Inspection on 30/05/06 for Brownrigg

This inspection was carried out on 30th May 2006.

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 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 08/07/2008.

CARE HOME ADULTS 18-65 Brownrigg Borers Arms Road Copthorne West Sussex RH10 3LH Lead Inspector Ms J Hartley Key Unannounced Inspection 30th May 2006 12:45 Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 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 Brownrigg DS0000014411.V292432.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 Adults 18-65. 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. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brownrigg Address Borers Arms Road Copthorne West Sussex RH10 3LH 01342 716946 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) Alliance Home Care (Learning Disabilities) Limited Mrs Penelope Ann Jenkins Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 persons in the registration category LD (learning disabilities) category aged 18-65 years who may also have a past or present mental disorder. 29th November 2005 Date of last inspection Brief Description of the Service: 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. The registered manager is Mrs Penelope Jenkins. The range of fees for current service users is £5000 to £6250 per month depending levels of need. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over a period of three and a half hours. The inspector examined information held on the service file since the last inspection in November 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. During the inspection the inspector spoke to five service users, and members of staff. 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. 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. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 1, 2, The home has a Statement of Purpose and Service Users Guide that provide the information service users need to make an informed choice about where to live. Residents’ needs and aspirations have been assessed. The outcome for service users is good. EVIDENCE: The Service Users Guide and Statement of Purpose seen prior to the inspection were found to be up to date, and to contain all the required information. All the residents at Brownrigg have lived there for several years. The residents’ files seen during this and previous inspections all contain thorough assessments. Any restrictions on choice and freedom are clearly recorded with reasons given. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 6, 7, 9 The assessed and changing needs and personal goals of residents are reflected in their individual care plans. Residents take an active role in making decisions about their lives and are encouraged to take risks, with support if necessary. The outcome for service users is good. EVIDENCE: The care plans inspected contained detailed information about residents’ needs and how they will be met by the home. Any specialist requirements and healthcare needs are recorded in the care plan with details of how they will be met. Any restrictions on choice or freedom are clearly recorded, including the reasons for the restrictions being in place. It was evident from the care plans that residents are involved in drawing up and reviewing their plans of care. Staff make arrangements for appointments to opticians, dentists, and doctors and accompany residents on these visits. Comprehensive risk assessments were included in each file; these had been monitored and updated regularly Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 9 Service users are encouraged to take risks as part of an independent lifestyle. Comprehensive risk assessments were included in each file; these had been monitored and updated regularly. On the day of the inspection two residents were doing some gardening. One of the residents wore protective eye coverings to use the strimmer. Risk assessments were in place regarding this. The home has missing person’s forms for each resident. The forms include essential information such as a description of the individual, any major health concerns and current medication. There have been no absconsions from the home since the last inspection. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12, 13, 15, 16, 17 The home supports residents in taking part in a wide range of activities outside the home that are age, peer and culturally appropriate. Residents are supported in participating 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. Residents enjoy the healthy food provided at Brownrigg. Staff are respectful of service users’ rights. The outcome for service users is excellent. EVIDENCE: Brownrigg supports residents in taking part in a wide range of social, educational and work activities. On the day of the inspection one resident was working on a local farm, which he does three days a week. Two residents attend cookery classes at college. One of the residents showed the inspector a Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 11 folder of work that he had completed on the course. One resident does voluntary work in a charity shop one day a week. The Supported Employment Team are also involved in finding paid work for this resident. Records seen by the inspector show that residents attend many other activities including seeing bands, attending clubs, going to the gym, attending church and visiting friends. Certificates for training courses attended at local colleges were also seen in service users’ files. Residents confirmed that they are supported in maintaining links with family and friends. One resident said that he meets up with a friend regularly. Another resident said that she has just returned from a week away visiting her family. The daily routines and the house rules promote independence, individual choice and freedom of movement. All areas of the home are open to the residents. Residents are able to go into the office to talk to the manager if she is in there. Residents who are able are encouraged to prepare their own breakfasts and lunches. Care plans show that residents are encouraged to take part in housework tasks such as laundry and cleaning their rooms. Staff were seen interacting well with residents throughout the inspection. One resident has a pet dog. All bedroom doors were seen to have locks on them. Residents have a choice whether or not to hold their own keys. Residents said that they help to plan, prepare and serve meals. The manager said that residents are consulted when meal plans are being prepared. If a resident does not like what is being cooked on the day they are offered an alternative meal. The menu was seen and looked to be healthy and wellbalanced. All the residents spoken to said they enjoy the food they eat at Brownrigg. