This inspection was carried out on 17th 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.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Humphry Repton House Brentry Lane Bristol BS10 6NA The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Vanessa Carter Date: 1 7 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Humphry Repton House Brentry Lane Bristol BS10 6NA 01179592255 01179709301 debs@aspectsandmilestones.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Aspects and Milestones Trust care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 10 Over 65 44 Conditions of registration: Manager must be a RN3 or RNMH on the NMC register May accommodate up to 10 persons aged 50 years and over with dementia May accommodate one person aged 46 at the time of registration Date of last inspection Brief description of the care home Humphrey Repton House is a 44 bedded care home operated by Aspects and Milestones. Aspects and Milestones are a Bristol based, non profit making charity, with several other care homes and small group homes in the city. Forty three of the beds are for permanent placement, plus there is one room that the home use to offer a short-term respite service. The home is registered to provide both personal and nursing care for persons who have dementia. In addition the home is registered to take up to ten people between the ages of 50-65 with a dementia. Humphrey Repton House is set in large grounds and is a purpose built care home. The facilities have been extended to offer additional beds and a separate day care facility. It comprises four wings plus a service area where the kitchens and laundry are sited. Each wing has its Care Homes for Older People
Page 2 of 8 own separate lounge and dining area as well as bathing facilities. Although the home will retain its name, it will also be known as the Bristol Dementia Centre. The cost of placement at the home ranges between 504.00 - 820.00 pounds per week and is based on individually assessed needs. Additional charges for a number of items are listed in the homes brochure. Care Homes for Older People Page 3 of 8 What we found:
We visited Humphrey Repton House following a complaint being made by relatives. The relatives had been unhappy about the level of care provided and had been concerned that this had led to the resident then being admitted in to hospital. They made a number of specific allegations regarding poor care, and the service provider has responded to the family about these. This response though was inadequate. We met with the registered manager Mrs Deb Stone, the deputy manager and in part, a senior Aspects and Milestones Manager. We were advised that a full review of the residents care notes, discussions with the staff and the residents GP had been under taken and that a number of shortfalls, in line with the issues that the family had raised, were being addressed. We were advised that we will be provided with a copy of the outcome of the review and that an action plan as to how those areas of concern will be addressed will be included. Following this visit we are assured that the service is taking this complaint seriously and that they have a plan of how to put things right. What the care home does well: What they could do better:
As an outcome of this complaint a number of areas have already been identified by the manager, where improvements are needed. We were told that when they looked at this persons care planning documentation, the plans did not contain specific enough information and had not been amended to reflect the changes in the way oral care was provided. There were no records of when oral care was provided. As an outcome of this complaint changes have been made to the documentation completed on a daily basis and all staff have been reminded of the need to keep accurate detailed records of care given. We were told that the general routine regarding toiletting is that people are taken to the toilet on a regular basis and that care staff do this routinely whether or not the resident wears incontinence pads. We were provided with details regarding dental care. A record was not made when the visit to the dentist was cancelled by the family. Subsequent referrals to the local dentist were made but subject to delay - the dentist eventually visited after the resident had been admitted to hospital. Care Homes for Older People Page 4 of 8 We were shown the records made by the visiting chiropodist of the care given to the one specific resident. The photographs provided by the complainants was undated and therefore it is difficult to evidence a lack of care. We were told that the chipodist visits the home monthly and that nursing staff will inform who needs to be seen. The manager and deputy are in the process of preparing a report for us and we are satisfied that people are being well looked after and are getting the care and support that they need. In summary, the home could do better in the following areas : The standard of record keeping must be improved to evidence actual care given People should receive a person centred care service that meets their individual specific care needs. 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 Requirement 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 Requirement 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 Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 © (2009) 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 Older People Page 8 of 8 - 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!
