Inspection on 26/04/07 for Bromfield House Residential Care Home Ltd

This inspection was carried out on 26th April 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

Bromfield House Residential Care... 31/01/06

Bromfield House Residential Care... 19/07/05

Bromfield House Residential Care... 01/03/05

Bromfield House Residential Care... 01/07/04

Bromfield House Residential Care... 09/03/04

Bromfield House Residential Care... 27/10/03

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 Bromfield House Residential Care Home Ltd 316 Minster Road Minster On Sea Sheerness Kent ME12 3NR Lead Inspector Graham Cummings Key Unannounced Inspection 26th April 2007 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bromfield House Residential Care Home Ltd DS0000023922.V330236.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. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bromfield House Residential Care Home Ltd Address 316 Minster Road Minster On Sea Sheerness Kent ME12 3NR 01795 873018 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) Mr Malcolm Paul Jackman Teresa Oakey Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Bromfield House is a large detached property providing accommodation on two floors. The home is a registered residential service, providing care and support for up to 10 Adults over the age of 65, 8 rooms have en-suite facilities. The home is owned by Mr Paul Jackman and Mrs Teresa Oakey is the Registered Manager. The home employs a team of 11 care staff and 1 domestic worker. The home is located on the Isle of Sheppey, in the small town of Minster on Sea. It has local amenities close by. Bromfield House has comprehensive policies and procedures, and a transparent culture, which underpin the rights, fulfilment, dignity, privacy, independence and choice of the service users who live there. The home has a passenger lift to assist with any mobility difficulties of the Residents. The home has a gravelled parking area at the front of the house that can accommodate up to 10 cars. The fees range from £330 to £400 per week. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit carried out on the 26th April 2007 completed the homes first Key Inspection under Inspecting for Better Lives (IBL). The evidence gathered for the Key Inspection consisted of looking at past inspection reports, Service History, a completed Pre Inspection Questionnaire, a site visit that included looking around the home, viewing documentation and speaking to people living and working at the home including the Manager. The evidence gathered has led to the outcome judgement that Bromfield is a good home with people living there confirming that ‘they are well cared for’ ‘the food is lovely’ ‘the staff are younger now which is nice’. What the service does well: What has improved since the last inspection? What they could do better: The Manager is aware that although the paperwork being used is good and meets the requirements there is room for some adjustments that would improve the quality even more. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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 Bromfield House Residential Care Home Ltd DS0000023922.V330236.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): 1,3,5,6 Quality in this outcome area is good, this judgement has been made using available evidence including a visit to this service. Potential new residents are assessed to ensure their needs can be met and are offered the opportunity to visit the home. EVIDENCE: Details of the last admission were looked at and documentation was seen to verify the following events took place. The prospective referrals daughter visited the home and was given the homes Statement of Purpose and Service User Guide, the manager had received the purchasing authorities assessment. The manager had also carried out an assessment of the prospective referral at Medway Hospital to ensure that their needs could be met at the home. Agreement was reached for a four week trial placement to take place before a permanent placement was agreed. The home does not accept referrals for Intermediate care only. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are treated with respect and have their needs set out in a care plan with their health care needs met. EVIDENCE: People living at the home have their needs set out in an individual care plan, two of the plans were looked at and found to provide detail of action that needs to be taken to ensure that all aspects of the health, personal and social care needs, where possible the input from family and relatives was included. The plans had been reviewed and evaluated on a monthly basis. One of the care plans viewed had a procedure for staff to follow regarding the results of blood tests outside of the set limits relating to blood sugar levels. All of the people living at the home are registered with a Doctor, Dentist and Optician and there are six weekly visits from a chiropodist. The home has a record of wishes on all individuals regarding death and illness. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 10 People at the home were spoken to and comments made included ‘staff are friendly and always kind and polite’, ‘they (staff) help me when I need it and always ask if I want anything’. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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. People living at the home have contact with friends and family and are encouraged to participate in activities and outings. The food provided is wholesome and nutritious. EVIDENCE: The Manager is looking into a new service being provided in the area relating to the hiring of transport, a mini bus, for half or full days so that more trips out can be arranged, it is hoped that family and/or friends will also accompany them on these outings. The Manager is aware that the almost half of the people living in the home are in their nineties, two are 100 years old this year, so trips and outings although offered are not always taken up, it is hoped that by including family and friends this may increase. The home arranges for a singer of old time favourites to come into the home at regular intervals, this event goes down well with people living at the home who enjoy joining in and singing. