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Care Home: Bronte

  • Lower Lane Bronte Ebford Exeter Devon EX3 0QT
  • Tel: 01392875670
  • Fax: 01392876088
  • Planned feature Advertise here!

Bronte is a Residential Care Home providing accommodation and personal care for up to 20 male and female older people. The home is situated in the rural village of Ebford close to both Exmouth and Exeter. The accommodation is on one level with all rooms having level access. The grounds, including a large pond, are well maintained and service users report enjoying them in the summer months. Mr and Mrs Murphy, the owners, live `on site` in a separate bungalow. They are actively involved in the day-to-day running of the home, Mr Murphy is the Registered Manager, and as such are well known by the people who live there. The home`s statement of purpose and service user guide, which includes details about the philosophy of the home and details about living at the home, is made available to all potential residents before they make a decision about living at the home. It is included in the home`s brochure and is available at the home. Copies of the most recent inspection reports are kept in the conservatory and are available to residents and visitors and staff. Information received from the home indicates that the current fees are £475£545 weekly. Services not included in this fee include hairdressing, chiropody, newspapers, toiletries, dentistry, physiotherapy, occupational therapy, optician, incontinence services and transport.

  • Latitude: 50.680999755859
    Longitude: -3.4389998912811
  • Manager: Mr Timothy Oliver Murphy
  • Price p/w: ~
  • UK
  • Total Capacity: 20
  • Type: Care home only
  • Provider: Mrs Cordelia Wai-Yu Murphy,Mr Timothy Oliver Murphy
  • Ownership: Private
  • Care Home ID: 3557
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 21st January 2008. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Bronte.

What the care home does well People living at this home were generally very happy with life at the home; one person told us staff, "Care about the individual and are very friendly" another said, "I have no regrets about moving here". Relatives were confident that their relative was "getting the best care".People spoke highly of the staff; we were told that staff were "respectful, friendly, kind and caring". During our visit staff were attentive and friendly in their approach to people living at the home. We saw staff skilfully meet the needs of individuals and ensure that individuals were offered choices. Good information is available to people to help make a decision about whether this home would suite their needs. A good admissions process ensures that the home can meet people`s needs. People`s health care needs are well met and the home works with other professionals, such as GPs and nurse specialists to ensure people have access to the care they need. People can be assured that caring staff will respect their privacy and dignity and enable them to make choices within their daily lives. People were generally happy with activities provided and most felt their social needs were met. People spoke highly of the food served at the home, which is of good quality and nutritious. The home can cater for various diets. Relatives told us they were always welcome at the home and that they were informed of important issues concerning their relative. Several people described the atmosphere at the home as warm, friendly and welcoming. People feel confident that their complaints or concerns will be addressed. There are systems in place to ensure that people living at the home are protected from harm or abuse. The environment is clean, comfortable and safe. People were very happy with their accommodation. The home has sufficient aids and equipment to support the need of the people living there. Many people praised the staff team for their caring approach and attitude. The staff morale at the home is high and staff feel valued in their role and have a good sense of job satisfaction. Staff are well trained and relatives and professionals were confident that they had the skills to meet the needs of the people living there. Staff are recruited robustly to ensure that people are protected. The home is well managed, with systems in place to ensure that people have their say about the development of the service. Overall, health and safety is well managed and people are safeguarded from harm. A GP responding to a questionnaire said staff " Deliver appropriate care" and " I like the home, it`s friendly and welcoming and they do their best, largely well". What has improved since the last inspection? One requirement was made at the last inspection to ensure that the registered manager should keep all information as required and listed in Schedule 3 of the National Minimum Standards at the home. . This requirement has been met. The owners continue to refurbish and up-grade the home. Major work has been undertaken to replace bedroom doors with fire doors and to upgrade a bathroom. The owner plans to continue redecoration and to replace some carpets, which he feels "look tired". What the care home could do better: No requirements have been made a result of this inspection. Several recommendations are made to ensure that good practice is developed further and maintained. Care records do not currently include sufficient detail to ensure that individual needs are fully understood and met consistently. Also there is no record of information being regularly reviewed with the involvement of people or their representatives Assessment of peoples` nutritional needs have not been undertaken before they move to the home. Results of surveys undertaken at the home have not been made available to interested parties or included in the home`s statement of purpose. The number of staff on duty at some times of the day may not always be sufficient to meet peoples` health, social and welfare needs. A relative commented in a questionnaire " Can`t think of any way the home could improve". CARE HOMES FOR OLDER PEOPLE Bronte Bronte Lower Lane Ebford Exeter Devon EX3 0QT Lead Inspector Michelle Oliver Unannounced Inspection 21st January 2008 09.30 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 Bronte DS0000021894.V350809.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. