Care Home: Bramble Lodge

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home
• Annesley Lodge Care Home

What the care home does well The registered manager and staff team continue to provide a high standard of care and support to the people that live at Bramble Lodge. The two care files looked at demonstrated that the staff continue to ensure people`s needs and strengths are identified and that they are supported to maintain a lifestyle that promotes their autonomy and independence as much as possible and in a safe way. This was also confirmed by people living at the home and from comments in the surveys we received. Such as " staff are always pleasant and polite, nothing is too much trouble" and " the home is excellent in every aspect, the staff are so well trained". There was written evidence to demonstrate that peoples health care needs were met as required. This was also evident following discussions with one person living at the home. The service continue to provide an extensive programme of activities that are tailored to meet individual needs. There is an activities room which is staffed daily and provided various arts and crafts and an additional activities room also staffed daily, which catered for people whose needs due to dementia were higher. The staff who worked with the people who had dementia did so on a continuous basis.This was done to ensure consistency in care and support and enabled staff who had an interest in dementia care to professionally develop in this area. On the day of this visit we observed this room being used to provide sensory therapy for several people. Discussions with the manager and the staff confirmed that staff worked within teams. Each team has a key coordinator.As stated above each member of staff was able to workwithin their preferred area of care. This ensured that the staff who supported people with dementia were able to do so and were given opportunities to further develop their skills in dementia awareness.Each team worked with specific individuals, this enabled the staff to develop relationships with those individual`s and their families. The manager stated that key coordinators were given autonomy within their role which supported their professional development and management skills. Discussions with people living at the home confirmed that trips continue to be provided on a regular basis. The week prior to this visit several of the people living at the home went on a boat trip in Nottingham. People that were spoken with confirmed that a garden fete was held at the home the weekend prior to this visit. People living at the home also confirmed that activities were provided every day for them to participate in, if they wished. All that were spoken with confirmed they joined in with activities when they chose to and indicated through discussions that their privacy and private space was also respected by the staff. Diary`s were kept for people living at the home. These diaries included photographs of the person and their families and friends ranging from events and occasions in the past to the present day. There was detailed information regarding the person`s life history, their family and significant events that had taken place in their life. The registered manager confirmed that this diary was a working document and continued to be added to. This made a useful memory tool for the person it belonged to and provided staff with a person centred picture of the individual to enable them to `see` the person as a individual rather than as a `resident`. An ongoing redecoration and refurbishment plan ensures the environment was well maintained,furnished to a good standard and attractively decorated.This provided a homely and comfortable environment for the people that live there and their visitors.The registered manager confirmed that in the last 18 months all bedrooms had been redecorated in conjunction with individual`s colour preferences. She stated that for those people who were unable to confirm there preferences, their relatives were consulted. All of the bedrooms seen were personalised to reflect each persons tastes.Bedroom doors had clear signage both pictorial and written, to support people in identifying their bedrooms.It was confirmed by the manager that new carpets were to be laid throughout corridors within the coming weeks. There was a selection of communal areas, which meant that the people living at Bramble Lodge had a choice of place to sit quietly, meet with their visitors or be actively engaged with others. The environment continues to support people with dementia by providing signage and cues and other items of memorabilia, such as typewriter, telephone and radio in one of the lounges. The registered manager confirmed that this provided meaningful activities for some people who had used this type of equipment in their previous careers. A small kitchen was available for use by people living at the home and their visitors to make refreshments.The main catering kitchen was seen and appeared to be maintained to a good standard.The cook confirmed that a dishwasher has been purchased since the last visit.The cook continues to demonstrate an enthusiastic and creative approach to her work. She ensures the meals provided are nutritionally balanced, attractive and caters for individual`s needs and preferences. Meals for people who required soft diets werepresented attractively through the use of food molds. It was confirmed by the cook that using food molds was included in nutrition training for staff. Discussions with people on the day of this visit and information in surveys confirmed that the meals provided were enjoyed. A hair salon was also available for the people living at the home and the hairdresser was at the home on the day of this visit. The grounds of Bramble Lodge continue to be well maintained and provided a spacious and attractive environment with a variety of plants and shrubs, rabbits and guinea pigs were also kept and a seating area was provided within the garden.The path around the garden was safe for everyone to use as it returned upon itself, therefore ensuring that people with confusion could safely walk around the garden. The laundry was staffed each day and housed the appropriate equipment to ensure individual`s laundry could be managed and the appropriate disinfection standards maintained.People that were spoken with were happy with the laundry service provided. The staff team told us that they work well together and further discussions demonstrated their commitment to the people using the service to ensure their quality of life was pro What the care home could do better: There were no identified areas of care provided that needed requirements at this inspection visit. Random inspection report Care homes for older people Name: Address: Bramble Lodge 82 High Lane West West Hallam Derbyshire DE7 6HQ three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Angela Kennedy Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Bramble Lodge 82 High Lane West West Hallam Derbyshire DE7 6HQ (0115)9444545 01159326566 sue@bramblelodge.