Inspection on 20/10/05 for Bronte

This inspection was carried out on 20th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bronte 02/10/06

Bronte 18/05/05

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 Bronte Lower Lane Ebford Exeter Devon EX3 0QT Lead Inspector Andy Towse Unannounced Inspection 20th October 2005 12:25 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 Bronte DS0000021894.V257919.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. Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bronte Address Bronte Lower Lane Ebford Exeter Devon EX3 0QT 01392 875670 01392 876088 timothymurphy@tiscali.co.uk 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 Timothy Oliver Murphy Mrs Cordelia Wai-Yu Murphy Mr Timothy Oliver Murphy Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 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 DS0000021894.V257919.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over a period of three hours. The registered manager was on annual leave and therefore unable to be present during the inspection. The information contained in this report was obtained from discussion with the senior carer, individual discussion with three residents and a group discussion with two others combined with inspection of care plans. As the home contravened the Care Homes Regulations 2001(Regulation 17(2) Schedule 4) by not keeping certain documents in the home. As these records were not available to either the staff on duty or the inspector some of the core standards could not be included in this inspection. What the service does well: What has improved since the last inspection? 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. Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 6 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 Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 7 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): Standard 3 was inspected at the previous inspection, and the home does not offer intermediate care. EVIDENCE: Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 8 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 The home has produced well written care plans but they are not playing an important role in shaping residents’ daily lives. EVIDENCE: All residents have care plans. They are well written and reviewed regularly. The Registered Manager and two senior care staff are responsible for care planning. Residents sign to confirm they were involved in the review of their care plans. In discussion however, three of the residents spoken to said they were not aware of their care plans or reviews. One, in further discussion, when presented with her care plan did not remember signing the care plan review form. This inspection officer accepts that this could be due to failing memory. The plans are well presented, and each resident’s file contains daily write-ups. Write-ups did not always refer to care plans and could not therefore confirm that they contributed in an important way to residents’ daily lives. For example one plan refers to a carer spending regular 1:1 time with a resident but there is no record to show that this actually happens. Neither could a resident confirm that this actually took place. Another referred to a resident having a library book changed fortnightly but the resident said she was ‘never a bookworm and doesn’t read books,’ and no books could be seen in this resident’s bedroom. Following a letter from the registered manager, the word Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 9 ‘book’ is now to be substituted in care plans by the term ‘reading material’ as this is seen by the registered manager as more appropriate. One resident when presented with her care plan and given an explanation as to what it was, asked, ‘Am I allowed to read it, see what it says about me?’ This resident’s signature was on a proforma attached to her review notes. Bronte DS0000021894.V257919.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 are able to personalise their rooms. It was not possible to inspect the degree of control some had over their finances. EVIDENCE: The senior carer said that most residents had their finances controlled by their families. Residents who had a level of confusion had monies held for them by the home. The senior carer herself was not involved with residents’ finances. Inspection of residents’ rooms showed that they were personalised with both pictures, ornaments and in some cases pieces of furniture they had chosen to bring with them. Discussion with residents confirmed that they had been given the choice of bringing furniture and other personal items with them. Residents commented that they could go in the garden whenever they wanted and could, from observation, choose whether they stayed in their rooms or joined others in the communal areas. Bronte DS0000021894.V257919.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): Standards 16 and 18 were inspected during the previous inspection. EVIDENCE: Bronte DS0000021894.V257919.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): 24, 25 Residents live in a clean, well maintained home and are accommodated in rooms suited to their needs and reflecting individual choice. EVIDENCE: All residents are accommodated in single occupancy bedrooms. These are furnished in styles reflecting the choices of their occupants. Rooms have ensuite facilities and residents are provided with a lockable storage space. Bedroom doors can be locked from the inside. All radiators in bedrooms that were inspected were seen to have been fitted with safety guards. Residents spoken to confirmed that they liked their rooms. The physical environment is well maintained and had a good standard of hygiene and cleanliness. Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 13 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): 28 Absence of access to relevant records mean that it was not possible to conclude a judgement about the safety and quality of staff recruitment practice and training arrangements. EVIDENCE: The senior carer on duty was able to show her NVQ 2 qualifications, and another senior carer was said to have achieved this qualification, however, although there was no documentary evidence, the inspector was informed verbally that whilst none of the remaining four care staff had NVQ 2 they were going to undergoing this training. Whilst this information could not be verified at the time of the inspection, from the information available this home is unlikely to have achieved the National Minimum Standards target of 50 of staff attaining NVQ 2 by 2005.s Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 14 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): Absence of access to relevant records mean that it was not possible to conclude a judgement about the quality and safety of some management arrangements. EVIDENCE: Records relating to internal reviews of the quality of the home’s service were held in the adjoining bungalow and were therefore unavailable.The senior carer thought that quality reviews and quality monitoring were carried out but was unable to produce evidence to confirm this. Residents’ Meetings were said to be held, but minutes able to confirm this were also unavailable. It was therefore not possible to conclude the degree to which Bronte’s management and overall service is responsive to residents’ needs and wishes. Records of financial transactions (Standard 35) were said to be held in the ‘office’ in the residential manager’s bungalow and were not available at the time of the inspection. Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 15 Information regarding staff was not available at the time of the inspection as this was also kept in the manager’s bungalow. Bronte DS0000021894.V257919.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 2 8 X 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X 3 3 x STAFFING Standard No Score 27 X 28 X 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 1 X X x Bronte DS0000021894.V257919.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 OP29 Regulation 17(2) Requirement The registered manager should keep at the care home all information as required and listed in Schedule 4 Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Whilst care plans were well written, the information on files could be expanded to demonstrate that they are fully actioned. Bronte DS0000021894.V257919.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 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 DS0000021894.V257919.R01.S.doc Version 5.0 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!