Inspection on 10/05/05 for Brownrigg

This inspection was carried out on 10th 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

Brownrigg 10/12/08

Brownrigg 30/05/06

Brownrigg 29/11/05

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 08/07/2008.

CARE HOME ADULTS 18-65 Brownrigg Borers Arms Road Copthorne West Susse RH10 3LH Lead Inspector Jo Hartley Announced 10 May 2005, 11:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Brownrigg Address Borers Arms Road, Copthorne, West Sussex, RH10 3LH 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) 01342 716946 Alliance Home Care (Learning Disabilities) Limited Care Home (CRH) 6 Category(ies) of Learning disability (LD), (6) registration, with number of places Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 August 2004 Brief Description of the Service: Bronrigg 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 establishement 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. A new manager has just been appointed for Brownrigg, but has not yet been registered with the Commission for Social Care Inspection. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over a period of four and a half hours. Prior to the inspection the inspector received, and noted the content of, four comment cards from relatives/visitors, and five from service users. The inspector also read information held on the service file since the last inspection in August 2004, and read the previous two inspection reports. During the inspection the inspector spoke to five service users and five members of staff. Two members of staff were interviewed formally. The inspector undertook a tour of the premises and looked at three care plans and three staff files. Various record books, policies and procedures were also examined. The inspection coincided with the first day of employment for the new manager, who was present throughout the inspection. What the service does well: What has improved since the last inspection? The home benefits from a planned maintenance schedule, which ensures that the decoration is kept in good order. A service users’ bedroom has been decorated to a high standard since the last inspection. The service has been without a manager for a period of time since the last inspection, but a new manager has just been appointed and is applying to the CSCI for registration. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3, 4 Brownrigg undertake thorough planning and assessment prior to admitting new service users. They are able to provide for the assessed needs of their service users through well-trained staff and using outside professionals. Service users are able to visit the home before making a final choice. EVIDENCE: Service user files contain copies of assessments and care plans from the placing social workers. They also show detailed assessments made by the manager prior to admission. Staff training records, evidence from care plans, discussions with staff and service users confirm that Brownrigg is able to meet the assessed needs and individual aspirations of residents in the home. Care plans show, and residents confirm, that specialist services such as psychology are accessed from professionals outside the home. One service user spoken to confirmed that they visited Brownrigg on several occasions before moving in. Records in the service users’ file back this up. The Statement of Purpose also sets out the procedure for admission. The home does not accept unplanned or emergency admissions. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 Individual care plans reflect the changing needs of individual service users. Service users take an active role in making decisions about their lives and are consulted with by staff about changes to their care plans and aspects of life in the home. Service users are encouraged to take risks, with support if necessary. Risk assessments are clearly set out and are reviewed and updated regularly with the participation of the service user. EVIDENCE: Three care plans were inspected and found to contain detailed information about the service users’ needs and how the home will meet those needs. Healthcare needs were recorded. Staff makes arrangements for appointments to opticians, dentists, and doctors and accompany service users on these visits. Comprehensive risk assessments were included in each file; these had been monitored and updated regularly. House meetings are held every two months. Two service users spoken to said they enjoy taking part in meetings and feel that they are listened to. One service user has recently had his bedroom re-decorated. He said that he chose Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 10 the colours and went on a trip to Ikea with a member of staff to choose new furniture, curtains, cushions and bed linen. Service users are encouraged to take risks as part of an independent lifestyle. One service user who has epilepsy has been encouraged to walk to the local shops by himself. A clear and thorough risk assessment regarding this was seen in his care plan. The home has arranged for a medical alert necklace for him, which he wears whenever he leaves the home unaccompanied. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 Brownrigg encourage service users to take part in a good range of activities outside the home that are age, peer and culturally appropriate. Opportunities are provided for personal development, including attending courses at a local college. Service users are able to participate in the local community. Visitors are made welcome in the home, and service users are encouraged and supported in visiting relatives and friends outside the home. Food provided is healthy, Service users take part in choosing the menu, shopping for and preparing food. Staff is respectful of service users’ rights. EVIDENCE: On the day of the inspection one service user was working on a local farm, which he does three days a week. Another service user has a voluntary job picking up litter in the village three days a week; he gets paid a nominal amount for doing this. He says he enjoys doing this. Two service users attend Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 12 cookery classes at college. One of them demonstrated the skills that he had learnt by making cakes on the day of the inspection. Another service user said that they all belong to the local community centre, and that he enjoys going there to watch football matches on the large screen television. Care plans seen by the inspector showed that service users attend other activities including arts and crafts classes and going to clubs held in Horsham for adults with learning disabilities. Certificates for training courses attended at local colleges were also seen in service users’ files. Service users spoken to said that they choose the menu themselves. They said that they help in the kitchen with a member of staff supervising them. They also take part in cleaning the house on a rota system. Residents were seen helping in the kitchen, laying the table for lunch and sweeping the dining room floor after lunch was over. All the service users spoken to said they enjoy the food they eat at Brownrigg. During the tour of the house, staff was witnessed knocking on service users’ bedroom doors and waiting for replies before entering rooms. Staff and service users spoken to said that mail is given directly to residents and not opened by staff. Staff reported that three of the service users voted in the recent general election. This was confirmed by one of the service users. He said that he chose whom he would vote for. All bedroom doors were seen to have locks on them. Residents have a choice whether or not to hold their own keys, three have chosen not to. Two of the services users at Brownrigg have recently become engaged to each other. They said that they had a party at the house that was attended by other residents, staff and family members. Three service users said that they visit family members with the support of staff. One of them goes to Scotland twice a year to visit a relative there. All of the service users are supported in taking a holiday at least once a year. They help choose the destination and plan for the holiday. One service user said that he chose to go on a fishing holiday last year, as he likes fishing. