Inspection on 05/06/06 for The Branksome Park

This inspection was carried out on 5th June 2006.

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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Branksome Park (The) 17 Mornish Road Branksome Park Poole Dorset BH13 7BY Lead Inspector Chris Gould Key Unannounced Inspection 5th June 2006 09:40 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 DS0000020431.V297013.R01.S.doc Version 5.2 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. DS0000020431.V297013.R01.S.doc Version 5.2 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 DS0000020431.V297013.R01.S.doc Version 5.2 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). 24th October 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 being replaced by a fifty-six bed purpose built care centre on the site of the present home. The Branksome Park Care Home is continuing to operate with a reduced number of residents during the rebuild that is taking part in two phases. The home is registered to a maximum of 34 residents requiring personal and nursing care but are limiting their number to twenty-two during the first phase of the building project. There is a condition placed on the registration allowing the home to accommodate a maximum of five younger adults who require nursing care age forty years and above. Mr and Mrs Tredrea have owned the home since 1997. Mrs Tredrea is also the registered manager. The fees charged by the home start at £449.00. Two residents are totally funded by health and their fees have been individually negotiated. DS0000020431.V297013.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection took place over seven hours on one day in May 2006. A tour of the premises took place and three staff files, three residents care records and relevant documentation and policies and procedures relating to the running of the home were inspected. Eight residents, two visitors to the home and the staff on duty were also 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 the head of care were available throughout the inspection. What the service does well: An assessment undertaken 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. The staff treat residents with respect and provide encouragement to pursue their own lifestyle, where feasible, and to make choices about their daily lives. There is a varied activities programme for those residents who want to participate. The staff encourage friends and relatives to visit and to maintain contact with the home. Both service users and relatives say that visitors are made welcome. Residents are offered a menu that provides a varied and well balanced diet. The residents who commented on the food said it was ‘good’, ‘excellent’ and ‘couldn’t be better’. As well as the main menu there is always a choice of an alternative. Residents spoken with 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 employs the numbers of staff with the appropriate training to meet the needs of the residents. DS0000020431.V297013.R01.S.doc Version 5.2 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. 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. DS0000020431.V297013.R01.S.doc Version 5.2 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 DS0000020431.V297013.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place ensure that the resident knows that the home they are moving into will meet their needs. EVIDENCE: The care records for the three residents viewed 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. The Branksome Park does not provide intermediate care therefore standard 6 is not applicable. DS0000020431.V297013.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records are in place to ensure that residents health, personal and social care needs are met. The systems in place for managing medicines are generally good and ensure residents are protected. Residents’ feel they are treated with respect and their right to privacy is upheld. 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. The care records included input from health care services including General Practitioners and specialist nurses and therapists. Residents spoken with DS0000020431.V297013.R01.S.doc Version 5.2 Page 10 confirmed that appointments are made on their behalf as necessary if they require medical attention, a dentist, optician etc. Positive comments were received from health and social care professionals that completed a comment card including ‘good sense of the individual’, ‘good thorough care’ and ‘staff are helpful and always take on board comments and patient care is managed very highly’. A form is available to record the temperature of the refrigerator but this is not consistently completed. A maximum and minimum thermometer should be used to record the temperature range of the refrigerator. Staff induction includes respecting residents privacy and dignity. This was confirmed when speaking with staff. Staff were seen knocking on doors and waiting for an answer before entering residents’ rooms. Residents spoken with said that they were always addressed in the way they had requested and the staff are always polite, considerate and thoughtful. DS0000020431.V297013.R01.S.doc Version 5.2 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a programme of activities, thus providing a stimulating environment for residents. The flexibility of the home enables residents to retain control over their lives where feasible. Residents are able to maintain contact with their family and friends and to go out into the community if they wish and are able. Residents are offered a menu that provides a varied and well balanced diet. EVIDENCE: The home has a programme of activities although the variety that can be provided is restricted due to the limited communal and outside space available until the building has been completed. The activities include Pat a Dog therapy, entertainers and church visits to provide communion. On the day of inspection four residents were taking part in chair aerobics. One resident talked about shopping trips and the ‘Run for Life’ evident they had taken part in the previous day assisted by members of staff. DS0000020431.V297013.R01.S.doc Version 5.2 Page 12 Residents receive visitors whenever they wish. A record is maintained of all visitors to the home. The home encourages friends and relatives to keep in contact. Visitors spoken with confirmed that they are always made welcome by the staff. One relative commented that ‘my father is happy and so are we