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bronte Address Bronte Lower Lane Ebford Exeter Devon EX3 0QT 01392 875670 01392 876088 timothymurphy@tiscali.co.uk 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) Mr Timothy Oliver Murphy Mrs Cordelia Wai-Yu Murphy Mr Timothy Oliver Murphy Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd October 2006 Brief Description of the Service: Bronte is a Residential Care Home providing accommodation and personal care for up to 20 male and female older people. The home is situated in the rural village of Ebford close to both Exmouth and Exeter. The accommodation is on one level with all rooms having level access. The grounds, including a large pond, are well maintained and service users report enjoying them in the summer months. Mr and Mrs Murphy, the owners, live on site in a separate bungalow. They are actively involved in the day-to-day running of the home, Mr Murphy is the Registered Manager, and as such are well known by the people who live there. The home’s statement of purpose and service user guide, which includes details about the philosophy of the home and details about living at the home, is made available to all potential residents before they make a decision about living at the home. It is included in the home’s brochure and is available at the home. Copies of the most recent inspection reports are kept in the conservatory and are available to residents and visitors and staff. Information received from the home indicates that the current fees are £475£545 weekly. Services not included in this fee include hairdressing, chiropody, newspapers, toiletries, dentistry, physiotherapy, occupational therapy, optician, incontinence services and transport. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. As part of this key inspection the manager completed an Annual Quality Assurance Assessment (AQAA), which contained general information about the home and the people living and working there. With the information provided, CSCI surveys were sent to people living at the home, their relatives, staff and outside professionals, in order to hear their confidential views of the service, prior to our unannounced site visit. Completed surveys were received from 5 residents; 7 relatives, 3 staff and 4 health and social care professionals expressing their views about the service provided at the home. Their comments and views have been included in this report and helped us to make a judgement about the service provided. We spent 8 hours at the home, speaking with people living there and staff. We also spent time observing the care and attention given to people by staff. To help us understand the experiences of people living at this home, we looked closely at the care planned and delivered to three people. Most people living at the home were seen or spoken with during the course of our visit and three people were spoken with in depth to hear about their experience of living at the home. We also spoke with 5 staff, including the owner/registered manager, and ancillary staff, individually. A tour of the premises was made and we inspected a number of records including assessments and care plans and records relating to medication, recruitment and health and safety. Finally the outcome of the inspection was discussed with the owners and the registered manager. What the service does well: People living at this home were generally very happy with life at the home; one person told us staff, “Care about the individual and are very friendly” another said, “I have no regrets about moving here”. Relatives were confident that their relative was “getting the best care”. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 6 People spoke highly of the staff; we were told that staff were “respectful, friendly, kind and caring”. During our visit staff were attentive and friendly in their approach to people living at the home. We saw staff skilfully meet the needs of individuals and ensure that individuals were offered choices. Good information is available to people to help make a decision about whether this home would suite their needs. A good admissions process ensures that the home can meet people’s needs. People’s health care needs are well met and the home works with other professionals, such as GPs and nurse specialists to ensure people have access to the care they need. People can be assured that caring staff will respect their privacy and dignity and enable them to make choices within their daily lives. People were generally happy with activities provided and most felt their social needs were met. People spoke highly of the food served at the home, which is of good quality and nutritious. The home can cater for various diets. Relatives told us they were always welcome at the home and that they were informed of important issues concerning their relative. Several people described the atmosphere at the home as warm, friendly and welcoming. People feel confident that their complaints or concerns will be addressed. There are systems in place to ensure that people living at the home are protected from harm or abuse. The environment is clean, comfortable and safe. People were very happy with their accommodation. The home has sufficient aids and equipment to support the need of the people living there. Many people praised the staff team for their caring approach and attitude. The staff morale at the home is high and staff feel valued in their role and have a good sense of job satisfaction. Staff are well trained and relatives and professionals were confident that they had the skills to meet the needs of the people living there. Staff are recruited robustly to ensure that people are protected. The home is well managed, with systems in place to ensure that people have their say about the development of the service. Overall, health and safety is well managed and people are safeguarded from harm. A GP responding to a questionnaire said staff “ Deliver appropriate care” and “ I like the home, it’s friendly and welcoming and they do their best, largely well”. What has improved since the last inspection? Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 7 One requirement was made at the last inspection to ensure that the registered manager should keep all information as required and listed in Schedule 3 of the National Minimum Standards at the home. . This requirement has been met. The owners continue to refurbish and up-grade the home. Major work has been undertaken to replace bedroom doors with fire doors and to upgrade a bathroom. The owner plans to continue redecoration and to replace some carpets, which he feels “look tired”. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bronte DS0000021894.V350809.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 Bronte DS0000021894.V350809.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): 1,3. Standard 6 was not inspected. Quality in this outcome area is good. Systems are in place to ensure that information about the home is available and peoples’ needs are assessed before they move into the home, promoting the success of their admission. The home does not admit people for intermediate care This judgement has been made using available evidence including a visit to this service. EVIDENCE: People considering making The Bronte their home are given clear information about the services that the home offers before a making a decision to do so. The home has developed a Statement of Purpose that provides comprehensive information in an easily understood format. A copy of this document together with the most recent 3 inspection reports is available in the conservatory for people already living at the home and visitors to refer to. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 10 Before people move into the home the manager undertakes a comprehensive assessment of their individual health, social and welfare needs. This is to ensure that staff abilities, environment and equipment at the home can meet the assessed needs in a way that individuals choose. One person who had recently moved to the home told us how following their assessment of needs equipment was organised to be at the home when she arrived. This has made their life more comfortable. They said the process of moving to the Bronte was “made as easy as possible”. We were told that people who are considering making Bronte their home are invited to visit, meet others living there and have a meal if they wish. We looked at files for 3 people living at the home. All included detailed assessments of their needs before they moved into Bronte. One person who had very recently moved to the home praised all staff involved in the process for their kindness and understanding. All people who responded to questionnaires sent out before this inspection were satisfied with the home’s admission procedure. Bronte DS0000021894.V350809.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 & 10. Quality in this outcome area is good. Health and personal care needs are generally well recorded in individual plans of care. Further improvements would ensure that care is delivered in a person centred way. People’s health needs are well met with good multidisciplinary working, and the management of medication is generally satisfactory, helping to protect people’s welfare. People feel they are treated with respect and that caring staff uphold their privacy. This judgement has been made using available evidence including a visit to this service. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 12 EVIDENCE: All people living at Bronte have individual plans of care based on a pre admission assessment. The aim of care plans is that they should be written with the involvement of the individual, or their representatives and should include a range of information that is important to them. They should include information about risk assessment, how they keep safe, their goals and aspirations, how they communicate, their skills and abilities, how they make choices in their life and information about their health. This is to ensure that staff are provided with information to enable them to meet peoples’ needs in a person centred way. The manager and staff have worked hard to improve the plans since the last inspection but the need for improvement continues. Systems in place generally inform staff about peoples’ care needs, although lack of adequate detail in some care plans may prevent truly individualised care for everyone. Risk assessments were in place and generally reflected behaviour or situations that may cause harm to people, for example poor mobility and falls. Moving and handling assessments and plans, skin care and tissue viability and continence assessments were in place and generally provided staff with the instructions needed to deliver care. People’s nutritional needs are not assessed but records are kept of people’s weight showing that they have either gained or maintained weight after admission to the home. People told us they “always” or “usually” receive the medical attention they needed. Health professionals responding to CSCI questionnaires felt that the home “always” or “usually” consulted with them appropriately about people’s health care needs, and that staff acted on any advice given. One GP wrote, “ Good use of surgery by staff at Bronte” and “ Always attentive and good with peoples health problems” Care files showed that people have access to outside professionals such as G.P, community nurses, chiropodist and optician in order to ensure their health care needs are met. People’s personal care is well attended to. People were well dressed and groomed, and attention to their personal care was good. Many female residents were wearing make up and jewellery, one told the inspector, “I see the hairdresser regularly”. Staff spoken with, and observed, demonstrated a good understanding of the people’s needs and preferences. We spoke to all staff on duty at the time of this visit. All were able to tell us how they care for people in an individual way and could tell us how individuals Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 13 made choices in how they spend their life at Bronte. This was not always reflected in what was recorded in plans of care. We spoke to several people during this visit and none of them were aware of having plans of how their care was to be delivered and were unaware of being involved when they were reviewed or updated to reflect changing needs. However, all were very satisfied with the level of care they received and said that it was carried out as they wished. The ethos of the home is to support and encourage people to take control of their own lives when they make Bronte their home. This includes looking after their own medication, which several