Inspection on 30/04/07 for 10 Brooklands

This inspection was carried out on 30th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 28/09/05

10 Brooklands 19/04/05

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 Geoff Senior Key Unannounced Inspection 30th April 2007 13:00 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 10 Brooklands Address Tunbridge Wells Kent TN2 3AD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01892 537076 lm.weatherly@btinternet.com Mrs Lynne Melanie Weatherly Mrs Lynne Melanie Weatherly Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: 10 Brooklands is registered as a Care Home for up to 5 adults with a learning disability. Mrs. L. Weatherly is the Registered Provider and Registered Manager. The ethos of the home is to provide service users with care and accommodation in a home like environment with support to live as full a life as possible within the wider community. Service users are encouraged to have confidence in managing their own lives, to develop their own potential and to learn general life skills. They may be supported to a point where they feel safe and confident enough to move to an independent living situation supported by people they are familiar with.. The owner has been involved with caring for people with a learning disability for many years. 10 Brooklands is a two-storey semi detached house in a quiet residential area of Tunbridge Wells with an enclosed garden to the rear. There is easy access to local facilities and Tunbridge Wells centre 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. The reported fee structure is £524 per week. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of 10 Brooklands included an unannounced visit to the home that was undertaken on 30/04/07. Time was spent talking with the Provider/Manager and with staff on duty. The opportunity to discuss with the service users’ their experiences and opinions of the home was limited by their involvement in activities. One service user was however on her ‘house day’ and made time to sit and discuss several topics and lead the guided tour. Brief conversations took place with other service users as they came in and before they departed for other activities. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records was inspected. The comments of family members, noted in feedback forms were generally supportive of the service offered. The comments include: ‘The care staff at the home are very skilled at their jobs. A very high standard’, ‘I don’t think that the home could do any more than it does already’. ‘The owner has a consuming passion to care for her service users. She has a great ability to lead her team to give the individual care that allows X to be herself and to call Brooklands home’. ‘ X has a lot of problems and there is always someone to help’. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: The staff work positively with the service users helping them to communicate their needs, develop skills and confidence and maintain their independence. Service users views and opinions are actively sought and considered. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 6 There is good leadership in the home and staff are offered the opportunities to identify and follow further study/training. The home aims to be inclusive and enables service users to maintain appropriate links with families, friends and significant others. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good Prospective service users have good systems in place to decide if 10 Brooklands is where they would like to live. There is a system for pre admission and ongoing assessment of service users to ensure mutual benefit and compatibility of the placement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The admission process for 10 Brooklands offers the prospective service user and the home ample opportunity to obtain and assess information before deciding whether this is the right placement. Service user needs are fully assessed to ensure that the Home has the skills and experience to appropriately support the individual throughout the probation period and beyond. The owner is clear that only people whose needs can be met and who will gain from living in the service will be offered a place. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 9 Any prospective service user is offered 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 DS0000023803.V336830.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is excellent, The care of residents is well promoted because of the home’s clear and consistent care planning process. Staff have a good understanding regarding residents’ rights to make decisions and to be consulted on matters affecting them. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed well structured, informative and person centred client files. The support needs of each individual are clearly identified. This enables new and existing staff to better understand and effectively support the service users, and help them with working towards achieving goals. Day 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 11 records note the completion or otherwise of support tasks identified in care plans and may be easily cross-referenced. Service users said that they thought staff knew them ‘pretty well’. Each person has a key worker who arranges appointments for them, helps them with shopping if necessary, budgeting, taking part in reviews and generally oversees their wellbeing. All care plans are regularly reviewed and team meetings are used to pool ideas and further develop the detail. Service users are helped to make decisions affecting their daily lives with regard to activities, outings, routines and food choices amongst other things.. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is excellent. Service Users enjoy an active, fulfilling daily lifestyle that respects their rights. Service users may actively participate in the development of menus and the preparation and cooking of meals. Family and friends are welcomed into the home and contacts with the community are maintained This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff at the home have worked positively with the service users to establish interests, likes and dislikes. The service users are supported to attend and enjoy an extensive range of social, educational and therapeutic activities. It would appear from the programme and talking to the service users, that they are seldom in. If an activity is identified as particularly attractive or potentially 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 13 beneficial to an individual then every effort is made to achieve the goal. Most of the resident group have a fairly well established pattern of social/educational activity but this remains flexible in order to meet daily needs. All Service Users are offered, and help to choose, an annual holiday. Visitors are encouraged and made to feel welcome at the home. Restrictions are placed only in accordance with the wishes of, and convenience to, the Service User. The staff keep in contact with families to update them on progress and changes. The Service User group is generally well established and the staff are aware of food likes, dislikes and preferences. Meals are provided mainly based on these wishes, but also taking into account the need for a reasonably balanced diet. Those service users who are able assist with meal preparation with a roster for kitchen duties. