Inspection on 24/10/05 for The Branksome Park

This inspection was carried out on 24th October 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

The Branksome Park 14/11/08

The Branksome Park 28/08/07

The Branksome Park 05/06/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Branksome Park (The) 17 Mornish Road Branksome Park Poole Dorset BH13 7BY Lead Inspector Chris Gould Unannounced Inspection 24th October 2005 09:30 X10015.doc Version 1.40 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 Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 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 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. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Branksome Park (The) Address 17 Mornish Road Branksome Park Poole Dorset BH13 7BY 01202 761449 01202 768071 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) Mr A Tredrea Mrs C Tredrea Mrs Clare Elizabeth Tredrea Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named person (as known to CSCI) in the category MD(E) may be accommodated to receive care. The home may accommodate a maximum of 5 younger adults who require nursing care (age 40 years and above). 9th May 2005 Date of last inspection Brief Description of the Service: The Branksome Park Care Home is a large Edwardian house that has been extended over the years. The home is set in a residential area of Branksome Park in its own mature gardens, which are accessible to the residents from the lounges and some of the bedrooms. There are eighteen single and eight double rooms. The Branksome Park Care Home is registered to a maximum of 34 residents in the category OP (older persons) although generally keeps occupancy at 32. There is a condition placed on the registration allowing the home to a maximum of five persons between the ages of 55 and 65 years requiring nursing care. The Branksome Park care Home provides general nursing care for a variety of conditions and also short-term respite care and convalescent care. The home has been owned by Mr and Mrs Tredrea since 1997, Mrs Tredrea is also the registered manager. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over five hours on one day in October 2005. This inspection assessed 15 standards and the outstanding requirements from the previous inspection. A tour of the premises took place and three staff files and three residents care records were inspected. Eleven residents, three visitors to the home and the staff on duty were spoken with during the inspection. Completed comment cards were received from residents, doctors, care managers, health and social care professionals, relatives and visitors prior to the inspection. Clare Tredrea the registered manager and Sarah Tempest the head of care were available throughout the inspection. This report should be read in conjunction with the report of the previous inspection that took place in May 2005. What the service does well: An assessment undertaken by the home before admission ensures that the resident knows that the home they are moving into will meet their needs. All residents have individual care plans and their health care needs are fully met. Residents confirmed that their privacy and dignity is respected. Residents are helped to have a choice over their lives by the flexible approach taken in the running of the home. Residents spoken with agreed that they are able to choose when they get up, when they go to bed and how they spend their day. Residents who completed a comment card all agreed that they know who to speak to if they are unhappy with their care and relatives commented that although they had not had to make a complaint they are aware of the home’s complaints procedure. The home is considered suitable for its stated purpose although some of the rooms would not meet the standard of a new registration. However planning permission has now been obtained and work is to start in the near future to build a new care home in the grounds of the present building. The numbers and skill mix of staff meets the needs of the residents. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 6 The management arrangements in the home ensure that the residents live in a home that is well managed and the systems in place for consulting on issues relating to the running of the home are good. Arrangements are in place to ensure that the welfare of residents is promoted and protected. 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. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 3, 4 and 5 The systems in place ensure that the resident knows that the home they are moving into will meet their needs. EVIDENCE: Individual records are maintained for each of the residents. Inspection of the records for the two recent admissions contained a pre admission assessment of care needs including information from professionals previously involved in providing their care. Discussion with staff confirmed that they were aware of the resident’s needs at the time of their admission. A letter is provided to the prospective resident advising them that following assessment the home is able to meet their needs. Residents spoken with confirmed that they or their family had visited the home prior to making the decision to move in. The Branksome Park does not provide intermediate care therefore standard 6 is not applicable. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7, 8, 9 and 10 All residents have individual care plans to meet their health, personal and social needs. Residents’ health care needs are fully met and their privacy and dignity is respected. EVIDENCE: All residents have individual plans of care based on a pre-admission assessment of need. The three residents care records inspected had been reviewed at least monthly. Since the last inspection wound care assessments and action plans have been developed and implemented. The care records included input from health care services including General Practitioners and specialist nurses. Residents spoken with confirmed that appointments are made on their behalf as necessary if they require medical Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 10 attention, a dentist, optician etc. Health and social care professionals that completed a comment card agreed that staff demonstrate a clear understanding of the needs of their clients. The home has a procedure for the administration of medication and a contract for the safe disposal of medicines is in place. A number of Medication Administration Records (MAR) sheets had not been fully completed. An audit system is in place but this was demonstrated not to work when one or two tablets can be administered and the actual number of tablets given is not recorded. Staff induction includes respecting residents privacy and dignity this was confirmed by the staff spoken with. Residents agreed that they are addressed in the way they have requested. Comment cards received from residents, relatives, GP’s and other health care professionals all confirmed that privacy is respected and visits can be held in private. A telephone is available for use by residents and several have their own telephones in their rooms. