Inspection on 12/04/10 for Brooklands

This is the latest available inspection report for this service, carried out on 12th April 2010.

CQC found this care home to be providing an Excellent service.

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.

Other inspections for this house

Brooklands 17/07/07

Brooklands 04/07/06

Brooklands 07/02/06

Brooklands 31/10/05

Brooklands 17/11/04

Brooklands 12/05/04

Brooklands 04/11/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for older people Name: Address: Brooklands Wych Cross Forest Row East Sussex RH18 5JN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Elizabeth Dudley     Date: 1 2 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 30 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Brooklands Wych Cross Forest Row East Sussex RH18 5JN 01825-712005 01825713090 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Hadi Rajabali,Mrs Shehnaz Rajabali Name of registered manager (if applicable) Mrs Catherine Esther Sheil Type of registration: Number of places registered: care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 29 The registered person may provide the following category of service: Car home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category; Old age, not falling within any other category (OP) Physical disability (PD) Date of last inspection Brief description of the care home Brooklands is registered to provide general nursing care for 29 residents and admits those who are either privately funded or funded by Social Services. The home is situated on the A22 at Wych Cross, approximately three miles south of Forest Row village. It is an old building that has been converted for its current purpose. Building Care Homes for Older People Page 4 of 30 Over 65 29 0 0 29 Brief description of the care home extensions have been tastefully added to keep the atmosphere of the older building. The home comprises of 25 single and 2 double bedrooms. All except two of the rooms have en-suite facilities with additional toilet and bathroom facilities throughout the home. Rooms are located over two floors, accessible by a passenger shaft lift. There are extensive attractive gardens to all sides of the property that are accessible to mobile residents. There are car-parking facilities to the front of the premises. Due to the rural location of the home, there are no local amenities within easy access of the home. No public transport is accessible, except for taxis. The range of fees charged (at the time of this report) range between £675 and £875 per week. Additional charges are made for newspapers, hairdressing and chiropody. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place on the 12th April 2010 from 09:30 to 15:00, it was facilitated by the registered manager. Prior to the inspection Care Quality Commission sent out ten surveys to residents and ten to staff, all of which were returned. Comments received were generally positive. The Annual Quality Assurance Assessment (AQAA), a document required by legislation in which the provider or manager tell us about what has been achieved in the past twelve months, improvements made and plans for the next twelve months. was received when we asked for it. Methods used to inform the judgements made in this report included examination of documentation, involvement and discussion with residents, staff and visitors, observation of staff working and serving of meals and a visit to all parts of the home. Care Homes for Older People Page 6 of 30 Documentation examined included health and safety records, care plans, medication records, personnel and training files and any other documents either required by regulation or necessary for the smooth running of the home. During the day, all residents were seen, but views on the life in the home were gained from six residents, five visitors and ten members of staff. Residents, staff, visitors and management are thanked for their help and courtesy during this day. The last key inspection took place on the 10th June 2008. Care Homes for Older People Page 7 of 30 What the care home does well: What has improved since the last inspection? The home complied with the requirements made at the last inspection, these requirements were around some aspects of care planning and records of leisure activities taking place. A part time activities coordinator is now employed to assist residents in participating in the activities provided. An aromatherapist and movement therapist visit the home. The home now provides physiotherapy as part of the care package which ensures that Care Homes for Older People Page 8 of 30 all residents can have the services of a physiotherapist as required. Three relatives visiting on this day told us that they were so impressed with the standard of care and staff in the home for their residents, that when other members of their family required care they did not hesitate to bring them to Brooklands. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive sufficient information about the home to enable them to make a decision over whether the home is the place they wish to live. A comprehensive assessment of prospective residents is undertaken by the home to ensure that the staff will be able to meet the persons needs. Evidence: Information provided by the home for prospective and existing residents includes the Statement of Purpose and a Service User Guide. These documents were very comprehensive and ensured that prospective residents have sufficient knowledge about the daily life in the home, the services it can provide and information about meal times and laundry facilities. The manager informed us that prospective residents are given a copy of these documents when she or the deputy manager goes to do the initial assessment of the Care Homes for Older People Page 11 of 30 Evidence: resident. All existing residents also retain a copy of these for their information. An initial assessment of the prospective resident is undertaken prior to their admission to ensure that the home will be able to meet their needs. Three completed assessment forms were seen and these showed that all the residents needs had been fully assessed. These assessment documents form the basis of the residents care planning. The manager showed us that residents receive written confirmation to tell them whether the home considers it can meet their needs and all residents are admitted for a months trial period. Prospective residents and their representatives are welcome to visit the home prior to making a decision over whether the home is suitable for their needs. Comments from relatives and residents received included: We received enough information and they were very helpful in all ways. The information I received when the manager came to see me before I came in really helped me with feeling happier about coming into a nursing home. Its a big step but she was very kind and answered all my questions, and when I came in all the staff were aware of how I liked things done. Following admission the resident receives a contract and a copy of the Terms and Conditions of Residence. The home admits people for permanent and respite care but not for intermediate or transitional care. