Care Home: Highbrake House

What the care home does well High Brake House provides people using the service with a comfortable homely environment to live in. The manager and her team of care staff successfully meet the residents needs by treating them with respect, ensuring their privacy and giving them the support they need to make decisions about their own lives. People using the service receive effective health care and personal support managed through an individual plan of care that is reviewed regularly by the staff, resident and their representative. All residents seen at the home were comfortable and well nourished. When asked about the quality of the service at High Brake House one of the residents told us, " They help me a lot to get about now that I can`t manage as well on my own".People who use the service could move freely around the home and daily routines met their needs and preferences. Staffing levels reflected the needs of the people using the service and staff were appropriately trained to meet the residents needs. There were reliable systems and practices in place to support the manager in running the service. The home`s policies and procedures and quality assurance system ensure safe working practices that protect the well being of the people who use the service. What the care home could do better: Regular updates about the work being done in the home should be given to the residents so that people are fully advised about changes going on in their home and this information will help to minimise the risk of accidents that might be caused by the work being done. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Highbrake House 129 Chatburn Road Clitheroe Lancs BB7 2BD 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Christine Mulcahy Date: 2 7 1 1 2 0 0 8 Information about the care home Name of care home: Address: Highbrake House 129 Chatburn Road Clitheroe Lancs BB7 2BD 01200423286 Telephone number: Fax number: Email address: Provider web address: brierleycare@hotmail.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brierley Care Ltd care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 The service should at all times employ a suitably qualified manager who is registered with the NCSC Date of last inspection Brief description of the care home High Brake House is registered with the Commission for Social Care Inspection to provide personal care and accommodation to 21 older people. It is situated in a residential area on Chatburn Road in Clitheroe. The home is a detached 4 storey building in it?s own grounds. Accommodation is provided mainly in single rooms. Two of the rooms are shared Bedrooms are situated on three levels. There is a shared lounge on the lower ground floor with French windows that lead onto a patio and large garden. All floors can be accessed via a passenger lift. Car parking is at the front of the building. The home is within walking distance to the town centre and public transport is Care Homes for Older People Page 2 of 9 Brief description of the care home within easy access of the home. New people using the service receive a copy of the homes Statement of Purpose and service guide. Fees range from £315 to £355 per week and residents are charged separately for outings, social escorts, dry cleaning, hairdressing, newspapers and private chiropody. Care Homes for Older People Page 3 of 9 What we found: We carried out a short inspection at High Brake House on 27th November 2008. This was to check if the home was still providing an excellent service to the people who live there. The registered manager and team of care workers ensure that prospective residents always receive a comprehensive needs assessment before moving into the home. Information gathered at this stage is used to form a person centered care plan. The care plan of a person using the service was examined and information included in the plan was up to date and person centred. Information written in the care plan was clear and detailed, describing how the care should be delivered and outcomes achieved. The care plan seen had been reviewed regularly to reflect the changing needs of the resident and contained risk assessments to prevent or minimise the risk of harm or injury to the resident. Details about health care including GP, dental and optician contact were also recorded in the care plan and ensured their privacy and dignity was upheld at all times. A daily living section included assistance, dietary requirements, cultural needs, interests and hobbies and background information makes up the main part of the care plan and gives staff a good understanding about the people they are caring for. Risk assessments are carried out for all general care tasks and a more comprehensive assessment for specific risk areas like falls. The homes medication policy and procedure ensure medication is administered by trained staff to prevent mis management. Part of the homes philosophy is to encourage the people using the service to exercise choice in many things provided by the home. Choices range from menu and meals, the times they are served and types of drinks served at meal times. Leisure and social activities are varied and take place after consultation with residents who do not have to take part in an activity if they dont want to. Care plans include information about residents leisure pursuits and every effort is made to accommodate these interests. On the day of the visit the lunch served was lamb in mint gravy or chili con carne followed by a hot milk pudding or jelly, ice cream or fruit. When asked about the quality of the food at the home residents commented positively on the meal served. One person said, That was lovely, I really enjoyed that. The homes complaints and protection procedures are clear and uncomplicated. Two residents when asked said they knew how to complain and who to talk to if they were unhappy about any aspect of life at the home. There have been no complaints about the service made to CSCI since the last main visit to the home. Examination of the complaints record book showed that complaints made to the registered manager were taken seriously, addressed immediately with satisfactory outcomes for the complainants. A tour of the home showed the physical environment meets the particular lifestyle and needs of the people who use the service, the home is clean, homely, safe, comfortable and well maintained. New furniture has been bought for a number of bedrooms, the lounge and dining room area. A bathroom has been completely refurbished and the new nurse call, heating and fire systems ensure safe working practices and the wellbeing of the people using the service. Current refurbishment of the home is being done in stages and is well managed by both the registered manager and director of the Care Homes for Older People Page 4 of 9 service who ensure there is very little if any disruption to the residents. When asked, a number of residents said they didnt mind the changes and were looking forward to seeing the new bedrooms. A resident was happy to tell us, Its alright, I dont mind, weve got a new TV on the dining room wall. The staff team have been recruited following robust pre employment checks. Out of 12 care workers 58 of the care staff team are now fully trained in safeguarding and would know how to respond if they suspected abuse. This means that people using the service will be better protected due to the increased staff knowledge in this area. 75 are trained up to NVQ level 2 or 3 in Care, 50 are trained in medication awareness and can administer medication safely, and 50 are trained in the Mental Health Capacity Act. Both the manager and director are trained to NVQ Level 4 in care management. The manager has developed a staff training plan that shows what training has been done and what training is required. She said that the service has further training planned for later this year so that all staff can be trained in the required areas. The registered manager has the required qualifications and experience, is competent to run the home and to meet the homes aims and objectives. She demonstrates a clear sense of direction always putting the residents needs first and applies best practice in the way the home is run and managed providing a good role model for other employees. The manager ensures that staff follow the policies and procedures of the home, receive required training to meet the residents needs and ensures safe working practices at all times. There are clearly written records of all safety checks, accidents and complaints and good evidence of the homes compliance with statutory requirements and legislation. The registered manager, service director and service provider are all included on the staff rota and consider themselves to be part of the working team. Reliable management systems and are in place to support the management team in running the service so that they can do their job properly offering a good standard of service to the residents. It is apparant that the management team run the home in the best interests of the residents while ensuring their well being at all times. What the care home does well: High Brake House provides people using the service with a comfortable homely environment to live in. The manager and her team of care staff successfully meet the residents needs by treating them with respect, ensuring their privacy and giving them the support they need to make decisions about their own lives. People using the service receive effective health care and personal support managed through an individual plan of care that is reviewed regularly by the staff, resident and their representative. All residents seen at the home were comfortable and well nourished. When asked about the quality of the service at High Brake House one of the residents told us, They help me a lot to get about now that I cant manage as well on my own. Care Homes for Older People Page 5 of 9 People who use the service could move freely around the home and daily routines met their needs and preferences. Staffing levels reflected the needs of the people using the service and staff were appropriately trained to meet the residents needs. There were reliable systems and practices in place to support the manager in running the service. The homes policies and procedures and quality assurance system ensure safe working practices that protect the well being of the people who use the service. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 38 13 The registered person must 06/03/2009 ensure that all parts of the home that residents have access to are reasonably free from hazards to their safety. The registered manager must ensure that risk assessments relating to the work being done in the home are completed to minimise the risk of accidents in the home and ensure the health and safety of staff and service users is promoted and protected. 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 1 38 Regular updates about the work being done in the home should be given to the residents so that people are fully advised about changes going on in their home and this information will help to minimise the risk of accidents that might be caused by the work being done. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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