Inspection on 01/12/05 for Brook House

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Brook House 16/08/07

Brook House 10/05/06

Brook House 03/06/05

Brook House 09/12/04

Brook House 05/05/04

Brook House 28/01/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Brook House 213 Barrack Road Christchurch Dorset BH23 2AX Lead Inspector Martin Bayne Unannounced Inspection 09:00 1 December 2005 st 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 Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brook House Address 213 Barrack Road Christchurch Dorset BH23 2AX 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) 01202 483960 NO FAX mchauuico1@aol.com Mr Mahomed Rechad Chaumoo Mrs Ludivina Thelma Chaumoo Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd June 2005 Brief Description of the Service: Brook House is registered to provide personal care and accommodation for up to eleven people in the category of frailty of old age. The home is an older style property situated on one of the main roads into Christchurch town centre. The home has seven single rooms and two shared rooms. Three of the single rooms are located on the ground floor, together with the communal areas of a lounge and dining room. There is no passenger or stair lift to the first floor. Car parking is available to the side of the home and residents have access to a small garden area at the back of the home. The home is a family run business with the staffing being provided by family members. Mr & Mrs Chaumoo living on the premises. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place between 9:00am and 2:30pm, with Mr Chaumoo assisting throughout the inspection. The aim of the inspection was to follow up on the requirements and recommendations from the previous inspection in June and to evaluate the home against core standards that were not inspected on the last inspection. During the inspection all of the residents were spoken with. There were no relatives or other visitors to speak with on the day of inspection. What the service does well: What has improved since the last inspection? At the last inspection there were seven requirements and six recommendations made all of which have been addressed by the proprietors. Care plans have been developed, however as reported later in this report there are still some changes to the system that have been agreed. Recording of accidents has now been brought in line with the data protection act. Portable electrical equipment has now been tested and a certificate seen. All staff have received moving and handling training in August. A resident’s survey has been carried as part of an audit of quality assurance. Recommendations have been adopted in respect of recording allergies of residents and providing a sample of staff signatures for staff who administer medication. The complaints procedure is now displayed in larger type in each resident’s bedroom. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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): 3&6 The home has a system in place for ensuring that resident’s needs are assessed before they are offered a place at the home. EVIDENCE: The paperwork and required records were tracked through the inspection relating to three residents. Two of these residents were funded through the local authority and one privately. It was found that a copy of the care management assessment was on file for the two residents funded through the Local Authority and in the case of all three either Mr or Mrs Chaumoo had carried out a preadmission assessment. Once it had been determined that the home could meet the needs of the residents, a letter had been sent offering them a place at the home. On entering the home a full assessment of need had been carried out from which the care plan had been developed. The home does not provide a service for intermediate care. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 the following standard(s): 7 Care of residents could be compromised, as care plans in some cases were not up to date. Care planning will be improved through adopting one format of paperwork. EVIDENCE: At the last inspection a requirement was made regarding the care plans in that they should provide better detail as to the assistance that the staff should be offering to residents. Since that time a new format has been developed and used for care planning with some residents. This format for recording care planning met the standards and provided sufficient detail for a new member of staff to provide care residents. It was agreed that this format would be adopted for all the care plans. It was also found that a generalised risk assessment had been carried out in respect of all of the residents. It was agreed that specific areas of risk would be addressed through the careplanning format. During the inspection all of the residents were seen and spoken with. In the case of one resident their health had deteriorated within the previous weeks and the level of care they required had increased. This however had not been Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 10 carried over to the care plan and a requirement was made that care plans be kept up to date reflecting the needs of residents. Many of the residents have lived at the home for many years and their physical and mental health in many cases has deteriorated. It was agreed that the providers of the service should plan on how the home will develop in the future. This will be followed up at the next inspection. At the last inspection two recommendations were made in respect of the medication procedures. Both of these (a sample of signatures of staff who administer medicines and listing allergies on the MAR sheets) have been adopted. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 Residents are provided with a balanced and wholesome diet. Residents are able to exercise choice within the home and can maintain contact with family and friends. Entertainment and stimulation for residents should be improved through the employment of an entertainer. EVIDENCE: At the last inspection a requirement was made in respect of the food provided. Mr Chaumoo said that a new menu had been developed and this reflected a wholesome and balanced diet. The residents spoken with said that they were happy with the food and said there was adequate to eat and their likes and dislikes respected. The midday meal was seen and this was appealing and ample in portion. The requirement was therefore met. The residents spoken with said that they could receive visitors when they wished within their rooms or in one of the communal areas. A letter of thanks from one relative was on display in the hallway. With regards to residents being able to exercise choice and control over their lives, it was found that residents could get up and go to bed when they chose. Likes and dislikes of food were catered for, residents can choose whether to have their personal care needs provided by a male or female carer and dependent on risk assessment can administer their own medication should they choose. