CARE HOMES FOR OLDER PEOPLE
Bronswick House 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector
Mrs Jackie Riley Unannounced Inspection 27th September 2005 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.V256171.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. Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 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 11 Category(ies) of Dementia (9), Mental disorder, excluding registration, with number learning disability or dementia (2) of places Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Bronswick House is registered to provide residential care for 9 adults suffering from Dementia and 2 suffering Mental Illness. The home is set on two floors with three residents rooms on the ground floor and seven 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 two sets of stairs. There is currently no assisted access to the first floor of the home, however 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. The area around the care home has been upgraded through a rejuvenation project and this has improved the standard of properties in general. The care home has benefited from the project by having new external garden walls both at the front and rear of the property. There is a good transport network into town, and also local shops. Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place during a daytime period. It was the second annual statutory inspection and was unannounced. During the inspection the manager (not registered) was available and assisted the inspector with the inspection process. The inspector spoke to staff on duty, residents individually and in a group. Comments from both residents and staff will be included throughout this report. What the service does well: What has improved since the last inspection? What they could do better:
There remains a requirement for a registered manager to operate the home on a day-to-day basis, for the health safety and welfare of those living and working in the home.
Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 6 Further work is required to the homes environment. Windows need replacing so as to ensure the comfort of residents living there. All bathrooms in the home should be suitably decorated and equipped for the comfort of people living there. All records of personal allowances must show any deductions made prior to them being given to a resident, so that all monies can be clearly accounted for. 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.V256171.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 Bronswick House DS0000009843.V256171.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 inspected. EVIDENCE: Bronswick House DS0000009843.V256171.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): 7,10 Risk assessments need to be introduced to ensure the health safety and welfare of residents living at the home. There are systems in place to make sure the privacy and dignity of residents is maintained, so they feel comfortable when requiring assistance with personal needs. EVIDENCE: There has been development in residents risk assessments, which now include evidence of personal risk, environmental risk and risk outside the care home. These assessments must be introduced so as to provide protection for residents living at the care home. Locks are in place on toilet and bathroom doors to make sure privacy and dignity is maintained. Staff have a good knowledge and understanding and attend to personal needs in a sensitive way, therefore ensuring residents feel comfortable. One staff member said, “ Residents know they can feel comfortable when we help them with bathing.” Bronswick House DS0000009843.V256171.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): 14 Residents choices are respected in all aspects of their lives. This makes sure they can live their day-to-day lives in their own way, depending on their individual level of ability. EVIDENCE: There are no set rules for the day-to-day living in the care home. One resident spoken to was going out on a regular walk in the community. When spoken to they said they did this every day, and enjoyed the flexibility in the home. Mealtimes are set but some residents seen and spoken to choose to eat at their own convenience and this was not seen as a problem by the staff team. Bronswick House DS0000009843.V256171.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 inspected. EVIDENCE: Bronswick House DS0000009843.V256171.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): 19,21,23,26 The homes environment has improved but further work is required to ensure the environment is maintained to a good standard. EVIDENCE: The home provides an environment, in which residents said they felt comfortable. Individual residents rooms were seen and had many personal items of furniture and belongings. A resident said, “I like to be in my room because it has everything I need.” There are sufficient bathrooms and toilet facilities for residents. However all bathing facilities must be suitably furnished, decorated and spacious enough for residents to use comfortably. There is a requirement for window replacement for most windows throughout the home, as well as external brickwork requiring attention, in order to make sure the homes external area is maintained to a good standard. There was evidence of this work to be carried out in the near future.
Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 13 The home was seen to be clean, hygienic and free from odours, which makes sure the home is comfortable to live in. Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 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 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 inspected. EVIDENCE: Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 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 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): 35, 38 There are good accounting procedures but these would be more accurate and safe if all deductions were recorded. Residents are protected through current service certificates in place for appliances in the home. EVIDENCE: There are good accounting procedures for money being maintained by the care home on behalf of residents. However there must be an accurate record of any deductions made in personal allowance recording so that the information displays the correct totals paid. Service certificates for appliances including, fire, gas, and electric were in place and up to date for the protection of residents and people working in the home. There remains a requirement for the home to have a registered manager for the day to day running of the care home.
Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 16 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X 2 X 3 X X 3 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 2 X X 3 Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 17 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 OP31 Regulation 8 Requirement There must be a registered manager for the day to day control of the care home. (Previous timescale of 31-0805 not met) The rear external walls of the care home and windows require maintenance. (Previous timescale of 31.8.05 not met) All bathrooms must be suitably furnished, decorated and spacious enough to be comfortable. Residents personal allowannce records must show any deductions made prior to them being given to the resident. Timescale for action 31/12/05 2 OP19 23 31/12/05 3 OP21 23 31/12/05 4 OP35 17 31/10/05 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 Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 18 Bronswick House DS0000009843.V256171.R01.S.doc Version 5.0 Page 19 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
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