Inspection on 10/12/08 for Brownrigg

This inspection was carried out on 10th December 2008.

CSCI found this care home to be providing an Good service.

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

Brownrigg 30/05/06

Brownrigg 29/11/05

Brownrigg 10/05/05

Brownrigg 11/08/04

Brownrigg 23/04/04

Brownrigg 25/07/02

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Brownrigg Borers Arms Road Copthorne West Sussex RH10 3LH The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jo Hartley Date: 1 0 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 27 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Brownrigg Borers Arms Road Copthorne West Sussex RH10 3LH 01342716946 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Alliance Home Care (Learning Disabilities) Ltd care home 6 Number of places (if applicable): Under 65 Over 65 6 0 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD The maximum number of service users who can be accommodated is : 6 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 27 A bit about the care home Brownrigg is registered with the Commission for Social Care Inspection to provide personal care for up to six people who have learning disabilities. (Category LD). The establishment is a detached two storey building set in its own grounds in Copthorne, West Sussex and is close to local shops, churches and transport. There are electric entrance gates installed at the entrance of the property. The service is privately owned by Alliance Homecare (Learning Disability) Limited. The responsible individual on behalf of the company is Mr A Dahya. There is no registered manager at present. The range of fees for current service users is 5000 pounds to 6250 pounds per month depending levels of need. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 27 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people that use this service experience good quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. It was carried out by Jo Hartley. An Expert by Experience joined the inspector at the site visit and talked to residents and staff about their experiences of the home. Evidence from this is included in this report. The findings of this report are based on several different sources of evidence. These include: previous reports of visits to the home, the Annual Quality Assurance Assessment (AQAA) completed by the home, an unannounced visit to the home, which was carried out on the 10th December 2008 and discussions with residents and staff. During the visit we looked at the homes policies and procedures, staff records and residents records. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. Page 7 of 27 Care Homes for Adults (18-65 years) The last inspection on this service was completed on the 30th May 2006. What the care home does well What has got better from the last inspection Brownrigg continues to monitor its own practice thoroughly which allows the home to make changes and improvements when needed. Care Homes for Adults (18-65 years) Page 8 of 27 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Jo Hartley 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 9 of 27 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 10 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . New residents are only admitted following a full assessment to ensure that the home can meet their needs. Evidence: One resident has moved into the home since the last inspection. We looked at this residents file and those of two other residents. They all held comprehensive preadmission assessments, that formed the basis of the care plans. Any restricions to freedom are clearly documented with the reasons why. Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents have individual service user plans. Potential risks have been identified and minimised as far as possible. Residents are involved in all aspects of life in the home. Evidence: The care plans that we saw during the visit were detailed and person centred. Individuals needs and how they will be met by the home are clearly documented. Clear risk assessments are in place, they describe the risk, how to minimise it and the outcomes and consequences of actions. Any restrictions to liberty due to minimising risks are clearly defined with reasons. Health and safety risk assessments are in place including fire, the use of the kitchen, bathroom and electrical appliances, and where applicable, Manual Handling. All residents have detailed daily records that are collated into monthly reports/reviews. The information detailed in daily records cover personal care issues, medical appointments, visitors, activities, money, general mood and any other issues that have arisen during the day. Residents are involved in the running of the home. They told us have regular meetings Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: with the staff and the Manager and they get to say what they would like on the menu or what activities they would like. They are also involved in food preparation, washing up and tidying up around the home. They told us that the only rule there is in the home is, No Smoking. A resident who is a smoker said that he/she was happy about this rule as they are the only person who smokes. Residents also told us they have a choice of when to go to bed. They can stay up as long as they want as long as they keep their music or television volumes down so as not to disturb other people. Residents choose the furniture and colours for their bedrooms. The staff or the maintenance person supports them with decorating. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents are supported to be involved in appropriate activities. Relationships are maintained with family and friends. The home promotes healthy eating and provides a varied diet for service users Evidence: The home supports people to take part in suitable activities and college courses. Residents told us they have choices of activities they do out of the home. While we were at the home two service users came from church. One of them said, I like going to the church; the staff always support me and drive me there. Another resident was at college. Residents are supported in keeping in contact with family and friends. A resident told us, I call my sister and my mum every weekend. I have to let the staff know when I want to talk to my family so they can support me. