Inspection on 07/04/05 for Brittany Lodge

This inspection was carried out on 7th April 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 10/11/05

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 Unannounced 7 April 2005 10:00 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Brittany Lodge Address 32 Brittany Lodge Hove East Sussex BN3 4PB 01273 413413 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Deborah Dunne Mrs Deborah Dunne Care Home 15 Category(ies) of Old Age, not falling within any other category registration, with number (OP) (15) of places Brittany Lodge Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. All residents should be aged 65 or over on admission. 2. The maximum number of residents to be accommodated is fifteen (15) Date of last inspection 2 November 2004 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 West Hove and is very close to local transport, shops, amenities and the seafront. Bedrooms are located over two floors and there is a stairlift 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 en suite. Although there is wheelchair access to the front of the property the actual home would not be suitable for wheelchairs users. Communal areas include a lounge and dining area and a small patio garden. Brittany Lodge Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours and was one of two inspections required to be carried out during this financial year 2005/2006. The inspection process included speaking to five residents privately and four other residents during lunch, a tour of the premises, looking at some of the homes records and documentation and talking with some of the staff members on duty. The home had completed all the requirements, which had been made during the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to ensure that all new staff obtain current CRB checks and to be aware that these checks are not transferable between different care homes, regardless of when they were carried out. The front door keypad lock needs to be removed and provided with a lock that is hard wired into the fire alarm system, which will allow it to open automatically in the event of a fire. The home needs to maintain consistent hot water temperatures within home. Brittany Lodge Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brittany Lodge Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Brittany Lodge Version 1.10 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 standard(s) 3 and 5 The home carries out a thorough assessment of service users needs before they move into the home. The home encourages prospective service users, relatives and friends to visit the home on several occasions before making a decision about whether they wish to live there. EVIDENCE: Written assessments were looked at and they provide very good information about residents needs. Risk Assessments are also carried out and these identify areas where residents may need additional assistance. Staff appeared to be knowledgeable about individual care plans. The home encourages prospective service users and their relatives to visit the home so that they can meet the staff and other service users. A first visit will include a tour of the home, the facilities and viewing the room to be occupied. Other visits will involve staying for morning coffee or lunch. All new residents are offered a trial period when they move into the home. This is to ensure that the home can meet their needs and leaves the resident able to move if the home does not meet with their expectations. Brittany Lodge Version 1.10 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 standard(s) 7,10 and 11 The home maintains relevant and up to date information on the health, personal and social care of all residents. Residents are involved with their care plans and are able to make informed choices. EVIDENCE: Random care plans were looked at and they were found to be informative and up to date. Residents or their relatives are able to be involved with their care plans and many have chosen to take up this option. Two residents require reviewing more frequently as they have some additional mental health needs and the home is now providing monthly care summaries. One particular residents health has deteriorated recently and the home has organised for a review to be carried out by the funding authority to ascertain as to whether this resident now requires nursing care. After speaking with several residents it was apparent that the home does provide them with privacy, dignity and respect and residents were all seen to be treated in a courteous manner by staff. The Deputy Manager stated that the home is to commence recording the wishes of residents when they die and that these wishes will be incorporated into their care plans. Brittany Lodge Version 1.10 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 standard(s) 4 and 15 There is strong evidence that residents are able to make choices and have a certain amount of control over their lives. Residents thoroughly enjoy their meals and alternative options are available. EVIDENCE: Residents stated that they felt they could exercise their personal autonomy and choice within the home. The vast majority of residents deal with their own financial affairs. Residents are able to bring in their own small possessions and these help to personalise each of their rooms. The home also conducts residents meetings where people are able to discuss any concerns, issues or ideas they may have. The home provides a Traditional English menu, which changes regularly. An enjoyable lunch was taken with a group of residents in the dining room. The meal was well cooked and delicious and all residents stated that they really enjoyed the food the home provides. Written alternative options were not on view but residents did state that they were aware that there were other options if they did not like what was on the menu that day. Brittany Lodge Version 1.10 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 standard(s) 16 and 17 The homes complaints policy and procedure protects residents. The majority of residents deal with their own personal finances with the help of relatives and friends. EVIDENCE: The home has produced a complaints policy and procedure. Residents said that they knew who to go to if they had a complaint or a concern regarding the home. The home has not received any major complaints. Electoral roll cards for postal votes were viewed during the day and the Deputy Manager stated that all residents were