Inspection on 10/11/05 for Brittany Lodge

This inspection was carried out on 10th 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

Brittany Lodge 16/10/07

Brittany Lodge 20/12/06

Brittany Lodge 07/04/05

Brittany Lodge 02/11/04

Brittany Lodge 27/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Brittany Lodge 32 Brittany Road Hove East Sussex BN3 4PB Lead Inspector Merle Blakeley Announced Inspection 10th November 2005 09:30 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 Brittany Lodge DS0000014182.V250391.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. Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brittany Lodge Address 32 Brittany Road Hove East Sussex BN3 4PB 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) 01273 413413 Mrs Deborah June Dunne Anna Bromham Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users should be aged 65 years or over on admission. The maximum number of service users to be accommodated is fifteen (15). To register thirteen (13) single occupancy rooms and one double occupancy room. 7th April 2005 Date of last inspection Brief Description of the Service: Brittany Lodge provides residential care for 15 older people who generally do not have a high level of need. The home is situated in a quiet residential area of Hove and is very close to local transport, shops, seafront and other amenities. Bedrooms are located over two floors and there is a stair lift from the ground floor to the first floor. There are twelve single rooms, nine of which have en suite facilities and one double room with an en suite. Although there is wheelchair access to the front of the property the actual home would not be particularly suitable for wheelchair users. Communal areas include a lounge and dining area and a small rear patio garden. Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over a period of four hours on 10th November 2005. The inspection process included speaking to several residents, staff members and the manager, a tour of the premises and document reading. Prior to the inspection a pre-inspection questionnaire was returned plus five service user comment cards and two relatives/visitors comment cards. All the comments received were very positive towards the home and several stated that the home had a very caring and friendly staff team. What the service does well: What has improved since the last inspection? What they could do better: Only one requirement was made during this inspection and it requires the home to increase the level of staff supervisions from four sessions a year to six sessions a year. One area that staff must be aware of is to immediately sign for medications as soon as they are administered. An action plan addressing the above requirement was received from the home prior to this report being published. Brittany Lodge DS0000014182.V250391.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. Brittany Lodge DS0000014182.V250391.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 Brittany Lodge DS0000014182.V250391.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): 1, 2 & 4 The service users guide to the home has been updated. Residents are provided with a contract and terms & conditions. The home is currently meeting the needs of residents. EVIDENCE: The homes service users guide and statement of purpose has recently been updated to include information about the new registered managers details. The registered manager stated that the home was looking to produce a new brochure in the future. All the homes relevant information is included in the guide. All new residents receive a formal written contract with the terms and conditions of the home. The home feels it is currently meeting the assessed needs of all its residents. The home is not registered to provide intermediate care services. Brittany Lodge DS0000014182.V250391.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, 8 & 9 Care plans for residents are comprehensive and up to date. Resident’s healthcare needs are met. Currently staff administer all medications. EVIDENCE: A number of care plans were viewed during the inspection and they showed that resident’s needs are being constantly assessed and updated as changes occur. One resident may need nursing care in the future and the home is awaiting a more specialised placement for this person. Care plans also revealed that residents have access to a variety of healthcare specialists such as local doctors, chiropodist, district nurses and community practice nurses. Sight tests are also carried out and a visiting optician attends the home. The manager stated that staff regularly meet to discuss and review the healthcare needs of all residents. Medications are stored in a lockable trolley on the ground floor. Medication records were checked and two minor errors were found. Staff are due to attend medication training session over the next few weeks. Brittany Lodge DS0000014182.V250391.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): 12 & 13 Residents are offered a programme of activities. Visitors are welcome at most times and there are no restrictions. EVIDENCE: Residents are offered a variety of activities and some of these include regular exercise classes held by staff, quarterly ‘music for health’ sessions, monthly arts and crafts classes and various indoor activities in the afternoons. A volunteer also comes into the home once a week to take residents out for lunch or for shopping trips. A minibus had also been organised during the summer to take residents out to see a local school play. Resident meetings are held every six weeks to discuss interests and future activities and these meetings are usually well attended. The homes Christmas Party is to be held in a few weeks time. On talking with residents they felt that the home offered a good level of activities and that they could choose to attend if they wished. Visitors are welcome in the home at most times of the day and they are invited to stay for meals if they wish. Residents are also able go out and visit family and friends when they wish. Brittany Lodge DS0000014182.V250391.