Inspection on 08/06/05 for Saffron Homes

This inspection was carried out on 8th June 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

Saffron Homes 12/11/08

Saffron Homes 06/11/06

Saffron Homes 29/12/05

Saffron Homes 02/12/04

Saffron Homes 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Saffron House Devon Road Whitehall Bristol BS5 9AD Lead Inspector Melanie Edwards Unannounced8 8 June 2005, 9.30 a.m. 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 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. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Saffron Homes Address Devon Road, Whitehall, Bristol BS5 9AD 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) 0117 9396681 0117 9396654 Brunelcare Mrs Sheena Helyer Care Home with Nursing for Older People 62 Category(ies) of OP Old age for 62 registration, with number DE Dementia for 25 of places DE(E) Dementia - over 65 for 10 PD Physical disability for 10 MD Mental Disorder for 10 Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 12 persons aged 50 years and over requiring day care. May accommodate up to 25 persons aged 50 years and over with dementia. Manager must be a RN on Parts 1 or 12 of the NMC register Staffing notice dated 06/04/1998 applies. Date of last inspection 2nd December 2004 Unannounced Brief Description of the Service: Saffron Homes is registered with the Commission for Social Care Inspection to provide nursing care to 62 service users over 50 years of age. This includes 25 service users with dementia. Brunelcare is the registered provider. Mrs Sheena Helyer has just been confirmed as the registered manager, having been at the home since June 2004. She previously worked at Deerhurst, another of the Brunelcare Nursing Homes. The home manager Mr Joel Anies joined the organisation in November 2003. Saffron Homes has been in existence since 1972 and comprises three separate areas. Irwin House the newest part of the home was built in November 2001 and is a two storey building with 14 single bedrooms upstairs and 12 downstairs. There is a large lounge-dining room on each floor, both having TV, music and a small kitchen area. The upper floor of Irwin House provides Intermediate Care to 14 people, funded by the Avon and Wiltshire Mental Health Partnership (AWP), admitted from hospital for rehabilitation before going back to their own homes. Saffron Court was originally built in 1993 but refurbished in early 2002. It has been specifically designed to care for those with dementia and has been decorated following advice from Dementia Voice. The building surrounds a central courtyard that includes a sensory garden. Saffron House is currently empty and Brunelcare are considering options available for its viable use. For this reason only 51 beds are available at the current time Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was able to meet thirteen residents to find out their views of the Home, and the service they receive. The inspector also spoke with two registered nurses and four care staff, two of the catering staff, and the manager, about their roles and responsibilities, their training needs, and how they assist and support residents, and carry out their duties. Staff were also observed assisting residents with their needs. A range of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The majority of the environment was seen; the only areas not viewed were a small number of resident’s bedrooms There are no requirements and recommendations arising from this inspection. Mrs Helyer, Mr Anies and the team are to be commended for a Home that is well run. 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. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 7 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 standard(s) 3,4,6 The Home carries out a detailed assessment of each residents care needs, and these assessed needs are met. EVIDENCE: The inspector talked with a number of residents while walking around the Home. There were many comments of satisfaction expressed by residents about the care they receive. Examples of comments made included, ‘anything I ask for they help me with’, ‘It’s good, the place is good,’ and, when referring to staff ‘they’re alright, they’re good, they’re friendly.’ Five resident’s assessment records were reviewed to ascertain how the Home assesses residents’ care needs. The assessment records were detailed and informative, and showed the Home had consulted with residents and representatives to ascertain the range of physical, mental and social needs the person had. The assessments showed clearly how the Home intends to meet each resident’s needs. Assessments carried out for residents who have dementia, were particularly informative, detailed and sensitively written. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 8 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 standard(s) 7,8,9,10 The Home is able to meet residents range of care needs, and operates a safe system for dealing with residents’ medication. EVIDENCE: Five resident’s care plans were reviewed to see how residents are supported to meet their health care needs. The inspector selected care plans for residents living in each part of the Home, including two care plans for residents who have dementia. Care plans addressed in detail the physical and psychological health care needs of the person. Care plans were written in a ‘person centred’ style, demonstrating resident’s needs and wishes are at the centre of all care to be delivered. The care plans seen for those residents with dementia were written in a way that was particularly sensitive to the individuals needs. Care plans had been reviewed and updated on a regular basis by registered nurses, demonstrating these residents care needs were being monitored and kept under review. Medication procedures and practices in the Home were inspected, and found to demonstrate the Home operates a safe system of administration, disposal and storage of service user’s medication. