Inspection on 23/06/05 for The Briars

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Briars 23/11/06

The Briars 06/12/05

The Briars 04/11/04

The Briars 21/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

Langdale Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Briars The Broadway Sandown Isle of Wight PO36 9BD Lead Inspector Neil Kingman Unannounced 23/6/05 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 Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Briars Address The Broadway, Sandown, Isle of Wight, PO36 9BD 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) 01983 403777 01983 407422 Greensleeves Homes Trust Mrs Fiona ORegan Care Home 33 Category(ies) of Dementia - over 65 years of age (8), Old age registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (1) The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One room is designated for use as respite care. Date of last inspection 4/11/04 Brief Description of the Service: The Briars is a home providing care and accommodation for up to 33 older people. Mrs Fiona Regan manages the home on behalf of the proprietors Greensleeves Homes Trust. It is a large detached property located on a prominent corner site in the coastal town of Sandown. The home has, in recent times, completed a major building and refurbishment programme, which has created a range of new facilities including residents’ rooms and additional communal facilities. The grounds to the front of the property have also been landscaped and the new paths provide wheelchair access to a summerhouse. The addition of a conservatory has provided additional communal space for residents. All rooms in the home have en-suite facilities and are for single occupancy. They are accessible via a passenger lift or stair lift to all floors. Currently one room is designated for respite care. At the time of the inspection the home was offering care to thirty-three individuals with a range of physical, social and emotional needs. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of The Briars took place unannounced over 6 hours on 23 June 2005. On that day the manager and her deputy were away from the home leaving a senior in charge to assist the inspector. There were sufficient staff on duty to ensure the smooth running of the home during the inspection. The inspector toured the building, inspected a selection of records and spoke with 2 visitors, 8 residents and 4 members of the care staff. Views of life in the home were very positive and all standards assessed were found to be met. Meals provided for residents, staff training and quality assurance measures were considered to be above standard. What the service does well: What has improved since the last inspection? Since the last inspection environmental improvements include a new sluice room with macerator and commode washer, a ground floor walk-in shower with WC and wash hand basin, new carpets fitted in five rooms and an area of the ground floor hallway redecorated. The home has an ongoing programme of maintenance and redecoration to ensure a continued cycle of improvement. The Briars H55_H04_S12466_The Briars_V218020_230605_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 Briars H55_H04_S12466_The Briars_V218020_230605_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 Briars H55_H04_S12466_The Briars_V218020_230605_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) 3 and 4 The manager ensures that the care needs of the people who live at The Briars will be met by undertaking a proper assessment prior them moving into the home. The home ensures that residents’ needs will be met with appropriate equipment, access to specialist services and the skills and experience of the staff. EVIDENCE: The inspector looked at how the home managed the admission of the newest resident, who moved in about a month before the inspection. Records showed that the manager undertook a full pre-admission assessment of the individual’s needs at her home address. A copy of the assessment was available in the resident’s care plan and was seen to fully meet the standard. The Briars has an experienced and stable staff group with a low turnover. 71 of care staff are qualified at NVQ level 2 and 33 at level 3. The home has a range of equipment to enable staff to transfer residents safely including a standaid, hoist and bath hoists including a ceiling hoist. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 9 Residents and visitors spoken with felt that care staff were competent and caring. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 10 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 and 8 The home has a system of care planning with an individual plan for each resident. They demonstrate that residents’ health care needs are identified and met. EVIDENCE: The principal of case tracking was used in a sample of care plans. The intention was to look at the outcomes for residents in general by assessing all areas of care for those sampled. The sample included a resident with high care needs, a resident who was largely self caring and had been in the home for several years and the newest admission to the home. Plans were seen to be comprehensive. They contained personal details and a profile. The format of the plans was seen to be clear, detailed and user friendly for care staff. The information they contained covered all aspects of a resident’s health, social, emotional and psychological needs. Risk assessments identified risks, highlighted the action needed and by whom. Reviews were up to date. The senior in charge confirmed that at the time of the inspection there were no residents with pressure sores. This, she said was due to good pressure area The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 11 management, which was evidenced in care plans. She gave examples where a range of health care services had been called in to meet the identified needs of residents. They included district nurses, psychiatrist, Parkinson’s nurse and speech therapist. Care plans contained information about such visits. Three residents and a visitor, when asked, said they had some knowledge of residents’ care plans. Two residents said staff discussed their plans with them and that they fully understood the need for them. One visitor said that her mother’s health had improved 100 since moving into The Briars. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 12 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) 14 and 15 Residents are supported to manage their own financial affairs for as long as they are able. Where this is not possible family or a solicitor are chosen to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. Residents receive varied, wholesome and good quality food in a choice of two pleasant dining rooms. EVIDENCE: The senior in charge said that all residents in the home had either family or a solicitor to represent them. This was confirmed by the residents and visitors spoken with. Two residents said they were still able to manage their own affairs but knew what to do if help was required. Rooms visited showed a good level of personalisation. Care plans identified significant events and special memory dates for residents, interests and hobbies, religious and spiritual requirements and other preferences. On the morning of the inspection the local vicar conducted a service in the home, which several residents commented favourably on. The inspector had an opportunity to sit with five residents over lunch in one of the dining rooms. The atmosphere was very sociable and staff were attentive throughout. Food served was of good quality and well presented. There was unanimous praise for the food at The Briars, which they said was consistently good. Menus showed the food to be varied and wholesome and fresh The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 13 vegetables and fruit were in plentiful supply. Hot and cold drinks are available throughout the day. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 14 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 The Briars treats all complaints about the service seriously and responds appropriately. EVIDENCE: The home has a complaints policy and procedure, details of which are included in the service users’ guide. The inspector looked at a complaints register, which recorded the date and time a complaint was made, what the complaint was about and the action taken by the home. Residents and visitors spoken with said they were confident in the manager’s ability to resolve concerns if they had any. Feedback from the most recent quality assurance questionnaire demonstrated service users’ confidence in the home’s ability to address concerns raised. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 15 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) 19 and 26 All areas of the home are kept clean and tidy and free from unpleasant odours. The location and layout of the home is generally suitable for its stated purpose in providing a spacious, safe and comfortable environment for those who live and work there. Some improvements have been made since the last inspection. EVIDENCE: Residents at The Briars are accommodated in single rooms with en-suite facilities. A passenger and stair lifts provide access to rooms on the first and second floors. There is level and ramped access to the garden where seating is provided for residents and visitors. At the time of the inspection a water feature was being constructed in a courtyard area as an additional attraction for residents. The inspector toured the building with the senior in charge and found all areas to be clean, hygienic and free from unpleasant odours. Decorations are to a The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 16 good standard. It was noted that since the last inspection environmental improvements included a new sluice room with macerator and commode washer, a ground floor walk-in shower with WC and wash hand basin, new carpets fitted in five rooms and an area of the ground floor hallway redecorated. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 17 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 and 30 Staff at The Briars have the necessary skills and experience and are deployed in adequate numbers to meet the needs of the people who live there. EVIDENCE: Duty rotas confirmed that a minimum of four care staff and a senior work in the home each day, with three wakeful night staff overnight. Additionally, ancillary staff include domestic, catering, maintenance, administration and an activities co-ordinator. Residents made very favourable comments about staff and raised no concerns about staffing levels. The response by staff to the call bell was said to be very prompt and one resident said that because she rarely needed to use the call bell, three staff responded on the one occasion that she did use it. The home has a laminated staff training matrix, which shows at a glance dates of scheduled and completed training. Additional to statutory training, which is refreshed at appropriate intervals, other care related subjects include, risk assessment, dementia, diabetes, adult protection and bereavement counselling. Records showed that 66 of care staff had achieved the NVQ at level 2 and 30 at level 3. Care staff spoken with felt that the home had a good training regime and residents and visitors considered staff to be competent and caring. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 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 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) 33 and 38 The home has effective quality assurance systems for measuring its performance based on seeking the views of residents. Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: A representative of the Trust pays a monthly visit to monitor the conduct of the home, during which staff and residents are spoken with and a range of standards inspected. A quality satisfaction questionnaire is sent out each year to services users, relatives and other stakeholders. From the feedback received the manager compiles an action plan, which is used in the development of the service. People who visit The Briars have an opportunity to comment on the service using facilities available in the front hall. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 19 Staff confirmed and records showed that appropriate training is given to all care staff in fire procedures, manual handling, first aid, health and safety and basic food hygiene. The home has policies and procedures in place to ensure safe working practices in the home. A sample of records was viewed including accidents, TOPSS induction training, electrical and gas certificates and fire alarm tests, all of which were in good order. The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 4 x x x x 3 The Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 21 N/A 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 Regulation Requirement Timescale for action 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 Briars H55_H04_S12466_The Briars_V218020_230605_Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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. 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