Care Home: Brantwood Hall Care Complex

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What the care home does well The home is decorated and maintained to a good standard and people were observed relaxing in homely and comfortable surroundings. One person said they "like living in the home" as it is "lovely". Another said they "like their bedroom very much" and explained that they "like watching the birds" on the bird table outside their window in the garden. One visitor said that the home is "lovely" and their relative has "everything they need". The assessments show that peoples care needs are assessed before they come to live in the home to make sure that their personal and healthcare needs can be met. The reviews show that people are involved and have a say in what happens to them and how they live their ay to day lives. People were observed being treated with dignity at all times and having their wishes respected. One person said "the staff are wonderful", another living in the home said "staff are very good and very caring". One relative said that "staff are great" and if they have any problems they "tell the staff and they are sorted right away". The satisfaction surveys show that people living in the home and their relatives are happy with the services and care provided. One person said the meals are "very good" and that they "have a choice" of menu. Another said they "get plenty to eat". People are protected by the way staff are recruited and selected and staff are trained to make sure that people are safe. The way medicines and finances are dealt with also makes sure peoples` best interests are safeguarded and protected. What has improved since the last inspection? To improve standards for people living in the home the assistant manager said two lounges have been redecorated and provided with new carpets, curtains and furniture. A tour of the premises found the lounges decorated and maintained to a high standard. To make sure people are cared for safely and their health and welfare is promoted more training has been provided for staff and in particular Health and Safety, Food Hygiene and Moving and Handling. To further protect people living in the home, the way staff are recruited and selected has improved and now police checks as well as POVA (Protection of Vulnerable Adults List) checks are taken up before staff is employed. What the care home could do better: Although people were observed being asked what they would like to do and having their choices respected, descriptive words are not used in the daily records to reflect peoples choices, and preferences or any decisions they make about how they live their day to day lives. Activities are organised on a regular basis for people who want to take part, however, there is no record showing that people have been asked if they would like to join in or not. Records show that people are cared for by staff that are not supervised as regularly as they should be. The registered manager said there are plans to `brick up` the window that is not needed in the room that some of the medicines are stored in. CARE HOMES FOR OLDER PEOPLE Brantwood Hall Care Complex 10-14 North Avenue Wakefield WF1 3RX Lead Inspector Tony Railton Key Unannounced Inspection 07:50 20th March 2008 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 Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 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. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brantwood Hall Care Complex Address 10-14 North Avenue Wakefield WF1 3RX 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) 01924 364718 01924 386345 brantwood.hall@btconnect.com Winnie Care (Brantwood Hall) Ltd Dawn Ann Wood Care Home 60 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (60), Old age, of places not falling within any other category (60), Physical disability over 65 years of age (60) Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one named service user under 65 years of age Date of last inspection 5th January 2007 Brief Description of the Service: Brantwood Hall Care Complex is owned by Winnie Care and is situated in North Avenue, Wakefield, close to the town centre with good access to local transport. Brantwood Hall comprises of two buildings located in the same grounds, which provide accommodation for 60 older people over the age of 65. The home is well maintained throughout with an active programme of refurbishment. Activities are organised on a regular basis for those wishing to participate. A passenger lift is provided to all floors and there is assisted bathing for those who require it. There are pleasant gardens to the rear of the building, which are accessible to service users, and ample car Parking available to the front. On the 25th March 2008 the registered person said that the fees range from £380 - £432 per week and there are extra charges for hairdressing, chiropody and newspapers. Further information about the services provided and the role of the CSCI can be obtained from the home or by e-mailing brantwood.hall@btconnect.com Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating which means that people living in the home experience good quality outcomes. This visit to the home started at 07.50 and ended at 13.50. During the visit there was the opportunity to speak to most people living in the home, the assistant managers, care staff, clerical assistant, chef, and the kitchen assistant. Three visiting relatives were spoken to and a District Nurse. The care provided by the home was also discussed with the registered manager on the 25th March, as they were not available on the day of the visit. Six peoples assessments, care plans, reviews, medical and daily records were seen and six staff records including application forms, references, police and POVA (Protection of Vulnerable Adults List) checks. Staff training and supervision records were seen and the homes maintenance records. Some residents and relatives satisfaction surveys were seen along with the Quality Assurance Report provided by the home. The record of complaints and Safeguarding referrals were seen and discussed with the assistant managers. Four peoples medications and finances were checked. Other information considered included the service history and annual quality assurance self -assessment provided by the home before the visit. This was a very positive visit where a number of improvements were noted. The inspector would like to take the opportunity to thank the people living in the home; the assistant managers and staff team for their hospitality and cooperation throughout the visit. What the service does well: The home is decorated and maintained to a good standard and people were observed relaxing in homely and comfortable surroundings. One person said they “like living in the home” as it is “lovely”. Another said they “like their bedroom very much” and explained that they “like watching the birds” on the bird table outside their window in the garden. One visitor said that the home is “lovely” and their