registered. The home is able to provide information to residents regarding local advocacy services. The vast majority of residents deal with their own personal finances and receive assistance from family and friends. Brittany Lodge Version 1.10 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 standard(s) 19, 22, 24, 25 and 26 Overall the home is clean and tidy and generally well maintained. All bedrooms observed appeared well furnished and personalised. The home has provided specialist equipment and additional adaptations where they have been required and requested. The home is currently experiencing some problems with the hot water delivery system in some of the bedrooms. EVIDENCE: The home was assessed by an occupational therapist in 2003. If residents needs change they will receive an individual assessment by the occupational therapist for any special adaptations they may require and this will assist them to retain as much mobility and independence as possible. Bedrooms within the home appear comfortable and contain personalised effects. There is one double room in use and the Deputy Manager stated that both residents had made a positive choice to share. The hot water from the tap in the ground floor bathroom was noted to be very hot. The home has recently had new hot water valves fitted into six of the bedrooms but there Brittany Lodge Version 1.10 Page 13 appears to be a problem with the water pressure, which keeps dropping. The home will continue to investigate this problem and rectify it as soon as possible. Overall the home is kept clean and tidy with no offensive odours. Brittany Lodge Version 1.10 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 29 The home provides a friendly and stable staff team. The procedures for recruitment must ensure that CRB checks are undertaken by the home for all new staff members. The home encourages and supports staff training. Approximately 80 of the care staff have completed NVQ Level 2 training and above, which is excellent. EVIDENCE: Brittany Lodge has a very caring, friendly and stable staff team. The home has worked extremely well in achieving such a high level of staff completing NVQ training in Levels 2 and 3. Residents were asked about how they felt the staff team performed and the responses were all very positive. Several residents stated that they felt staff were caring and trustworthy, which were very important qualities for them when living within a care home environment. The vast majority of staffing files were viewed and it was apparent that the home has been using some CRB checks from previous care homes that staff had worked in. This was discussed with the Deputy Manager who was not aware that CRB checks were not transferable between other care homes, regardless of when they were carried out. New CRB checks are to be completed for the two staff members concerned. Brittany Lodge Version 1.10 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35, 37 and 38 The Management of the home provides good leadership and direction for staff. Service users are kept informed about any changes within the home and therefore they are able to make contributions in the way the home is run. EVIDENCE: It was evident that the home is run in a very open and inclusive manner. Residents meeting are held and the home has a suggestion box for residents to put forward their ideas. Residents spoken to said that they did feel they could voice their thoughts and opinions in how the home is run. As mentioned previously, the vast majority of residents deal with their own personal finances. The home does help one resident with their finances and at the last inspection this persons finances were not separate from the homes bank account. This has now been rectified and money for this resident is now kept separately and all transactions clearly recorded. A number of records were viewed and these were all found to be up to date and in order. Brittany Lodge Version 1.10 Page 16 A few months ago a resident had a serious fall in the home and at the time there was some concern that a bedroom door closing too quickly may have been the cause. However, a local Fire Safety Officer was asked to carry out an inspection of the home and it was in his opinion that the door was probably not to blame for the accident. He felt the door closures were adequate and did not pose a safety risk to residents. A risk assessment of the home showed that the deep fat fryer in the kitchen needed to be removed as it was located by a fire exit and that all corridors must be kept free of any obstructions. Combustible materials must also be stored away from the electrical cupboard on the ground floor. The home complied immediately to all of these recommendations. One other concern involves the locking of the front door. The Deputy Manager stated that they need some type of security to the front entrance as they have a number of residents who wander out into the road, which would put them at risk because of their inability to gauge road safety. Visitors often do not close this door and this has become a problem for the home. Residents who are able to go out safely on their own are given the keypad number. It was felt that in the event of a fire this system could possibly cause problems and was not safe. The home needs to provide the door with a suitable lock that can be hard wired into the fire alarm system, which would then release the door in the event of a fire. The Deputy Manager is to look into this and in the meantime it was agreed that the keypad lock should be removed. Brittany Lodge Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x 3 x x STAFFING Standard No Score 27 x 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x x 3 x x 3 x 3 2 Brittany Lodge Version 1.10 Page 18 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. 1. Standard OP29 Regulation Sch 2 (7) Requirement That all new staff undertake a new CRB check, which is under the name of the home they intend to work at. That the home continues to regulate the hot water temperatures. Timescale for action immediate 2. OP25 13(4) immediate 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. Refer to Standard OP38 Good Practice Recommendations That the home looks into supplying an alternative front door lock, which complies with the Fire Precautions (Workplace) Regulations 1997. Brittany Lodge Version 1.10 Page 19 Commission for Social Care Inspection 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 Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!