Inspection on 20/12/06 for Brittany Lodge

This inspection was carried out on 20th December 2006.

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 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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Brittany Lodge 32 Brittany Road Hove East Sussex BN3 4PB Lead Inspector Merle Blakeley Key Unannounced Inspection 20th December 2006 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.V318832.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.V318832.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 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.V318832.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. 10th November 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. The current fees range from £371.00 to £450.00. Additional charges are made for chiropody and hairdressing. Brittany Lodge DS0000014182.V318832.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 seven hours on 20th December 2006. As well as this site visit information was also gained from a returned pre-inspection questionnaire, eight resident feedback survey forms, informal talks with ten residents, three staff, a visitor and the manager. The site visit consisted of a tour of the premises, looking at the needs of four particular residents, document reading and observation of staff interactions with residents. The inspector was also able to join three of the residents for lunch. There are currently twelve older people residing at Brittany Lodge. What the service does well: What has improved since the last inspection? The home was required to ensure that staff receive at least six supervisions a year and the manager stated that this is now being carried out. The home has increased its staff qualification levels to 70 with four staff holding both the NVQ Levels 2 & 3; two other staff are studying for their NVQ Level 3. Several bedrooms have been redecorated with new carpets and furniture. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Brittany Lodge DS0000014182.V318832.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.V318832.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out an assessment before a new resident moves into the home. EVIDENCE: The home carries out an assessment on all prospective residents. Information is gained from the resident by either visiting the service or the manager visiting the person in their home or in hospital. The assessment form contains all of the basic information required, however it was discussed with the manager that perhaps the assessment form could be expanded to include sections on the persons mental health state, friendships/hobbies enjoyed and an input section from relatives/friends. Brittany Lodge DS0000014182.V318832.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. Records indicate that the home is meeting the health and personal care needs of residents. EVIDENCE: Four care plans were viewed during this visit and they appeared up to date and informative. The plans contained a good history and described how resident’s needs were to be met. Reviews are carried out every three months. The health care needs of the four residents were also viewed and records show that residents have access to their own GP plus any other additional health care professionals. District nurses and community psychiatric nurses visit the home when required. Residents also have access to visiting chiropodists and opticians. Staff meet regularly to discuss the current healthcare needs of resident’s. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 10 Medications are stored in a lockable trolley in the dining room area on the ground floor. Medication records were checked and no errors were found. Recently the home has changed the times that medication is administered and this was done in consultation with residents. All staff complete an accredited medication-training course before they administer medications to residents. The home receives regular medication audits from the local pharmacy. During this visit staff were observed interacting with residents and it was evident that staff treat residents with respect and dignity. Twelve residents were asked if they felt they were treated with respect and all stated that they were very well treated by staff, particularly in regards to dignity and privacy. Brittany Lodge DS0000014182.V318832.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. The home provides a number of activities for residents and visitors are always made welcome. Residents are helped to make choices in their lives. The home offers a varied and nutritional diet. EVIDENCE: The home offers a number of regular activities, which some residents attend. Music for health, entertainers and arts & craft classes are held 4 – 6 weekly. The home also has a volunteer activities coordinator for seven hours a week and she spends some one to one time with residents and organises certain activities. Residents are regularly consulted about what type of activities they would like to be involved with and this occurs during the regular residents meetings, which are held every two months. Eight residents were asked if they felt the home offered enough activities and the majority replied positively. Visitors are made welcome in the home and the visitor’s book clearly indicated that there are a lot of visitors coming in and out of the home. During the day the inspector was able to speak to one of the visitors who said she always felt Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 12 welcome in the home. She also stated that the manager and staff were very caring and friendly. Whilst chatting to all the residents in the home throughout the day the inspector also asked residents as to whether they felt they had choice and control over their lives. All the residents responded positively and felt that within reason they could make all their own choices and decisions about certain aspects of their lives. The home offers residents a well-balanced traditional menu and the inspector was able to join three of the residents for a very enjoyable lunch. Most of residents take their lunch in the dining room and they all stated that they enjoyed the meals and had no complaints. Alternatives are always available. As this visit was so close to Christmas the home had the Christmas Day, Boxing Day and New Years Day menus displayed. Residents were being offered a five-course meal with champagne and wine. Brittany Lodge DS0000014182.V318832.