Inspection on 10/05/06 for Brook House

This inspection was carried out on 10th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brook House 16/08/07

Brook House 01/12/05

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 Key Unannounced Inspection 09:00 10th May 2006 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.V295722.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. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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.V295722.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 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 live on the premises. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was unannounced and took place between 9am and 3pm with Mr Chaumoo, one of the registered persons assisting the two inspectors who carried out the inspection. The aim of the inspection was to follow up on the requirement s made at the last inspection and to evaluate the home against of all of the key standards. At the time of inspection there were eight residents accommodated, seven men and one woman. All of the residents were seen and spoken with during the inspection. Staffing at the home is provided by members of the family. The inspectors spoke with two members of staff who were on duty at the home on the day of inspection. What the service does well: What has improved since the last inspection? What they could do better: The Statement of Purpose needs to be amended to inform prospective service users that the home does not have a stair or passenger lift. Care plans require space further recording of care needs. Records of food provided to residents should be expanded upon to inform what each resident has eaten. The staff application form needs revising so as to elicit information required under changes to the Regulations of July 2004. More in depth records must be maintained in respect of residents’ finances. A wash hand basin must be installed in the laundry room. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 6 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.V295722.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 Brook House DS0000026771.V295722.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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit form having their needs assessed prior to their being offered a place at the home. However, prospective residents would benefit from the Statement of Purpose being revised to inform of the lack of stair lift in the home. EVIDENCE: At the time of inspection there were eight residents accommodated at the home. A sample of two resident’s files kept in relation to the care provided at the home were used to track required records throughout the inspection. It was found that for both residents, Mr Chaumoo had carried out a preadmission assessment, prior to that person being offered a place at the home. A letter had also been sent to the resident informing that their needs could be met at the home. The home does not provide an intermediate care service. It was agreed and is required that the Statement of Purpose for the home, the document that informs prospective residents and relatives about the service provided, be amended to inform that the home has no stair lift or shaft lift. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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 8 9 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Systems for ensuring the care needs of residents are met would be improved with additional sheets being added to the care plan format and more confidential storage. Residents benefit from medication being administered in line with good practice and their health needs being met at the home. EVIDENCE: A requirement was made at the last inspection that one format be adopted setting out the care needs of the residents and how these would be met. It was found at this inspection that one format had been adopted and a care plan had been developed from a more in depth assessment that had been undertaken once the person had been admitted to the home. In the case of both residents it was found that some needs identified in the assessment were not dealt with in the care plan, partly as the format did not address these needs under the headings provided. It was agreed that an additional page needed to be added to the format for the recording of care needs such as these. Within the care plans there was a section relating to risk assessments. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 10 For the two residents tracked through the inspection a moving and handling assessment had been carried out, however not all areas of risk identified within the assessment had a written risk assessment to guide the staff and it was agreed that additional space would be added for more detailed risk assessments. The care plans are stored in the dining area and therefore readily available to the staff, however they were not kept locked away and confidentiality could be compromised. A requirement was made that the care plans provide more detail, risk assessments for all areas of risk identified within the assessment are carried out and that the care plan files be stored in a lockable cupboard in the interests of confidentiality. There was evidence within the care plans and daily recording that the health needs of the residents are addressed through the staff at the home with referrals to the GP arranged appropriately. It was also found that other health needs in respect of eye care, dentistry, chiropody and hearing were also addressed. The residents who were able to provide an account of life within the home said that they were treated with respect by the staff and that their dignity was also respected. The home was found to have full medication administration policies and procedures. Each resident is assessed when they move into the home as to whether they can safely manage their medication. At the time of inspection all of the residents were having their medication administered by the staff. The home uses a unit dosage system and medicines are delivered to the home. Medicines are stored in one of two cupboards within the dining room with the senior member of staff on duty holding the key t the cabinets. The medication administration records for all of the residents were seen and found to meet good standards with no gaps within the records. In a case where a medication had been prescribed and needed to be added to the printed sheet, one member of staff had added this to the recording sheet, with another member of staff signing that this had been written up correctly. The staff who administer medication had received training through the PCT and sample signatures were recorded at the front of the records. The home maintains a returns book for unused medication that is returned to the pharmacist. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Activities are arranged in the home that meets resident’s expectations and they are able to have visitors when they choose. Residents are able to exercise choice over their lives and are provided with a wholesome and varied diet. EVIDENCE: The residents spoken with said that there were sufficient activities within the home and they did not complain of boredom. On the day of inspection, one of the staff organised a board game, which the majority of residents were involved with. A music entertainer regularly visits the home and one of the staff involves residents in an exercise group each week. Mr Chaumoo informed that he often took residents out in should they need to attend appointments. He also informed that currently there were no residents with unmet spiritual needs, but should a resident choose a service would be organised by visiting clergy or residents would be taken to a local church service. The home has a visitor’s book from which it was clear that residents receive visits from family members or friends. Mr Chaumoo informed that residents receive their mail unopened and should they wish to make a private call the Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 12 home has a portable phone that they can use within their bedrooms. All of the residents are on the electoral role. The residents spoken with said that they could get up and go to bed when they chose and that there were no restrictions placed upon them. The residents spoken with, in general were positive about the food that is provided at the home. The home uses a two month menu, which reflected a wholesome and balanced diet. A record is maintained of the food provided to residents, however it was agreed that more detail would be maintained so that the records can inform of what each individual had eaten. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure and availability of full adult protection procedures being in place. EVIDENCE: The home has full complaints procedures that complies with the standards. The complaints procedure is displayed in each resident’s room behind the door. The recommendation from the previous inspection that the procedure is displayed in larger print remains, as the type is small and maybe difficult for some residents to read. Since the last inspection there have been no complaints made about the home to Mr Chaumoo and one issue of concern was raised with CSCI. This matter was dealt with by the home. The home has full adult protection procedures and copies of ‘No Secrets’. The issue of training the staff was discussed with regards to adult protection. Mr Chaumoo informed that all staff are required to sign that they have read and understood the home’s policies and procedures. Mr Chaumoo agreed that he would arrange some formal training for the staff. This issue will be followed up at the next inspection. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Brook House provides a clean, well-maintained homely environment. Infection control standards could be improved through a wash hand basin being installed in the laundry room and the provider liaising with infection control nurses on the cleaning of commodes. EVIDENCE: The home provides a small family run unit, with Mr & Mrs Chaumoo being resident on the site of the home. The home was found to be clean and in reasonable decorative order throughout. The inspectors discussed with Mr Chaumoo the potential for making the dining room less cluttered and it was agreed that equipment used by the staff and the care plans would be stored in cupboards out of sight. Residents have access to a small garden to the rear of the home. The majority of the radiators have been covered in the home in order to protect residents from burns. It was agreed that all of the radiators that are in use in the home would be covered, thus eliminating the risk of Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 15 burns. It was also agreed that a cupboard in one of the hallways would be removed as this posed a hazard for the resident whose entrance to their room was partially blocked. The home has policies and procedures for maintaining infection control standards. Staff are provided with gloves and protective clothing and there were alcohol gels provided around the home for the use of staff. The laundry area for the home is sited in a garage building just off the back entrance to the home. Soiled laundry can be taken to the laundry area without passing through food preparation areas, however is was found that there are no hand washing facilities within the laundry room. A requirement was made that this facility is made available in the interests of infection control. It was reported that some of the residents at times use a commode. The home does not have a designated sluicing facility and it was agreed that Mr Chaumoo would liaise with the infection control nurses as to the best means to clean commodes in line with infection control measures. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 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 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. Staffing levels are adequate to meet the needs of the residents and staff had received training in core area of competence. No new staff have been recruited at the home since the time of the last inspection. The staff application form would benefit from being updated. EVIDENCE: Mr Chaumoo informed that staffing is provided by family members and a rota was seen. Staffing levels remain as at the time of the last inspection with two members of staff on duty between 8am and 8pm. During the night time period there is one awake member of staff on duty and one on a sleep-in duty. At the last inspection a requirement was made that a record be maintained of who has worked each shift. A record at this inspection was seen to this effect. At the last inspection the staff records were available but were not all kept in one place. It was found at this inspection as agreed that the files had been collated and information on each staff member in a separate file. A sample of two staff records was seen and it was found that a Criminal Record Bureau (CRB) check had been obtained. No new staff have been employed at the home since the time of the last inspection. It was recommended that the staff application form be changed so that appropriate references are obtained and other information required under changes to the Regulations in July2004. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 17 Mr Chaumoo was able to demonstrate that 50 of the staff team had been trained to NVQ level 2 or equivalent. All of the staff have received moving and handling training and there was sufficient staff trained in first aid for there to be one member of staff on duty trained in this field. All staff who cook for the residents were found to be trained in Basic Food Hygiene. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 18 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 excellent good adequate poor. This judgement has been made using available evidence including a visit to this service. In cases where the registered provider holds money on behalf of residents, fuller records are required to be maintained. Health and safety of residents and staff is promoted at the home. EVIDENCE: Mr Chaumoo is at the stage of completing NVQ level 4. A residents’ survey has been carried as part of the quality audit of the running of the home and the inspectors discussed how the results of the survey could be used to help develop the service. Mr Chaumoo informed that there was one resident, through arrangements with the resident and Social Services for whom money was held at the home. The Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 19 records relating to management of this person’s money was seen and it was found that receipts for transactions were maintained, however there was no balance of money kept. It is required that full and complete records be kept. The fire log book was inspected and found that tests and inspections of the fire safety system had bee n carried out to the required timescale. Staff were found to have received the appropriate fire training and a fire drill had been carried out within the required period. It was found that at the last inspection that the portable electrical equipment wiring had been tested as required. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 20 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 1 X X 3 Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 You are required to revise the Statement of Purpose to reflect that the home does not have the facility of a shaft or stair lift. In respect of care planning, you are required to expand the format to cover all areas of need and to link these to the risk assessment process. The plans should also be stored where confidentiality can be maintained. You are required to install a wash hand basin in the laundry area. You are required to maintain full records in respect of resident’s finances. Timescale for action 01/07/06 1 OP1 4 2 OP7 15 01/07/06 3 4 OP26 OP35 23 (j) Schedule 4 01/08/06 01/06/06 Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 22 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 Refer to Standard OP16 OP29 Good Practice Recommendations It is recommended that the complaints procedures displayed on the back of residents’ bedroom doors be displayed in larger print. It is recommend that the staff application form be revised to reflect changes to the Regulations of July 2004. Brook House DS0000026771.V295722.R01.S.doc Version 5.2 Page 23 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.V295722.R01.S.doc Version 5.2 Page 24 - 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. 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