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive a standard of care which is relevant to their past and current needs and meets their expectations. The standard of medication administration safeguards the residents. Evidence: The home is currently providing nursing care to twenty six residents. Care plans belonging to four of these residents were looked at during the course of the day, these were found to be comprehensive and detailed the physical, psychological and social needs of the residents in depth. They addressed both the residents past and current health and social care needs and identified residents preferences on how and when care was to be given. There was evidence that they had been reviewed and updated on a monthly basis or more frequently if required, and this had generally been done in consultation with the resident or their representative. Daily records of the care given were robust and detailed the care given to the individual over a twenty four hour period with any problems noted and the actions Care Homes for Older People Page 13 of 30 Evidence: taken to resolve these. Care plans also showed results of GP visits and visits from other health care professionals. The home has its own physiotherapist who attends all the residents as part of their weekly care, and there was evidence that the home accesses the services of Speech and Language therapists, Wound Care Specialist Nurses and other health care specialists as required. Records show that this has been done in a timely manner from when a problem has first been noted. Past and current records of turn charts and fluid balance charts were looked at, these were accurate, had been filled in regularly and any concerns added to the care planning. The manager stated that they are in the process of contacting the Wound Care Specialist Nurse for an audit of the pressure relieving mattresses and cushions in the home. Risk assessments for the use of pressure relieving mattresses and bed rails were in place. Residents spoken with said that they were pleased with the care that they received and that staff treated them with dignity and respect. All comments received showed that care was given in a manner they preferred and that bells were answered promptly, this was evident during this day. A discussion was held with the manager regarding the availability of only one call bell in the lounge area, assurances were given that this is being addressed. Comments received during the day and prior to the inspection included: Excellent care - couldnt wish for more. The care and the manner in which it is provided is exemplary and beyond reproach. The trained nursing staff are backed by the local GP practice and provide excellent support. Medication administration records showed that the administration of medication safeguarded the residents. No residents currently self administer their medications . The manager is in the process of reviewing the care plans detailing when as required medication is to be given to individuals. Care Homes for Older People Page 14 of 30 Evidence: There is a regular auditing of medications and records. Controlled drugs records and storage was good and records up to date. All registered nurses receive regular updating in their training relating to administration of medication and setting up syringe drivers and administering other pain relieving medication. The home has robust methods of dealing with unwanted medication and has a contract for disposal of these with a registered waste disposal firm. Whilst the home is currently not practising the Gold Standards Framework or Liverpool Care Pathway (Tools used to ensure that residents reaching the end of their lives have optimum pain relief and comfort), the manager is in the process of making arrangements for staff to attend training in this. Staff have attended other training at the local hospice in end of life care and each resident has an end of life care plan in place. These identify that discussions have been held regarding where the individual wish to receive their care and any interventions required. Relatives of residents who had spent their last days in the home were spoken with and all praised the care given. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines in the home are sufficiently flexible to enable residents to exercise choice in their activities of daily living. Some leisure activities is provided and residents are enabled to follow past interests. Further variety to the present activities would benefit residents by stimulating them to enjoy more interests. The home provides a varied menu which is enjoyed by the majority of the residents and meets their nutritional needs. Evidence: The home provides some leisure activities in which residents can choose to participate. These included board games, quizzes, one to one activities and assisting residents to participate in past or present interests. These activities are provided by an activities coordinator, who is currently providing these on a part time basis. It is strongly recommended that the coordinator attends suitable training for this role. Appropriate leisure activities and adequate mental and physical stimulation are an important part of holistic care. Care Homes for Older People Page 16 of 30 Evidence: Whilst the manager informed us that residents are encouraged to use the large well maintained gardens, the current access means that these are only suitable for residents who are mobile. The home is in the process of building raised beds for those residents interested in gardening. An aromatherapist and movement therapist visit the home. However we received information that the services of the aromatherapist are only available to those residents able to pay for them.This was refuted at the inspection by the manager. Discussions were held with the manager regarding increasing the scope of the activities to include some crafts and also in ensuring that records are kept in the individual care plans of participation in activities. Currently general records are kept of resident participation. Parties are held to commemorate specific events. including birthdays and significant wedding anniversaries and comments received included: There are frequent parties for residents and their relatives. The home works very hard to organise inclusive events for the residents and families. Residents and care plans confirmed that residents are enabled to make choices about the activities of daily living. Times of residents preferred times of rising and retiring are recorded