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 None of the service users currently living at Brownrigg administer their own medication. The home has robust medication records and procedures for the administration of medication. EVIDENCE: All support staff undertake training in the administration of medication, training is provided by Boots pharmacy. Certificates of attendance were seen on staff files. Brownrigg had a Pharmacy inspection on the 6/05/05. Records of the receipt and administration of medication were seen. All records seen were complete and accurately recorded. Prescribed medicines are delivered monthly and are blister packed. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The home has a clear complaints procedure in place. Staff had a good awareness of what constitutes abuse, and of the procedures they should take if abuse was suspected or reported. The home provides training in adult protection for all staff. EVIDENCE: The complaints book and procedures were inspected. The procedures were clear and within recommended timescales. No complaints were recorded since the last inspection. Most of the service users said they would talk to their key workers if they had any worries or complaints. One said he would talk to the deputy, as he didn’t know the manager yet, as she has just started working there The home’s 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 for attending Adult Protection training and the staff spoken to said they had attended courses. One service user has his finances looked after by the home. Detailed records were seen of all his financial transactions. The deputy manager said that the service user’s care manager checks the records twice a year when she visits him. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 30 Brownrigg offers a homely, comfortable environment, which is well decorated and furnished. Service users’ bedrooms are comfortable and personalised. The home is clean, hygienic and free from unpleasant odours. The garden is well maintained and attractive. There is no window restrictor fitted to the large window on the first floor, possibly placing service users at risk of harm. EVIDENCE: The home had a fire safety inspection on 10th November 2004. The inspection found that the self-closing devices on several doors within the house did not effectively close. These have now all been attended to, new self-closing devices were seen on some of the doors, and the rest have been adjusted so they now close properly. Maintenance records for this work were also seen. Records of fire warning system checks, fire drills and gas installation checks were inspected. All of the records and checks were up to date. The home had an electrical appliance test take place on 7th May 2005, the report had not been received on the day the inspection took place. The last test on record took place on 10th May 2004. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 16 During the tour of the home it was noted that all radiators have covers. Windows in all the first floor rooms have window restrictors, however, a large window on the first floor landing did not. This should be fitted with a restrictor as it presents a risk to service users. The home was seen to be well decorated, clean and tidy. Service users’ bedrooms were in very good decorative order and personalised to their own taste. One service user said he chose a football theme for his room and was helped by staff to buy duvet covers, curtains etc. to fit the theme. The deputy manager said that new carpets have just been ordered for the lounge, stairs, landing and office. There is a staff-cleaning rota for the home and residents are also encouraged to take part in cleaning duties. The service users all said that they like the home. Records were seen to show that staff has received training in infection control. The home also has an infection control policy. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 The home has a recruitment policy that includes POVA checks for staff employed since July 2004. The home has a satisfactory recruitment procedure, however not all the documentation was available at the home and some records were incomplete, which may not provide the safeguards to offer protection to service users living in the home. EVIDENCE: Three staff files were looked at, including that of the most recent staff member to be employed. It was found that the file for the most recently recruited staff member did not contain a photograph or proof of identification. Two satisfactory references and a CRB check were in the file. The other two files did not contain copies of references or application forms. There was a note in the files to say these records were kept at the company’s head office. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 The home has a quality assurance and quality management system in place that seeks the views of service users, relatives and staff. EVIDENCE: Questionnaires that had been completed by service users, relatives, advocates and staff were seen. These have been used to underpin the home’s development plan. Service users said that they felt that the home’s management listen to their suggestions and comments and act upon them “most of the time”. Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 19 Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 4 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brownrigg Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 21 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 24 34 Regulation 13 19 Requirement Window restrictor to be fitted on the arched window on the first floor landing. Ensure staff files kept in the home include copies of two written references and proof of identification. Timescale for action One month One month 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 Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens, Worthing West Sussex BN11 1RY 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 Brownrigg H60-H11 S14411 Brownrigg V220289 100505 Stage 4.doc Version 1.20 Page 23 - 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. 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