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 9 Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 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 standard(s) 12,15 Resident’s, social and recreational interests are met, and resident’s are provided with a varied and well balanced diet. EVIDENCE: The activities organiser was on leave on the day of the inspection. However some of the residents the inspector met said how much they enjoyed the range of social and therapeutic activities that take place. The home has access to a minibus; this is shared between the four Brunelcare homes. Trips away from the home are arranged and have in the past included outings to Portishead and Bristol zoo. During the inspection, care staff were seen spending time talking with residents either chatting, or offering to play board games. The residents menu was reviewed, to see what range of meal choices the Home offers. The choices seen were nutritionally well balanced, and varied. The inspector sampled one of the main meal options; this was a dish of roast beef with roast potatoes and a selection of fresh cooked vegetables. The meal was tasty and well cooked, and was nutritionally well balanced. Residents specific cultural dietary needs are also catered for. All of the residents who were asked told the inspector they thought the meals served in the Home were good and satisfactory. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 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 standard(s) 16,18 The Home responds to complaints promptly and thoroughly and there are systems in place to protect residents from abuse. EVIDENCE: A copy of the Home’s complaints procedure was on display in well-frequented part of the Home, which means people should know how to obtain the required information if wishing to complain. There are procedures and a range of guidance information for the protection of vulnerable adults from abuse, which should help protect vulnerable adults who live at the Home. All staff attend training to help them better understand issues around the protection of vulnerable adults from abuse. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 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 standard(s) 19-26 The Home is safe, satisfactorily maintained, and suitable to meet the needs of residents. EVIDENCE: Irwin House is a purpose built care home for twenty-six people. The fourteenbedded intermediate care unit is on the top floor and there are also four beds on the ground floor. The remaining eight beds on the ground floor are for people who need general nursing care. There is lift access to the top floor and this has a keypad to protect from unsafe usage by residents. The stairs are also secured in this way. The Home was satisfactorily maintained throughout. Saffron Court is a single storey building, built in a square, around a central courtyard, and Brunelcare sought guidance and advice from ‘Dementia Voice’ charity in its decoration and design. There are suitable adaptations in place throughout the Home, to assist residents who may have limited mobility. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 Staff are skilled and competent, and are provided with a wide range of training to enable them to meet residents needs. EVIDENCE: The inspector spent time sitting in the communal areas to observe staff carrying out their duties, assisting residents. Staff assisted residents in a good humoured and courteous manner, and residents evidently had built up ‘warm’ relationships with staff. Staff on duty communicated among each other, and evidently work well as a team. To review how many staff are on duty for each shift, the duty record for the previous four-weeks was inspected, for nursing and care staff. There are a minimum of two registered nurses recorded as being on duty at all times and eight care assistants in the morning, with six care assistants and two registered nurses in the afternoon. At night there are two registered nurses and three care assistants on duty. Mrs Helyer will work some shifts as well as management hours on a regular basis to keep up to date with the needs of residents in the Home. Staff are provided with regular training on a range of issues, including dementia care training, team leader development, equal opportunities, management issues, staff supervision, bereavement, and abuse awareness. Brunelcare’s training policy is to ‘train up’ identified staff to then carry out ‘inhouse’, training with other staff; this is for all mandatory training and some specific training courses. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36,37,38 Staff are well supported and supervised in their work and practise, and the Home protects the health and safety of residents, staff and visitors. EVIDENCE: Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 15 The environment looked satisfactorily maintained throughout, and there are health and safety policies and procedures in place for staff to follow to ensure the safety of themselves and residents is maintained. The fire logbook was checked and showed weekly tests of fire alarms being carried out. The fire fighting equipment was also being checked regularly, thereby helping to maintain the safety of those inside the building. There was a record that showed staff had attended fire safety update training in the last twelve months, to ensure they were aware of fire safety procedures in the Home. There are allocated staff that take responsibility for health and safety matters, and carry out regular health and safety audits of the environment to ensure it is safe throughout the Home. A number of staff told the inspector there was a structured system of supervision in place, and they were supervised on a regular basis, supervision records were not reviewed on this inspection. Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 4 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 3 3 Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 17 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. 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. 1. Refer to Standard Good Practice Recommendations Saffron House D56 D05 S20384 Saffron House V228932 080605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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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