Inspection on 14/11/08 for The Branksome Park

This inspection was carried out on 14th November 2008.

CSCI found this care home to be providing an Excellent 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.

Other inspections for this house

The Branksome Park 28/08/07

The Branksome Park 05/06/06

The Branksome Park 24/10/05

The Branksome Park 09/05/05

The Branksome Park 14/02/05

The Branksome Park 14/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Branksome Park 17 Mornish Road Branksome Park Poole Dorset BH13 7BY     The quality rating for this care home is:   three star excellent 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. Lead inspector: Joanne Pasker     Date: 1 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Branksome Park 17 Mornish Road Branksome Park Poole Dorset BH13 7BY 01202761449 01202768071 claretredrea@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs C Tredrea,Mr A Tredrea care home 60 Number of places (if applicable): Under 65 Over 65 60 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is 60. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of any gender. Date of last inspection Brief description of the care home The original Branksome Park Care Home, a large Edwardian house that had been extended over the years, has been demolished to be replaced by a sixty bedded purpose built care centre. The Branksome Park Care Home is situated in a leafy area in Branksome Park within walking distance of the facilities at Penn Hill and the beach at Branksome Chine. There are spacious communal areas, including gardens and the home has been rebuilt to an exceptionally high standard with specialist equipment also provided. It provides nursing and residential care for residents from the age of 40 years old and includes complex care provision for individual needs. The fees range from 471 to 1850 pounds. The higher rate relates to people who receive continuing care funded by a health authority. Additional charges include hairdressing, chiropody Care Homes for Older People Page 4 of 26 Brief description of the care home and newspapers. See the following website for further guidance on fees and contracts: www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This unannounced key inspection was carried out over approximately 6.5 hours on the 14 and 18 of October. This was a statutory inspection, jointly carried out with local contracts and monitoring, which was prompted by a safeguarding investigation. It was carried out to ensure that the residents who live at Branksome Park are safe and properly cared for. The Registered Provider and Manager, Mrs Clare Tredea, was available to assist with the inspection process and assisted by the deputy manager. Care Homes for Older People Page 6 of 26 Information for this report came from several sources including: -Reports made to the Commission by the home. -A tour of the premises. -A review of a variety of documentation including care records, staff records, maintenance records and policies and procedures. -Discussions held with residents, visitors and staff. What the care home does well: What has improved since the last inspection? What they could do better: As a result of this inspection, 4 good practice recommendations have been made. All pre admission assessments should be signed and dated. The home should ensure that care plans are discussed and agreed with individuals or their representatives and signed to evidence this. Food and fluid charts should be fully recorded. Care Homes for Older People Page 8 of 26 Consent forms for bedrails and photographs should be discussed with and signed by individuals or their representatives. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admissions procedure enables prospective residents to make informed decisions about admission to the home and ensures that only people whose needs can be met by the home are offered places there. Evidence: The pre admission documentation for 5 residents was inspected. This showed that a full assessment of each persons needs was taken with the help of the prospective resident, family and healthcare professionals, prior to them moving into the home. All necessary assessment areas were covered to ensure that a comprehensive plan of care could be written for staff to follow and meet all individuals needs. Two completed pre admission summaries had not been signed or dated however and this was a made a good practice recommendation. Care Homes for Older People Page 11 of 26 Evidence: The Statement of Purpose was clearly written and informed people what needs Branksome Park was able to meet. Residents and visitors spoken with confirmed that they had been involved in choosing the home and that they had received enough information to make a suitable decision about whether to move in. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed care plans, excellent support from community healthcare professionals and safe medicine handling and recording show that peoples needs are well met and they are safeguarded from risk. Care is person centred, ensuring everyone is treated with dignity and respect, however this is not always accurately reflected in documentation. Evidence: The care files for 5 residents were reviewed and contained a variety of assessments. These had been regularly reviewed and contained evidence that some of them were ability based and that person centred care was a major consideration in the homes practices. However, there was no evidence that care plans had been discussed with the resident or their representative or that consent for photographs and bedrails had been sought. The benefits of using bodymaps was discussed on the initial visit and this was something that the home had already implemented by the second visit. Residents, where able, are encouraged to manage some of their own healthcare needs-such as medication and appointments-and specialist equipment is supplied to Care Homes for Older People Page 13 of 26 Evidence: help maximise peoples independence. Excellent support is received from community and specialist healthcare professionals and the home have developed strong links with the local palliative care services. Branksome Park have a robust medication policy and procedure, with the emphasis on encouraging individuals to be as independent as possible. All bedrooms have a locked medicine storage area and the home are implementing a self administration tool to support those residents able enough, to manage their own medication. Regular audits of medication handling and storage are undertaken and records and storage were seen to be correct and appropriate. Staff were observed to support residents and demonstrated good knowledge of individuals needs and preferences of care and social interaction. People and visitors spoken with confirmed that they felt staff and management ...put residents first and ...cant do enough for them. We think the care here is top class. