Care Home: Brighton House

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What the care home does well The AQAA completed by the manager tell us what the service does well - "All service users are treated with dignity and respect and the Unit has a charter of rights specifically for service users We ensure that all service users have person centred care plan tailored to meet their individual needs. Our main focus it to encourage all our service users to maintain their independence as much as possible identifying where the benefits out weigh the risks. We also provide a range of activities specifically designed to provide social, mental and physical stimulation and can be adjusted to suit individual needs. We work very closely with other professional in providing the correct level of support for each individual in maintaining their health, safety and well being". Comments on our survey from people living at the home included - "I am very comfortable here", "I feel safe and there is always someone that I can talk to". Comments from people on the day of this inspection included - "This is a smashing place could not be better". "The food is very good, I am very comfortable and satisfied with the accommodation, the staff are friendly and helpful". Staff completing our survey told us that they get sufficient training for them to do their job,and know what to do if they have any concerns relating to the service. Four of the seven staff indicated that usually there are sufficient staff to meet the individual needs of people. One person indicated that more staff would be beneficial.We looked at the care plans and relating documents for four people currently using the service and residing on different units. We found that each person had been visited prior to offering a placement at the service and a full assessment of their care needs had been completed. On the first day of their stay at the home, people are again assessed for their care needs by the support staff, occupational therapists and any other agencies that may be required. Assessments are completed for any identified risks and include details of how the risk can be reduced or minimised without compromising the independence of the person. We saw that each plan was very pertinent to the individual. The staff discussed the plans for further improving the care plans and monitoring documents. We looked at the systems for administering medication to people, staff explained the procedures and we looked at the medication administration records (MAR) for a selection of people. Some people are able to hold and administer their own medications whilst staying at the home. Some people have their medications given them by the staff. Senior staff have the responsibility for maintaining a safe system is in place and a weekly accuracy audit is completed. The AQAA tells us that in the last twelve months the service has received three complaints and concerns, all were looked at using the homes procedures. Four referrals were made to the inter agency adult protection team when concerns were raised. One referral has been made to the deprivation of liberty safeguards when concerns were raised of a persons safety if they left the home alone. Staff discussed their understanding, awareness and actions when concerns, complaints and allegations are raised. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. The manager has the experience and knowledge to manage the home on a day to day basis, they offered their cooperation with this inspection. The documentation that we asked for, to support the information provided on the AQAA and our observations during the inspection, was readily available, up to date and in good order. The service continues to provide a quality service, with people expressing their satisfaction with their life at the home. What the care home could do better: It is considered that the service is currently performing well and setting its own objectives for continual improvement - no requirements and recommendations have been made as a result of this unannounced inspection. Random inspection report Care homes for older people Name: Address: Brighton House Sneyd Terrace Silverdale Newcastle under Lyme Staffordshire ST5 6JT 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: Joy Hoelzel Date: 1 6 0 6 2 0 1 0 Information about the care home Name of care home: Address: Brighton House Sneyd Terrace Silverdale Newcastle under Lyme Staffordshire ST5 6JT 01782717484 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Staffordshire County Council Social Care And Health Directorate Name of registered manager (if applicable) Ms Yvonne Hunter Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Conditions of registration: Age: Dementia (DE) age 50 and above. Physical disability (PD) age 50 and above. The maximum number of service users who can be accommodated is: 28 The registered person 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 to the home are within the following categories: Dementia (DE) 28, Old age, not falling within any other category (OP) 28, Physical disability (PD) 28 Care Homes for Older People Page 2 of 8 care home 28 Over 65 0 28 0 28 0 28 Date of last inspection Brief description of the care home Brighton House is a local authority home accommodating up to 28 elderly people requiring care. Categories of registration include limited numbers of people with dementia care needs, or a physical disability or people with mental health needs. The home provides a high standard environment that is well maintained. All bedrooms are single occupancy and have en-suite facilities, there are spacious and well appointed communal areas. The home has 3 separate wings off the main central lounge/dining area each with bedrooms, lounge and kitchen facilities, assisted bathing and other usual services. One of the wings is used to accommodate 4 people requiring respite care and 5 involved in the re-ablement programme. The re-ablement unit is staffed separately from the remainder of the home and personnel involved include Occupational Therapists, Physiotherapists, Social Worker and other professionals. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents are available upon request. Information on the level of fees can be obtained directly from the service. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Care Homes for Older People Page 3 of 8 What we found: The service did not know that we would be calling to conduct an inspection of the home. The last key inspection of the service was completed in September 2007 and was rated as providing an excellent service. Annual service reviews in September 2008 and September 2009 did not change our judgement of the service. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of four people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records and service records. Discussions were held with people at the home. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document in March 2010 and returned it to us. Comments from the AQAA are included within this inspection report. We asked for our Have Your Say, surveys, to be distributed to people living in, working in and visiting the home. Six were completed by people living in the home (five people indicated they had help to complete the form) and seven were completed by members of staff. The responses and comments are included in this report. What the care home does well: The AQAA completed by the manager tell us what the service does well - All service users are treated with dignity and respect and the Unit has a charter of rights specifically for service users We ensure that all service users have person centred care plan tailored to meet their individual needs. Our main focus it to encourage all our service users to maintain their independence as much as possible identifying where the benefits out weigh the risks. We also provide a range of activities specifically designed to provide social, mental and physical stimulation and can be adjusted to suit individual needs. We work very closely with other professional in providing the correct level of support for each individual in maintaining their health, safety and well being. Comments on our survey from people living at the home included - I am very comfortable here, I feel safe and there is always someone that I can talk to. Comments from people on the day of this inspection included - This is a smashing place could not be better. The food is very good, I am very comfortable and satisfied with the accommodation, the staff are friendly and helpful. Staff completing our survey told us that they get sufficient training for them to do their job,and know what to do if they have any concerns relating to the service. Four of the seven staff indicated that usually there are sufficient staff to meet the individual needs of people. One person indicated that more staff would be beneficial. Care Homes for Older People Page 4 of 8 We looked at the care plans and relating documents for four people currently using the service and residing on different units. We found that each person had been visited prior to offering a placement at the service and a full assessment of their care needs had been completed. On the first day of their stay at the home, people are again assessed for their care needs by the support staff, occupational therapists and any other agencies that may be required. Assessments are completed for any identified risks and include details of how the risk can be reduced or minimised without compromising the independence of the person. We saw that each plan was very pertinent to the individual. The staff discussed the plans for further improving the care plans and monitoring documents. We looked at the systems for administering medication to people, staff explained the procedures and we looked at the medication administration records (MAR) for a selection of people. Some people are able to hold and administer their own medications whilst staying at the home. Some people have their medications given them by the staff. Senior staff have the responsibility for maintaining a safe system is in place and a weekly accuracy audit is completed. The AQAA tells us that in the last twelve months the service has received three complaints and concerns, all were looked at using the homes procedures. Four referrals were made to the inter agency adult protection team when concerns were raised. One referral has been made to the deprivation of liberty safeguards when concerns were raised of a persons safety if they left the home alone. Staff discussed their understanding, awareness and actions when concerns, complaints and allegations are raised. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. The manager has the experience and knowledge to manage the home on a day to day basis, they offered their cooperation with this inspection. The documentation that we asked for, to support the information provided on the AQAA and our observations during the inspection, was readily available, up to date and in good order. The service continues to provide a quality service, with people expressing their satisfaction with their life at the home. 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 2. Care Homes for Older People Page 5 of 8 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 6 of 8 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 7 of 8 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. 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