Inspection on 18/07/05 for St Brelades

This inspection was carried out on 18th July 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

St Brelades 02/06/08

St Brelades 08/11/06

St Brelades 23/01/06

St Brelades 15/03/05

St Brelades 21/06/04

St Brelades 12/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE St Brelades 5/6 Beacon Hill Herne Bay Kent CT6 6AU Lead Inspector Christine Lawrence Unannounced 18/07/05 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. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Brelades Address 5/6 Beacon Hill, Herne Bay, Kent, CT6 6AU 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) 01227 375301 St Brelades Retirement Homes Limited Mrs Catherine Margaret Anne Chuck Registered Care Home 37 Category(ies) of Care Home for Older People with Dementia, 36, registration, with number with a Learning Disability, 1 of places St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) LD(E) is restricted to one person whose date of birth is 20/10/1934 2) Admissions are restricted to those Service Users whose category is DE(E) Date of last inspection 15/03/05 Brief Description of the Service: St Brelade’s is a care home which will eventually provide personal care and accommodation for 37 older people with dementia. The home is currently changing from a mixture of older people and older people with dementia. The home only provides care for women. It is owned by St Brelade’s Retirement Homes Limited who also own another home close by. The home is located on the seafront and close to Herne Bay town centre with all of its amenities and facilities. The home was opened in 1991 and consists of two large houses joined together. Thirteen of the single rooms have en suite toilet facilities and so do seven of the shared rooms. There is a patio area to the front of the house and gardens to the rear. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. Some records were inspected and a tour of parts of the building was made. Some staff spoke to the inspector and observations were made of interactions between staff and residents. 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. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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 St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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) None These standards were not assessed at this time. EVIDENCE: St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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 and 10 Residents care needs are set out in individual plans which reflect that needs are fully met. The homes policies and procedures relating to medication ensure that residents are protected. Residents are treated with dignity and privacy. EVIDENCE: Four care plans were viewed during this inspection. They contain information about actions to be taken by staff to provide appropriate care for individuals. They are based on pre-admission assessments. They contain risk assessments and are regularly reviewed to ensure they are up to date. They cover a range of health and welfare care needs. Records are maintained to show the involvement of health care professionals such as dentist, optician, chiropodist and community nurses. The Home retains the services of a local general practitioner who visits weekly on a regular basis. There is a nutritional assessment tool in use which includes an assessment, as well as monthly comments were necessary. Risk assessments regarding skin integrity and mobility are also undertaken. Staff members who give out medications are either registered nurses or have undertaken a safe handling of medication training course. There are policies St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 9 and procedures in place including allowing for self-medication which was noted appropriately in one resident’s records. Storage and record keeping is appropriate. The Inspector observed medication being given correctly and sensitively. A copy of the Royal Pharmaceutical Society of Great Britain’s guidelines is available to staff. The Manager and other staff confirmed that dignity and privacy are an important part of the care provided at St Brelade’s. The Mission Statement for the company emphasises this and each member of staff has a copy of this in their Orientation Folder which is part of their induction. Staff spoken to also confirmed that the ‘shadowing’ of an experienced member of staff during induction allows for these attitudes to be reinforced. Medical examinations would take place in the residents’ own room and personal care would be in own rooms or bathroom areas. There are 8 shared rooms, 7 of which have en suite toilets and all have screens for privacy when required. Some residents have their own phones and there is also a portable phone for residents to use which would allow for privacy. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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) 15 Residents benefit from good food and appropriate support from staff. EVIDENCE: The meal that was observed looked and smelt appetising. The food was nicely presented and there were three options on the day – minced beef or sausages with fresh vegetables and potatoes and vegetarian lasagne. Some people were using plate guards, some needed the full time help of staff and others needed some encouragement. Staff were observed to be sensitive and responsive. Staff informed the inspector that drinks are available St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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) None These standards were not assessed at this time. EVIDENCE: St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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, 20 and 24 Residents benefit from a well maintained environment which is safe and comfortable. EVIDENCE: The Home is located close to the centre of Herne Bay with all its amenities. The seafront is within easy walking distance. There are no outstanding requirements from the local Fire Safety Office or Environmental Health Department of the local council. The building is well maintained and staff are employed for maintenance and gardening. There is an area to the front of the building which overlooks the sea. Access to the garden area to the rear is limited to when staff can supervise. Opportunities to spend time outside and allow access to sunlight are provided. There is sufficient communal space at St Brelade’s which allows for different activities to take place. There is outside space which can be used by residents when supervised. Lighting in communal areas are domestic in character and furniture is attractive and good quality. Screening is provided in shared rooms. Furniture and fittings are provided based on risk assessments and residents’ wishes/needs. The person carrying out the health and safety risk assessments monitors what is in each room. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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 Residents’ needs are met by the number and skill mix of staff. EVIDENCE: A rota is maintained indicating who is on duty and what their role is. Domestic, catering and maintenance staff are employed as well as a structured team of care staff. There is also a structured team of senior staff to provide guidance and back up for the team of care staff. Training is an important part of supporting staff at St Brelade’s and this was confirmed by staff spoken to. St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 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) None These standards were not assessed at this time. EVIDENCE: St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 15 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x x STAFFING Standard No Score 27 4 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 16 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. 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 St Brelades H56-H05 S23555 St Brelades V235662 180705 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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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