Inspection on 13/04/06 for The Browning Care Home

This inspection was carried out on 13th April 2006.

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 Browning Care Home 21/01/08

The Browning Care Home 30/01/06

The Browning Care Home 04/05/05

The Browning Care Home 09/02/05

The Browning Care Home 24/09/04

The Browning Care Home 09/12/03

The Browning Care Home 11/09/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Browning Care Home 19 Browning Road Banbury Oxfordshire OX16 9LA Lead Inspector Andy McGuckin Unannounced Inspection 13th April 2006 11:00 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 The Browning Care Home DS0000013189.V289934.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 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 Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Browning Care Home Address 19 Browning Road Banbury Oxfordshire OX16 9LA 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) 01295 261496 01295 701027 daveheather@ackrill8400.fsnet.co.uk Mrs Heather Ackrill Care Home 4 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (4) of places The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 4. 30th January 2006 Date of last inspection Brief Description of the Service: Browning Care Home is the family home of Mr and Mrs Ackrill and is registered to provide personal care for up to four residents aged 65 years and over. Mrs Ackrill is the registered owner and manager and she and her husband are the main carers. Mr Ackrill deals with all administrative matters concerning the business. The home is on the outskirts of Banbury, where there are clubs for older people The home has a combined lounge and dining room on the ground floor used by residents, and also by Mr and Mrs Ackrill. Bedroom accommodation is situated on the ground and first floors. The residents’ bathroom is on the first floor and has a washbasin, bath and toilet. A stair-lift is provided. Mr and Mrs Ackrill’s bedroom is on the first floor and there is a staff shower room and toilet on the ground floor. There is a small garden at the back of the house accessed through the kitchen. At the time of the inspection the kitchen was due to be upgraded, which will result in moving the laundry out of the kitchen area and into the garage. This work means that the office is currently out of commission but will be brought back into being once the building work has been completed. Charges for the home services range between £481 and £650 dependant on the level of need. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was a Key Inspection. The inspection was a comprehensive look at how well the service is doing. The inspection took into account detailed information provided by the service’s owner and manager,and any information that CSCI has received about the service since the last inspection.The site visit to the home lasted for 3 hours. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The inspector was of the opinion that improvements have been made since the last inspection. What the service does well: What has improved since the last inspection? The kitchen is in the process of being upgraded and will add to the overall look of the home. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 6 Requirements made at the last inspection regarding Service User Information, Staff recruitment and fire safety training have been addressed. Two minor recommendations regarding electrical testing and water temperature restrictors are still outstanding. 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 Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 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 The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 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): 1,2,3,4,5,6. The home provides good information on which prospective service users can make an informed decision about their choice of home. EVIDENCE: The inspector was given sight of the statement of purpose, contracts and terms and conditions of residence. All documentation had been updated and were presented in a satisfactory manner. The contract /terms and conditions clearly stated what the expectations of both the home and service user regarding termination of service. No new service users had been admitted since the last inspection, but he inspector was informed that all new prospective service users would be given copies of all relevant documents to assist them in making a decision. Residents are introduced to the home mainly by word of mouth and local reputation. One resident and two relatives spoken to were very positive that the home was meeting their needs. The home does not provide an intermediate care service. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 9 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): 7,8,9,10,11. The health and personal care needs of service users are being met to a good standard. EVIDENCE: The home has now produced a Service User Guide and a copy will been given to all new residents. Existing residents or their relatives will be provided with a copy if appropriate. All carers employed by the home now have the appropriate documentation to ensure their suitability and experience to do the job required. The fire officer visited the home in April of this year and provided training and advice to the managers and staff. There are currently four service users resident in the home. On the day of the inspection one service user was unwell and was being cared for in her room. One service user was initially out with her son. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 10 One service user was in the communal lounge. During the tour of the building the inspector spoke to a resident and her relative in private. The inspector was informed that the service user was very happy living in the home and that both the manager and proprietor were very helpful and supportive. Equipment had been provided to enable her to maximise her independence. The inspector commends this initiative. Two relatives spoken to stated that they are made welcome at all times and are offered refreshments. Privacy and dignity are given a high priority and with the residents permission they are kept up to date with day to day events. The manager and her husband are supported in providing 24-hour care by two part time carers. They are able to stand in for the manager to give a well earned break on a weekly basis. This carer also stands in while the family go on holiday. The commission is kept informed of these dates. Evidence was found at inspection that residents are treated with respect and dignity and that bedrooms are not entered without knocking and permission. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 11 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): 12,13,14,15. The home provides its service users with a good quality of daily life and social activities appropriate to needs and wants of its service users. EVIDENCE: The home is providing care for an increasingly dependent service user group. One resident is largely self sufficient in her choice of leisure and social activities. The home provides limited structured entertainment as residents have not requested this. Television and music are available in the communal lounge. Daily newspapers are made available. The home has access to a people carrier and residents are taken out to functions and shopping when they are willing or able. The inspector was informed that food is bought in daily and is sourced from fresh local suppliers. The menu showed variety, balance and choice. Due to the size of the home and the length of time residents have been there the Manager is very aware of their likes and dislikes and is able to meet these individual needs. Snacks and drinks are available throughout the day. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 12 All staff involved in food preparation has the appropriate food handling qualifications. The inspector made a recommendation that where food is required to be pureed that each individual component of the meal should be pureed separately. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 13 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): 16,17,18. The home has a good complaints and protection procedure appropriate to its size. EVIDENCE: This standard was not included in the last report. No complaints had been made since the last inspection. The home has a formal complaints procedure but due to the nature and size of the home complaints and concerns are dealt with at source and quickly resolved. All residents either control their own finances or have independent representatives to act on their behalf. The management and staff have recently attended an Alert to Abuse course and have policies and procedures to ensure that residents are protected from abuse. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 14 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): 20,21,22,23,24,25,26. The home is fit for purpose and is maintained to a good standard. EVIDENCE: Browning Care Home is a family home as well as a Residential Home. The home is well maintained and has suitable equipment for the present needs of residents. For example, a stair lift is provided, as well as ceiling hoists in two bedrooms to move residents safely from bed to chair. This equipment is regularly maintained. A previous requirement that electrical equipment be tested remains outstanding. The proprietor has undertaken to address this as a matter of urgency. The kitchen is in the process of being upgraded and will include the relocation of the laundry to a separate room as required by a previous report. At present the office is being used to store the new kitchen equipment. Once completed the office will revert back to being used as an office. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 15 The proprietor is planning to decorate the hall, stairs, and landing. A new carpet will be fitted to an upstairs bedroom. All these improvements will add to the homely atmosphere of the home. One resident whose mobility is severely restricted is able to control most of the electrical equipment in her room by voice activation. This equipment means that this resident can maintain her independence and dignity without having to rely on calling on others. The inspector was particularly impressed by the provision of this equipment. As stated in the last report one of the four bedrooms used by residents is very small and can only accommodate a bed, bedside cabinet and chair; during the day the resident goes to the pleasant lounge. This bedroom was registered before the current standards and regulations came into force. However, the manager has previously stated that when the room becomes empty it will no longer be used as a resident’s bedroom. A temperature control is still to be fitted to the bath taps but in the meantime steps have been taken to ensure, that the taps are not used by residents unsupervised. Thermostats will be fitted to the bath shortly. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 16 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): 27,28,29,30 The home provides staff with sufficient experience and training to meet the needs of its service users. EVIDENCE: Both the Manager and proprietor have been experiencing difficulties with regard to their N.V.Q course and have not felt supported. They have identified that the Manager may continue her course at Cherwell College. The proprietor will be meeting with a training agency in May with a view to continuing his Management in Care Certificate with them. Neither are in a position to provide the commission with a completed module. Requirements made at the last inspection that all staff should have the required documentation to enable them to work within a residential environment have been addressed. The inspector was shown case files for all staff working in the home and was satisfied that the appropriate checks and documentation had been sought. Evidence was found in the case files that staff had received recent relevant training. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 17 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): 31,32,33,34,35,36,37,38. The management and administration of the home is good. EVIDENCE: Both the proprietor and manager have many years experience of running a residential home. The home is run very much on family lines with residents being made to feel part of the family. This ethos was very much appreciated by those residents and relatives spoken to. Evidence was found that the home is run with the best interests of its service users. The inspector was assured that the home is financially sound and accounts are available for inspection if required. Accounts were not required as part of this inspection. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 18 The size of the home means that staff are supervised informally on a regular basis and that the proprietor and manager are able to observe their staff providing care regularly. Care staff within the home are experienced and trained to do the required tasks. Records policies and procedures inspected were found to be satisfactory. No health and safety issues were identified at this inspection. The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 19 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 4 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 20 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. 1. Refer to Standard OP25 Good Practice Recommendations If bathing facilities are accessible to vulnerable residents consideration should be given to fitting a thermostatic mixing valve to the hot water supply to the bath. All taps used by residents should be fitted with temperature control valves. All electrical equipment in the home is regularly tested. Where food is required to be pureed each individual component of the meal is pureed separately. 2. 3 4 OP25 OP22 OP15 The Browning Care Home DS0000013189.V289934.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Browning Care Home DS0000013189.V289934.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. 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