Inspection on 21/09/06 for The Briars

This inspection was carried out on 21st September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Briars 19/09/07

The Briars 06/02/06

The Briars 03/05/05

The Briars 22/09/04

The Briars 28/04/04

Similar services:

Craigmore House

1 Lanark Close

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

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

CARE HOME ADULTS 18-65 The Briars 24 Pearl Street Salburn-by-Sea TS12 1DU Lead Inspector Neil McKenzie Key Unannounced Inspection 21st September 2006 10:00 The Briars DS0000000096.V312317.R01.S.doc Version 5.2 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 The Briars DS0000000096.V312317.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 Adults 18-65. 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 Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Briars Address 24 Pearl Street Salburn-by-Sea TS12 1DU 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) 01287 622264 Mr V Game Mrs M Game Mrs Marin Game Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: The Briars is a single-fronted, Victorian terraced house, which blends in well with the surrounding properties. There is a small garden to the rear of the property. The home is situated in an established residential area of Saltburn, close to shops, community facilities and a short distance from the seafront and the Valley Gardens. Accommodation is provided in four large single rooms, each containing a wash hand basin. Communal facilities consist of a comfortable, family style lounge, a dining room and a kitchen, and there is an office for the use of the manager and staff. The dining room is a large functional room, which is also used as an activities room and residents have access to all domestic facilities. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home had not been told that an inspection would happen that day. The inspection was done by one inspector and lasted for 6 hours. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards for Care Homes. During the visit the inspector spoke to residents and staff to find out what their views were about living and working at The Briars. The inspector had time speaking to the senior staff member who was in charge of the home that day as the manger was on holiday. The inspector also spent time looking at how staff and residents are with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles medication and money for residents. There was also a questionnaire sent to the home and this were looked at to help decide how good a job the home does in meeting the National Minimum Standards. At the time of the inspection the minimum cost to live at the home was £340.00 per week, with additional costs for day services and staff support. What the service does well: The home does a good job in meeting the care needs of residents. Care plans were up to date with additional information on activity and ‘likes and dislikes’. Each care plan was also recently signed by the resident to show that they had seen what was written in them. One resident stated ‘ Like it here, quieter, fewer people’. Another resident said, ‘ I go to college, I am a student’. The residents also live in a pleasant homely home that is well looked after and kept clean and tidy. Residents have bedrooms that have lots of their personal belongings as well as plenty of communal space to spend time in. This includes a garden and patio area at the back of the house. The inspector noticed how relaxed staff and residents were with each other and how they appear to get involved in things happening at the home. For example, residents were involved in planting flowers in the garden, cooking food and choosing colours for recently decorated bedrooms. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 6 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. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 5 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Two resident files examined contained detailed assessments of the residents’ original needs completed by qualified professionals and these original assessments contained evidence of regular updating as the residents’ needs change. One resident had a review of their needs once every three months. It was also evident from these assessments that consideration had been given to match the home with the resident. For example, a new resident benefiting from a home that had fewer people living in it. As the resident stated, ‘Like it here, quieter, fewer people’. The two files also had information describing what the home can offer residents to help them decide if this is the right home for them. The information provided should also be in a format easier to understand if it is to meet the needs of residents. Individual contracts tells residents about the service they will receive from the home had been agreed by residents and again this information would be more meaningful if it was provided in a format easy to read, such as large print. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Resident’s wellbeing is promoted by their detailed plans of care and support is given to all residents to try to ensure as independent a lifestyle as possible. EVIDENCE: Evidence was in place in the files examined that residents had been consulted about the content and involved in the planning of their care. Each resident had a care plan that had been agreed with a signature by the resident. Each staff member is a key worker to one resident to help establish special working relationships. As one resident stated, ‘I have a worker that helps with swimming and walking’ Plans included risk assessments that took into account the resident needs and wishes. For example, eating food that could lead to choking and weight, smoking in a safe place and difficult behaviour. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 10 There was also evidence from records in care plans that show the home also works hard to reflect the wishes of residents and to help them make choices about their care, diet and activities. For example, eating and drinking ‘likes and dislikes, daily activity plans and decorating bedrooms in a colour of their choice. As one resident stated, ‘college on Tuesday, I am a student, and starting an art course’. Staff said they were aware of good practice and promoting independence. As one staff member stated, ‘ home is about residents not staff’. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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 15, 16 and 17 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are supported to take part in a wide range of activity in the home and further a field. Resident’s dietary needs and choices are well catered for and relatives and friends are encouraged to maintain contact. EVIDENCE: All staff work hard at supporting their residents to access activity on an individual basis. This means that one resident attends a day service another college and another, who is retired, prefers to visit museums. In addition to this residents are supported to take part in leisure activity and holiday. The staff rota is organised to ensure residents are supported to fulfil their interest and activity of choice. Residents also said they enjoy going to the pub, shopping and trips. At the time of the inspection it was observed one resident was happy as he stated he had just returned from a weeks holiday. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 12 To avoid duplication, menus are prepared taking into account individual tastes and diets. Staff will help residents by preparing and cooking the food and resident help to choose menu and shop. An inspection of the fridge confirmed the availability of fresh ingredients. Evidence was available during the inspection and in residents’ bedrooms and care files of family involvement with activities and visits to the home. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality in this outcome is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents receive high levels of support based on individual needs with health care. Residents’ well being is promoted by effective storage and administration of medication. EVIDENCE: It was observed that staff work hard at meeting the emotional and physical needs of residents and this is reinforced by the use of personal health action plans to help residents keep to their health appointments with general practitioners and other health specialist. One resident stated on the day of the inspection that he had just had a weekly injection done at his local surgery by a community nurse. During the inspection the home’s arrangements for receiving, storing, administering, recording and returning resident’s medication were examined and discussed in depth with the senior staff member. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. The senior staff member was able to show and describe how medication is received and disposed of and how this is recorded. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 14 The senior staff member said that staff who administer medication only do so after completing a safe handling of medication course. Staff files looked at contained certificates to show that they had undertaken the training. Individual residents’ medication record sheets contain photographs of the person to help ensure that residents receive the correct medication. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staff understood adult protection issues although the complaints procedure is not available in a variety of formats. EVIDENCE: Staff interviewed presented as clear about adult protection, and they said they had received training in adult protection called ‘No Secrets’ and knew how to access policies and procedures. This was also documented in staff training files with certificates to verify that staff had done the training. There is a complaints procedure available in the policy and procedure manual although is not available in the home or resident files in a format that is clear and easy to understand. There have been no complaints and or investigations with regard to Adult abuse since the last inspection. A random sample of resident’s personal allowances and records were examined and there were no discrepancies with the balance stated on the transaction sheet and the actual amount contained in the individual money envelope. The transaction is made more robust by ensuring that there are two signatures recorded on the transaction sheet. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The quality outcome in this area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A tour of the home showed residents living in a pleasant, comfortable home that is well looked after and kept clean and tidy. Maintenance and associated records requested by the inspection completed as up to date in the preinspection questionnaire by the manager. There was new double-glazing to the patio doors and resident rooms having been recently decorated. Residents had been involved in choosing colours for their rooms. Residents also have bedrooms that have lots of their personal belongings as well as plenty of communal space to spend time in. In addition resident’s benefit from a garden and patio area to the rear of the house that was also well maintained. This included residents being involved in growing their own plants. The home presented as clean and hygienic. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 The quality outcome in this area is good. Residents are supported by a welltrained staff team and made safe by good recruitment practice. EVIDENCE: The recruitment files of 2 staff were looked at. All files contained application forms that were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for the staff members prior to them starting work in the home. Staff training files contained evidence that new staff members receive an in house induction and certificates showing further external training to meet the needs of residents. At the time of the inspection the pre-inspection questionnaire stated that all of the staff had completed National Vocational Qualification (NVQ) in Care. The 2 staff files looked at contained certificates in NVQ. Residents would benefit from training provided to staff that included specific training on their particular needs, for example, mental health. Each resident benefit from staff clear about their role and regular supervision on the work they do with residents. As on staff member stated, ‘I am here to promote independence, respect and choice’. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The quality outcome in this area is good. This judgement has been made using available evidence including discussion with the senior staff member, and the pre-inspection questionnaire. EVIDENCE: During the inspection the senior staff member acting as manager whilst the registered manager was on holiday demonstrated good knowledge of the home and its operation. This was helped by the senior staff member having completed a National Vocational Qualification level 4 in care and currently studying the Registered Managers Award. The home has a system in place to seek the views of residents and their families about the running of the home. This includes regular meetings with staff to discuss daily activity in the home and the introduction of quality surveys for residents and visitors. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 19 Health and Safety records completed by the new manager in the pre-inspection questionnaire were documented as up to date. Although the home is on the whole a safe place for residents to live in, it should be made safer by making sure that the work on fire seals, recommended by the fire service, is done to all doors in the home. At the time of the inspection the Gas Certificate was not available although the senior staff member confirmed that there had been a recent gas inspection. The Briars DS0000000096.V312317.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 Adults 18-65 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 21 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 YA42 Regulation 13 Requirement The registered manager must complete providing bedroom and other identified doors with fireresisting doors with flexible smoke seals in accordance with the recommendation from Cleveland Fire Brigade. The complaints procedure must be provided in a form that is suitable to the resident. Timescale for action 31/10/06 2. YA22 22 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 YA35 Good Practice Recommendations The registered manager should produce a resident guide in formats suitable for the resident for whom it is intended. The registered manager should ensure additional training for staff that is linked to specific resident needs. The Briars DS0000000096.V312317.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Briars DS0000000096.V312317.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. 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