people were doing at the time of this inspection. Assessments of abilities including whether individuals can open the medicine containers, know the reason they are taking the medicine and the consequences of not taking it or taking too much are undertaken for all people when they move to the home. We looked at records of medication administration, records of medicines returned when no longer needed and storage of medicines at the home. Administration records were accurate, well documented and up to date. Medicines, including controlled medicines, were well managed and stored safely. Where variable doses of medication are needed, accurate records were available with the actual dose given. People spoken with told us that staff respect their privacy and dignity, one person told us, “Staff are always polite and respectful”. During our visit, staff were polite and friendly when delivering care. We saw staff knocking on people’s bedroom doors and addressing them in a respectful way. All health and social care professionals responding with surveys felt that staff respected people’s privacy and dignity. It was evident that staff had established a good rapport with people. One person living at the home commented, “ I would like to be treated with a little more respect”. During this inspection staff were respectful, friendly and treated people kindly and with patience. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 14 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 & 15. Quality in this outcome area is good. People benefit from flexible routines at the home and being supported to exercise control over their daily lives. Social activities generally meet peoples’ expectations and preferences and people enjoy a balanced diet which takes into account the likes and dislikes of individuals. People benefit from being encouraged and supported to maintain contact with family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People told us the routine at the home was fairly flexible, one person told us, “I am free to get up and go to bed when I choose”, another said, “There are no rules here”. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 15 One person who returned a survey told us that there were “always” activities at the home they could take part in; one person felt this was “sometimes” the case, one said there were “sometimes” and another “never” activities that they could take part in. People are able to choose whether to take part in activities or not, some said they enjoyed spending time in their rooms and chose not to take part.One person told us that they “like to take things easy” and are “happy to just sit and watch what is going on”. Some activities are organised by the home including outings, musical sessions, card games, bingo, board games, and health and beauty and co ordination exercises. The manager told us that theatre or shopping trips can be arranged, a mobile library visits fortnightly, and gardening equipment, greenhouse and garden are available for those people who wish to pursue this interest. Some one to one activities are also provided, such as manicures or reading with or to people. People living at Bronte have a “ key worker” and we noted on care plans that key workers are to spend “at least 30mins a week” with those whom they are key worker to. We were told that 30mins has been recorded as a minimum. During this inspection we saw photos people enjoying organised social events, such as garden parties and outings. Several people spoken with during our visit were happy with the activities provided. One person said, “There are opportunities to do different things here, I enjoy the keep fit”. Another person said they would enjoy the opportunity to go out more often. There is no restriction on visiting times and throughout the day visitors came to the home and were made to feel welcome. Relatives said the home kept in touch with them and informed them of any changes or events affecting their relative. Four people responding with surveys felt that staff listened and acted on what they said, one said this was “sometimes” the case. One person said “ sometimes communication hampered by language barrier” Surveys showed that people “always” or “usually”, and one person said they “sometimes” enjoyed the food served at the home. People we spoke with all said how good the food was. One person praised the meals and said “ Always given too much” and another “ good fresh ingredients used. Main meals cooked from scratch. Good variety”. They described the choices available and were full of praise for the regular cook. The cook speaks with most people daily to discuss what is on the menu Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 16 and find out what people would like for supper. The cook is experienced and knowledgeable about people’s dietary needs and preferences People can choose where to have their meals; several people choose to eat in the dining room. People can choose when to have their breakfast and many people have breakfast in their room; individual trays are laid with butter, marmalades and jams. The atmosphere in the dining room at lunchtime was convivial; tables were nicely laid with cutlery and condiments. Staff were available to assist people in a discreet manner where needed. The lunchtime meal was very nicely presented and appeared to be well balanced and nutritious. The kitchen was well stocked with supplies, including fresh fruit and vegetables and a good supply of dried goods. The cook told us that all food was of “fantastic quality” and that the home does not “scrimp” on food. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 17 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 & 18 Quality in this outcome area is good. The home has a satisfactory complaints process with evidence that complaints are listened to and acted upon. Staff are aware of the procedure to follow to protect people from abuse or harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home said they know who to speak with should they have any concerns or complaints and most were aware of the complaints procedure. One person told us, “I have nothing to complain about but would soon tell them”, another said, “I could talk to any one about concerns”. All but one relatives contacted were aware of the complaints procedure and said they knew who to speak with if they had any problems. One person said, “Yes, but I am sure it will never arise”. The home has received six complaints/concerns since the last inspection all of which were taken seriously and responded to within 28 days as stated in the homes complaint policy. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 18 All staff responding with surveys said they were aware of the adult protection procedure in place to protect people living at the home. Staff spoken with said they had received training to help them recognise any poor practice or evidence of abuse and all were aware of their responsibility to report any concerns. People living here felt well cared for and described staff as “kind, caring, polite and friendly”. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 19 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 & 26. Quality in this outcome area is good. People enjoy a good standard of accommodation that is attractive, clean, homely and well maintained This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Bronte is well maintained, with homely and comfortable accommodation including a pleasant lounge, conservatory and dining room. The manager said the home has a programme for redecoration and improvement to ensure that people enjoy a good standard of accommodation. Since the last inspection all bedrooms doors have been replaced with fire doors. And a bathroom has been updated to include a walk in shower, new Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 20 bath with electric hoist and an adaptable hair washing basin. The quality of the fixtures and fittings are of a high standard. People spoken with were happy with the accommodation provided, one person said, “This is a lovely place”, another said, “I appreciate the lovely gardens”. The gardens around the home are accessible and used by many people, weather permitting. A gardener is employed to keep the gardens and lawn looking nice. Several individual bedrooms were visited with people’s permission. Bedrooms were comfortable and personalised with sentimental items, photographs and small pieces of furniture. The home has the necessary equipment to assist people and meet their needs. Aids, hoists, and assisted toilets and baths are installed which are capable of meeting people’s individual needs. Staff told us they had the equipment they needed to ensure that care was provided safely. The home was clean and free from offensive odours throughout for which staff are to be commended, as they are responsible for maintaining the cleanliness of the home. People responding with surveys said the home was “always” clean and fresh. Good infection control is maintained through staff training and practice. Staff have the necessary protective equipment, such as gloves and aprons. There is liquid soap and disposable towels in toilets and bathrooms to promote good standards. The laundry is well equipped and managed by members of staff. The necessary equipment is available, such as washing machines and dryers. A red bag system is used for any soiled laundry ensuring staff are protected. Great care is taken with people’s personal items of clothing. People spoken with said they were very satisfied with the laundry service provided and that their clothes were taken care of and always nicely pressed and returned in good condition. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 21 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 & 30. Quality in this outcome area is good. Staff numbers and the skill mix are satisfactory and ensure peoples’ needs are met in a timely and proper way. People benefit from having experienced and friendly staff who have a good understanding of their needs and are protected by the robust recruitment practice followed at the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the morning of the inspection the manager, three carers, changing to two carers in the afternoon, and a cook, were on duty to care for 16 people. The rota shows that there is one waking and one sleeping carer on duty throughout the night. The home promotes the role of key workers for each person living at the home with the aim that they get to know them well and support them with personal tasks. This was confirmed by staff knowledge of the people currently living at the home. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 22 The manager said an holistic approach to meeting the assessed needs of people living at the Bronte has been established. This involves all staff being involved in health and social care and other domestic duties at the home. Care staff also deal with laundry and prepare and serve the evening meal. Staff said that the staffing levels were sufficient unless something untoward happens. The manager and senior carer live close to the home and would be contacted if needed. Additional staff are available when people go out either together on outings, or individually. One person who chooses to stay in their room said that staff are “ always busy “ and wished that they “had more time to spend” with them. People told us staff were “always” or “usually” available when needed and they felt they received the care and attention they needed. When asked, most people told us that staff come quickly to answer bells. One person said, “I have all the help I need”, another said, “They (staff) are there when I need them”, and another person told us, “I am very happy with the care and help I get”. One person said, “staff are always busy and sometimes I have to wait some time for staff to come to me”. All relatives responding with questionnaires felt that the home gave the support required and could meet the different needs of people living there. A member of staff told us “ staff enough for present 16 people but hard going with 20”. During this visit three people said, “ staff on duty are always very busy”. Three residents who returned questionnaires felt there are always enough staff to care for them and two felt that there usually were. The manager is committed to providing relevant training at the home to ensure a competent team of staff cares for people. Since the last inspection the registered manager has added the Registered Managers’ Award and Fire Risk Assessment /Fire Safety Managers Course to the list of their management qualifications. One staff member has completed a nationally recognised qualification [NVQ] and has now enrolled for NVQ level 4 in Social care. Two members of staff have enrolled on to the NVQ programme at level 2. The manager told us the home continues to update policies and procedures and staff are encouraged and supported to train to NVQ levels. The manager has bought, and initiated, in-house training materials covering all statutory elements. This includes: The Role of the Care Worker; Effective Communication; The Principles of Person Centred Care; Abuse; Raising Concerns & Whistle Blowing; Medication; Infection Control; Health & Safety; Moving & Handling; Fire Training; Food Hygiene; Emergency First Aid; Understanding Dementia; and Managing Challenging Behaviour. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 23 All newly employed staff undergo a period of training when they start working at the home to enable them to get to know the people living there, the home’s philosophy of care, safety procedure, care procedures, and the general layout of the home. The time taken to complete this training will depend on past experience and individual ability. All staff responding to questionnaires said they had received an induction training when they first starting working at the home to help them understand how the home works and how to care for people safely. Staff also said they receive relevant training to help them do their job well and felt well supported. People are protected by the robust recruitment practice followed at the home. Three staff recruitment files were looked at. These were clear and contained all the required documentation including satisfactory police checks and permits to ensure that people living at the home are protected from unsuitable staff. Several people spoke highly of the staff. Comments included, “ They care about the individual and are very friendly. Everyone I’ve met seem very happy at Bronte”, “All the staff at Bronte are very kind, committed and patient”, “They look after my [relative] with all the care and attention I could wish for” and “The home was recommended to me”. A health care professional said the home “Delivers appropriate care” and “ I like the home, it’s friendly and welcoming and they do their best, largely well”. Staff morale at the home is very high and staff felt valued; several people described the job satisfaction they get from working here, comments from staff included, “Bronte is a happy place to work, it’s just like a family”. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 24 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, & 38. Quality in this outcome area is good. This home is well managed, and run in the best interest of the people living there. Satisfactory systems are in place to promote the safety and health of people living and working at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner is also the registered manager of the home and is involved in the day-to-day running of the home. Staff and people living at the home spoke highly of the providers. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 25 Three staff members confirmed in questionnaires that they had formal supervision and two stated that as part of supervision their practice was observed, this was confirmed by records of the sessions in three staff files which were looked at during this visit. A quality audit has been undertaken since the last inspection to gather people’s views relating to the running of, and the quality of life experienced at the home, including standards of care, quality and variety of food, activities, cleanliness, laundry, privacy and management and administration at the home. The results of the survey show a high level of satisfaction. One person commented they “feel very much at home. The results of the most recent survey, [May 2007], have been analysed and the owner has taken on board some of the points put to them and implemented them accordingly. The manager told us they plan to revise the questionnaire and to issue three questionnaires. Each one will be specific to a given area e.g. People living at the home, members of their family or advocates, staff; or other interested parties such as doctors, district nurses, chiropodist and pharmacists. The results of the survey have not yet been made available to current or prospective residents, or their representatives/ interested parties or the CSCI. The owner said the results would be available to anyone who asked to see them but agreed that to “publish” them in the statement of purpose would make them more readily accessible. The outcome of surveys is discussed with people living at the home during regular “residents’ meetings”. Health and safety at the home is generally well managed. During our tour of the building no immediate hazards were identified. Where necessary, staff have received mandatory training including, fire safety, moving handling, infection control and food hygiene. Staff and records confirmed this. The fire log showed that equipment was regularly checked and serviced. Information provided by the owner before this inspection confirmed that maintenance or servicing of gas and electrical systems was up-to-date. Also that other equipment, such as hoists, was serviced regularly. Any accident involving people living or working at the home are recorded in individual files. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 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 2 X X X X 3 Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations Assessment of peoples’ nutritional needs should be undertaken before they move to the home. This is to ensure that their needs and preferences can be met. 2 OP7 Information in care plans should include details of how people prefer their care to be given in an individual way. All information should be regularly reviewed with the involvement of people or representatives. 3 OP27 The number of staff on duty at any time should be sufficient to meet peoples’ health, social and welfare needs. Results of surveys undertaken at the home should be DS0000021894.V350809.R01.S.doc Version 5.2 Page 28 4 Bronte included in the home’s statement of purpose. OP33 This is to ensure that the results are more accessible. Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bronte DS0000021894.V350809.R01.S.doc Version 5.2 Page 30 - 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!

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