Care Home: Showley Brook Care Home

What the care home does well The process for assessing and admitting new residents was thorough. This meant that care workers had enough information to ensure they could fully meet the needs of the people using the service. New residents were given enough information about the home, had their needsassessed before they moved into the home and knew if the home would be able to meet their needs. People living at the home were treated with dignity and respect and their individual care plans ensured their health, personal and social care needs were delivered in the way they preferred and this meant they could make choices and maintain their independence. People living at Showley Brook are supported by well trained staff who have gone through a recruitment process so peoples needs are met and they are safe from harm or poor practice. Showley Brook is managed with robust systems, policies and procedures to ensure the health and safety of staff and residents are promoted and protected. What the care home could do better: At this short inspection we found that Showley Brook currently meets the Care Homes for Older People National Minimum Standards and Care Home Regulations of the Care Standards Act 2000. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Showley Brook Care Home 10 Knowsley Road Wilpshire Blackburn Lancashire BB1 9PX two star good 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 0 2 2 0 0 9 Information about the care home Name of care home: Address: Showley Brook Care Home 10 Knowsley Road Wilpshire Blackburn Lancashire BB1 9PX 01254248188 01254248188 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : SBC Residential Care Limited care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home Showley Brook is registered with the Commission to provide accommodation and personal care to 15 older people. Showley Brook is a detached house with gardens to the front, side and rear of the home, which are accessible to residents. There is a small car park with further off-road parking to the front of the building. The home is situated in a quiet residential area of Blackburn. There is a church and local shops nearby. Care Homes for Older People Page 2 of 9 Brief description of the care home The home is staffed 24 hrs per day and there are fifteen single bedrooms, one of which is en-suite and all rooms have an emergency call system. Accommodation is on the ground and first floor and can be reached via a chair lift. There is a large lounge and a dining room and accessible toilet and bathing facilities. There is a call alarm system. Fees are £322 and £412 a week and are determined by a comprehensive needs assessment that can be discussed with the manager. There was information available to potential residents and their families advising them of the home and giving them details about the type of service they could expect. Care Homes for Older People Page 3 of 9 What we found: We carried out a short inspection at Showley Brook on the 27th February 2009. This was to verify if the good practices and effective management systems in use at the last main visit were still in place or had been improved. At Showley Brook there are clearly written documents about the service which are very specific to people who are interested in using the service. The documents consider the service that should be provided to meet the needs of the people living at the home and the information is in a format suitable for the needs of these people and their families. The registered manager ensures that significant time and effort is spent planning to make admission to the home personal and well managed. There is a pre admission process that must be followed by all referring agencies and professionals. The service must be provided with a needs assessment detailing the full care needs of the person moving in. Information gathered at this stage is used to form the residents care plan which describes how the care should be delivered and how outcomes will be achieved. We examined 3 care plans and these showed us that each plan was comprehensive and 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. A key worker system and managers monthly review of the care delivered helps the manager to monitor if the care has been given according to the details in the plan and circumstances for changes are made. 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. Aids and adaptations to promote residents independence and ensure safe working practices like wheelchairs and handrails, were seen being properly used by care staff. Equipment to prevent pressure sores like pressure relieving cushions, were seen being used in the home. Daily living needs were included on care plans and looked at areas like assistance, dietary requirements, cultural needs, interests and hobbies and background information giving staff a good understanding about the people they are caring for. Risk assessments were 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 and observations of a care staff administering medication showed she was competent to do so. Care plans include information about residents leisure pursuits and every effort is made to accommodate these interests. Leisure and social activities are varied and take place after consultation with residents at the residents meeting and the last one was held in December. Requests from residents like old time music, films, and indoor skittles, visit to Blackpool lights and ballroom dancing have been acted on and have become regular events for the residents at the home. The homes complaints and protection procedures are clear and uncomplicated. There is a suggestion box for residents to use if they prefer not to go down the complaints route. A resident told us, Ive no need to complain, Im very happy and the staff are marvelous. There has been one complaint about the service made to CSCI since the Care Homes for Older People Page 4 of 9 last main visit to the home and the manager said this has been addressed following the homes internal complaints procedure. Examination of the complaints record book showed that other complaints made to the registered manager were taken seriously, addressed immediately with satisfactory outcomes for the complainants. All care staff have been trained in Safeguarding, this means that these procedures help to ensure that people remain safe in the home. A tour of the home showed the physical environment meets the lifestyle and needs of the people living there. The home is clean, homely, tastefully-decorated and well maintained. The recent refurbishment of the bathrooms and toilet facilities has created a modern and relaxing environment that welcomes the residents so they can enjoy bathing in fresh looking surroundings. The staff team have been recruited following robust pre employment checks so that the residents well being is protected by suitable staff and all staff are employed on a temporary 4 week contract before they are made permanent. Out of 13 care workers 100 of the care staff team are now fully trained in safeguarding and would know how to respond if they suspected abuse. This means this procedure helps to ensure people remain safe in the home. 100 of the staff team are also trained in general health and safety, moving and handling, infection control, fire evacuation and over 50 are trained to NVQ Level 2 or 3 in care. This means that the staff team are trained and competent to meet the assessed needs of people using the service and have the skills to ensure they work safely with residents at all times. The manager is a Registered General Nurse (RGN). She said that the service has further training planned for later this year so that all staff can be trained in the required areas. Staff are supervised regularly and the staff files examined showed the manager has very clear standards about the work she expects from her staff. She has introduced robust performance objectives that clearly detail what her expectations are so that the residents needs can be fully met. The manager ensures that staff follow the policies and procedures of the home, receive the required training to meet the residents needs and ensure safe working practices at all times. Staff meetings are held monthly and the manager ensures the continuation of good practice by discussing one of the homes policies as an agenda item at each meeting. This ensures the systems policies and procedures are used so the health, safety and wellbeing of staff and residents are promoted and protected. There are clearly written records of all safety checks, accidents and complaints and good evidence of the homes compliance with statutory requirements and legislation. Reliable management systems including quality assurance and feedback are regularly used as tools to show that the service is managed efficiently and effectively. Outcome results for people using the service and recently reviewed policies and procedures are in place to support the manager to run the service in the best interest of the people who live there. What the care home does well: The process for assessing and admitting new residents was thorough. This meant that care workers had enough information to ensure they could fully meet the needs of the people using the service. New residents were given enough information about the home, had their needs Care Homes for Older People Page 5 of 9 assessed before they moved into the home and knew if the home would be able to meet their needs. People living at the home were treated with dignity and respect and their individual care plans ensured their health, personal and social care needs were delivered in the way they preferred and this meant they could make choices and maintain their independence. People living at Showley Brook are supported by well trained staff who have gone through a recruitment process so peoples needs are met and they are safe from harm or poor practice. Showley Brook is managed with robust systems, policies and procedures to ensure the health and safety of staff and residents are promoted and protected. 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 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 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: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!