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. The home has produced an effective complaints policy and procedure. The home understands the importance of protecting vulnerable adults from abuse. EVIDENCE: The home has produced a complaints policy and procedure, which is made available to residents and visitors. The manager also stated that the complaints procedure is regularly explained to residents during their meetings. From the eight returned resident survey forms all stated that they knew how to make a complaint. One concern had been made to the home and the manager has investigated this. The person felt that he should have been contacted during the early hours of the morning when his mother had had a fall. The home has acted upon this and as a result all relatives have been contacted to ask them as to whether they would or would not prefer to be called during the night/early hours if an incident/accident should occur to their relative. The home has produced an adult protection policy and procedure. All of the staff have now attended training in the protection of vulnerable adults. There has been one adult protection issue within the home, which was investigated but could not be substantiated. A resident had made an accusation about a member of staff. The resident involved is currently experiencing some mental Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 14 health difficulties and an assessment has been organised by the local older peoples mental health team. The resident’s records have indicated that there have been some previous and similar mental health issues in the past and the home feels it is possible that these issues maybe re-occurring. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 15 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the home is safe and well maintained and it is kept clean and tidy. EVIDENCE: Brittany Lodge is a small friendly home that provides accommodation for fifteen residents. Bedrooms are homely and comfortable as are the communal areas within the home. Since the last inspection four bedrooms have undergone redecoration with new carpets and furniture. The hallway and another bedroom are due to be redecorated soon. In January 2007 the two bathrooms are to be updated and walk-in baths installed. The area over the cooker in the kitchen needs redecorating as some of the wall tiles have come away. The manager explained that due to a damp problem around this area Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 16 they were waiting for the wall to dry out before the new tiles could be replaced. On the day the home was found to be clean and tidy. Residents comment cards also stated that they always found the home to be clean and tidy. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 17 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 continues to employ a stable staff team. 70 of the staff team have obtained NVQ qualifications. The home carries out suitable recruitment procedures and staff receive an adequate level of training. EVIDENCE: The home continues to provide good continuity of care to residents with a very caring and friendly staff team. There are two carers; the cook and the manager on duty during the morning shift and after 3pm there are two staff working in the afternoon. One waking night staff member is employed for the nigh time period. The home employs ten care staff with seven staff holding an NVQ qualification, which is very commendable. Four staff have the NVQ Levels 2 & 3 and another two staff are currently studying for Level 3. Both care staff were spoken to during the day and they stated that they continued to be happy working at Brittany Lodge and felt well supported by the manager and proprietor. Recruitment files for the staff were viewed and it was recommended to the manager that the homes job application form is expanded to include more information about past employment history of potential employees. Two staff Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 18 members have left the home since the last inspection in November 2005. One resigned and the other left to return to her former country. Staff training records were viewed and they showed that staff are receiving a good level of training. All new staff receive induction training and core skills training. Recent training courses staff have attended include control & care of medication, manual handling, adult protection, fire training and lifting equipment training. It was also discussed with the manager that some staff might find continence care and dementia training useful in their roles. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 19 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, & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well run and managed. The home needs to expand its quality assurance programme. There were no health & safety issues identified on the day. EVIDENCE: The registered manager has been working at the home for a number of years and appears very committed to her role. During the day ten residents were spoken to and they were asked a range of questions. One of the questions was whether they felt the home was being well run. All ten stated that the manager was very caring and ran the home very well and they would have no hesitation in contacting her if they had any concerns or complaints. Both staff also said Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 20 that they felt well supported by the manager. The registered manager has obtained the NVQ Level 4 and is currently working towards completing the Registered Managers Award. The proprietor is also in the process of completing the same qualification. The homes quality assurance programme was viewed and the manager stated that she felt it needed to be expanded and the inspector agreed with this. The manager and proprietor will be reviewing and updating the quality assurance programme in the New Year. The home wishes to address any aspect of the service, which is not working well and to do this residents, staff and relatives will be involved. The home will also need to develop an Annual Development Plan and the proprietor will need to formally record her monitoring visits to the home (Regulation 26 Visits). The home currently holds regular residents meetings and staff meetings and satisfaction questionnaires are sent out to residents and relatives/friends. The home intends to commence a key worker system next year where they also hope to gain further information about how the service is performing. A health & safety check was carried out on the day and no significant issues were raised. Fire drills are carried out every three months with a simulated fire scenario. These drills are also carried out at night. The proprietor has carried out a Fire Risk Assessment and it is also intended that a professional fire safety company will also carry out a risk assessment of the home. One of the staff team will attend training to receive the fire marshals award. The fire alarm and emergency lighting are regularly checked. Automatic door closures are installed on all doors that need to remain open. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 3 Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 22 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 OP33 Regulation OP26 Requirement To ensure that the proprietor formally records all monitoring visits to the home. Timescale for action 31/01/07 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. 3. Refer to Standard OP29 OP3 OP30 Good Practice Recommendations To expand the homes job application form to include more information about past employment history. To expand the homes initial assessment form. To offer staff additional training opportunities in continence and dementia awareness. Brittany Lodge DS0000014182.V318832.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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.V318832.R01.S.doc Version 5.2 Page 24 - 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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