in care plans and breakfast is available until 11am. Both discussions, and resident surveys, received showed that participation in the leisure activities provided was optional. Visitors are welcome at any time and there were several visitors during this day. During conversations with the visitors they said: We are always made welcome and the staff keep us up to date with any concerns or when the doctor visits. Staff are very welcoming and very kind, my (relative) loves them all. They are very good at keeping us informed. A minister of religion visits the home weekly and holds a service and other ministers Care Homes for Older People Page 17 of 30 Evidence: of religion can be accessed as required. The home provides a varied menu with choices of menu at each meal. meals were seen to be well presented and snacks and beverages available at all times. There was evidence that fresh fruit and vegetables are used during the preparation of food and available to residents and all meals are home cooked. Some comments received in surveys indicated that the portions of food were small and that Food is the weakest part of the home, there needs to be more variety and more substantial meals. This was not confirmed during this visit to the home which showed a varied menu, adequate portions and staff asking residents if they would like second helpings. Residents are weighed regularly and charts showed that the majority of residents were steadily gaining weight. In instances where a resident had lost weight due to a specific reason such as illness, care plans identified that actions had been sought immediately and actions taken to address this. All residents spoken with said that they enjoyed their food and that the home would always provide a further choice if they did not like the days menu or alternative menus. Comments received stated: Excellent food. I usually like the meals and we have a choice each day so we can always choose something else. A weekly cut of top class meat would be welcome. Meals can be taken in either a pleasant dining room or in residents own rooms and visitors are welcome to join residents for meals. The dining room tables and trays to go to the rooms were set out in a manner which was conducive to stimulating the appetite, and staff were seen assisting those residents who required this, in a dignified and empathetic manner. Kitchen staff have the appropriate qualifications and the home employs sufficient catering staff over the seven day period to negate the need for care staff to help in the kitchen. The latest Environmental Health report on the kitchen was very positive. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and visitors were confident that the home will address any complaints in an open, transparent and appropriate manner. Staff were knowledgeable about adult safeguarding and the relevant reporting procedures and aware of their responsibilities in safeguarding those in their care. Evidence: The complaints policy is displayed in the entrance hall and is included in the Service User Guide. Surveys received from residents showed that they were all aware of how to make a complaint but the majority of residents and visitors spoken with said that they would take any concerns or complaints to the manager instead of making a formal complaint, and were confident that these would be dealt with appropriately. Records showed that all concerns and complaints have been addressed and responded to in a timely and appropriate manner. The home has had four minor concerns and one complaint since the last inspection. There has been the one adult safeguarding issue in the past twelve months which was unfounded. Training records showed that the manager and other senior staff had attended adult safeguarding training courses with the local authority, and that all other staff had Care Homes for Older People Page 19 of 30 Evidence: received adult safeguarding training with a relevant trainer. Staff spoken with were conversant with the actions they should take if they suspected a person in their care was the victim of abuse, and were aware of their responsibilities to safeguard those in their care. The home has a whistle blowing policy and staff were aware of this and said they were comfortable that any concerns they had would be addressed in an appropriate manner. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and comfortable home. Policies are in place to minimise the spread of infection and management ensures that staff receive regular training in infection control. The rear garden is not currently accessible to residents who need help with mobilising, therefore this important amenity is denied to them, and the current arrangement of call bells in the lounge could impact on residents safety. Evidence: Brooklands is an older property converted into a nursing home. Resident accommodation is situated on two floors both of which are served by a shaft lift. The home provides communal accommodation which consists of two lounge, dining room and smaller seating area. The ground floor lounge currently accommodates the serving hatch from the kitchen which could disturb residents; and concerns were also raised about the unavailability of call bells in the lounge as there is only one at present, the manager has agreed to address both these issues and will inform CQC when these have been done Large well maintained gardens surround the home but currently only mobile residents can access the gardens, the manager said that the provider is in the process of addressing this by obtaining quotes for providing pathways. We have requested that Care Homes for Older People Page 21 of 30 Evidence: the provider informs us of the proposed completion date for this work. Residents accommodation is provided in mainly single rooms although the home has one double room to accommodate a couple or friends. All of the residents rooms with the exception of two, have en suite facilities. Residents rooms look out onto either the adjoining forest or the large gardens. Each room has a call bell facility, furniture appropriate for the individuals needs and a lockable drawer. Residents can bring in their own possessions to make their rooms homely and may be able to bring in some furniture following discussion with the manager. Residents can be provided with a key to their rooms under the auspices of risk assessment and if they so require. All areas of the home were seen to be clean and comfortable and ongoing maintenance takes place. There is an urgent need for redecoration in some parts of the home and the manager informed us this is being planned for. Areas around the home are in need of re carpeting and the manager informed us that this has been planned for later this year. Surveys received commented that the home is always clean and smells fresh and one survey likened it to a country house. All windows above