Inspection on 16/10/07 for Brittany Lodge

This inspection was carried out on 16th October 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

Brittany Lodge 20/12/06

Brittany Lodge 10/11/05

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 03/09/2010.

CARE HOMES FOR OLDER PEOPLE Brittany Lodge 32 Brittany Road Hove East Sussex BN3 4PB Lead Inspector Merle Blakeley Key Unannounced Inspection 16th October 2007 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 Brittany Lodge DS0000014182.V347026.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 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.V347026.R01.S.doc Version 5.2 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 01273 424169 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.V347026.R01.S.doc Version 5.2 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. 20th December 2006 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. The current fees range from £405.00 to £550.00. Additional charges are made for chiropody and hairdressing. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of five and a half hours on October 16th 2007. As well as this site visit information was also gathered from a returned Annual Quality Assurance Assessment (AQAA). During the visit the inspector was able to talk with eight residents, two visitors, three staff, the manager and the proprietor. Document reading, observation of staff and a health and safety check were also carried out. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made during this inspection. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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.V347026.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough assessments are carried out before a person moves into the home. EVIDENCE: During the last inspection a recommendation was made for the home to include more information into their initial assessment forms. The manager stated that this had been done and a new referral form was viewed. It now includes a section on mental health history. Some assessments were also seen to have written input from family members and this is encouraged where possible. Currently the home cares for two people who have a diagnosed dementia type illness. The manager stated that the home is continuing to meet the needs of these people with support and advice from the local Community Mental Health Team. These people needs are being regularly assessed by staff and visiting professionals. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are relevant and up to date. Records show that people’s healthcare needs are being met. Medication is being appropriately administered and people have stated that they are treated with dignity and respect. EVIDENCE: Five care plans were viewed and they contained good information about each person and how their needs were to be met by the home. Risk assessments had also been carried out and along with the care plans they are reviewed on a three monthly basis. The home will be introducing a keyworker system in the future. The manager has recently produced a ‘contingency folder’, which holds important details about each person should there be an incident where people have to leave the home due to an emergency. Contact details of relatives, care needs etc are all contained within this file. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 10 People’s healthcare needs were discussed and their records revealed that they have access to a number of healthcare professionals. Everyone is registered with their own GP plus people have visits from district nurses, community psychiatric nurses, specialist clinics, chiropody, dentist and opticians. The manager stated that one person was currently in hospital but all the other people were generally in good health. Medication records were viewed and there were a couple of errors that were discussed with the manager. The home has a medication trolley situated in the lounge/dining area. A special locking bracket has been purchased by the proprietor to ensure that the trolley is securely attached to the wall and cannot be wheeled away. The home receives regularly medication audits from the local pharmacy and staff attend medication training. Several people were spoken with and they were asked as to whether they felt they were treated with dignity and respect. They all responded and said they were treated very well by all the staff and that there privacy was respected. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A new activities programme is being devised. People are encouraged to maintain contact with family and friends. People say they are able to make choices and decisions. The home provides people with a well balanced diet that they enjoy. EVIDENCE: The manager and the activities co-ordinator are currently devising a new activities programme. A number of activities are being offered and these include monthly poetry reading and writing classes, arts and crafts, and music for health, various entertainers and relaxation and massage sessions. Regular armchair exercises are carried out by staff with several residents attending. The home is also organising a school choir to visit the home and a minister to come in and hold regular religious services. The home is looking into trying to get residents much more involved in activities and listening to the type of things they would like to participate in. Two of the residents are quite independent and they said they are able to go out when they like. It was also discussed as to whether less mobile people are able to go out at all. The Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 12 activities co-ordinator stated that sometimes they have taken people out in wheelchairs down to the seafront in the warmer months. Visitors are made very welcome in the home and two people who had come into visit a relative confirmed this. They said the manager and staff were very caring and friendly and always kept them informed on what was happening. They always felt welcome and there appeared to be no restrictions on visiting times. People are able to have their own personal telephones in their rooms and this also helps people to stay in touch with family and friends. Several people were asked as to whether they felt they had choice and control over their lives. People stated that generally they did have choice and control and they could make their own decisions about various aspects of their lives. They said the proprietor, the manager and staff were always helpful and supportive and ‘would do anything for you’ and ‘nothing was too much bother’. They also said they felt that their own personal needs were met regarding diet, religion and any other additional requirements. People said that they did not feel as if they had any restrictions put on them. Some said the only restrictions they had were their mobility issues, which often meant that they could not always do all the things they would like to. The home offers people a traditional English menu, which appears well balanced and nutritious. A four-week rolling menu has been produced and includes people’s personal preferences and options. Several people commented on the food that the home offers and they said it was very nice and they thoroughly enjoyed their mealtimes. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy and procedure is made available to people. The home has a Safeguarding Adults policy and procedure. EVIDENCE: The home has produced an effective complaints policy and procedure, which is displayed in communal areas. During the day four people were asked if they knew how to make a complaint and they all said that the procedure had been explained to them and they would have no hesitation in contacting the manager or staff if they had any concerns or issues. The home has not received any complaints. A Safeguarding Adults policy and procedure is in place. No staff member is employed until a satisfactory CRB check has been returned. All staff receive training in the protection of vulnerable adults with refresher courses bring held regularly. The home has not received any adult protection alerts. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a pleasant and well-maintained environment. The home is kept clean and tidy. EVIDENCE: Since the last inspection all the bedrooms have been redecorated. The two communal bathrooms on the ground and first floor have been fitted with new ‘walk-in’ baths. The bath on the ground floor is a spa bath and some residents have enjoyed using this facility. On the day some additional work was being carried out in the first floor bathroom. A new large flat screen television had been purchased for the communal lounge. People who were spoken to on the day stated that they were happy with their accommodation and they thought the home was kept very clean and tidy. The home does have a very friendly and relaxed atmosphere. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a caring and stable staff team and over 85 of the team hold NVQ qualifications. Suitable recruitment procedures are carried out and staff have access to a good level of training. EVIDENCE: A caring and stable staff team are continuing to provide people with a consistent level of care. Many of the staff team have worked at the home for a number of years and consequently staff turnover is extremely low. Staff who were spoken to on the day stated that they continued to be happy working in the home and they all felt well supported by the proprietor and manager. Residents who were also spoken to had nothing but praise for the staff and several people described them as being very caring, kind, understanding and friendly. The staff team all get on well together and this creates a friendly and relaxed atmosphere within the home. There are currently six full time and six part-time staff employed and out of these twelve people five hold NVQ Level 3 and four hold the NVQ Level 2 qualification. Another staff member is currently studying for the NVQ Level 3 award. This is a very good ratio of qualified staff and the home has done well to achieve this level of training. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 16 Several recruitment files were viewed and they were all seen to contain the required documentation. Staff have access to a good level of care skills training which has included infection control, manual handling, stress awareness, first aid, medication, fire and the protection of vulnerable adults. The manager also said that she was hoping to book some staff onto training courses in dementia and continence awareness during 2008. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A caring and experienced manager runs the home. Progress is being made on the homes quality assurance programme. No health and safety issues were identified during this visit. EVIDENCE: Brittany Lodge is run by a very experienced, efficient and caring manager who holds the NVQ Level 4 qualification and the Registered Managers Award (RMA). Both residents and staff stated that the manager was helpful and supportive and very approachable. One person said that “she always gets things done and I would trust her with anything”. The manager has recently attended training in mental capacity and safeguarding adults. The proprietor is also very much involved with the running of the home and she has just completed the NVQ Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 18 Level 4 qualification and the Registered Managers Award. Comments from residents and staff evidenced that the proprietor is in the home frequently and they felt she was also caring and supportive and went out of her way to make people’s lives as comfortable as possible. The proprietor also takes over the running of the home when the manager is absent. The home is continuing to work on its quality assurance programme. The manager stated that the survey forms are being re-developed, as it was felt that the current questions that are being asked can only receive a yes or no answer. She felt that these questions need to be more in-depth. During the last inspection a requirement was made for the proprietor to carry out and record formal Regulation 26 visits on the home, however it has now been established that the proprietor spends at least three or four days in the home. She said she was fully aware of all the resident’s needs and spent time talking with them and staff during her time in the home. She also stated that she was often there at night and this gave her the opportunity to talk to the night staff. It is therefore not necessary for the proprietor to carry out these formal visits. The home does not look after any of the resident’s finances. People look after their own finances with the help of family, friends, advocates and solicitors. A health and safety check was carried out and no issues were identified. A fire risk assessment was carried out by an external organisation in August 2008. Fire drills are carried out on a three monthly basis. All staff have received training in fire safety and first aid. Hot water temperatures, fire alarms and emergency lighting are checked regularly. Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 19 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 20 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 Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Brittany Lodge DS0000014182.V347026.R01.S.doc Version 5.2 Page 22 - 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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