CARE HOMES FOR OLDER PEOPLE
Brownlow House Brownlow House 142 North Road Clayton Manchester M11 4LE Lead Inspector
Mr Wesley Cornwell Unannounced Inspection 18th February 2006 10:00 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 Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Brownlow House Address Brownlow House 142 North Road Clayton Manchester M11 4LE 0161 231 7456 0161 231 0032 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 Bradley Scott Jones Mr Russell Scott Jones Mr Bradley Scott Jones Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (3) of places Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The home can accommodate up to a maximum of 28 service users requiring personal care only by reason of old age (OP) Three named service users requiring care by reason of physical disability (PD) may be accommodated. Should either of the service users no longer require the services offered by the home then the place shall revert to that of old age (OP). The care staffing levels do not fall below the minimum levels specified in the Residential Forum Guidance for Staffing in Care Homes for Older People. The dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum Guidance for Staffing in Care Homes for Older People. The service should employ, at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 21st June 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Brownlow House is a registered care home providing personal care only for up to 31 older people over the age of 65 years. The home is a detached building set within its own grounds, with a garden to the rear of the property and a parking area to the front of the building. The property has access both at the front of the building and the rear by steps and ramps. The home has three floors of accommodation accessed by stairs and a passenger lift. The basement of the property accommodates the laundry and the boiler for the heating system. The accommodation comprises of 3-shared bedrooms each accommodating a maximum of two people and 25 single bedrooms. One of the single rooms has en-suite facilities and all other bedrooms have a hand basin. There is a large lounge to the rear of the property leading onto the dining room. At the front of the property there is a lounge, there is also a small television lounge for use by residents who prefer to watch television rather than being involved in group activities. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 10.00am and took place over six hours. The Inspector spoke to three staff members, eight residents, one visitor, the owner of the home and the deputy manager. Staff and care records were also examined. A full tour of the premises was undertaken with the deputy manager. What the service does well: What has improved since the last inspection?
Records for residents were well maintained and provided clear information about the care being provided by staff. There have been improvements made to the environment since the last inspection with a number of bedrooms being redecorated and new carpets
Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 6 fitted. Residents spoken to were very happy with the improvements being made. Staff members spoken to confirmed they were due to attend training arranged by the owner of the home in relation to the protection of vulnerable adults. The deputy manager said two training sessions had been arranged and all staff members would be attending. 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. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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 Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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 assessed during this inspection. EVIDENCE: Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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 Promotion of health is taken seriously. Residents’ welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded on most care plans and daily entries made, setting out the care given. The records of three residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept. under review. Entries made on care plans showed good communication between the home and healthcare professionals. The relative of one resident said, “The level of care provided by the home is excellent. I would highly recommend it to anyone”.
Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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): These standards were not assessed during this inspection. EVIDENCE: Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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): 18 Procedures for dealing with and reporting abuse were satisfactory, ensuring people are adequately protected. EVIDENCE: The home has a procedure in place for dealing with allegations of abuse. The owner and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. At the last inspection a requirement had been made that all staff undertake training relating to the protection of vulnerable adults. This matter has been addressed by the home. Staff members spoken to confirmed they were due to attend training sessions arranged by the home. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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, 20, 21, 22, 23, 24, 25 and 26 The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely and safe environment. EVIDENCE: Since the last inspection, the owners of the home have continued to make improvements to the environment. A number of residents’ bedrooms have been redecorated, refurbished and had new carpets fitted. New furniture had also been purchased for the dining room. The owner of the home said the refurbishment of the home is on going and there are plans to redecorate and refurbish more residents’ bedrooms. Residents spoken to were very happy with the improvements being made to the home. Lounge and dining areas have been decorated and furnished for the comfort of residents.
Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 13 The grounds were tidy, attractive and accessible to residents. All residents spoken to said they were happy with their rooms and were provided with the choice of spending time on their own or in the lounge areas. All bedrooms have been furnished to ensure the comfort of residents. The inspector observed many personal possessions in rooms. Toilet and bathing facilities are located on each floor and are easily accessible for residents. The home has a passenger lift to provide access between the ground, first and second floors. Radiators throughout the home are guarded or have guaranteed low temperature surfaces to protect residents from the risk of burning. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines It was observed during the visit the home was clean and hygienic. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 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): 27,28 and 29 Staff are well trained to ensure they have the competencies to meet residents’ needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The home’s recruitment procedures are not robust and these potentially place residents at risk. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. One resident said, “The staff are very kind. I like living at the home and feel safe. There is always plenty of staff on duty and they are always there when you need them”. One visitor said, “The staff are smashing. My relative has only recently moved into the home and has had difficulty settling. I have found the staff to be very kind and supportive”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show three staff members have gained National Care Qualifications and another seven members of staff are working towards these. One staff member said they had enjoyed undertaking their training and intended to pursue further training opportunities.
Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 15 One area of concern identified during the inspection was the home’s recruitment procedures. Examination of staff records showed two staff members had been recruited before their police clearances had been received. The owner of the home has agreed to review the recruitment procedures to ensure all documentation is in place before any future employees commence working at the home. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 16 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 and 38 The home is well managed and run in the best interests of residents. EVIDENCE: Residents, visitors and staff members were very positive in their comments about the home’s owner and his style of management. Residents and visitors spoken to said they found the owner to be approachable, supportive and helpful. Staff members said they found the owner was supportive and provided a clear sense of leadership. Systems in place for gathering the views of residents, their relatives and staff as part of the monitoring of quality are informal and the owner is aware that this is an area that needs to be addressed. Inspection of records for residents’ finances were well maintained and up to date.
Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 17 Staff at the home are not receiving formal supervision and the owner is aware that this is an area that needs to be addressed. Inspection of maintenance records confirmed facilities and equipment were being maintained as required. Health and safety issues identified during the last inspection had been addressed by the owner of the home. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 18 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 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 2 X 3 Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 19 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 OP29 Regulation 19 Requirement The home must ensure all information and documentation required by regulation, in respect of any person managing or working at a care home, has been obtained prior to appointment. Timescale for action 18/02/06 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. 2 3 Refer to Standard OP28 OP33 OP36 Good Practice Recommendations 50 of the care staff team should achieve NVQ qualifications Staff and resident meetings should be held with minutes documented and retained for inspection. Staff members at the home should receive formal supervision at least six times a year. Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Brownlow House DS0000062022.V280834.R01.S.doc Version 5.1 Page 21 - 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!
