Inspection on 09/05/05 for The Branksome Park

This inspection was carried out on 9th May 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 24/10/05

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 The Branksome Park 17 Mornish Road Branksome Park Poole Dorset BH13 7BY Lead Inspector Chris Gould Unannounced 9 May 2005 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. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Branksome Park Address 17 Mornish Road Branksome Park Poole Dorset BH13 7BY 01202 761449 01202 768071 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) Mr A Tredrea Mrs C Tredrea Mrs Clare Elizabeth Tredrea Care home only with nursing - CRH N 34 Category(ies) of OP - Old age, not falling within any other registration, with number category (34) of places The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 service users between the ages of 55 and 65 years can be accommodated to receive nursing care. Date of last inspection 14th February 2005 Brief Description of the Service: 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, that are accessible to the residents from the lounges and some of the bedrooms. There are eighteen single and eight double rooms. 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. 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. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over seven hours on one day in May 2005. This inspection assessed 17 standards and the outstanding requirement from the previous inspection. A tour of the premises took place and three staff files and three residents care records were inspected. Eleven residents, four visitors to the home and the staff on duty were spoken with during the inspection. Mrs Tredrea the registered provider and manager was present throughout What the service does well: What has improved since the last inspection? The home continues to work towards providing a high standard of care to meet the residents needs. A planning application has been approved by the local authority for the premises to be extended although this has been resubmitted for further consideration of additional works. Mr and Mrs Tredrea hope the building works will start within the next six months. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 6 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. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 standard(s) 1, 3, The home does not provide intermediate care therefore standard 6 is not applicable. The systems in place ensures that the resident knows that the home they are moving into provides suitable facilities and that their care needs will be met. EVIDENCE: Branksome Park Care Home has a service user guide providing comprehensive detail of the homes provision and services. The information is given to all prospective residents. This was confirmed by the residents and relatives spoken with who agreed that the information provided a clear picture of the services and facilities available. Individual records are maintained for each of the residents. Inspection of the records for the two most recent admissions contained a detailed 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 D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 10 The care plans do not consistently include the detail required to adequately provide staff with the information they need to satisfactorily meet residents’ needs. Residents’ health care needs are fully met and 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. Two records inspected included information relating to wounds. The care records did not include a clear assessment, plan of care or evaluation of the wounds. The records included input from health care services including General Practitioners, community psychiatric nurses, the motor neurone specialist and the occupational therapist. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 10 The residents spoken with were all in agreement that staff were aware of their needs and the help they required. One resident commented ‘they let me do what I can and then help with the bits I can’t reach’. 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. . The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 A flexible approach is taken in the running of the home and residents are helped to have a choice over their lives. Social activities provide variation and interest for the residents living in the home. 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 receive a varied and well balanced diet in pleasant surroundings. EVIDENCE: A varied programme of activities is provided. Residents said that they particularly enjoyed the outings and the exercises or ‘PT’, as it was referred to by one resident. On the day of inspection a range of exercises to suit all abilities took place and a mini bus trip to Poole is planned for later in the week. It is recognised that not all residents are able or willing to participate in organised activities. The residents spoken with confirmed that they have access to books, newspapers and TV. The book in the reception area contained the names of residents visitors to the home and a relative spoken with said that they are made very welcome whatever time they visit. A church communion is held at the home weekly and one resident attends their own church. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 12 A flexible approach is taken in the running of the home. Residents spoken with all said that they choose the time they get up and go to bed, where they have their meals and how they spend the day. One resident commented ‘can go downstairs or stay in my room depends how I am’. All the residents who commented on the food said it was ‘good’, ‘excellent’ and ‘There is always a choice’. The menus were inspected and found to be varied and well balanced offering at least five pieces of fruit and vegetables a day. Menus are provided for residents to choose their meals for the day and this is supplemented with a further list of alternatives. Supplies of fresh fruit, vegetables and meat are delivered daily. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and that a safe environment is provided to protect them from abuse. Residents’ legal rights are protected. EVIDENCE: One complaint had been received by the home since the last inspection. The records contained details of the complaint, the investigation and the response to the outcome by the complainant. The home’s complaints procedure is available to service users in the Service User Guide. Residents’ spoken with said that they were aware of the procedure and what to do if they had a complaint. Inspecting residents care records and speaking with residents confirmed that they have representatives including family and solicitors to manage their affairs and act as their advocate. On the day of the inspection a representative from an advocacy service visited a resident to talk through personal decisions they have to make. Policies and procedures are in place and staff have received training in adult protection. This was confirmed in discussion with staff and inspecting training records. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 standard(s) 26 The standard of cleanliness is good providing the residents with a pleasant and hygienic place to live. EVIDENCE: A planning application has been approved by the local authority for the premises to be extended although this has been resubmitted for further consideration of additional works. Mr and Mrs Tredrea hope to commence the building works within the next twelve months. On the day of inspection the home was clean and no malodours were noted. An infection control procedure is in place and all staff have received training. This was confirmed in discussion with staff. All residents and visitors spoken with commented positively about the laundry service and the cleanliness of the home. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29,30 The levels of staffing and the staff training provided meet the needs of the residents. Appropriate checks are not being completed prior to the member of staff commencing employment so potentially leaving service users at risk. 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 27 residents with three assessed as requiring personal care only. The staffing levels and skill mix must be monitored and appropriate staffing provided to meet the residents’ dependency needs. Three staff files contained an application form, two written references, proof of identity, a health questionnaire, a job description and contract. A Criminal Records Bureau check was available for two members of staff but in the file of a recently employed member of staff a satisfactory enhanced CRB or POVA first had not been received prior to the commencement of employment. Of the 16 care staff employed 5 have achieved an NVQ in care at level 2 or above and 3 more are at present undertaking the training. Training records demonstrated that all new care staff undertake a training package that involves a six week induction period and a six month foundation period from the date of employment. Staff spoken with confirmed that ongoing training is provided including to meet the special needs of one resident. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 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 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) 35, Residents personal monies are kept secure and with appropriate records ensure financial interests are safeguarded. EVIDENCE: Pocket money is held on behalf of two residents at their request. The money is kept in secure facilities and clear records are maintained to record all in coming and outgoing transactions. The two records checked were accurate as cash amounts were counted. The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 17 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x x 3 x x x The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 18 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 7 Regulation 15 Timescale for action The resident’s care plan must set 31st August out in detail the action to be 2005 taken by the registered nurses and care staff to ensure that all aspects of the resident’s health, personal and social care needs are met. The staffing levels and skill mix ongoing must be monitored and appropriate staffing provided to meet the residents’ dependency needs. The registered person shall 31st ensure that all staff have August received a satisfactory enhanced 2005 CRB or POVA first check before commencing employment. Requirement 2. 27 18 3. 29 19 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 The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset 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 The Branksome Park D55 S20431 The Branksome Park V224919 Stage 4.doc Version 1.30 Page 20 - 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!