Inspection on 22/08/06 for Bronswick House

This inspection was carried out on 22nd August 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

Bronswick House 04/08/09

Bronswick House 28/04/09

Bronswick House 08/04/08

Bronswick House 11/10/07

Bronswick House 27/09/05

Bronswick House 28/06/05

Bronswick House 19/10/04

Bronswick House 11/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Bronswick House 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector Mrs Jackie Riley Unannounced Inspection 22nd August 2006 09:30 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 Bronswick House DS0000009843.V304546.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. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bronswick House Address 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP 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) 01253 295669 Mrs Savitree Seedheeyan Care Home 14 Category(ies) of Dementia (2), Mental disorder, excluding registration, with number learning disability or dementia (12) of places Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include up to 12 service users in the category of MD (Mental Disorder) up to 2 service users in the category of DE (Dementia) 27th September 2005 Date of last inspection Brief Description of the Service: Bronswick House is registered to provide residential care for 2 adults suffering from Dementia and 12 suffering a Mental Disorder. The home is set on two floors with three residents rooms on the ground floor and ten on the first floor. There is one double room situated on the ground floor. There are no en-suite facilities. The first floor is accessed by three sets of stairs. There is assisted access to the first floor of the home, however most residents living on the first floor have good mobility. The home is situated in a residential area, and is close to the public transport network. There is a good transport network into town, and also local shops. At the time of the site visit the range of weekly fees were £343.45 to £350.00. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection undertaken during a daytime period, it was unannounced and carried out over a five hour period. One inspector undertook the inspection. The inspection process included examination of records, discussion with the registered provider, manager, staff and residents. Information received prior to the inspection included resident comments, which showed residents are satisfied with the level of care and services they receive at the home. No complaints have been received by the Commission for Social Care Inspection (CSCI) since the previous inspection. The home is not registered to provide intermediate care. Residents and their relatives or advocates are provided with information about the home prior to admission so that they know what services the home provides. What the service does well: What has improved since the last inspection? A registered manager with the Commission, who provides all day to day to day-to-day support to staff members, now manages the home. The recording of resident’s personal allowances has improved in that there is a clear audit trail for monies spent and how this is recorded. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 6 There has been complete replacement of windows in the home, which includes window restrictors for the health and safety of residents living in the home. 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. Bronswick House DS0000009843.V304546.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 Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 The quality outcome in this area is adequate. This judgement was made using available evidence including a visit to the service. Prospective residents have information to make an informed choice about living in the home. The lack of complete assessments potentially leaves residents at risk. EVIDENCE: The home has revised its information relating to the home and the services it provides. Residents spoken to were aware of this information and one resident said it was very helpful. Three residents files were seen, they included information about the residents, and the level of care to be provided. In one instance a resident had been admitted without a full assessment and did not provide enough information, which would inform staff of this persons individual needs. In all instances where an admission is to take place there must be evidence of a full assessment so that the home and the resident knows their needs will be met. Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality outcome in this area is adequate. This judgement was made using available evidence including a visit to the service. Healthcare needs are generally met by the home, however they potentially could be compromised due to a lack of information on some records. Medication practices are safe for the protection of residents. Resident’s privacy is recognised and respected at all times. EVIDENCE: The home focuses on the specific needs of residents, with evidence of access to healthcare professional including, dentists and opticians. At the time of the visit one resident was being assisted to a hospital appointment. It was noted through observation of three resident files that in one instance there was no record of a residents specific healthcare needs. The service user plan was not complete thereby having the potential for staff to be misguided in what the specific needs of this person is. The staff team are highly motivated and demonstrated a good sound knowledge of residents living in the home. They gave examples of some of the Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 10 idiosyncrasies demonstrated by residents. There was no evidence of staff being judgemental in any way. One staff member said, “we know their own little ways and how they like things done”. Medication practices are taken seriously by the home, with evidence of staff undertaking training in this area so that practices are safe and protect residents. Medication storage, administration and records were found to be satisfactory. The home takes residents rights to Privacy and Dignity seriously, in that they are assisted in personal tasks in a sensitive manner. Staff spoken to said “we always make sure doors are closed”. Due to the dementia suffered by some residents staff commented how this is particularly important. Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality outcome in this area is good. This judgement was made using available evidence including a visit to the service. Resident’s interests are fulfilled by the home and are enhanced by the daily activities. Residents receive a healthy and varied diet according to their needs and choice. EVIDENCE: Comments received during the inspection confirmed residents enjoy activities arranged. One resident said, “I go out every day”. The staff have taken time to develop activities including games suitable for therapy. Residents spoken to said they could choose if they want to be included in activities or not, thereby ensuring choice is available to the individual. As most residents have good mobility, they go out individually or as a group. Staff often assist residents to go out. In all instances risk assessments are used to make judgements as to the suitability of residents going out alone. There are no restrictions to visitors coming into the home. Two residents spoken to said they go out regularly, and enjoy the freedom of this. Residents spiritual needs were seen to be met by the home, and encouraged if a resident wishes to visit church. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 12 Diet and nutrition is taken seriously by the home. Residents have choice of meals on a daily basis. Residents spoken to say they liked the meals and said staff know what they like and don’t like. A lunchtime meal was observed and residents were seen to be enjoying the varied meal, which was nicely presented. Staff spoken to are aware of various special diets, which they have previously taken advice from nutritional professional so that residents dietary needs are met. Bronswick House DS0000009843.V304546.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome in this area is good. This judgement was made using available evidence including a visit to the service. There is a good sytem for reporting and recording complaints for the protection of residents. Residents are protected from abuse, by staff being adequately trained. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents and relatives on admission. One resident said, “If I’m not happy with something I tell em”. There have been no complaints since the previous inspection. Staff spoken to are aware of the complaint and abuse procedures, so that people are protected. There was evidence of staff attending training in this area, it is also an area completed during the induction period so that all staff have an awareness of the procedures, which are in place for the protection of all users of the service. Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,26 The quality outcome in this area is adequate. This judgement was made using available evidence including a visit to the service. Internal areas of the home are well maintained for the comfort of residents. External walls are in a poor state of repair, having the potential to create damp in resident’s rooms. Residents would benefit from the development of the rear external area of the home for leisure purposes. EVIDENCE: There is a continuing commitment by the home to make sure the environment is comfortable for residents to live in. Rooms seen are personalised and homely. Residents spoke of enjoying the use of the lounge areas in the home where “we get together and have a good natter”. There is a stair lift in place for the use of residents with reduced mobility, however at the time of the inspection all residents using the first floor have good mobility. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 15 There is concern as to the ongoing requirement to improve the condition of the rear external walls. The walls require attention due to the deterioration of the brickwork, which now has the potential to absorb damp, which could penetrate resident’s rooms. This is an area where the provider must provide evidence of what action is to be taken within specified timescales. There is an open private area to the rear of the home, which could be developed for residents to use during good weather, so that they have the benefit of accessing an external communal area. Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome in this area is adequate. This judgement was made using available evidence including a visit to the service. There is a skills mix of staff in adequate numbers, which meet the needs of residents. Recruitment of staff is taken seriously however some records did not have evidence of reference checks, thereby having the potential to put people at risk. Training is taken seriously and staff are equipped with the skills to carry out their roles. EVIDENCE: The staff team are highly motivated and committed to carry out their roles to ensure resident’s lives are made as comfortable as possible. Staff spoken to say they feel supported by the management team. Training is taken seriously and all staff are encouraged to attend a variety of training courses appropriate to meet the needs of residents. Staff spoke of recently attending a twelve-week course for infection control, which they felt had helped them to understand the topic much better, so that they can apply their skills in the workplace. Recruitment is taken seriously by the home, however in two instances staff have been recruited without references being checked and verified prior to commencing employment. Fitness checks must be completed prior to staff commencing employment so that all users of the service are protected. Bronswick House DS0000009843.V304546.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality outcome in this area is good. This judgement was made using available evidence including a visit to the service. The home is managed well and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: The home was found to be well managed by a motivated registered manager, who is well supported by the registered providers. The commission receives regular monitoring reports, which demonstrate the owners take the quality of care seriously. Inspection of records indicated regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 18 Records show the management has good systems to gather information about individual views to enable ongoing improvements to the home. Staff spoken to say, “we are really supported and share information between ourselves so that changes can be made if needed”. Bronswick House DS0000009843.V304546.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 3 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bronswick House DS0000009843.V304546.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. 1. Standard OP19 Regulation 23 Requirement The rear external walls of the care home require urgent maintenance. (Previous timescales of 31.8.05 and 31.12.05 not met). All residents must have in place a plan of care identifying how their needs will be met. The home must make sure the needs of residents are assessed prior to admission to the home. Staff must not commence employment until references have been verified. Timescale for action 31/10/06 2. 3. 4. OP7 OP3 OP29 15 14 19 31/10/06 31/10/06 31/10/06 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 OP20 Good Practice Recommendations Residents would benefit from the development of the rear external garden area of the home for leisure purposes. Bronswick House DS0000009843.V304546.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Bronswick House DS0000009843.V304546.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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