Inspection on 06/02/06 for The Briars

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 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 21/09/06

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 Joanna White Unannounced Inspection 6 February 2006 9:10 th The Briars DS0000000096.V279478.R01.S.doc Version 5.1 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.V279478.R01.S.doc Version 5.1 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.V279478.R01.S.doc Version 5.1 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 Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 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 three 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.V279478.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried over two days. The first day the inspector arrived unannounced to the home. The manager of the home was aware of the date for the second day of the inspection. The first day of the inspection was on 6th February 2006 and commenced at 2.45 pm and concluded at 6.00pm. The second day of the inspection took place on 14th February 2006 and commenced at 9.10 am and concluded at 12.30 pm. One member of staff, the registered manager and three residents were spoken to during the inspection. The homes policies and procedures, two care plans and two staff files were audited. The registered manager and staff welcomed the inspector to the home. The discussion, which took place between the registered manager and the inspector throughout the inspection, was very constructive and the manager positively received any areas identified for further development. The inspector on the first day of the inspection observed an LPG heater in the office at the back of the property. Cleveland fire brigade recommend where temporary heating is required an oil filled radiator with a BS kite mark or CE logo should be used thus avoiding unnecessary risks to the health and safety of residents. What the service does well: Staff encourage the residents to lead stimulating and fulfilled lives by presenting them with opportunities to develop their social, communication and independent living skills. The residents supported by staff, undertake a wide range of activities both inhouse and community based: TV and video, music, theatre, cinema.shopping, visits to a pub, and attending college. They are consulted about going on holiday and have been to Skegness, London, Scotland etc. The residents also go out for picnics. Each resident has their own room, which is personalised to meet their individual needs. The communal areas of the home are comfortable and homely. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 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.V279478.R01.S.doc Version 5.1 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.V279478.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not examined during this inspection The Briars DS0000000096.V279478.R01.S.doc Version 5.1 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 An individual plan has been developed and agreed with each resident which describes how the current and changing needs of the resident will be met by the services and facilities provided by the home. EVIDENCE: The inspector audited the care plans of two residents, which contained information about maintaining, and improving the resident’s daily living skills and making sure their health needs were met. The plans were reviewed on a regular basis and detailed involvement with other professionals eg social workers, psychologists, etc. The resident’s signature on the care documentation confirmed they had been consulted and involved. An explanation was recorded where a resident had been unable to sign. The care plans also contained a general guide about the resident and a statement of purpose of the homes involvement, which was to promote the independence of the resident and value the resident as an individual. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 10 A resident who spoke to the inspector said “ I like going to college I am going to make a cake today and bring it back to the home to eat” There was also a clear awareness of the risks involved in maintaining the independence and enjoyment of the resident. Every possible step to consult with family and friends was also evidenced including asking the resident whether or not they wanted to have an advocate. Detailed health action plans were also available including the identification of a key worker for each resident. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected during this inspection. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were not examined during this inspection. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: These standards were not inspected during this inspection. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: These standards were not inspected during this inspection The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: These standards were not examined during this inspection. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 16 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): 39 42 The views of the residents are actively sought to underpin all self- monitoring, review and development by the home. The manger ensures as far as reasonably practicable the health safety and welfare of residents and staff EVIDENCE: During an audit of a residents care plan the inspector found a copy of the homes quality control questionnaire signed by the resident on 16 04 2005. The residents views had been sought about college, an advocate, what she/he liked doing etc. One member of staff who spoke to the inspector confirmed she had updated this questionnaire. It now contained symbols and asked “do you like living here” “what would you like to change” “do the staff listen to you” etc. The manager said she had attempted to seek the views of the residents’ families about the home but had received limited feedback. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 17 She agreed this was an area for future development and planned to find out how the home was achieving goals for the residents by seeking the views of residents’ friends’ advocates and professionals. The Homes Health and Safety Policies and Procedures were audited. Two staff files were examined and confirmed the staff had received Mandatory training in Health and Safety. A health and safety questionnaire developed by the registered manager was also present. The Homes Maintenance Records were examined. Risk assessments were in place and reviewed regularly for the products, which were used within the home. Records showed that regular checks and servicing of equipment was undertaken. The inspector on the first day of the inspection observed an LPG heater in the office at the back of the property. Where temporary heating is required Cleveland fire brigade recommend that an oil filled radiator with a BS kite mark or CE logo should be used thus avoiding unnecessary risks to the health and safety of residents. The registered manager also confirmed she was in the process of replacing bedroom and other doors. Cleveland fire brigade had stated the replacement doors should be 30 minutes fire resisting with intumescent seals, flexible smoke seals and be maintained self-closing. The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 18 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 2 X X 2 X The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 19 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 YA39 Regulation 24 Requirement The registered manager must ensure effective quality assurance and quality monitoring systems, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. Timescale for action 01/08/06 2 YA42 13 The registered manager must 14/02/06 replace the LPG heater in the office at the back of the property with an appliance which is in Accordance with Cleveland Fire Brigade The registered manager must 31/08/06 provide bedroom and other identified doors with 30 minutes fire-resisting doors with intumescent seals, flexible smoke seals and be maintained self-closing in accordance with the recommendation from Cleveland Fire Brigade. 3 YA42 13 The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 20 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 The Briars DS0000000096.V279478.R01.S.doc Version 5.1 Page 21 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.V279478.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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