Inspection on 19/04/05 for 10 Brooklands

This inspection was carried out on 19th April 2005.

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.

Other inspections for this house

10 Brooklands 30/04/09

10 Brooklands 30/04/07

10 Brooklands 28/09/05

10 Brooklands 29/09/04

10 Brooklands 23/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 10 Brooklands Tunbridge Wells Kent TN2 3AD Lead Inspector Ann Block Unannounced 19 April 2005 15:50 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 10 Brooklands Address 10 Brooklands Tunbridge Wells Kent TN2 3AD 01892 537076 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lynne Melanie Weatherly CRH Care Home 5 Category(ies) of LD Learning Disability (5) registration, with number of places 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 September 2004 Brief Description of the Service: 10 Brooklands is a two storey semi detached house in a quiet residential area of Tunbridge Wells with a secure garden to the rear. The service is registered for five people with a learning disability. The ethos of the home is to provide a home like environment with support given to live as full a life as possible within the wider community. There has been a stable service user group for some time. The owner has been involved with caring for people with a learning disability for many years. There is easy access to Tunbridge Wells with a bus route close by and a railway station within walking distance. The front drive has space to park two cars with additional on street parking. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 3:50 and 7:10 pm. with the inspector made very welcome to the home. The inspector is familiar with the service hence a number of judgements were made from previous knowledge, confirmed by observation and talking with service users and staff. The inspector has been lead inspector for the service since April 2002. Over this time the inspector has been consistently impressed by the high standards of care and support and of the excellent qualities of the owner and staff. During the course of the inspection, the five service users returned from various day activities and were happy to speak with the inspector both privately and in a group, passing on news about their lives, recent staff changes and the reorganisation of the lounge and dining room. A member of staff was on duty with whom the service users were very much at ease. What the service does well: What has improved since the last inspection? What they could do better: 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 6 No recommendations or requirements were made or are pending. 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. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 Prospective service users are provided with a good level of written information about the service. EVIDENCE: The service user group has been stable for sometime. If, as planned, existing service users move into more independent accommodation vacancies might arise. From discussion with the owner the process of introducing new service users into the home will be carried out with care and consideration for those remaining at 10 Brooklands and to ensure that the service can meet need. Any such prospective service user will have access to suitable written information to inform them of the service and what it is like to live there in the form of a statement of purpose and service users guide. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 & 10 Service users care and support needs are well managed enhancing service users independence and overall quality of life. EVIDENCE: Service users told the inspector that staff knew their needs very well as was seen during the inspection. Whilst the care plans were not inspected on this visit, previous experience indicates that the standard and depth of recording is very good. In hearing about peoples news, the inspector was assured that needs are regularly reviewed with any changes managed in discussion with the service user and other relevant people. Service users were heard to be fully consulted during the decision making process with suggestions rather than directives made by staff. Weekly house meetings are held which service users referred to as being a place where they could talk about the running of the service, any changes and plans for the future. A service user said that such meetings were only for residents, friends would be asked not to visit at that time. A discussion with one service user evidenced the level of supported independence that service users have within a sound risk assessment process. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 10 Whilst service users were open in their conversations as part of the inspection, there was a good awareness of confidentiality issues. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12,13,14,15,16 & 17 Service users have every opportunity to live a fulfilled, responsible, valued and socially active life. EVIDENCE: The service is excellent in promoting the development of educational, personal, social and emotional skills. Service users made many references indicating how self-esteem and confidence was built up. The group are outstanding in the manner in which they respect each other and friends, being considerate to the different abilities and without prompting, giving courtesy, support and consideration. Service users told the inspector of all the activities they had been part of and talked of plans for their summer holiday. Mention was made of formal day services, gardening work and shopping in Tunbridge Wells at the weekend. One service user had her key day spent at home that day on a one to one with staff. A recent change has been to hold a local church group meeting at the house which the service users were looking forward to later that evening. The rearrangement of the lounge was to enable the meeting to include friends. A service user spoke of contacts with the local pub and how he 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 12 had arranged to do some gardening there. Another service user talked about current family problems and how she was able to assist, including inviting her mother to lunch the previous Sunday. Staff recognise that family is important to service users and promote contact, if necessary by taking the service user to visit. Service users have their own separate phone line. Service users demonstrated that they were aware that whilst they have rights, this only came with responsibilities. Such an example was in the rota that is set up for household and other tasks, a service user was proud to say that she had responsibility for putting the recyclable waste out. The group sat down to their evening meal during the inspection which was spaghetti Bolognaise followed by fruit or yoghurt. The group said how much they enjoyed the meal. Food is served in serving dishes enabling both cooperation between the group and to meet individual preferences. Service users are fully involved in choosing food and meal preparation within a risk assessment process, one service user explained why they were not allowed to use the cooker. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service users health and care needs are very well managed and take into account service users individual preferences and needs. EVIDENCE: Service users feel that they are treated as individuals and that this is respected in care giving and support. Service users are expected to maintain acceptable standards both in house and externally and are encouraged to maintain these standards. Service users were noted to shower and change for the evening meal after returning from day activities. Service users said that they were able to choose when to go to bed and when to get up but they were aware that they should follow any agreed day activities and this might influence timing. Families are involved in life at the home, but only as afar as the service user wishes. Health care is well managed with service users encouraged to take responsibility as far as they are able. A service user spoke of recent specialist hospital attendances and how she was benefiting from the change of medication as a result. Service users have spoken of visits to the chiropodist, dietician and optician. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users are able to raise concerns and be assured that these concerns will be listened to and acted on. Service users are protected as far as possible from the risks of harm or abuse. EVIDENCE: Service users have a range of opportunities to voice concerns and worries about the service. Service users spoke of the house meetings as being one place where they felt comfortable being supported by the group. Another service user felt that sometimes it was easier to talk with staff or the owner directly and said she was able to talk with them in private. All service users thought that concerns they had raised had been acted on, or they were told why action couldn’t be taken. Service users have a very good awareness of risk and understand the principles of Adult Protection, including how to remain safe when in the community. The home has policies on the prevention of abuse; staff understanding of such policies was not explored on this occasion. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 & 30 Service users enjoy living at 10 Brooklands, it is safe, nicely decorated, well maintained and homely. EVIDENCE: Being in a Close of similar houses, 10 Brooklands fits easily into the locality. Service users said they like being able to walk to the bus and train. Service users have a safe place in which to live, since the last inspection work as recommended by the Fire Safety Officer has been carried out. Service users said the lounge was comfortable and were pleased now it had been rearranged to allow service users and their friends to sit as a group. Service users spoke of how their rooms were made very personal and being places where they could be private if they wished. Some rooms have an additional bed settee where friends can stay over by agreement. A service user explained how her specialist alarm was used and how she ensured it was set each evening. Service users have use either of their own en-suite, or of the spacious bathroom and ground floor toilet. Staff have their own sleep in room/office. Service users spoke of using the garden, particularly in better weather. There is access from the lounge onto a decked area. Service users use the kitchen to 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 16 make drinks and assist with meal preparation, they are very aware of risks when in the kitchen. As the laundry is behind doors in the kitchen area, service users said they are not to do any laundering when meals were being cooked or served. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and35 Service users quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: Service users all spoke very highly of the owner and the staff team. It was felt that staff were very approachable. The owner places an emphasis on staff listening to service users and to support rather than directing their lives. Certainly, service users spoken to felt this was the case. The member of staff on duty, who was relatively new, said this felt quite different to her previous experience in care work, but she was enjoying it. Service users have a range of abilities and wishes; staff receive in house and external training and direction to work with individuals in their preferred manner. The owner spoke of staff undertaking NVQ level 3 training. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, & 42 Service users consider that the way the home is managed and run makes it an enjoyable place for them to live. Service users are safe in the home, being very well maintained. EVIDENCE: Service users routinely spoke very highly and with great regard for the owner. She is a consistent feature in their lives. They appreciate the work she carries out to ensure that the right staff are employed and that the home is well run. Staff are expected to follow the principles of care that will benefit service users to develop their potential and have a good quality of life. Service users and staff are clear about equal opportunities and how this is put in practice. Many references were made during this visit to action having been taken where there were maintenance needs. Service users spoke of the action they should take if there was a fire or an emergency. They referred to the alarm system and contact numbers for the owner and staff. 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 3 4 4 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 10 Brooklands Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 4 x x x 3 x H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 20 NO 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. 1. Standard Regulation Requirement None from this inspection 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 Good Practice Recommendations None from this inspection 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 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 10 Brooklands H56-H06 S23803 10 Brooklands V222414 190405 Stage 4.doc Version 1.30 Page 22 - 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!