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Kim Cumberland Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bucintoro Limited care home 41 Number of places (if applicable): Under 65 Over 65 0 41 dementia old age, not falling within any other category Conditions of registration: 41 0 The maximum number of service users who can be accommodated is 41 The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE. Date of last inspection Brief description of the care home Bramble Lodge is situated on the edge of a rural area and the village offers only a few shopping facilities. However, the home is only a short drive from the town of Ilkeston Care Homes for Older People Page 2 of 10 Brief description of the care home and the city of Derby, both of which offer good shopping facilities and amenities. Bramble Lodge is is set in its own extensive landscaped gardens that have been designed to enable easy access for people with mobility needs. The services provides 24 hour staffed care, 3 meals per day, personal laundry, heating and lighting, transport a range of leisure activities and social events. At the time of this inspection visit the weekly fees ranged from £410 to £485 a week. Information regarding the services and care provided to people living at Bramble Lodge is available within the homes statement of purpose and by contacting the registered manager at Bramble Lodge or by visiting their website at www.bramblelodge.com Care Homes for Older People Page 3 of 10 What we found: The purpose of this Random unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of Inspection activity and in preparation for the registration transfer under the Heath and Social Care Act 2008. We have not visited the home since its last key inspection on the 21 June 2007 when the current quality rating was made. The registered manager and her deputy were present at the inspection. Some of the staff team were spoken with to ascertain their views of the service and their opinion of the training and support provided to them. Three people that used the service were spoken with to ascertain their views of the support and services provided to them. The care records for two people using the service were looked at and other records such as staff training and quality assurance were also looked at. A partial tour of the building was undertaken which enabled us to look at the facilities available to the people using the service, such as the activities that were provided and the redecoration and refurbishment that has taken place since our last visit. The comments provided in surveys received from ten people that used the service and ten staff surveys are also reflected throughout this report. What the care home does well: The registered manager and staff team continue to provide a high standard of care and support to the people that live at Bramble Lodge. The two care files looked at demonstrated that the staff continue to ensure peoples needs and strengths are identified and that they are supported to maintain a lifestyle that promotes their autonomy and independence as much as possible and in a safe way. This was also confirmed by people living at the home and from comments in the surveys we received. Such as staff are always pleasant and polite, nothing is too much trouble and the home is excellent in every aspect, the staff are so well trained. There was written evidence to demonstrate that peoples health care needs were met as required. This was also evident following discussions with one person living at the home. The service continue to provide an extensive programme of activities that are tailored to meet individual needs. There is an activities room which is staffed daily and provided various arts and crafts and an additional activities room also staffed daily, which catered for people whose needs due to dementia were higher. The staff who worked with the people who had dementia did so on a continuous basis.This was done to ensure consistency in care and support and enabled staff who had an interest in dementia care to professionally develop in this area. On the day of this visit we observed this room being used to provide sensory therapy for several people. Discussions with the manager and the staff confirmed that staff worked within teams. Each team has a key coordinator.As stated above each member of staff was able to work Care Homes for Older People Page 4 of 10 within their preferred area of care. This ensured that the staff who supported people with dementia were able to do so and were given opportunities to further develop their skills in dementia awareness.Each team worked with specific individuals, this enabled the staff to develop relationships with those individuals and their families. The manager stated that key coordinators were given autonomy within their role which supported their professional development and management skills. Discussions with people living at the home confirmed that trips continue to be provided on a regular basis. The week prior to this visit several of the people living at the home went on a boat trip in Nottingham. People that were spoken with confirmed that a garden fete was held at the home the weekend prior to this visit. People living at the home also confirmed that activities were provided every day for them to participate