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is excellent. Service users can feel confident that their healthcare needs are monitored and addressed. Service users are protected because appropriate medication systems and policies are in place. Service users can feel confident that their privacy and dignity will be respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are treated with dignity and respect and appropriate levels of privacy are maintained. The current service users require minimal assistance with most aspects of their personal care. Where help and guidance is necessary however, the staff are instructed and supervised to provide this thoughtfully and sensitively. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 15 The healthcare needs of the service users are monitored and addressed with service users encouraged to take responsibility as far as they are able. The keyworker system includes making health appointments, supporting visits to the dentist and optician, and specialist appointments. The Home has developed positive relationships with the local health agencies and any issues are identified and acted upon with guidance from professionals. The medication records and storage are up to date and adequate for the needs of the home. It was suggested that the home may wish to obtain, for reference purposes, a copy of the Royal Pharmaceutical Society of Great Britain publication ‘ The administration and control of Medicines in Care Homes. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. Service users are able to raise concerns and be assured that these concerns will be listened to and acted on. Systems are in place to protect service users, as far as possible, from the risks of harm or abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff and management have an awareness of issues relating to protection of vulnerable adults and have produced a written complaints procedure. Service users say they are able to talk with their keyworker or the owner about any concerns, however minor they might seem. Service users will also be supported to complain through the proper channels if they receive or see poor practice elsewhere. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is good. Service users enjoy living at 10 Brooklands which is safe, well decorated, properly maintained and homely. The Home presents a comfortable, welcoming and varied environment in which to live and work This judgement has been made using available evidence including a visit to this service. EVIDENCE: Being in a cul de sac of similar houses, 10 Brooklands fits easily into the locality. Service users like being able to walk to the bus and train and to have shops, pubs and churches locally. They also like having the two community support houses, where some of their friends live, close by. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 18 The house has a large lounge/dining room with plenty of space to sit, including when friends call round. Service users rooms are generally large, some have a double bed, and others have a bed settee for guests. Each room is decorated and personalised to the service users choice. 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 use the garden, particularly in better weather. There is access from the lounge onto a decked area. Service users use the kitchen to make drinks and assist with meal preparation, they are very aware of risks when in the kitchen. Maintenance is carried out both in a planned and responsive manner. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area good. Service users’ quality of life is enhanced by the support and expertise of the staff employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: 10 Brooklands offers staff a good development programme. Mandatory training is provided and staff receive updates, refresher and service specific courses as required. The Management is aware of the expectations of the standard regarding NVQ training. Currently the majority of staff are undertaking a full induction in line with LDAFF guidelines. Enrolment to NVQ level 2 is planned on completion of the induction programme. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 20 There is a general rota pattern that provides for the staffing levels to reflect what service users are doing that day, including who will be supported at home. When staff are lone working they will always have someone else on call. Staff members undertake catering and laundry duties as well as care support duties. The Management confirmed that staffing levels are increased at times of need to ensure that choice, opportunities for social and individual activities and the management of emergencies are not compromised. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. Staff files contain appropriate reference checks and all staff have current CRB checks. . Staff said they receive one to one supervision regularly where they discuss training, personal issues, client related matters and their views of the service. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is excellent. The home benefits from a well trained and experienced management team with clearly defined roles and responsibilities. Service users consider that the way the home is managed and run makes it an enjoyable and safe place for them to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Weatherly has a clear vision for the direction of the home and standards she wishes to attain and maintain. This has been communicated to staff who are aware of the expectations, duties and responsibilities of their role. Mrs 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 22 Weatherly is in control of the home and in day-to-day contact in her management and support worker role. She has completed the Registered Managers Award. Her deputy is also undertaking this award. There are formal and informal systems in place for quality assurance. Questionnaires are sent out as part of a quality assurance system. Staff are in regular communication with family and advocates of the service users to inform and update any changes and progress. The staff and service users benefit from an open and inclusive management approach and have opportunity to express opinions at regular meetings. Staff said they have access to a range of policies which they read and refresh regularly. Records as required to support good care and as part of regulatory requirements are kept in good order and safe. Service users are aware they can see information held about them. Staff and service users take part in regular fire training, all understood the procedure to be followed in the event of fire. Service users referred to the alarm system and contact numbers for the owner and staff. Staff and service users are conscious of good health and safety practice and follow very high kitchen standards. Pre inspection information records that services and supplies are maintained within recommended timescales. Feedback from relatives indicated a high regard for the management and staff team at 10 Brooklands. 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 X 4 X X 4 x 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 10 Brooklands DS0000023803.V336830.R01.S.doc Version 5.2 Page 26 - 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!