Inspection on 13/06/05 for The Briars Residential Home

This inspection was carried out on 13th June 2005.

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 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 Residential Home 10/05/06

The Briars Residential Home 18/01/06

The Briars Residential Home 10/11/04

The Briars Residential Home 29/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Briars Residential Home 29 Spa Lane Hinckley Leicestershire LE10 1JA Lead Inspector Jo Vyas Unannounced 13 June 2005 at 2:00pm th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Briars Residential Home Address 29 Spa Lane Hinckley Leicestershire LE10 1AS 01455 613749 01455 840615 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Roy William McCormick & Mrs Ann O`Neill Mrs Ann ONeill Care Home 7 Category(ies) of LD - Learning Disability (7) registration, with number of places The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 10th November 2004 Brief Description of the Service: The home is situated on a main road close to Hinckley town centre, and provides care and support to seven adults who have a learning disability. Each resident accesses a day service, college placement or work experience. The home offers opportunities for residents to develop their independent living skills, in promoting community participation and involvement. The home is furnished and decorated to a high standard and offers good quality and comfortable accommodation. Communal areas are substantial and homely and there is a large garden at the back of the house. All residents have good size single bedrooms and there are two fully equipped bathrooms and a shower room. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 2:15pm and 6:30pm and was carried out as part of the annual plan of inspection. Planning for this inspection included reviewing the previous inspection report, the pre-inspection questionnaire and the comment cards from residents and relatives. During the inspection, residents showed the inspector their bedrooms and care records were inspected. Three care files were viewed. The inspector spoke to and observed the practice of staff and spoke to most of the residents living in the home. What the service does well: 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 Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 7 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 standard(s) 2, 4 Prospective residents’ needs and aspirations are fully assessed therefore their care needs can be met once they move into the home. EVIDENCE: • • • • • Three residents’ files were viewed and all had a full assessment completed by a social worker in consultation with relatives and carers. Care plans meet the needs and aspirations assessed. Records indicate that a range of professionals are involved in the care of individual residents. Residents sign agreements for assessments and care plans. A member of staff and the resident concerned spoke about the phased introduction he was given as a prospective resident. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 8 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 standard(s) 6, 7, 8, 9 Good systems are in place to ensure residents are consulted in all aspects of their lives in order for them to achieve independent lifestyles. EVIDENCE: • • • • • • • Staff the inspector spoke to were knowledgeable about the care and support each resident required. Staff were competent in their knowledge and understanding about how each person communicates. Care plans were comprehensive but needed evaluating. Staff were observed offering choices to residents, discussing events of the day and planning activities. Residents had comprehensive risk assessments that are regularly reviewed. Residents told the inspector that they have regular house meetings where they discuss holidays, trips, meals, household routines etc. A resident spoke about a recent event in their life where the staff in the home supported them to use an advocate to enable them to arrive at a positive conclusion. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 9 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 standard(s) 12, 13, 14, 15, 16, 17 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: • • • • • • Residents attend day services and colleges. Staff provide numerous, well organised formal and informal leisure activities. During the inspection, most residents took part in a planned game of bingo. Staff were observed interacting with residents positively, with respect and upholding their dignity. A mealtime was observed. Residents were offered a choice of meals. The mealtime was relaxed and informal. A resident told the inspector about the holiday they have recently been on and another resident spoke about a trip to Disneyland, Paris. Photos on the walls showed the residents at Disneyland. Staff encourage and facilitate family/friends contact. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 10 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 standard(s) 18, 19, 20 There are good levels of personal and healthcare support to residents. However, there were minor shortfalls in some areas relating to the safe handling of medication and these have the potential to place residents at risk. EVIDENCE: • • • Personal support is clearly detailed in the care plans. All residents are registered with a GP and have access to the appropriate healthcare professionals as required. Generally, medication was received, stored, handled and disposed of appropriately. However, the home uses a number of homely remedies and should seek the advice of a GP or have the medication prescribed. The home keep a record of medication returned to the pharmacist but this has not been signed by staff or a pharmacist. A list of staff who can give medication and their signatures needs updating. Syrups and creams should be dated when opened. The home should consider ways of eliminating the need for sub-dispensing. The times medication is given should be clearly stated on the medication administration record. Records were seen by the inspector that indicated that staff who give out medication have received medication training. • The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 11 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 standard(s) 22, 23 The inspector was satisfied that the home responds to complaints and concerns effectively and that residents are safe from abuse or neglect. EVIDENCE: • • The residents living at The Briars are supported to make their views known and to raise issues as and when they happen. This was evident from discussions with residents. The Registered Manager/Owner stated that she has received the new guidance for vulnerable adults procedures and is planning a training session for staff. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 12 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 standard(s) 24, 25, 26, 27, 28, 29, 30 The Briars is homely, clean, safe and comfortable. EVIDENCE: • • • • • The home was clean and hygienic on the day of this unannounced inspection. All rooms are single. Four residents showed the inspector their bedrooms, which were highly personalised. The inspector observed a number of adaptations to promote independence such as a bathing seat and grab rails. The home has an extremely comfortable lounge that has large windows and a high ceiling, and the service users enjoy gathering in this room, on return from their daily activities. The lounge is fully carpeted, contains large comfortable armchairs and sofas, and is clearly a central point for the residents to meet up and socialise. There is a light and pleasant conservatory area where service users can read, use computers, and listen to music. C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 13 • The Briars Residential Home • • There is a dining area within the open plan kitchen. There is a good patio area around the back of the house and a well maintained garden with a lawn and a garden shed. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The deployment and number of staff is sufficient to meet the needs of the residents. EVIDENCE: • • At the time of this unannounced inspection, there were four staff on duty when all the residents were at home. This included a tutor, who was running a bingo session and the Registered Manager/Owner. The Registered Manager/Owner stated that staff are deployed to suit the lives of the residents. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 The staff team benefits from good management, leadership and direction from the Registered Person, which ensures residents receive consistent, quality care. EVIDENCE: • • It was evident at this Inspection, through conversations with residents, staff and the Manager that feedback about how the home is operating is sought and discussed on a regular basis. Health and safety checks including fire are carried out appropriately. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 4 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 4 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Briars Residential Home Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 17 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. 2. Standard 20 20 Regulation 13 13 Requirement All syrups and creams must be dated when opened. Times when medication is given must be clearly stated on the medication administration form. Timescale for action 30/06/05 30/06/05 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. 3. 4. 5. 6. 7. Refer to Standard 6 20 20 20 20 Good Practice Recommendations It is recommended that all care plans are evaluated at least every six months. It is recommended that staff and a pharmacist sign the medication returns book. It is recommended that the list of staff who can give out medication is updated. It is recommended that staff who sub-dispense receive training in this area. It is recommended that where possible a GP should prescribe medication rather than using over the counter remedies. The Briars Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 18 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leicestershire, LE19 1SX 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 Residential Home C51 S1675 The Briars Residential Home V232570 130605.doc Version 1.30 Page 19 - 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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