in, if they wished. All that were spoken with confirmed they joined in with activities when they chose to and indicated through discussions that their privacy and private space was also respected by the staff. Diarys were kept for people living at the home. These diaries included photographs of the person and their families and friends ranging from events and occasions in the past to the present day. There was detailed information regarding the persons life history, their family and significant events that had taken place in their life. The registered manager confirmed that this diary was a working document and continued to be added to. This made a useful memory tool for the person it belonged to and provided staff with a person centred picture of the individual to enable them to see the person as a individual rather than as a resident. An ongoing redecoration and refurbishment plan ensures the environment was well maintained,furnished to a good standard and attractively decorated.This provided a homely and comfortable environment for the people that live there and their visitors.The registered manager confirmed that in the last 18 months all bedrooms had been redecorated in conjunction with individuals colour preferences. She stated that for those people who were unable to confirm there preferences, their relatives were consulted. All of the bedrooms seen were personalised to reflect each persons tastes.Bedroom doors had clear signage both pictorial and written, to support people in identifying their bedrooms.It was confirmed by the manager that new carpets were to be laid throughout corridors within the coming weeks. There was a selection of communal areas, which meant that the people living at Bramble Lodge had a choice of place to sit quietly, meet with their visitors or be actively engaged with others. The environment continues to support people with dementia by providing signage and cues and other items of memorabilia, such as typewriter, telephone and radio in one of the lounges. The registered manager confirmed that this provided meaningful activities for some people who had used this type of equipment in their previous careers. A small kitchen was available for use by people living at the home and their visitors to make refreshments.The main catering kitchen was seen and appeared to be maintained to a good standard.The cook confirmed that a dishwasher has been purchased since the last visit.The cook continues to demonstrate an enthusiastic and creative approach to her work. She ensures the meals provided are nutritionally balanced, attractive and caters for individuals needs and preferences. Meals for people who required soft diets were Care Homes for Older People Page 5 of 10 presented attractively through the use of food molds. It was confirmed by the cook that using food molds was included in nutrition training for staff. Discussions with people on the day of this visit and information in surveys confirmed that the meals provided were enjoyed. A hair salon was also available for the people living at the home and the hairdresser was at the home on the day of this visit. The grounds of Bramble Lodge continue to be well maintained and provided a spacious and attractive environment with a variety of plants and shrubs, rabbits and guinea pigs were also kept and a seating area was provided within the garden.The path around the garden was safe for everyone to use as it returned upon itself, therefore ensuring that people with confusion could safely walk around the garden. The laundry was staffed each day and housed the appropriate equipment to ensure individuals laundry could be managed and the appropriate disinfection standards maintained.People that were spoken with were happy with the laundry service provided. The staff team told us that they work well together and further discussions demonstrated their commitment to the people using the service to ensure their quality of life was promoted and their autonomy maintained as much as possible. A high level of training continues to be provided and this is reflected in the numbers of staff with a National Vocational Qualification (NVQ) and training in all health and safety practices and training specific to the needs of the people using the service.The training matrix in place demonstrated that all mandatory training is kept up to date. Staff discussed how training was provided both internally and through links with another home and through external sources. They said that training was a high priority and readily available to them, comments included. The home is very good in ensuring all staff are trained to a high standard and training for staff both mandatory and for individual development is excellent.Regular staff meetings were held every week for all staff. Senior staff meetings were held monthly. A quality assurance programme was in place that included quarterly questionnaires to people using the service and annual questionnaires to staff and visitors. Questionnaires were themed,to ensure that all areas of care and services were assessed. For example one questionnaire addressed activities, another meals. Key people were involved in preparing and auditing these questionnaires dependent on their role, for example the cook would be involved in the questionnaire about meals. Questionnaires were collated and audited and the results and any actions were published and put out on noticeboards through out the home for people to read. People that were spoken to on the day of this visit told us about the residents meetings that were held at the home. They told us that these meetings were interesting and gave them an opportunity to to express their opinions and hear any news on forthcoming events at the home. What they could do better: There were no identified areas of care provided that needed requirements at this inspection visit. Care Homes for Older People Page 6 of 10 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 2. Care Homes for Older People Page 7 of 10 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 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, 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 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!