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Branksome Park provides and positively encourages people to take part in events and activities inside and outside of the home, also involving the local community and visitors. The focus is on person centred care, residents are assisted to make choices about their daily lives and the meals provided offer excellent choice and variety, ensuring that people receive a balanced diet. Evidence: The residents are encouraged to lead as independent a lifestyle as possible, whatever their level of needs are. A full time social care co ordinator is employed to ensure that activities are tailored to the needs of individuals and people spoken with, confirmed that they can do what they like. On the first day of inspection, a trip to a local hobby store was taking place, whilst other residents were going out individually. Poems, plates and paintings made by residents are on display throughout the home. Hairdressing services are available although the home encourage people to access as many local facilities as possible to help them maintain their independence. Transport includes a minibus and a disability car, whilst some people have their own cars or use wheelchair facilitated taxis. Care Homes for Older People Page 15 of 26 Evidence: A shop sells toiletries within the home and there are also holistic therapies on offer, such as massage. Local community events planned included a Christmas fair with several different stalls available, carol singers and a trip to the pantomime. The home has also arranged for local school pupils to come on work experience placements, under supervision and have an insight into what working in a care home entails. Several visitors spoke very highly of the homes care and facilities provided to their relatives and friends. Comments included Its a home from home for them, You couldnt ask for better care-the staff are wonderful. All bedrooms seen were personalised with peoples own furniture, photos and paintings and arranged to suit individuals needs and preferences. Lunch on one inspection day, was a choice of chicken tikka masala or salmon and prawn en croute. People were seen to be enjoying their food and confirmed that they had a choice. Comments about the food included, Its superb, Its lovely-I always look forward to lunchtime. The kitchen appeared clean and well managed, with plenty of supplies and equipment available. It was discussed that the availability of fresh fruit could be increased and the registered manager said that this was already being addressed, with staff allocated extra hours to ensure that the kitchenettes on each floor were always clean and well stocked. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a robust complaints system, which ensures that complaints are managed properly and residents and relatives can be sure that their concerns will be listened to and acted upon. Policies and practice, in order to safeguard residents from potential abuse and harm, are also well managed. Evidence: The home has a robust complaints policy and procedure in place and this was displayed within the home and made available to residents and relatives. Five complaints had been received by the home within the last year and all were well documented, with outcomes, in the complaint book. This inspection was part of an action plan put into place by the local authority, following two adult protection alerts that had been raised. The Commission found that appropriate care, training, policies and procedures are in place to ensure that residents are as well protected as possible, from risk of harm. Some good practice recommendations have been made in this report, following the inspection, as a result of the safeguarding enquiries. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides residents, staff and visitors with a high standard, purpose built environment that is safe, clean, well maintained and pleasant to live and work in. Evidence: The building work that was being undertaken during the last inspection has been completed and a fully purpose built environment is now provided for 60 residents. A tour of the premises found it was very clean and fresh smelling throughout, with a high standard of furnishings and decor. Communal areas are easily accessible and all rooms are spacious with good use of natural light. Facilities have been fitted with specific care needs in mind and these include: underfloor heating and adjustable thermostats in each room; wide corridors and doorways for easy wheelchair access; en suites, profiling beds and overhead hoists in every room, with 4 rooms specifically available for bariatric care and keypad locks provided in the communal corridor on the second floor, to preserve the dignity and safety of more elderly, confused residents. The home has given careful consideration to infection control measures, with non touch lights in bathrooms, a staff uniform laundry facility and an organised laundry room. There is a laundry chute on every floor, colour coded bags used and a good one Care Homes for Older People Page 18 of 26 Evidence: way system in place for dirty linen to progress through the laundry room. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. High staffing levels and robust recruitment procedures and training, ensure that residents are well cared for and protected from risk by suitable staff employed at Branksome Park. Evidence: Plentiful staff were seen to be on duty and included qualified nurses, healthcare assistants, administration staff, the chef and domestic staff, such as cleaners, kitchen assistants and laundry staff. Extra staff are also employed for two residents who require 1:1 care, so the home can meet their needs and this is funded by the relevant authorities. The home has an on going training programme, which includes NVQ level 2 and 3 in care and at the time of inspection, more than 50 percent of the care staff hold the minimum of a level 2 award in care. The files of three staff members were viewed and found to contain all the required documentation and checks necessary and the home has a robust recruitment procedure in place. Evidence was seen of staff inductions accordingly to Skills for Care guidelines and the Care Homes for Older People Page 20 of 26 Evidence: home actively encourage staff to attend all training, especially external courses of relevant interest. They have an in house trainer for moving and handling and all staff complete first aid training, with registered nurses also completing resuscitation (CPR) training. Other recent courses attended include managing challenging behaviour, heart failure and strokes, dementia and Huntingtons. The home also continues to be a placement site for local student nurses. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements and the quality assurance system, ensure that Branksome Park is run in a competent manner based upon meeting the needs and preferences of the residents. Evidence: Clare Tredea, is a qualified nurse who has completed a foundation degree in Care Home Management and the Registered Managers Award (RMA). She is an experienced nurse manager who is well supported by a deputy manager, who has also completed her RMA, and a competent staff team. Residents, staff and visitors spoken with confirmed that they felt confident about approaching the management team with any concerns and thought they were very supportive. There is a robust quality assurance system in place which is based on the views and opinions of residents and stakeholders-including staff and visitors. Regular resident and staff meetings are held and feedback is gathered from residents through Care Homes for Older People Page 22 of 26 Evidence: questionnaires. Different audits also monitor the quality of several areas, including accidents, residents care files and medicines. Some money for residents is held in the office and samples of monies and records, showed that this was well managed. All residents also have the facility to keep valuables in a locked drawer in their room. Records sampled showed that health and safety within the home was well managed by ensuring that equipment was regularly serviced, hazardous substances stored securely, records kept and appropriate fire safety checks were in place. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 1 2 3 7 All pre admission assessments should be signed and dated at the time of recording. Food and fluid balance charts should accurately record not only what amounts are offered but also the amounts actually consumed by the person. Residents and /or their families consent should be obtained and recorded before photographs are taken and for the use of bedrails Residents and/or their family and friends should be included in the care planning process and sign care plans to evidence involvement. 3 7 4 7 Care Homes for Older People Page 25 of 26 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 26 of 26 - 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!