relative has “everything they need”. The assessments show that peoples care needs are assessed before they come to live in the home to make sure that their personal and healthcare needs can be met. The reviews show that people are involved and have a say in what happens to them and how they live their ay to day lives. People were observed being treated with dignity at all times and having their wishes respected. One person said “the staff are wonderful”, another living in the home said “staff are very Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 6 good and very caring”. One relative said that “staff are great” and if they have any problems they “tell the staff and they are sorted right away”. The satisfaction surveys show that people living in the home and their relatives are happy with the services and care provided. One person said the meals are “very good” and that they “have a choice” of menu. Another said they “get plenty to eat”. People are protected by the way staff are recruited and selected and staff are trained to make sure that people are safe. The way medicines and finances are dealt with also makes sure peoples’ best interests are safeguarded and protected. What has improved since the last inspection? What they could do better: Although people were observed being asked what they would like to do and having their choices respected, descriptive words are not used in the daily records to reflect peoples choices, and preferences or any decisions they make about how they live their day to day lives. Activities are organised on a regular basis for people who want to take part, however, there is no record showing that people have been asked if they would like to join in or not. Records show that people are cared for by staff that are not supervised as regularly as they should be. The registered manager said there are plans to ‘brick up’ the window that is not needed in the room that some of the medicines are stored in. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 7 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 summary of this inspection report can be made available in other formats on request. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 8 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 Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. To make sure peoples care needs are met these are assessed before coming to live in the home. The home does not provide specialist intermediate care. EVIDENCE: To make sure that peoples care needs can be met a sample of six peoples records show that their needs are assessed before coming to live in the home. Records show that people and their relatives are fully involved in their assessments and have a say in how they want to be cared for. The assistant manager said the registered manager or another senior worker goes out to visit people to see if the home can meet their needs before they are offered a service. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 10 Records show that some people also have needs assessments completed by Social Services or by the Health Authority and these are also considered by the home. The assistant manager said that the home does not provide specialist services solely for intermediate care. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are treated with dignity and their wishes are respected, and people and their relatives feel their care needs are met. EVIDENCE: Throughout the visit people were observed being treated with dignity and having their wishes respected. One person said they “like living in the home” and they “have everything they need”. Although peoples’ wishes are respected the daily records do not contain many descriptive words to reflect and show peoples choices and preferences. One relative said that “home is very good” and they are “fully involved” in their relatives care. The reviews in six peoples records show that people and their relatives have a say in how they are cared for. The completed satisfaction surveys in the six peoples records seen show that they are happy with the care provided and feel that their needs are met. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 12 The assistant manager said that people and their relatives returned seventy satisfaction surveys last year and nearly all said that they are happy with the care provided and that feel their care needs are met. The homes Quality Assurance Report confirmed this. To make sure people living in the home are protected the training records show that staff giving medicines are trained to so correctly and safely. The way medicines are dealt with was checked to make sure it is safe and a sample of four peoples medicines were looked at and found to be stored and recorded appropriately, were counted and found to be correct. The registered manager said that to make the building safer there are plans to “brick up” a window in one of the rooms were some medicines are stored. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ lifestyle matches their expectations, they make decisions about their lives and they are offered a varied and balanced diet. EVIDENCE: The menu choice checklists show that people have a choice of menu. People were observed being asked what they would like for their breakfast and having their wishes respected. The chef said that there is a planned four week menu but went on to say that this is not set in stone and can be altered to suit peoples choices and preferences. One person said that the meals are “very good”, another said “there is plenty to eat”. One visiting relative said they have “no problems, the meals always smell great and look good”. Six satisfaction surveys show that people are happy with the meals provided and the Quality Assurance report shows that most people and their relatives think the meals are generally good. To protect people in the home the staff training records show that they have Food Hygiene training to make sure food is handled safely. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 14 A sample of six peoples records show there are nutritional assessments to make sure they get the diet they need and require. Two visitors said they have been visiting the home for a number of years and are “always made to feel welcome”. The assistant manager and clerical assistant said that activities are organised on a regular basis for people to join in if they wish. The programme of activities displayed and daily records confirmed this. However, the records did not show if people were asked if they would like to take part or if they had refused. Positive relationships were observed between people and those caring for them and people were observed making decisions about there daily lives. However, descriptive words were not used in the daily records to reflect peoples’ choices or any decisions they make about how they live their day-to-day lives. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People know that their complaints will be taken seriously and acted upon and that they are protected from abuse. EVIDENCE: One person living in the home said if they have a complaint “they tell the staff and its put right”. One visitor said they have been visiting the home for a number of years and “if they have any issues they tell the manager” and “things are dealt with there and then”. It was noted that the complaints policy and procedure is displayed for people and their relatives to see. The assistant manager said the complaints policy and procedure is given to people and their relatives in the residents’ handbook. The residents’ handbook confirmed this. The record of complaints shows that the home has received three complaints since the previous inspection. Discussion with the assistant managers and record of complaints show that these were dealt with appropriately and properly recorded. The satisfaction surveys in six peoples’ records say that they know how to make a complaint but they have never had a reason to do so. The service history shows that there have been three safeguarding referrals since the previous visit to the home. Discussion with the registered manager Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 16 and assistant manager and the minutes of the Safeguarding meetings show the home has acted properly to protect people living in the home. A sample of six staff records show that they have Safeguarding training in how to protect people living in the home from any kind of abuse. The assistant manager aid that all staff have safeguarding training and update training and the training Matrix displayed confirmed this. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People love in a well decorated, well maintained environment that is homely comfortable and clean. EVIDENCE: A tour of the premises found that people live in a well decorated and well maintained environment that is homely comfortable and clean. The assistant manager said to improve standards in the home two lounges have been decorated and provided with new carpets, curtains and new furniture. This was observed to be correct. One person said they “like living in the home”. Another said they like watching the birds on the bird table in the garden from their bedroom window”. Another said that they “like their room” as they have “everything they need”. Peoples bedrooms were observed to be well decorated and people are surrounded by their own possessions. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 18 One visitor said they have been visiting for a number of years and the home is “always clean and tidy”. Satisfaction surveys in six peoples’ records show that they are happy with the cleanliness of the home and the services provided. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. The numbers and skill mix of staff meet peoples’ needs and they are protected by the way staff are selected and recruited. EVIDENCE: To protect people living in the home the assistant manager said that now all staff has a police and a POVA (Protection of Vulnerable Adults List) check before they are employed. A sample of six staff records confirmed this. The assistant manager said there are enough staff planned to be on duty to meet peoples care needs. The staff rota confirmed this. One visiting relative said, “ Care staff are “very good, very helpful and very caring” Another visitor said they are “always made to feel welcome”. One person living in the home said, “ Staff are wonderful”. Another said they are “like angels”. One visiting District Nurse said “staff are very good and helpful” and they have “very few problems”. Satisfaction surveys in six peoples’ records show that they are happy with the staff and quality of care they provide. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 20 The assistant manager said seventy returned satisfaction surveys found that people and their relatives are generally happy with the care staff and the care they provide. The Quality Assurance report confirmed this. To make sure that people living in the home are in safe hands staff have had Health and Safety, Moving and Handling, Infection Control and First Aid training. The staff training records and training Matrix confirmed this. People are cared for by staff that are qualified as the assistant manager said and the training records confirmed that over half the staff has a National Vocational Qualification Level two or above or are registered on NVQ courses. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home that is run in their best interests and where their health, safety and welfare is promoted and protected. EVIDENCE: The care management systems in the home are good and the medical records reviews and satisfaction surveys show that peoples care needs are met and they are happy with the services provided. People are now safer as the staff selection and recruitment processes have improved and the training records show that staff now has the appropriate training to ensure the safety and promote the well-being of people in the home. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 22 The assessments, reviews and satisfaction surveys and minutes of residents meetings show that people have a say in the running of the home and in what happens to them. The satisfaction surveys and Quality Assurance report shows that people and their relatives opinion on the quality of services provided is sought and acted upon. Peoples’ financial interests are protected as four peoples financial records were checked and found to be correct and properly recorded. People living in the home cannot be confident that the work of those caring for them is supervised. As staff supervision records show that some staff have not had the recommended six line management supervision sessions per year. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 (2) Requirement To maintain the safety of people living in the home and further protect their medicines and the security of the building the window in the room where some medicines are stored must be made more secure. Timescale for action 01/05/08 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 Refer to Standard OP7 OP14 Good Practice Recommendations Descriptive words should be used in the daily records to reflect and show peoples choices and preferences. People were observed making choices and decisions about how they live their daily lives so descriptive words should be used in the daily records to show and reflect any decisions they make. This should include if they have chosen to participate in any organised activities or not. To make sure people living in the home are cared for properly the work care staff provides should be supervised DS0000062445.V360843.R01.S.doc Version 5.2 Page 25 3 OP36 Brantwood Hall Care Complex and staff should receive six line management supervision sessions per year. Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © 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 Brantwood Hall Care Complex DS0000062445.V360843.R01.S.doc Version 5.2 Page 27 - 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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