his immediate family’. Those residents who were able to articulate a view confirmed that they were able to make choices about such matters as what they ate and when they got up in the mornings and went to bed at night. Residents are able to “personalise” their bedroom with additional items of their choice. This was confirmed when visiting residents’ bedrooms. All comments received from the residents on the food were very positive including it was ‘good’, ‘excellent’ and ‘couldn’t be better’. As well as the main menu there is always a choice of an alternative. The menus were viewed and found to be varied and well balanced offering at least five pieces of fruit and vegetables a day. DS0000020431.V297013.R01.S.doc Version 5.2 Page 13 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and they are protected from abuse. EVIDENCE: The home has a comprehensive complaints procedure including the address of the CSCI and timescales. A complaint received by the home had been fully investigated and documented. 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. An Adult Protection procedure is in place and staff have received training. DS0000020431.V297013.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The residents live in home that is safe, clean and maintained to the level possible within the present building and the construction of a new building in the grounds. EVIDENCE: The home is undergoing a complete re build to provide a purpose built care centre in the grounds of the present building. The new home will almost double the bed capacity of the present building. The work is taking 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. A newsletter is provided for residents, visitors to the home and staff to keep everyone up to date with current news about the building project. A survey DS0000020431.V297013.R01.S.doc Version 5.2 Page 15 has recently been provided to residents, visitors to the home and staff to find out the impact the building is having on their daily lives including noise, dust, restricted access to outdoor space and smaller day space. The results will be collated and where it is possible action will be taken to lessen the impact. Talking to residents and visitors they commented that the noise level was variable and now the weather was warmer and windows are open the dust may increase but at the moment it is not a problem. There are no outstanding recommendations resulting from the last inspections from the Dorset Fire and Rescue Service and the Environmental Health Officer. All areas of the home that were seen during the tour of the home were in a clean condition and free from unpleasant odours, residents and visitors confirmed that this is always the case. Residents confirmed that their bedroom was regularly cleaned. DS0000020431.V297013.R01.S.doc Version 5.2 Page 16 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, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets the needs of the residents. Systems for recruitment, and staff training are in place to ensure staff are competent to do their job and residents are protected. 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 twenty-two residents. Two of the residents who are receiving continuing care funded by health have a dedicated member of staff providing their care twenty-four hours a day. Health and social care professionals agreed that there is always a senior member of staff to confer with one commenting ‘the staff are consistently helpful and available’. Residents spoken with all agreed that if they require help a member of staff will answer the call 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 DS0000020431.V297013.R01.S.doc Version 5.2 Page 17 Bureau or a POVA first check had been received prior to the member of staff commencing employment. Seven care staff have obtained NVQ level 2 in care or equivalent and three are currently undertaking training. The home has a programme of induction and ongoing training that was confirmed by viewing training records and talking to staff. All staff have received training in manual handling, health and safety, infection control and first aid. Members of staff have recently attended training in palliative care, wound care and communication skills. DS0000020431.V297013.R01.S.doc Version 5.2 Page 18 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, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. DS0000020431.V297013.R01.S.doc Version 5.2 Page 19 EVIDENCE: Claire Tredrea, the registered manager has completed a degree in care home management and is currently undertaking an MA in Practice Development. The head of care at the home has completed the Registered Managers Award. Comments from staff spoken with included the manager ‘is very approachable’, ‘very fair’ and ‘will listen’. 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. 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. Questionnaires are used to audit the views of the residents in relation to the service provided by the home the most recent to ascertain the impact of the building project. Family, friends or professional advisors assist all residents to manage their financial affairs. Pocket money is held for four residents and clear records are maintained. The money is kept in secure facilities. Records confirm 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. Fire training, drills and fire safety checks have been completed as required. An accident book is maintained. DS0000020431.V297013.R01.S.doc Version 5.2 Page 20 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 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000020431.V297013.R01.S.doc Version 5.2 Page 21 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 Timescale for action 31/08/06 2 OP19 23 The registered person must ensure that medicines are stored at the correct temperature. The maximum and minimum temperatures of the medicines fridge must be monitored and recorded daily and corrective action taken if they are outside the recommended range (2-8°C). The registered person must 31/12/06 ensure that adequate arrangements are made during the building project so that residents are safe and suitable facilities and equipment is provided. 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 DS0000020431.V297013.R01.S.doc Version 5.2 Page 22 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 DS0000020431.V297013.R01.S.doc Version 5.2 Page 23 - 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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