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 12 At the last inspection it was recommended that more be provided in the way of entertainment and activities for residents. Mr Chaumoo informed that he was to employ an outside entertainer to visit the home each week and provide entertainment for the residents. This will be followed up at the next inspection. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 the following standard(s): 16 Residents benefit from a full and well-publicised complaints procedure. EVIDENCE: The home was evaluated against these standards at the last inspection and were found to be met, however it was recommended that the complaints procedure that is displayed in each resident’s bedroom be printed in a larger font. It was found at this inspection that this recommendation had been adopted. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 the following standard(s): 19 The absence of a passenger could compromise the long term placement of residents at the home who live on the first floor. EVIDENCE: On the day of inspection the home was found to be clean and free from adverse odours. The home was also found to be in reasonable decorative order throughout. Residents are protected from hazards posed by hot surfaces and hot water through all of the radiators being covered and thermostatic mixer valves being fitted to the hot water outlets of the baths. The home however does not have either a shaft lift or stair lift to access the floors above ground level. Mr Chaumoo informed that a criteria for admission is that new residents be able to safely manage the stairs. It was agreed that the pre-admission assessment and risk assessments be developed to fully document this. At this inspection it was found that one resident whose health had deteriorated was now no longer able to access the communal areas, which are located on the ground level. It was agreed that a review should be held with the placing authority the resident and their relative as to whether the resident’s needs can be met at the home. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 15 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): 28, 29, 30 Residents would benefit from a staff training programme being put in place with respect to NVQ. To provide evidence that the home is appropriately staffed a record must be maintained of who has worked each shift in the home. EVIDENCE: At the time of inspection there were eight residents accommodated at the home. Staffing levels remain the same as at the time of the last inspection, with two staff on duty between 8am to 8pm. During the night time period there is one awake member of staff on duty and three staff members who are available if required. Staff in the main were reported to work the same shifts each week and therefore there is a standard rota. On the day of inspection however the staff on duty did not reflect those staff stated on the rota. A requirement was made that a record is maintained of who has actually worked each shift. All of the staffing is carried out by family members. A sample of recruitment files were inspected and it was found that a Criminal Records bureau had been carried out for the family members working at the home. It was agreed that the staff files would be collated into respective files as all the information was not held in one file and Mr Chaumoo would check that all required records were in place. Currently no staff are trained to NVQ level 2, however Mr & Mrs Chaumoo are qualified above this level. Mr Chaumoo reported that one staff member would Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 16 be enrolling for NVQ level 2 training later in the year. This will be followed up at the next inspection. At the last inspection a requirement was made that all the staff should receive training in moving and handling. It was reported that all of the staff have now received this training. It was also reported that all the staff who cook for the residents have undertaken basic food hygiene training. There is sufficient staff trained in first aid for there to be one trained member of staff on duty each shift. Staff have also received training in medication administration and continence care. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 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): 33 38 The carrying out of a resident’s survey has improved quality assurance to ensure that the home is run in the interests of the residents. EVIDENCE: At the last inspection requirements were made in respect to the management of the home and the following actions had been carried out to address these issues. A new accident book has been purchased that is compliant with data protection. The portable electrical equipment has bee tested and a certificate seen. A resident’s survey has been carried out as part of the quality assurance monitoring. Mr Chaumoo is currently undertaking training in NVQ level 4, Registered Manager’s Award. Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 x 9 x 10 x 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 x 2 x x x x x x x STAFFING Standard No Score 27 x 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 The service users care plan must set out in detail what actions need to be taken to meet all aspects of the health, personal and social care needs of service users as outlined in Standard 3 and be kept up to date. A record must be maintained of the duty roster and of whether this was actually worked. A review must be carried out in respect of the resident unable to access all areas of the home, involving the resident, their relative and the placing authority. Timescale for action 1. OP7 15 12/12/05 2. OP27 Schedule 4 12/12/05 3. OP7 15 09/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brook House DS0000026771.V270453.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Brook House DS0000026771.V270453.R01.S.doc Version 5.0 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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