Inspection on 28/06/05 for Bronswick House

This inspection was carried out on 28th June 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

Bronswick House 04/08/09

Bronswick House 28/04/09

Bronswick House 08/04/08

Bronswick House 11/10/07

Bronswick House 22/08/06

Bronswick House 27/09/05

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 Jackie Riley Unanounced 28 June 2005 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. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bronswick House Address 16-18 Chesterfield Road Blackpool Lancashire FY1 2PP 01253 295669 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 S Seedheeyan Care home only 11 Category(ies) of MD Mental Disorder (2) registration, with number DE Dementia (9) of places Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2004 Brief Description of the Service: Bronswick House is registered to provide residential care for 11 adults suffering from Dementia and/or Mental Illness. The home is set on two floors with three service user 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; the chair lift has now been removed. 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, although replacement windows have not been included other than the entrance area of the home. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection therefore the registered person, staff and residents were not aware of the visit. The inspection was undertaken during a four hour period of the day. The manager (not registered) assisted the inspector to carry out the inspection process. Two staff members on duty were interviewed. There were no visitors available throughout the inspection process. Five residents were spoken to, and communicated their views. Records of medication, care plans staffing rotas and two staff files were examined. What the service does well: What has improved since the last inspection? What they could do better: There is a requirement for a registered manager to operate the care home. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 6 The home should examine current practices for activities for people with dementia, which would increase the stimulation of residents, through activities, which are specifically focused on dementia care. Risk assessments must be in place for all residents to ensure they are protected from undue harm. Staff induction files should be complete to ensure that new staff have a good understanding of the home and the people they care 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 F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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 Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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) 2, 3 All residents have a contract in place for the protection of both parties. All residents have a complete social work assessment plan in order to ensure their needs can be met by the care home. EVIDENCE: Contracts are in place for all residents between and they contain the terms and conditions of residency, which is signed and dated, providing security for both parties. Residents only move into the home with a placement plan from the placing officer, which ensures the staff team know residents needs at the time of admission. Individual professional assessments were complete and contained information relating to the needs of that person. Staff spoken to are fully informed of the needs of people living in the home. Two residents spoken to were aware of the placement plans and commented on how they were involved in the plans. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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, 8, 9 The health care needs of people living at the home are clearly identified, so that staff are able to deliver the level of care necessary for residents. Risk assessment are being developed in order to ensure residents are protected from undue risk. EVIDENCE: Individual care plans identify all aspects of a persons health, social and personal needs. Plans seen were up to date and showed reviews are held regularly, ensuring peoples individual needs are met. Staff spoken to were aware of the need to ensure residents privacy and dignity is upheld. One member of staff commented “I treat people in a way I would expect to be treated, and sometimes that just means making sure a door is closed”. There was evidence risk assessments are being developed, which should include risk assessments for, personal and environmental risk. This makes sure residents and staff, are protected from undue harm. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 10 Staff knowledge and understanding of residents healthcare needs ensures they are being met. Records and health plans were viewed for three residents, plans clearly describe health needs and how they would be met. Three residents had received health checks, and ongoing appointments for specialist treatment were being kept with outcomes recorded. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15 Social activities are in place but could be further developed to meet the specialist needs of residents living at the home. Meals prepared by staff members are balanced and provide a daily variation and interest for people living in the home. EVIDENCE: There is a flexible approach to daily living and activities. Residents spoken to said “ its great to be able to come and go, I go out for a walk every day.” A number of residents spoken to use community facilities regularly. Residents would benefit from other forms of activity specifically designed for people suffering from dementia. Residents have various limits on their ability to make choices, however staff were seen to help and gently guide them in all areas of their daily lives. Staff spoken to said “we know what residents like and don’t like, and so we can help them do the things they like”. The food and menus are varied and offered daily choice. Mealtime arrangements are flexible enough to accommodate individual preferences. One residents spoken to chose to have his lunchtime meal later in the day, this was not seen to be a problem for the staff team. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 12 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, 18 The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have a sound knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a complaints procedure in place and staff spoken to were able to explain the process. Records of complaints investigations with outcomes are up to date. There have been no complaints investigated by CSCI in the last twelve months, and there are no recorded complaints made directly to the home in that time. The home has a procedure in place for dealing with allegations of abuse. The manager had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff are receiving training in relation to complaints and abuse in their individual training programmes. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 13 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) The environment was not inspected during this inspection. EVIDENCE: Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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) 27, 29, 30 The procedures for the recruitment of staff are robust thereby providing protection for the people living in the home. Staff have access to training, which ensures they are equipped to undertake their roles in care practice. EVIDENCE: Three staff files seen show recruitment is thorough, ensuring staff have received all checks before starting employment at the home. One staff member explained the recruitment procedure, which included all fitness checks to ensure the safety of the residents. The staff team were found to have a range of experience in the care for residents with dementia and mental health issues, which ensured they can provide a good level of care for the people living at the care home. Staff training is focused upon highly, as the home wants its staff team to be trained to deliver a good level of care. There was evidence of all staff members attended training in areas to meet the needs of residents. The induction programme should be complete on all files. It was recommended training in areas for caring for people suffering from dementia should be developed further, in order to use up to date practices for people suffering from the condition. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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) 31, 32, 33 The home is well managed and run efficiently providing a safe and stable environment for people living there. Staff are supported and feel confident in the way the home is managed. EVIDENCE: The management structure makes sure there is shared responsibility in the operation of the home, however there is a requirement for the registration of a manager at the home. Staff spoken to commented on how supported they felt. One staff member said; “The manager is always here if I need any support”. Residents, and staff members were very positive in their comments about the homes and the way in which the home is managed. Residents spoken to said the manager is always there for us, and is always willing to listen and help. The home is currently working toward Investment in People Award, which demonstrates the commitment in training and support of the staff team. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 3 x x x x x Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 17 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. 2. Standard 7 31 Regulation 13(4) 8 Requirement All residents must have in place a complete risk assessment strategy. The home must have a registered manager to carry out the day to day management of the care home. The rear external walls of the care home and windows require maintenance (Timescale of 1-0405 not met) Timescale for action 31.8.05 31.8.05 3. 19 23(b) 31.8.05 4. 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. 3. Refer to Standard 12 30 30 Good Practice Recommendations Activities specifically designed to meet residents specialist needs should be developed based upon current guidance and good practice. Staff induction files should be complete. Dementia training to continue to ensure staff are kept upto date with current practices. Bronswick House F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S9843 Bronswick House V228798 240505 Stage 4.doc Version 1.40 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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