Inspection on 30/06/05 for Brockworth House Care Centre

This inspection was carried out on 30th June 2005.

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

Brockworth House Care Centre 01/02/07

Brockworth House Care Centre 21/11/05

Brockworth House Care Centre 21/12/04

Brockworth House Care Centre 01/07/04

Brockworth House Care Centre 08/01/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE Brockworth House Care Centre Mill Lane (off Shurdington Road) Brockworth Gloucester GL3 4QG Lead Inspector Adam Parker Announced 30 June 2005 09:30am 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 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. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brockworth House Care Centre Address Mill Lane (off Shurdington Road) Brockworth Gloucester GL3 4QG 01452 864066 01452 863366 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) Methodist Homes for the Aged Ms Deborah Phillips Care Home with Nursing 55 Category(ies) of DE (E) Dementia - Over 65 (55) registration, with number MD Mental Disorder (1) of places Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The Registered Managers Award is to be completed. 2 A post registration course in Dementia is to be completed by April 2007. Date of last inspection 21/12/04 Brief Description of the Service: Brockworth House is a purpose built two-storied nursing home, situated on the A46 road between Stroud and Cheltenham, approximately 6 miles from both Cheltenham Town and Gloucester City. There are local amenities available in the centre of Brockworth Village and a regular bus service to both Gloucester and Cheltenham. The home is set in large grounds which residents are able to access with the assistance of staff. There is an enclosed patio area for residents to access on their own if they are able. The home provides 53 single rooms and 1 double room, all with en-suite facilities. Some of the single rooms also have a connecting door between them to allow for a husband and wife to share. There is a large lounge/ dining room area on each floor, a smaller quiet lounge and several seating areas in the wide corridors, and assisted bathrooms and toilets on both the ground and first floor. The kitchen and laundry is situated on the ground floor. The home provides care for older people with dementia. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five hours on one day in June 2005. The registered manager was present throughout the inspection. Care Records and the facilities to meet health care needs; meals and opportunities for social activities were inspected as well as recruitment and safe working practices. A tour of the premises was carried out with the registered manager and staff were observed caring for and interacting with service users. The care of four service users was closely looked at. Two visitors were spoken to about the care of their relatives in Brockworth House and the inspector had contact with two service users. In addition the inspector spoke to one of the nursing staff and one of the activities organisers. What the service does well: What has improved since the last inspection? The standard of the environment has improved through re-decoration and the provision of new furniture. Greater emphasis has been placed on controlling infection. Two activities coordinators are now employed and activities are planned with the specific needs of service users with dementia in mind. In addition menus have been produced with consideration to the age and needs of the service users. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 6 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. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 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 standard(s) 3 Service users are subject to comprehensive assessments to ensure that the home can meet their care needs. EVIDENCE: The home carries out its own comprehensive assessment of service users prior to admission based on ‘activities of daily living’; this is reviewed on a monthly basis. In addition copies of assessments completed by health and social services are obtained. The home carries out a mental health assessment on all prospective service users. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 9 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 standard(s) 7,8 & 10 Generally service users needs are set out in individual plans to enable health and personal care needs to be met. Care is offered in such a way as to promote the privacy and dignity of service users. EVIDENCE: Service users had individualised care plans that were subject to monthly review. Care plans were based on assessed needs although in two cases specific assessments for pressure area care and nutrition showed that service users were at risk but this had not resulted in care plans being drawn up. Apart from this, care plans showed how service users health needs were to be met in particular pressure area care, nutrition and foot care. This was further evident from the provision of pressure relieving equipment and recorded contact with health professionals. There was evidence that service users’ representatives had been consulted regarding care planning. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 10 Staff were seen to be attentive to service users’ needs in respect of privacy and dignity. In particular intervening in a timely and sensitive way when this was needed. One visitor confirmed how the care offered upheld the dignity of his relative. This was further demonstrated in the appearance of service users in the home. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13,14 & 15. The home offers a comprehensive activities programme, maintains links with the local community and places no unnecessary restrictions on visitors in order to provide service users with appropriate and ongoing social activity and individual stimulation. EVIDENCE: The home provides varied and appropriate activities for service users with dementia. There are two activities coordinators who provide activities throughout the week covering evenings and weekends. The inspector spoke to one of the activities coordinators who demonstrated an enthusiastic but realistic approach in relation to the service user group. The home has two areas dedicated for activities and also makes use of the extensive grounds including a secure garden. Examples of how the home provides for service users with dementia are one-to-one activities and a reality orientation board that is updated daily with current information. Religious services are held in the home on a regular basis covering three Christian denominations. The home keeps a record of information on service users, interests and hobbies. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 12 Up to date information about activities was displayed in the home in a suitable format. Service users were seen to be receiving visitors throughout the inspection and the home places no unnecessary restrictions on visitors. The home holds regular meetings with relatives of service users and at one of these a talk was given by an advocacy group. One visitor described how he was able to take occasional meals at the home. Outside entertainers come into the home and an annual fete is held. In addition the home maintains close links with a local Methodist church and has the support of a fundraising group called ‘The Friends of Brockworth House’ One service user goes out of the home to attend a church with the support of relatives. Evidence was seen of service users bringing their own personal possessions into the home. Meals at the home are provided by a contracted catering company and the registered manager described how she works closely with them to provide appropriate meals. There was strong emphasis on providing a menu appropriate to the age of the service users that includes dishes that they may remember from the past. Alternatives are always available and the home can cater for special diets although none were being prepared on the day of the inspection. At lunchtime staff were seen to be attentive to service users’ needs with catering staff serving the meals and care staff offering assistance to those that needed it. The home has a dining room on each floor and there is a separate small group of service users that eat together in one of the lounges. This enables social interaction and the retention of independent eating skills. Records were kept of some service users food and fluid intake where this was indicated by their care needs. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 13 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 standard(s) 18 The home has robust adult protection procedures and it can demonstrate from its recent actions that it will take appropriate measures to protect service users from abuse. EVIDENCE: The home has policies and procedures for protecting service users from abuse including a robust whistle blowing policy. Adult protection training is provided for staff and specific questions are asked about abuse in interviews of prospective staff. Abuse is also covered in the homes’ induction programme. In the recent past the home has taken appropriate action including the referral of staff for inclusion on the Protection of Vulnerable Adults register following investigations in the home. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,25 & 26 The standard of the environment within the home is very good providing service users with a clean, attractive and safe place in which to live. EVIDENCE: The environment of the home was clean and well maintained. On the day of the inspection the home had taken delivery of new armchairs and recently has had all windows replaced. A few minor maintenance issues were dealt with immediately following the inspector’s tour of the premises. The extensive grounds of the home are tidy, well-kept and accessible to service users. Radiators in the home are appropriately guarded and are fitted with individual thermostatic controls to ensure service users safety and comfort. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 15 As well as being clean the home was free from offensive odours. Hand washing facilities are available and in addition the home has recently introduced alcohol-based hand disinfection gels for staff to use in certain areas. The laundry was well ordered with washable floor and wall surfaces. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The home carries out thorough checks on all potential staff members to protect service users. EVIDENCE: With one noted exception the home uses thorough and robust recruitment practices to protect service users. In the case of one recently recruited member of staff, not all the required checks had been carried out. This was discussed with the registered manager on the day of the inspection and evidence has since been supplied to the inspector of these checks being satisfactorily completed. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The home has good training provision and practices in the area of health and safety to ensure that service users live and staff work in a safe environment. EVIDENCE: Safe working practices are ensured in the home through the provision of training in the areas of moving and handling, fire safety, first aid, food hygiene and infection control. Regular serving of electrical systems and central heating systems have taken place. Robust systems are in place to ensure that service users are protected from the risks associated with Legionella. Hazardous substances are stored safely and in line with relevant regulations. The home has a comprehensive set of risk assessments for the environment including security of the premises. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x 3 4 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x 4 Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 19 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 7 Regulation 15 (1) Requirement The registered person must ensure that service users have care plans for all their assessed needs or where this is not deemed necessary a written statement to this effect appears in the service users records. Timescale for action 30/9/05 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 No recommendations. Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester GL3 4AB 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 Brockworth House Care Centre D51_D03_s35042_Brockworth House_v227901_300605_Stage 4.doc Version 1.30 Page 21 - 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. 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