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 12 The menu is taken round to people living in the home when they have their breakfast and choose from an option of meals from the menu. Comments from people living in the home included ‘I can do what I want but sometimes require help and this is always given’. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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. People living at the home are protected from abuse. EVIDENCE: The complaints policy and procedure and forms are all available by the front door next to the signing in book. Neither the home or CSCI have received any concerns or complaints since the last inspection. One of the policies all staff read and sign at their induction is the Protection of Vulnerable Adults, this confirms that they have read and understood it. Staff who have not attended training in Vulnerable Adults have been booked on a course in the near future. All Staff have attended training in Dementia, 1st Aid, Food Hygiene and Moving and Handling. Bromfield House Residential Care Home Ltd DS0000023922.V330236.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): 19,21,23,24,25,26 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 safe, clean and well-maintained home that has ample personal and communal facilities to meet Individuals needs. EVIDENCE: All of the work has now been completed in upgrading the upstairs rooms to ensuite. People living in the home said that they ‘were very happy there’ ‘it was lovely’, bedrooms were not viewed on this occasion but at the last inspection were well furnished and there were personal belongings on display in individuals rooms. The home was clean, well furnished and in good decorative order, there was ample seating in the communal area that was comfortable and in pleasant Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 15 surroundings. There was also several seating areas in the garden that people could use in the warmer weather. The Manager carried out regular checks of the home for Health and Safety. The entrance hall had been repainted and a new bed purchased for one person. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 16 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 people living at the home are supported and protected by a staff team that are competent to do their jobs and by the homes recruitment practices. EVIDENCE: The home is fully staffed with two going through the induction process and will be working supernumerary until induction is complete. Two staff files were viewed and both contained all of the documentation set out in Schedule 2 of the Care Home Regulations 2001. The manager telephones references to confirm authenticity and completes interview notes that are kept on file. Staff are encouraged to do a voluntary shift (supernumerary) before accepting employment, they do not commence work until both POVA and CRBs are returned. The home employs nine staff, of these five have an NVQ level 2 or higher and four are about to start their NVQ level 2. Staff training has taken place on Vulnerable Adults on 13/4/07 for 3 staff also First Aid, Food Hygiene, Medication and Moving and Handling since the last inspection. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 17 On looking through the training matrix, Dementia training was attended by two staff in November 2006 and four staff attended in 2004, it would benefit the home if staff attended to update and refresh their skills along with staff who have had no training in this area. A person living at the home said that ‘it’s nice that younger staff are being employed’ and ‘staff are very helpful and caring’. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 18 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. The Manager is able to discharge their duties fully and in the best interests of the people living there. The health, safety and welfare of people living and working at the home are promoted and protected. EVIDENCE: The manager has worked at the home since 1998 and been the Registered Manager for over three years. They have put in place a good system of recording and evaluation of the care provided. People living at the home spoken to said that ‘it’s a lovely home’ ‘I am well cared for’. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 19 Two staff files were viewed and both contained supervision notes that were dated and signed by both parties. The finances of the people living at the home were discussed and two people are responsible for and have their own money. The Manager is responsible for the personal allowances that other individuals receive, all expenditures are covered with receipts apart from the cost of the hairdresser, the Manager would put in place a system where a receipt was obtained. The Manager carries out regular weekly fire alarm tests and health and safety checks around the home, these were recorded and signed and dated. Any maintenance work required is listed and the work carried out in priority order. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 3 3 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 3 X 3 X X 3 Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 21 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. 1. 2. Refer to Standard OP30 OP37 Good Practice Recommendations That training in Dementia care be available to all new staff and staff who require refresher training. That a system for getting a receipt for the cost of the hairdresser be put in place. Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 22 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 Bromfield House Residential Care Home Ltd DS0000023922.V330236.R01.S.doc Version 5.2 Page 23 - 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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