first floor have window restrictors for safety and records showed that these were checked on a regular basis. The temperature of the hot water supplied to residents is monitored regularly and examination of the records showed that these were within recommended parameters for safety. The home has policies and procedures to ensure infection is minimised and there were sufficient gloves and aprons available which staff were seen to be wearing at appropriate times. The home has a member of staff who is the Infection Control Champion which means that this member of staff has undertaken specific training in infection control and regularly liaises with the Health Protection Agency and ensures that the home is following latest research and policies to prevent infection. The home has two assisted bathrooms and an assisted shower room and has other equipment such as hoists, electrically powered beds and pressure mattresses to ensure that residents independence is maximised. Care Homes for Older People Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty on a daily basis to meet the needs of the residents in the home. Staff receive sufficient training to enable them to care for the residents in the home and to ensure the smooth running of the home. Robust recruitment systems in the home ensure the safety of the residents. Evidence: Observations of staff working, examination of duty rotas and discussion with residents and staff showed that there were sufficient staff working over a twenty four hour period to ensure the care of the residents and general smooth running of the home. The home has a low staff turnover and staff said that agency staff are rarely used. Staff comments gained on the day, by telephone contact and in surveys received included were all positive and included: Love coming to work. All the comments I had heard about this home were excellent so I came to work here. Care Homes for Older People Page 23 of 30 Evidence: We get very good support from the manager. Training records showed that staff receive initial induction training which is followed by training to meet the needs of the residents in the home. Staff are encouraged to attain the National Vocational Qualification in Care at level 2 or above, currently 8 members of staff (47 ) hold this qualification. The majority of the members of staff are from overseas, some are registered nurses in their own country who have successfully attained NVQ3 and above and are now training to be registered in this country; the home has approved mentorship and the manager also mentors student nurses from Brighton University. Training records showed that staff have received mandatory training and ongoing training relevant to the work they have to do. The catering assistant is in the process of completing the Food and Hygiene certificate. It has been recommended in another area of this report that the activities coordinator receives training appropriate to her work. Registered nurses are encouraged to attend the relevant training courses to increase their knowledge or update their current skills. Staff personnel files of both new and some existing staff were examined. These showed that the recruitment practices in the home were sufficiently robust to ensure residents safety. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management systems in place demonstrated that the home is continually working towards improving the standards of care and services to residents and ensuring a safe environment for residents, staff and visitors. Evidence: The manager has been in post for ten years, she is a registered nurse and has undertaken management training. She is registered withthe Care Quality Commission. Discussion with the manager showed us that she was aware of the need to maintain and update her knowledge and has attended updating training on various clinical and regulatory matters. The manager and senior staff have attended training on the Mental Capacity Act and Deprivation of Liberty Safeguarding. This training is now being made available to other members of staff. Care Homes for Older People Page 25 of 30 Evidence: No residents in the home have currently required to be assessed for any deprivation of liberty measures. Comments received from surveys, conversation with staff, visitors to the home and residents showed that the ethos in the home was excellent. Staff commented that they received very good support from all of the management: We have a good manager to run the home who gives good support to staff and residents. We have a very good manager who continually works to make this home a better place Residents and visitors to the home said : Brooklands and all their staff are wonderful, I feel very lucky to be here and I appreciate the friendships I have with the manager and staff. A most helpful and first class staff and management. A consultant member of hospital staff told me that Brooklands was an excellent home with good care and I would have no problems if I put my (relative) in here. The home conducts six monthly quality monitoring audits which includes sending surveys to health and social care professionals, staff, relatives and residents. Comments received where mainly positive. Local GPs commented: Superb staff and excellent level of care Continuing excellent standards. Information received from the audits are collated and where necessary, used to improve the levels of services provided. The manager said We can always learn, its an ongoing matter of trying to achieve excellent outcomes for the people living here. Residents and relatives meetings are held six monthly as are staff meetings and the manager sometimes has lunch with the residents to gain their views. Minutes from meetings were seen. Comments and suggestions from these meetings are acted upon. Care Homes for Older People Page 26 of 30 Evidence: The home does not act as appointee for residents or hold any residents money for safekeeping. There was evidence that staff receive regular supervision and that the registered provider makes monthly reports on the status of the home (Regulation 26 visits and reports). Policies and procedures have recently been reviewed and there was evidence that utilities and equipment have been serviced at the required intervals. A fire risk assessment is in place and there was evidence of robust risk assessment of individual residents and their accommodation, and evidence of general risk assessments around the home. All staff have received mandatory health and safety training relevant to their role and no areas of potential risk to residents, staff or visitors were seen. Care Homes for Older People Page 27 of 30 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 28 of 30 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 29 of 30 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 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!