service users. The care plan of one resident, whose behaviour has challenged the service at times, clearly recorded the management plan and how any incidents had been dealt with, which was helpful to staff. There is also evidence of some considerable improvement in the quality of the daily life of the resident. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are comfortable and clean, and ensure as far as possible that the safety and wellbeing of residents is promoted. The décor and furnishings are in good condition, and provide residents with an attractive and homely place to live. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of each individual. The programme of improvement and upgrading of the home helps to enhance the quality of life for the people who live there. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 22 EVIDENCE: Brinton Care Home is a detached, four bedroomed house situated about a mile from Kidderminster town centre. The building was originally two semi-detached houses that had been used as a single dwelling, which were upgraded when the home was first registered three years ago, to provide a good standard of accommodation for the four people who live there. The home is within walking distance of several local amenities, and there is easy access to public transport, although the home also provides a vehicle for the use of residents when needed. The communal areas of the house include a lounge and dining room, kitchen, utility room and bathroom and toilet. The gardens, although quite small, are secure and accessible for residents. A ramp has been built to enable wheelchair access to the home. The need for additional communal space was agreed at registration, and further upgrading of the property is currently taking place, to include an extension to the lounge/dining room, an additional bedroom with en suite facilities and a new laundry. The parking area at the rear of the property will also be improved on completion of the building work. The development of an activities room had also been discussed previously with the management of the home, and the inspector was advised by the Operations Director that further consideration will be given to upgrading a garage at the rear of the home for this purpose. There are three single bedrooms each with toilet en suite facilities on the first floor. The ground floor accommodation is adapted for a service user with limited mobility, and has an en suite bathroom and toilet. The Care Manager confirmed that regular maintenance and servicing arrangements are satisfactory, and that everything at the home was in good working order. Contracts are in place, and the records are well maintained with all the appropriate certificates available. The home is clean and fresh, and provides a pleasant environment for the people who live there. Staff confirmed they are familiar with the procedures regarding the control of infection, and also that they have been given training in health and safety matters, which helps them in maintaining satisfactory standards within the home. The laundry is being upgraded as part of the building programme that is underway at present, and should provide a more suitable facility for both residents and staff. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 23 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 & 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a more settled team of experienced staff, who are able to ensure that the needs of people living at the home can be effectively met. Recruitment and selection procedures help to ensure the protection of residents. The training programme available to staff ensures that they understand their role, and are able to provide appropriate care to the people they support. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 24 EVIDENCE: Staffing arrangements at the home are now more satisfactory, and the care manager confirmed that there is a minimum of three staff on duty throughout the waking day, and additional members of staff are available to support individuals in their various activities in the community. The staff team at Brinton Care Home is now more settled, and there have been just two changes in the staff group during the last 12 months. Discussions with the staff who were on duty, about their experiences of working at the home, confirmed that appropriate procedures are followed, they are given good training opportunities, and they feel supported by the management. The residents who live at the home are all male, and the Care Manager said that as there is only one male carer working at the home, it is her intention to improve this ratio if possible, when a new member of staff is recruited on completion of the building work. A thorough recruitment and selection procedure has been produced by the organisation. The files of two staff were seen, and relevant information is recorded and appropriate documentation is in place, which includes evidence of Criminal Record Bureau (CRB) checks, written references, a birth certificate and passport as proof of identity, and training certificates. A training programme is followed at the home and includes statutory and specialist care related training. Induction and foundation training, is provided to all new staff initially, and three staff have done the Learning Disability Award Framework (LDAF) accredited training. Three staff have completed the National Vocational Qualification Level 2 in Care, and two care staff are currently doing the course. In addition, one person has achieved the NVQ Level 3 in Care, and a further two carers are working towards this. The deputy is taking NVQ Level 4 in Care, and the care manager is nearing completion of the Registered Managers Award. Basic training is provided for all staff, and recently has included fire awareness, basic food hygiene, first aid, infection control and health and safety Care related training has included abuse awareness, medication, challenging behaviour, communication, autism awareness, person centred planning and nutrition. Formal supervision sessions, which include an annual appraisal, have now been introduced for all care staff, and these are undertaken regularly by the care manager, with a record of the content of the discussion maintained in their staff files. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 25 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The knowledge and experience of the acting care manager will be of benefit to both residents and staff who are living and working in a well run home. The quality assurance system needs to be fully implemented, to confirm that the aims and objectives of the home are being met. The rights of service users are safeguarded by the effective policies and procedures, together with appropriate records that are maintained at the home. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 26 EVIDENCE: The Registered Care Manager, Ms Hayley Martin, has many years experience working with people who experience learning difficulties. She has a clear understanding of her role and responsibilities, and has demonstrated her ability to improve and maintain standards at The Brintons, where she has worked for the past three years. She has attended various care related training courses to ensure that she is aware of the various developments relating to the care of people with a learning disability, and is hopeful of completing the management element of the Registered Managers Award in the near future. She has achieved The NVQ Level 4 in Care. The managers role at the home is supernumerary at present, to enable her to support staff at another home in the vicinity that is currently without a manager. A quality monitoring system is being developed at the home, but is not yet fully operational. A quarterly audit report is completed that covers the management of the home, the premises and related documentation, care planning, staffing and administration. The views of family, advocates and professionals are sought through questionnaires, but the results now need to be reviewed and an annual report produced that measures how well the home meets the needs of the people who live there. The home has a clear policy that details how health and safety matters are to be addressed, and all staff are trained in safe working practices. The records seen had been completed to a satisfactory standard, and regular maintenance and servicing of equipment is undertaken. The service reports and certificates are all in order, temperature checks are recorded and accident records also maintained. The Fire Log was seen, and appropriate checks are undertaken with the required frequency. Notifications are made under Regulation 37, which requires reports to be sent to the Commission of the death or serious illness, or any other event in the home which may adversely affect the wellbeing of a service user. Regulation 26 visits are made to the home by or on behalf of the registered provider. The manager provided copies of the reports to the inspector for the preceding months. Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 27 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 Standard No Score 1 1 2 2 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X 3 3 X Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 28 NO 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. 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 2 Refer to Standard YA1 YA13 Good Practice Recommendations Information provided for residents and their relatives should be reviewed and updated to reflect the improved facilities on completion of the building work Further opportunities should be identified for residents to participate in various activities, both at home and in the community, to ensure that their lives are as interesting and meaningful as possible The parking arrangements to the rear of the property should be reviewed and improvements implemented on completion of the building work to ensure the safety of residents and visitors to the home Appropriate laundry facilities should be provided to ensure the health of residents and staff is not put at risk Consideration should be given to the appointment of an additional male carer to give residents more choice about who can provided their care The further development of the quality monitoring system will enable the home to measure how successful it is in meeting the stated aims and objectives. DS0000059942.V341483.R01.S.doc Version 5.2 Page 29 3 YA24 4 5 6 YA30 YA34 YA39 Brinton Care Home Commission for Social Care Inspection Worcester Local Office The Coach House, John Comyn Drive Perdiswell Park Droitwich Road WORCESTER WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Brinton Care Home DS0000059942.V341483.R01.S.doc Version 5.2 Page 30 - 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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