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Service users are involved in food preparation, choosing the menu, washing up and tidying up around the home. The home offers a choice of meals, the Expert by Experience was offered lunch and reported that there was a choice of pasta or rice based meals. The home has a resident dog, which the residents enjoy having around. One resident said, Its not my dog, but I enjoy taking him out for walks when the weather is good. Residents said they loved living at the home and would not want to change anything. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents receive personal support in an appropriate manner. Residents physical and emotional needs are met. Suitable procedures are in place regarding the administration of medication. Evidence: Staff were witnessed providing appropriate support to residents throughout the inspection. Residents said that they choose when they go to bed and when they get up in the morning and what clothes they wear each day. Every resident has their own keyworker to ensure consistency and continuity of support. Evidence in residents health files show that they receive additional healthcare support, e.g. from psychiatrists, opticians, dentists and general practitioners when it is required. A record is kept of all health appointments, the outcomes of the appointments and any action that needs to be taken. Records of the receipt and administration of medication were seen. All records seen were complete and accurately recorded. Prescribed medicines are delivered monthly Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: and are blister packed. We saw training records that show that all support staff undertake training in the administration of medication. Care Homes for Adults (18-65 years) Page 18 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a clear and effective complaints procedure that is understood by residents. Residents feel their views are listened to and acted on. Evidence: Residents told us they know about the complaints procedure. They said if they were not happy about anything they would let the staff or the manager know about it. The homes procedures on Abuse, Adult Protection and Whistle Blowing were seen. They were detailed and included descriptions on different types of abuse. Staff files contained certificates that show that all staff have attended Adult Protection training. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The residents live in a good standard of accommodation that is well maintained. Evidence: Brownrigg is a detached property set in its own grounds that are well maintained. The home is secure for the people living there. There is an entrance gate that requires a code to open. People coming into the home have to ring the bell at the gate and identify themselves before staff can open it for them from inside the home. Some residents, according to their needs and risk assessments, have the code to the gate and can come and go as they wish, as long as they let the staff know where they are. The inside of the home is well maintained, clean, comfortable and homely. Residents are encouraged to personalise their rooms. One resident has posters of dogs on her walls and another has his room decorated in his favourite football teams colours. On the day of the visit the home was very festively decorated ready for Christmas celebrations. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a thorough recruitment policies and practices that protect residents. Staff are appropriately trained to meet the needs of residents. Evidence: We looked at the training programme for staff and the courses that they have undertaken. The home provides a wide variety of training for staff and managers. Mandatory courses include Health and Safety, First Aid, Food Hygiene, Protection of Vulnerable Adults, Administration of Medication, Fire Awareness and Manual Handling. Other training specific to the needs of the individuals in the home are also available for staff to attend. These include Making Dignity and Respect Part of Everyday Practice, Night Care of People with Mental Health, Schizophrenia and Psychoses, Epilepsy Awareness, NVQ,s in care, Equal Opportunities, Infection Control, Mental Capacity Act, Autism and Aspergers, Challenging Behaviour and Risk Assessments. The home has a two week induction programme for new staff that includes policies and procedures, care plans and shadowing experienced staff. Two members of staff spoken with during the visit said that have training booked for them so they can support the service users better. All staff receive supervision every two months. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: During the visit staff were seen interacting positively with residents, chatting and assisting them with tasks. Brownrigg has thorough recruitment policies and procedures in place that include obtaining the required information prior to new staff starting work including two written references, Criminal Records Bureau and Protection Of Vulnerable Adults checks. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents live in a safe,well run home. There is no registered manager in post at the home. Evidence: There is currently no registered manager in post. The acting manager is going to be applying for registration. Allied Homecare has a Quality Assurance manager who has set up a quality monitoring system that seeks the views of residents, staff and relatives. Residents views are sought during house meetings and through the monthly audits carried out by the company. Training records show that the home provides mandatory training for staff in safe working practices. Evidence was seen that safety checks of electrical equipment, fire alarm systems and water temperatures are carried out on a regular basis. All residents have their own fire safety risk assessment. There are also risk assessments in place for any identified Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: hazards. During the tour of the home it was noted that all radiators have covers, and windows in all the first floor rooms have window restrictors. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!