Inspection on 06/12/05 for The Briars

This inspection was carried out on 6th December 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 Briars 23/11/06

The Briars 23/06/05

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 Briars,The The Broadway Sandown Isle Of Wight PO36 9BD Lead Inspector Neil Kingman Unannounced Inspection 6th December 2005 10:10 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 Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Briars,The Address The Broadway Sandown Isle Of Wight PO36 9BD 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) 01983 403777 01983 403777 Greensleeves Homes Trust Mrs Fiona O`Regan Care Home 33 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (33), of places Physical disability over 65 years of age (2) Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Room 4 on Level 2 is designated for use as respite care and may not be used for a long term admission, due to its proximity to a fire escape. 23 June 2005 Date of last inspection 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 and emotional needs. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two unannounced inspections for the year at The Briars and took place over 6 hours. Core standards not assessed on this occasion had been assessed at the last inspection. The inspector toured the building with the manager, examined a selection of records and spoke with five residents in the privacy of their rooms, two care assistants, a senior and a visitor. Throughout the day activities were taking place in the lounge. Most of the residents were either taking part or enjoying the atmosphere. Comments about the service were very positive and no concerns were raised. What the service does well: • The information given to prospective residents or their representatives is well above standard. The information pack contains all that is required by regulation and more. The home has a good training ethos with over 50 of staff with an NVQ at level 2 or above and others either being assessed or scheduled to commence the NVQ programme. The manager has not only achieved the minimum qualifications for a registered manager but is undertaking further training to facilitate staff learning and the service in general. The home employs an activities co-ordinator to give residents opportunities to exercise choice about what to do with their time while in the home. • • • What has improved since the last inspection? What they could do better: There were no requirements or recommendations identified at this inspection. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 6 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. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 6 The Briars ensures that prospective residents and/or their representatives have sufficient information about the service to help them make a choice about where to live. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: The Briars is owned and operated by Greensleeves Homes Trust, a not-forprofit charitable organisation. A comprehensive statement of purpose sets out in plain English the aims and objectives of the home, facilities and services, staffing arrangements and qualifications, a schedule of rooms and a range of other helpful information. Several copies of the document were readily available for inspection. The manager said that all new admissions are given an information pack, which contains, amongst other things a service user’s guide to the home and scale of charges. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 9 The inspector looked at the admissions procedure for a new resident who moved in the previous day. The procedure met the standard in full. There was an opportunity during the inspection to speak with the new resident’s daughter, who confirmed receipt of the information pack. It was clear that the statement of purpose had recently been updated to reflect changes in personnel and qualifications. Most residents at The Briars are long term; indeed one of the home’s aims and objectives is to endeavour to provide a “Home for Life”. It does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. The home does provide a limited respite service, with one room designated for the purpose. There was no evidence that the provision of this service has a negative impact on the resident group. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 the following standard(s): 9 and 10 Medication is securely held and appropriate records are maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: Only staff qualified with the B/Tech Advanced Award in Medicines are permitted to administer medication. A list of authorised staff was available. At the time of the inspection medicines in the home were securely stored and appropriate records maintained. The manager confirmed that plans were in place to extend the home’s medical room to provide additional storage and administration space. Treating people with dignity and respect is included in the home’s staff induction programme and all staff are issued with a code of practice. Residents spoken with felt staff were kind, caring and respectful. The home provides a pay phone on a trolley for residents’ use, while some have their own installation in their room. The inspector noted those with a sight impairment had a phone with large numbers. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 11 Most residents’ rooms are spacious with ample room in which to receive personal care, consultations and examinations by health and social care professionals. All rooms are for single occupancy. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 the following standard(s): 12 and 13 Residents are supported to maintain their independence, to exercise choice with a range of activities provided and to pursue interests inside and outside the home. Visitors are welcome at any time and are able to meet with residents in private. EVIDENCE: Routines are flexible within the constraints of communal living. There was evidence that residents can retire and rise when they wish, with one resident saying she liked to rise very early and another who was having a lie–in during the morning of the inspection. Details of preferences are contained in residents’ individual care plans. The home employs an activities co-ordinator who has introduced a range of activities for residents who wish to take part. This was in evidence in the lounge throughout the day of the inspection and seemed very well received. The home tries to meet residents’ spiritual needs with a monthly church service and regular visiting Catholic minister. One member of the care staff is a lay preacher who also provides a service. Details of visiting arrangements can be found in the service user’s guide. Generally there are no restrictions. Residents can receive visitors in their own rooms, any of the communal areas, or if privacy is required the conservatory, Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 13 which is quiet and comfortably furnished. The home maintains links with the community through the Rotary and Lions clubs, which organise trips for them to places of interest. A volunteer helps with a trolley service for residents to purchase toiletries and other small items, the profits from which go towards their amenities fund, again for organised trips. The inspector was able to view evidence of all the trips on offer. It was evident there was a full calendar of entertainment planned for the run-up to Christmas. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 the following standard(s): 18 The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The Briars has a clear adult protection policy and procedure, which links with the policy guidance provided by Isle of Wight social services and the government’s ‘No Secrets’ document. In January 2006 staff are scheduled to attend the next adult protection course. Staff spoken with during the inspection showed an understanding of how to recognise abuse and were very clear about reporting issues of concern without delay. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 the following standard(s): 20 and 21 The home’s communal areas are comfortable and spacious. There is level access into the home and out to the rear garden. Toilet, washing and bathing facilities are provided in sufficient numbers to meet the needs of the residents. EVIDENCE: The home’s collective communal space comprises a spacious lounge, a large dining room divided into two areas and two conservatories. There is sufficient accommodation suitable for the provision of social activities and for residents to meet visitors in private. The inspector noted lounges to be bright with a good standard of decoration and furnishings. During the inspection several people were spoken with in the conservatory, where conversations took place undisturbed. Every resident’s room has an en-suite facility. There is a separate toilet on the ground floor sited near to the dining/lounge areas and one on the second floor. There are three assisted baths and a walk-in shower. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 16 Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 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): 28 and 29 The home provides an ongoing programme of NVQ training for staff to ensure service users are in safe hands at all times. A robust recruitment procedure ensures residents are protected. EVIDENCE: Records showed that at the time of the inspection 59 of care staff (seniors and care assistants) had achieved the NVQ at level 2 or 3. Two seniors are currently undertaking the NVQ at level 4. Four care staff have almost completed level 2 and 6 are scheduled to start early in 2006. The home has a staff recruitment policy that includes an application form, job description and terms and conditions of employment. A minimum of two written references is taken up and police and Protection of Vulnerable Adults (POVA) checks carried out on all newly appointed staff, before they commence work. During the inspection the recruitment records of all newly appointed staff were checked and found to be in good order. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 and 35 The registered manager has the experience and qualifications to run the home and meet its stated purpose, aims and objectives. The home provides a sound system to ensure residents’ finances are safeguarded. EVIDENCE: The registered manager Mrs O’Regan has over 16 years experience of managing the Briars. She has achieved the Registered Managers Award and has a Higher National Diploma in Caring Services. She is a qualified NVQ assessor and in January 2006 will commence training for a Certificate of Education accredited for the underpinning knowledge of all in-house training courses. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 19 The home has no involvement in residents’ finances. The manager confirmed that all residents have a family member to represent them. She was very clear about how, and in what circumstances to access the advocacy service. A lockable facility is provided for residents’ rooms. Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 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 4 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x 3 3 x x x x x STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x x Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 21 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. 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. Refer to Standard Good Practice Recommendations Briars,The DS0000012466.V249058.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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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