Inspection on 14/06/06 for Brockwell Court Care Home

This inspection was carried out on 14th June 2006.

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

Brockwell Court Care Home 23/05/07

Brockwell Court Care Home 09/11/05

Brockwell Court Care Home 16/05/05

Brockwell Court Care Home 07/12/04

Brockwell Court Care Home 20/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Brockwell Court Care Home 9 Cobden Street Consett Durham DH8 6AH Lead Inspector Mrs Sue Lowther Unannounced Inspection 14th June 2006 09:30 X10015.doc Version 1.40 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 Brockwell Court Care Home DS0000000703.V297787.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 Older People. 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. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brockwell Court Care Home Address 9 Cobden Street Consett Durham DH8 6AH 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) 01207 501851 01207 501864 Alliance Care (Trendlewood) Limited (wholly owned subsidiary of Four Seasons) Mrs Sandra Savage Care Home 75 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (59) of places Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Named Individuals The home may accommodate individuals as set out in a letter to the registered person dated 8 April 2003, which establishes the basis on which the individuals needs will be met by the home. Where necessary the homes Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else other than the named individuals who fall outside the registered categories. Two staff members must be nominated to be key workers and associate key workers for those 3 named individuals in the category of LD (E). They must receive appropriate training specific to learning disabilities unless they have relevant experience and have previously received appropriate training. 9th November 2005 2. Date of last inspection Brief Description of the Service: Brockwell Court Care home is a purpose built home in the centre of Consett. It is within easy reach of the shops, library and town centre amenities. The home provides twenty-four hour nursing and personal care for older persons. There is a separate unit for people who have dementia. The home offers single room accommodation which all have en-suite facilities. There are sufficient toilet and bathroom areas located throughout the home, some with specialist adaptations for people who are less mobile. Several spacious lounge and dining areas are also available. The fees charged at the time of this inspection were between £365 and £579 per week. This does not include hairdressing, chiropody, newspapers, personal toiletries and clothing. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Brockwell Court took place on the 14th & 15th June 2006. Records were examined and a tour of the building took place. Time was spent talking to service users, staff and relatives. The manager supplied some information on a pre inspection questionnaire. Ten service users and three relatives returned surveys to the Commission for Social Care Inspection (CSCI.) Information about these is reflected in the report. The inspection focussed on key standard outcomes for service users. What the service does well: Service users and relatives gave positive comments about the care provided at Brockwell Court. Service users have access to health care and other professionals. There are safe systems in place for the administration of medication. Family and friends can visit the home at any time. Routines within the home are flexible and service users are encouraged to make choices. Residents say that their privacy is maintained and that they are respected. The company have policies and procedures in place to support staff working in the home. Health and Safety systems within the home protect service users, staff and visitors. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 6 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. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst admissions to the home are well managed some service users have not received a contract to tell them what is included in their fees. The home does not provide intermediate care and therefore assessment of Standard 6 is not applicable. EVIDENCE: Ten people returned questionnaires. Five people said that they had not received a contract from the home and did not know what was included in their fees. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 9 Two care plans examined showed that a full pre-admission assessment had been carried out. The manager said that that she visits the prospective service user before admission to the home. The service user and their relatives are involved in this process. One family said that they had looked around the home before their relative went to live there. They said that there was enough information available for them to decide whether or not their relative would like to live in the home. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some care plans require more information to ensure that all care needs are appropriately met. Medication within the home is well managed promoting good health. EVIDENCE: The manager said that all of the service users have care plans. Four were looked at during the inspection. One service user did not have care plans for all of the needs identified in the admission assessment. Two of the service users spoken to said that they were aware of their plan of care but there was no evidence to confirm that they had been consulted. Where possible care plans should be signed to confirm that the service user has been involved in the decision about their care. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 11 Records examined showed that service users receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. The inspector spoke to four people who said that they usually receive the support and care they need. One service user said, “The staff are really good, they got the doctor to come and look at my painful knee”. Medication systems were looked at during this inspection. The home uses a monitored dosage system. An audit of medication was carried out and found to be in order. Temperature recordings for the drug fridge in the upstairs treatment room were in excess of 8°(c). This was brought to the attention of the manager who agreed to attend to this immediately. She said that a fridge on another unit could be used until a new one arrived. Service users and relatives said that the staff are polite, friendly and treat people with respect. One relative said, “Staff always knock on the door, they’re helpful and very friendly”. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for most people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. EVIDENCE: The home employs an activities co-ordinator. Several service users spoken to commented on activities. One said, “The activities are really good. I went out shopping yesterday”. A relative said that one of the reasons her mother chose the home was because the activities were good. One service user said, “The activities are too childish. I don’t bother anyway due to being deaf”. The manager told the inspector that the activities organiser is speaking to people on an individual basis to try and create a programme that suits individual needs and wishes. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 13 Relatives said that they can visit at any time and that they are always feel welcome. One relative said, “You can come and go as you please”. The dining area is spacious and comfortable. During lunch the atmosphere was relaxed and unhurried. Staff who were helping service users with their food did this in a courteous and discreet manner. Service users said that they like the food and that they get a choice. One said “Nice food, there is a choice but mine is limited due to medical problems. The cook always asks me how I like my food cooked”. Another said, “The food is good, portions are just right”. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that complaints are dealt with properly and that systems are in place to keep them safe. EVIDENCE: Information is available for service users and visitors to the home on how to make a complaint. Service users and families views are obtained through regular contact and an ‘open door policy’. Residents meetings are held to discuss any concerns or potential difficulties. Service users and relatives said that they feel confident in discussing any issues with the manager The policies and procedures regarding protection of service users are regularly reviewed and updated. These provide information and guidance to staff. A copy of Durham and Darlington Adult Protection Committees policy and procedures on adult protection matters is held in the home. Training in adult protection has been provided for almost all of the staff. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is clean, comfortable and safe for service users. EVIDENCE: The inspector looked around the home and found it to be light and airy. Service users said that they could take their own possessions into the home to make their rooms more pleasant and homely. One service user said, “I love my bedroom and really like my new carpet”. During the tour of the building the inspector saw that the flooring in some of the bathrooms and dining areas was a little shabby. The manager said that she plans to have these replaced. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 16 The communal areas of the home were clean and service users confirmed that their bedrooms are always cleaned to a good standard. There were no unpleasant smells apparent on the day of inspection. All of the people who returned questionnaires said that the home is always clean and fresh. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are recruited properly and in adequate numbers to meet the needs of the people who live in the home. EVIDENCE: The staffing rotas were examined during the inspection. During the morning one qualified nurse and ten care assistants are available throughout the home. Where service users’ needs increase, staffing levels are adjusted to provide an additional carer. The carers are reduced to nine during the afternoon and evening. During the night there is one qualified nurse and six care assistants available. Most of the service users spoken to said that staff are always available when they need them. One service user who prefers to spend most of the time in her bedroom said, “The staff are lovely. They are always around and pop in and out regularly to see if I am o.k.” Staff felt that these staffing levels were adequate but when there is sickness they sometimes have to work short. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 18 Training has recently taken place in fire safety, health and safety, infection control and Protection of Vulnerable Adults. Certificates to confirm this were seen in staff files. Due to staff changes within the home only 17 of staff are currently trained to NVQ Level 2. However several staff are currently enrolled on the course. When these have completed it there will be over 50 of staff with this qualification. Four staff files were audited. One was for a recently recruited member of staff. All contained evidence that the required checks are carried out before employment to protect service users. This includes two references, an enhanced criminal record bureau check (CRB) and a medical reference. Induction and training records are also available. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager is well qualified, with several years experience in working with older people. She has almost completed the Registered Managers Award. One service user said, “The manager is lovely. She helps me all of the time”. A member of staff said, “I am well supported and always know where I can contact the manager”. Meetings are held every Friday afternoon. Service users and families are welcome to attend. This gives people an opportunity to make their views about the home known. The area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. Copies of these were available in the home. The administrator is responsible for the record keeping with regard to service user finances. The company audits these on a monthly basis to ensure that residents are protected. The manager confirmed that the home carries out regular Health & Safety checks. The inspector checked some of the records. Those viewed were up to date. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 22 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 OP2 Regulation 5(1)(b) Requirement Each service user must be supplied with the statement of terms and conditions (a contract) so that they understand the service that they are entitled to receive. Service users must have care plans that cover all of their needs. Timescale for action 31/08/08 2. OP7 14(1)(b) 15(1)&(2) 17 31/08/06 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. 2. 3. Refer to Standard OP12 OP30 OP31 Good Practice Recommendations The activities programme should be reviewed so that individual preferences can be met. The number of staff with an NVQ Level 2 or equivalent needs to increase so that the home meets the target of at least 50 of staff having this award. The Registered Manager should continue to work towards achieving the Registered Managers Award to enhance her management skills and ensure the home is run in the best DS0000000703.V297787.R01.S.doc Version 5.2 Page 23 Brockwell Court Care Home interests of the people who live there. Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Brockwell Court Care Home DS0000000703.V297787.R01.S.doc Version 5.2 Page 25 - 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!