Inspection on 06/01/09 for Brendoncare Old Parsonage

This inspection was carried out on 6th January 2009.

CSCI found this care home to be providing an Excellent service.

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

Brendoncare Old Parsonage 09/01/07

Brendoncare Old Parsonage 31/01/06

Brendoncare Old Parsonage 20/06/05

Brendoncare Old Parsonage 07/12/04

Brendoncare Old Parsonage 06/07/04

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Old Parsonage Brendoncare Home Main Road Otterbourne Winchester Hampshire SO21 2EE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Craig Willis     Date: 0 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: The Old Parsonage Brendoncare Home Main Road Otterbourne Winchester Hampshire SO21 2EE 01962713977 01962715866 sframe@brendoncare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Brendoncare Foundation Name of registered manager (if applicable) Sally Elizabeth Frame Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 28. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home The Old Parsonage is a registered care home providing personal care and nursing for 31 people in the older person category. The Brendoncare foundation owns the service and has other services in the Hampshire area. Accommodation is provided on two floors and there is a passenger lift that allows access to all parts of the home. There are a number of equipment and adaptations within the home to maintain and promote independence of people accommodated. The home benefits from well- maintained and Care Homes for Older People Page 4 of 24 care home 28 Over 65 28 0 Brief description of the care home enclosed gardens which are accessible to wheelchair users. The service is situated in the village of Otterbourne on the outskirts of Winchester and has some local amenities close by. The current fee charged ranges from 749 to 959 pounds per week depending on the room and dependency level. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The evidence used to write this report was gained from a review of all the information we have received about the service since the last inspection and a visit to the home. The information included an annual quality assurance assessment completed by the manager and incident reports. A site visit was carried out on 6 January 2009 and lasted approximately eight hours. During the visit we spoke with people who live in the home and visiting relatives, staff members on duty and the manager. Documents relating to the running of the home were inspected and all the homes communal areas were viewed. Care Homes for Older People Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are excellent systems to assess peoples needs before they move into the home. This helps to assure people that the home will be able to meet their needs. Evidence: The manager reported in the annual quality assurance assessment that a detailed preadmission assessment is completed for all people. We inspected the records of four people who live in the home. All four records contained a detailed assessment that was completed with the person before they moved into the home. The assessments covered personal care, health conditions, mobility, communication, pressure care, nutritional needs, a falls assessment and a social history which included peoples spiritual and cultural needs. Where they were able to and wanted to people had completed their own social history, which had been included in the assessment records. One person had written very detailed information about their needs that they found difficult to communicate verbally due to their health condition. This information Care Homes for Older People Page 9 of 24 Evidence: was included in the assessment records. The assessments are completed by the manager or one of the senior nursing staff and staff spoken with reported that they were confident that the information they received was accurate. One person who recently moved into the home was spoken with. This person confirmed that a detailed assessment of her needs was completed with her while she was in hospital and that she was involved throughout the process. Where relevant, information was obtained from other sources, for example health professionals. Staff reported that the information in the assessments was used to develop the initial care plans. The manager reported that the home no longer provides intermediate care. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are well met and staff treat people in a manner that maintains their privacy and dignity. Evidence: The manager reported that each person has a personalised care plan, which is updated at least monthly. We inspected four peoples care plans during the visit. Each person had a comprehensive care plan, which had been developed from the needs assessments. The plans contained detailed information about how to meet the persons specific needs. Some people had written parts of their care plans themselves, setting out how they wanted staff to provide the care and support they need. People spoken with confirmed that they were involved in writing and reviewing their care plans. Staff spoken with repoted that they found the information in the care plans useful and accurate, which helps them to provide care to people in the way they want it. The home also runs a one small step programme. This supports people to identify a goal they would like to achieve and plans a programme of support that is needed. Examples included people being able to brush their own hair or to be able to walk a certain Care Homes for Older People Page 11 of 24 Evidence: distance. The local GP visits the home each week and people are able to retain their own GP if they are from the local area. People are supported to access other health professionals where necessary, for example opticians, dentists, chiropodist and physiotherapist. A record is kept of peoples health appointments, including any advice from the practitioner. People spoken with said they were able to access all the health services they need. The home has medication procedures in place, although these were not inspected during the visit. Medication is stored in stored in locked trolleys and cupboards in the treatment room. Controlled drugs were seperately stored in a suitable cabinet and the medication held matched the records for the three that were checked. The medication administration records had generally been fully completed, although there was one gap that was noted for one person, where it had not been recorded whether they had taken their medication or not. The amount of medication held indicated that the person had taken this medication. The manager adressed the issue with the member of staff concerned during the visit. The manager reported that all staff receive training in the right of residents, including ensuring that people are treated with respect and their privacy is maintained. People spoken with during the visit reported that staff treated them very well and maintained their privacy and dignity. During the visit staff were observed interacting with people in a friendly and respectful manner. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social and cultural needs are well met by the home and people are supported to make choices. This helps people to retain control over their lives. Evidence: The home has an activities organiser who has developed a programme of activities and events following consultation with people about what they would like. Planned activities include exercise classes, musical entertainment, slide shows and talks, reminiscence, a quiz and films. The mobile library visits and a multi-denominational Christian service is held each month. The manager reported that none of the current residents follows a non-Christian faith, but arrangements would be made to support people if needed. People spoken with reported that they enjoyed the activities and were able to choose whether or not to participate. In addition to the group activities, time is spent with people individually where people would like it. The home has a open visiting policy and visitors are welcome at any time so long as it is with the agreement of the person being visited. One person spoken with said that the receptionist would respect her wishes not to receive any visitors on occasions, for example if not feeling well. One visiting relative was spoken with during the visit and reported that he was made to feel welcome by staff. Care Homes for Older People Page 13 of 24 Evidence: People spoken with confirmed that they were able to make choices about what they participated in and how they spent their time. Staff spoken with demonstarted a good understanding of peoples needs and the importance of supporting people to make their own decisions. The home has a six-week menu, which is changed seasonally and provides a choice of three meals. Specific dietary needs are assessed and provided for. People spoken with said the food was well cooked and that the chef was flexible with the choices and would provide something different if requested. There are two dining rooms and some people from supported living accommodation on the same site join people for lunch. The lunch time on the day of the visit was a relaxed social occasion and those that needed it received appropriate support to eat their meal. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has good systems to investigate complaints and respond to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. Evidence: The home has a complaints procedure, which is supplied to people when they move in and is also displayed in the homes reception. A record is kept of all complaints and the action that is taken to resolve them. Three complaints have been received in the last year concerning disturbance from another resident, slow response to a call bell and the behaviour of a staff member. These complaints have all been thoroughly investigated and action taken to resolve the problem where necessary. The person making the complaint has been given details of the investigations and action taken as a result. The manager also keeps a record of comments made by people who do not want to make a formal complaint. These issues are also thoroughly investigated and action taken where necessary. People spoken with reported they were aware of the complaints procedures and confident that any complaint they made would be thoroughly investigated and responded to. The home has a copy of the Hampshire safeguarding procedures. Staff have received training in abuse awareness and the safeguarding procedures. Staff spoken with demonstrated a good understanding of the different types of abuse people may face, signs that someone may be being abused and action to take if abuse is witnessed, Care Homes for Older People Page 15 of 24 Evidence: reported or suspected. One incident has been referred to adult services in the last year, concerning the actions of a staff member. Records were available of the investigations and the outcomes of the incident and the actions taken against the member of staff. The member of staff no longer works at the home. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a homely, comfortable and safe environment for people. Evidence: All of the communal areas of the home were viewed as well as a sample of the bedrooms. All areas were well maintained and clean, with no unpleasant odours. The home has an on-going programme of refurbishment to ensure that all areas are kept in a good state of repair. People are able to bring in their own furniture and personalise their bedroom. The home has a large lounge, which also has a dining area, a seperate dining room and a small lounge. The small lounge can be booked for people to entertain guests. People spoken with were complimentary about the cleanliness and upkeep of the home. Bathrooms are fitted with suitable equipment to support people with mobility difficulties and were clean and well maintained. The home has a seperate laundy room, which was clean and well maintained. The machines are capable of safely washing soiled clothing and there are suitable infection control procedures in place. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems to check staff before they work in the home and to ensure there are sufficient staff working at all times. This helps to protect people and ensure their needs are met. Staff receive excellent training, which helps to ensure they have the skills necessary to meet peoples needs. Evidence: The number of staff working at any one time is determined by the current dependency levels of people living in the home. People spoken with reported that there were always enough staff available and even when busy, staff responded quickly to the call bell. Staff spoken with also reported that staffing levels were sufficient to be able to meet peoples needs. The records of two recently recruited staff were inspected during the visit. These demonstrated that the home had obtained an enhanced criminal records bureau disclosure about the person and confirmation that they were not on the protection of vulnerable adults list. Two written references were obtained about the person, including one from their most recent employer. Peoples identity was suitably checked and there was a record of their employment history. The home has an on-going training programme for staff, with all staff completing courses in manual handling, fire safety, infection control, first aid, food hygiene, health and safety and abuse awareness. Other training that staff had completed included Care Homes for Older People Page 18 of 24 Evidence: clinical supervision, care planning, person centred care, motor nurone disease and the Liverpool Pathway end of life care. Staff spoken with reported that they thought the training was useful and helped them to meet peoples needs. The nursing staff reported that their professional development was given a high priority by the manager and organisation. New staff complete and inducation based on the skills for care common induction standards and 17 of the 21 care staff have completed the National Vocational Qualification at level 2 or above. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are excellent management and quality assurance systems, which help to ensure the home is run in the best interests of people who live there. The health and safety of people who live in the home and staff is well managed. Evidence: The manager has been in post for approximately five years, is a registered nurse and has completed the registered managers award. During the visit the manager demonstrated a good understanding of Brendoncares strategic and financial planning systems and how these fit into the operation of the home. The manager has an open style and people who live in the home and staff spoken with were positive about the way she manages the home. The manager ensures she maintains her skills and knowledge through training and self directed learning. The home has a quality assurance system in place to assess how they are performing and plan improvements that are necessary. A general survey of people who live in the home and other stakeholders is completed by Brendoncare and the results collated to Care Homes for Older People Page 20 of 24 Evidence: identify areas for improvement. In addition to this, the manager completes shorter surveys of people on specific issues, for example activities. Again, the responses are collated and used to improve the service provided. An area manager visits the home each month and assesses the quality of the service provided. A report of these visits is made for the manager and includes any actions that are identified as necessary. An annual health and safety audit is completed by an external company, which produces and action plan. Internal medication audits are completed and there is a health and safety committee to address any areas that are identified as necessary. Brendoncare has a business plan in place, with goals and objectives for the service to achieve. No employees of Brendoncare act as appointees for people who live in the home, but some cash is held for safekeeping. Records of this money are kept and reconcilled each month. There is a record of all transactions and receipts are kept of expenditure. The manager reported that all equipment in the home is regularly serviced and maintained to ensure it is safe. The records for the fire alarm system and extinguishers, lift, hoists and gas system were inspected and all had been suitably serviced and checked. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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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