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18, 19, 20 Residents receive personal support in the way they prefer and their physical and mental health needs are met by the home and community health services. The home has robust medication records and procedures for the administration of medication. None of the residents living at Brownrigg are able to administer their own medication. The outcome for service users is good. EVIDENCE: Staff were witnessed providing appropriate support to residents throughout the inspection. Three 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. Consistency and continuity of support is ensured through allocated keyworkers and care plans that set out likes, dislikes and routines of individual service users. Individual records seen during the inspection show that residents receive additional specialist support and advice as needed from health professionals outside of the home. A record is kept of every service users’ health Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 13 appointments, the outcomes of the appointments and any action that needs to be taken. Staff said that they arrange any necessary appointments for service users and support them in attending. All support staff undertake training in the administration of medication. Certificates of attendance were seen on staff files. 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. Since the last inspection the home has notified the Commission of two instances of mistakes being made with medication. Since these incidents occurred the home has provided extra training for staff and reviewed their medication policies to minimise the risk of errors happening again. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The home has a clear and effective complaints procedure that is understood by residents. Residents feel their views are listened to and acted on. It is recommended that the complaints log be amended to include dates and timescales of action. The outcome for service users is good. EVIDENCE: The complaints book and procedures were inspected. The procedures were clear and included recommended timescales. Three complaints/concerns had been recorded since the last inspection. Records showed that they all had been dealt with appropriately and within the required timescales. Since the last inspection the complaints log has been amended to include dates and timescales of action. Two residents said they would talk to their key workers or the manager if they had any worries or complaints. 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. One resident has his finances looked after by the home. Detailed records are kept of all financial transactions. The resident’s care manager checks the records twice a year when she visits him. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 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 the following standard(s): 24, 30 Brownrigg offers a homely, comfortable environment, which is well decorated and furnished. Residents’ bedrooms are comfortable and personalised. The home is clean, hygienic and free from unpleasant odours. The garden is well maintained and attractive. The outcome for service users is good. EVIDENCE: Brownrigg is suitable for its stated purpose, situated close to shops, churches and public transport. The home has a large garden and drive, which are well cared for. Brownrigg is well decorated and well maintained throughout. It is homely with good quality furnishings and fittings. Residents’ bedrooms are in very good decorative order and personalised to their own taste. Communal rooms are comfortable and domestic in character. The whole house is clean, hygienic and free from offensive odours. There is a staff-cleaning rota for the home and residents are also encouraged to take part in cleaning duties. A maintenance man is employed to take care of routine maintenance tasks. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 16 The laundry is situated away from food preparation and storage areas. Floor finishes in the laundry are impermeable and easily cleaned. There are suitable policies and procedures in place regarding the control of infection. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Residents are well-supported, by a competent, well-trained staff team who meet their individual needs. The home has a robust recruitment policies and practices that protect residents. Staff are appropriately trained to meet the needs of residents. The outcome for service users is good. EVIDENCE: Throughout the inspection staff were observed interacting well with the residents. Time was taken by staff to listen to what residents were talking about and give appropriate replies. They were observed to be comfortable with residents and spent time chatting and assisting with tasks when needed. Training records seen during the inspection show that residents are supported by competent and qualified staff. The home has a comprehensive training programme available to staff which includes courses specific to the needs of service users within the home. Training that staff have undertaken includes Health and Safety courses, Medication, Conflict Management, Epilepsy, Adult Protection, Sexuality Awareness and Equal Opportunities. Evidence was seen that all new staff receive an induction within six weeks of employment and Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 18 foundation training within six months. The home also has an induction for senior support workers. Brownrigg has thorough recruitment policies and procedures in place. Three staff files were examined during the inspection, including that of the most recent staff member to be employed. It was noted that the home is now requiring a full employment history from new applicants and exploring any gaps in employment as required at the last inspection. All files examined contained the required information including two written references, CRB and POVA checks. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Residents benefit from a home that is well run by a qualified and competent manager. The home has a quality assurance and quality management system in place that seeks the views of service users, relatives and staff. The health, safety and welfare of service users are promoted and protected by the home’s working practices and procedures The outcome for service users is good. EVIDENCE: The registered manager has the relevant qualifications and experience required for her post and to meet the home’s stated purpose, aims and objectives. Throughout the inspection she demonstrated a high level of awareness and knowledge of each individual residents’ needs, likes and dislikes. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 20 Allied Homecare has a Quality Assurance manager in post and has set up a quality monitoring system, which seeks the views of residents, staff and relatives. Residents’ views are sought during house meetings and through the monthly Regulation Twenty-Six reports. Training records show that the home provides compulsory training for staff in safe working practices, including moving and handling, First Aid, Fire Safety, Food Hygiene and Infection Control. Evidence was seen that safety checks of electrical equipment, fire alarm systems and water temperatures are carried out on a regular basis. The gas boiler was last serviced in June 2005. 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. Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 21 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. 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brownrigg DS0000014411.V292432.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 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. 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