Inspection on 18/05/05 for Bronte

This inspection was carried out on 18th May 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

Bronte 02/10/06

Bronte 20/10/05

Bronte 04/11/04

Bronte 13/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bronte Lower Lane Ebford Exeter EX3 OQT Lead Inspector Caroline Rowland-Lapwood Announced 18 May 2005 th 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. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bronte Address Lower Lane, Ebford, Exeter EX3 0QT 01392 875670 01392 876088 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) Mr Timothy Murphy CRH PC Care Home providing Personal Care 20 Category(ies) of OP Old Age [20] registration, with number of places Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/11/04 Brief Description of the Service: Bronte is a Residential Care Home providing accommodation and personal care for up to 20 male and female older people. The home is situated in the rural village of Ebford close to both Exmouth and Exeter. The accommodation is on one level with all rooms having level access. The grounds, including a large pond, are well maintained and service users report enjoying them in the summer months. Mr and Mrs Murphy, the owners, live ‘on site’ in a separate bungalow. They are actively involved in the day to day running of the home and as such are well known by the service users. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was arranged with the owners as part of the normal programme of inspection. It took place over 4.5 hours. The inspector met or spoke with most of the residents, spoke with the manager and most of the staff. The inspector looked around the home and a number of records were looked at including care plans, medication records, procedures and accident/fire records. What the service does well: What has improved since the last inspection? What they could do better: On this occasion there were no requirements or recommendations were made for improvements. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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 Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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) 3 Pre admission arrangements ensure that resident’s needs and wishes are fully understood and that they are helped make the right choice of home. EVIDENCE: The owner said that residents and their families are invited to visit the home and meet the staff before admission. Prospective service users have a thorough assessment before their admission to the home and are assured whether or not their needs can be met. Evidence of this was seen in the care plans. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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) 7,8,9,10,11. Resident’s health and social needs are well met. Resident’s privacy and dignity is met and promoted by the staff and management team at Bronte. Medication administration at the home is well managed, promoting good health. EVIDENCE: There is a care plan in place for every resident. Three care plans were looked at all contained clear concise up to date information that had been regularly reviewed. Privacy and dignity are given a high priority and residents are treated with respect. Staff were seen knocking on bedroom doors before entering and talking with residents in a kind and respectful manner, residents confirmed they are treated well. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 10 The system for the administration of medicines is clear with comprehensive arrangements in place. Risk assessments were in place for those residents that self medicate and suitable lockable storage has been provided in their bedrooms. Resident’s wishes regarding their wishes after death are discussed with them at an appropriate time and this information is recorded in their personal care plan. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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 and meals are both well managed, and provide daily variation and interest for people living in the home. EVIDENCE: All of the residents that spoke to the inspector praised the standard of the meals provided. Some comments made on the day included “delicious”, “very nice” and “very good”. The cook visits residents every morning to tell them the lunchtime menu and offer choices if requested. Special diets are catered for well. The menu diary showed the variety of foods offered in providing a balanced wholesome menu. Different activities are arranged every afternoon; on the day of the inspection the residents were enjoying karaoke in the lounge. Most of the residents said they enjoyed these social events, whilst others said they preferred to stay in the comfort of their own rooms either reading, watching the television or listening to the radio. Residents confirmed that their visitors are always made welcome by the staff and that there were no restrictions on visiting times. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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 home has a robust complaints procedure and residents are confident that all complaints and suggestions will be taken seriously. Arrangements for protecting residents from harm or abuse are satisfactory. EVIDENCE: Residents confirmed that their views are taken seriously, that their concerns are fully taken on board and that action is taken when needed. A record of complaints is kept. Staff spoken to said they had received training in the prevention of abuse and were able to describe what they would do in the event of an incident occurring. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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) 19,26 Residents live in a safe, comfortable and clean environment that is well maintained. EVIDENCE: The home is decorated in a homely and comfortable way. Residents’ bedrooms are personalised and attractive. The grounds are attractive and easily accessible via the front door of the home. Communal areas are inviting and relaxed, the residents confirmed that they enjoyed spending time together in the afternoons. The home is very clean and free from any offensive odours. Rooms are centrally heated; all but three of the radiators throughout the home have been covered in order to reduce the risk to residents. The remaining three are waiting to be fitted. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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. Service users needs are properly met by the number and skill mix of the staff. EVIDENCE: The staff rota showed that the allocation of staff on each shift was adequate to meet the need of the current service users. Residents confirmed that they were given all the help they needed and that they did not feel rushed or hurried in anyway. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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) 38 There are reliable systems in place to ensure the good health safety and welfare of residents and staff. EVIDENCE: Safe working practices are employed and risk assessments undertaken. Records showed that all the necessary fire safety checks take place and that all staff undertakes training in fire prevention. Hazardous substances are kept locked away and each has an individual data sheet to accompany them. There is a Health & Safety policy in place. Residents said they felt safe and well cared for. Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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 x 3 x x x 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 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 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. 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. Refer to Standard Good Practice Recommendations Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 Bronte D54-d06 s21894 Bronte V216221 180505 stage 4.doc Version 1.30 Page 19 - 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!