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): 18 The home has produced a policy and procedure regarding the protection of vulnerable adults. EVIDENCE: The home has an adult protection policy and procedure. The majority of staff have attended training in the protection of vulnerable adults and the remaining staff members are due to attend a course on 17th November 2005. All staff have CRB checks carried out before they commence employment in the home. Brittany Lodge DS0000014182.V250391.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): 20, 21, 25 & 26 The home provides suitable communal areas for residents. There are sufficient bathrooms and toilets throughout the home. The home is very clean and hygienic and maintained to a good standard. EVIDENCE: Communal areas within the home include the lounge and dining area, which are located on the ground floor. Double doors from these rooms lead out onto the rear patio garden. Communal areas are comfortable and homely and are furnished to a good standard. Many of the bedrooms provide en suite facilities. There are two bathrooms, which are located on the ground and first floor with assisted baths being available. Bedrooms appeared bright and airy and personalised with residents own furniture and belongings. One room has recently been redecorated and the hallway is also due to be redecorated soon. The manager stated that the home has been experiencing a few problems with the heating system, as the boiler on the ground floor is not working properly, a plumber has been organised to come in and inspect the system very soon. Hot Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 13 water temperatures are now checked regularly and some of the hot water valves have recently been replaced. On the day of inspection the home was found to be very clean and tidy and maintained to a high standard. Brittany Lodge DS0000014182.V250391.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): 27 & 30 The home employs a committed and caring staff team. Staff receive a good level of training. EVIDENCE: The home has a very stable and caring staff team who all work very well together. One new staff member joined the team in July this year. During the day there are normally two care staff, which would include a senior carer, a cleaner, the cook and the manager on duty. After 2 pm there is again a senior care staff member, a care assistant and the manager on duty. One sleeping in staff member is employed at night. A total of eleven care staff are employed with six of them having obtained an NVQ qualification. Staff are offered a good level of training and courses staff have recently attended include the protection of vulnerable adults, medication training, emergency first aid and food hygiene. The manager and three senior staff members have also attended a one-day course in management skills. New staff are provided with an in house induction/foundation training in care skills. Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 15 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 & 36 The deputy manager has become the registered manager for the home. The home has a quality assurance programme. Staff are receiving supervision sessions but these need to be carried out at least six times a year. EVIDENCE: The deputy manager of the home has now become the registered manager and this process was completed with the CSCI in August 2005. The registered manager has been working at the home for a number of years and has just completed the NVQ Level 4 qualification in care and management. She has also attended several one-day management courses, which include employment law, medication management, recruitment & selection and budgeting. Both residents and staff said they felt happy that she had now become the manager. The home was seen to be running in a very caring yet efficient manner. Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 16 The home has a quality assurance programme and feedback from residents is sought via satisfaction questionnaires and regular residents meetings. Family members and friends are also invited to provide feedback on how the home is performing. The proprietor carries out regular visits and discusses the outcomes with the manager. The manager also carries out ‘spot checks’ during the night and at other times to ensure that the home is running well. A suggestion box for residents is located in the main entrance hall. The manager stated that recorded supervision sessions are carried out on a quarterly basis, however the home needs to ensure that supervision is carried out at least six times a year. Staff appraisals are held on an annual basis. Senior staff have attended a one-day course in supervision skills and it is envisaged that they will also take up the role of supervising care assistants in the future. Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 17 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 3 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X X Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP36 Regulation 18(2) Requirement That the home ensures that staff receive supervision sessions at least six times a year. Timescale for action 31/01/06 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 Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Brittany Lodge DS0000014182.V250391.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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