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 14 Residents are enabled to have a choice over their lives by the flexible approach taken in the running of the home. EVIDENCE: Nine of the residents that completed a comment card said that they did not wish to be more involved in decision making in the home and two ticked the ‘sometimes’ box. Residents spoken with agreed that they are able to choose when they get up, when they go to bed and how they spend their day. One health care professional commented that there is ‘a well defined ethos throughout the home of person centred care’. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16 The systems in place provide residents with the confidence that their complaints will be listened to and acted upon. EVIDENCE: The home has a comprehensive complaints procedure including the address of the CSCI and timescales. No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection. Residents who completed a comment card all agreed that they know who to speak to if they are unhappy with their care and relatives commented that although they had not had to make a complaint they are aware of the home’s complaints procedure. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 The residents live in home that is safe and maintained to the level possible within the present building. EVIDENCE: The home is considered suitable for its stated purpose although some of the rooms would not meet the standard of a new registration. However planning permission has now been obtained and work is to start in the near future to build a new care home in the grounds of the present building. The new home will almost double the bed capacity of the present building. The work will take place in two stages enabling the residents to move into the new building when half of the total number of rooms is ready for occupation. The present home will then be demolished and the new building completed. Residents and relatives spoken with are aware of the changes that are taking place and a consultative group has been formed including residents, staff and relatives. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 14 There are no outstanding recommendations resulting from the last inspections from the Dorset Fire and Rescue Service and the Environmental Health Officer. Electrical equipment and installations are subject to a routine schedule of maintenance and servicing. The eleven residents who completed a comment card all answered ‘yes’ to the question ‘do you feel safe here? Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 15 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 The numbers and skill mix of staff meets the needs of the residents. Recruitment policies and procedures are in place to protect residents. EVIDENCE: At the time of inspection the number of registered nurses and health care assistants rostered to work were sufficient to meet the dependency needs of the residents. The occupancy was twenty-six with four requiring personal care only. Health and social care professionals agreed that there is always a senior member of staff to confer with. Residents spoken with all agreed that if they require help a member of staff will answer the bell very quickly. Three staff files contained an application form, proof of identity, a health questionnaire, a job description, two written references and a contract. The Personal Identification Number (PIN) of the registered nurse is confirmed with the Nursing and Midwifery Council (NMC). A satisfactory Criminal Records Bureau or a POVA first check had been received prior to the member of staff commencing employment. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38 The management arrangements in the home ensure that the residents live in a home that is well managed. The systems in place for consulting on issues relating to the running of the home are good. Arrangements are in place to ensure that the welfare of residents is promoted and protected. EVIDENCE: Claire Tredrea has completed a degree in care home management and is currently undertaking an MA in Practice Development. Sarah Tempest, head of care at the home has completed the Registered Managers Award. Staff spoken with all confirmed that management arrangements in the home are open and accessible. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 17 Comments cards received from others involved with the home including GP’s other health professionals and relatives all indicated that communication was good and that information was readily available. One respondent added the comment ‘there is excellent communication between the home and myself and I feel confident any advice/suggestion I give is acted upon’. The home’s statement of purpose and Service User Guide refers to the quality assurance initiatives in the home. A consultative group has been set up with staff relatives and service users to discuss developments in the home. A recent questionnaire has been used to audit the views of the residents in relation to the social activities provided and to find out preferences for the autumn programme. Of the eleven residents who completed a comment card nine said that they did not ‘wish to be more involved in decision making within the home’ and two ticked the ‘sometimes’ box. Records viewed evidenced that all gas installations, central heating, electrical wiring and appliances and equipment used to meet service user needs has been checked. Policies and procedures are available relating to health and safety, Control of Substances Hazardous to Health (COSHH), infection control, manual handling and first aid. Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 19 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. 1 Standard OP9 Regulation 13(2) Requirement The registered person must make arrangements for the recording and safe administration of medicines. Timescale for action 31/01/06 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 Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. Extracts may not be used or reproduced without the express permission of CSCI Branksome Park (The) DS0000020431.V260687.R01.S.doc Version 5.0 Page 21 - 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. 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