CARE HOMES FOR OLDER PEOPLE
Brockhampton Court Nursing Home Brockhampton Herefordshire HR1 4TQ Lead Inspector
Sandra J Bromige Unannounced Inspection 10th November 2005 14:40 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 Brockhampton Court Nursing Home DS0000027673.V265820.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. Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Brockhampton Court Nursing Home Address Brockhampton Herefordshire HR1 4TQ 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) 01989 740239 01989 740289 Dr Christopher John Allen Mrs Joanne Debra Parker Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability (43), Physical disability of places over 65 years of age (43) Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th April 2005 Brief Description of the Service: Brockhampton Court is a Grade II listed building set in six acres of wellestablished gardens. It is situated in the village of Brockhampton, which is midway between Hereford, Ledbury and Ross-on-Wye. There is a village post office. The provision of public transport is very limited with a local bus which goes to Hereford 1-2 times each week. The Home provides a car driven by a member of staff, which can transport up to three residents at one time to enable them to access local facilities. This cost of this service is inclusive in the fees charged by the Home. The Home was purchased in 1996 by the Provider Dr C J Allen and converted into a care home. It is registered as a care home with nursing for a maximum of 43 residents. The service is able to offer care for adults of both sexes, who have a physical disability or are frail due to old age. At the time of the inspection, of the Homes 33 bedrooms all except one are of single occupancy rooms, the exception being occupied by a married couple. 32 bedrooms have en-suite facilities. There is a passenger lift to all floors. The gardens are well maintained and are accessible to residents. An extension to the rear of the Home is currently in progress as part of an application to the Commission to increase the numbers of registered beds. Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 3.25 hours on the afternoon of the 10th November 2005. The information within this report was obtained by observation, touring part of the premises, inspection of records, and discussion with residents, relatives and staff. The manager was not on duty at the time of the inspection. No complaints have been received by the Commission regarding this service. The building works at the rear of the building to provide further nursing beds is progressing well. Alterations internally have begun in the Home with the relocation of the clinical room to a temporary location until the extension is completed. The kitchen will be extended before Christmas, followed by the laundry facilities at a later date. An in-depth pharmacy inspection took place on the same day, this will be reported on through a separate report, which will also be available to the public. What the service does well:
The Home continues to provide a high standard of care and facilities for the residents. The environment is homely, comfortable, clean and well maintained. The extensive grounds are also well maintained and accessible to all of the residents. All residents’, relatives and visitors spoken to felt that the quality of the care was very good and that their needs were being met. Staff were described as being ‘very kind’ and ‘matron is marvellous’. The approach by staff towards residents’ was observed. All residents’ appeared to have a very good rapport with the staff. Staff were very respectful towards the residents’ and had a very pleasant and gentle approach. Residents’ privacy is respected and individual requests for time for privacy observed as one resident had a notice on the door requesting not to be disturbed between certain times each afternoon. Staffing levels were satisfactory on the afternoon of the inspection. Staff continue to put a lot of effort into ensuring that residents’ know what is going on in the Home each month by producing a bi-monthly newsletter called the ‘Brock News’. Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 6 An audit of the quality of the service is almost complete. This includes consulting residents’, relatives’ and stakeholders of the community. The manager continues to report promptly to the Commission any significant events that take place in the Home. The Provider sends informative monthly reports to the Commission as required through regulation. What has improved since the last inspection? 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. Brockhampton Court Nursing Home DS0000027673.V265820.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 Brockhampton Court Nursing Home DS0000027673.V265820.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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.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 There is a clear and consistent care planning system in place to provide staff with the information they need to meet residents’ needs. The staff have a very good understanding of the residents’ support needs this is evident from the positive relationships, which have been formed between the staff and the residents’. EVIDENCE: Care plans seen were detailed and regularly reviewed. All residents’ appeared to have a very good rapport with the staff. Staff had a good knowledge of the individual residents’ care needs. Brockhampton Court Nursing Home DS0000027673.V265820.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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 13 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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed on this occasion. EVIDENCE: Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 15 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 17 & 19 Requirement Two written references must be obtained for all staff prior to employment and these records kept in the care home. Brought forward, not assessed. Staff must not be employed by the Home unless a Criminal Records Bureau check has been applied for and Protection of Vulnerable Adults First clearance has been obtained. Brought forward, not assessed. Timescale for action 02/06/05 2. OP29 19 02/06/05 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 Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Hereford Office 178 Widemarsh St Hereford Herefordshire HR4 9HN 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 Brockhampton Court Nursing Home DS0000027673.V265820.R01.S.doc Version 5.0 Page 18 - 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!
