Inspection on 13/09/06 for Brook House

This inspection was carried out on 13th September 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

Brook House 13/02/06

Brook House 29/09/05

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Brook House 15 Bell Lane Husbands Bosworth Leicestershire LE17 6LA Lead Inspector Lesley Allison-White Unannounced Inspection 13th September 2006 10:00 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 DS0000064289.V311480.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 DS0000064289.V311480.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brook House Address 15 Bell Lane Husbands Bosworth Leicestershire LE17 6LA 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) 01858 880247 01858 881473 None Pradeep Arvind Patel Mrs Karen Brett Care Home 28 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (10), Old age, of places not falling within any other category (28) Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of service users resident in the home must not exceed 28 Within this total of 28 up to 28 may be in the category of old age. (OP) Within this total of 28, up to 10 may be in the category of dementia care. (DE) Once 10 services users are admitted within the category of dementia no further service users may be admitted under this category. 13th February 2006 Date of last inspection Brief Description of the Service: Brook House is a home for older people in the village of Husbands Bosworth, offering personal care for 28 older persons. Husbands Bosworth is between the market towns of Lutterworth and Market Harborough and has the benefit of the local bus service. The home is a converted house in the centre of the village, and has four shared bedrooms and twenty single bedrooms, a significant number of bedrooms have en-suite facilities, which consist of a toilet and hand-wash basin. The home has three lounges and two adjoining dining rooms. Bedrooms are on the ground and first floor, which can be accessed, by stairs or a passenger lift. The home is situated close to local shops. The fee for the home is £349.50. The Statement of Purpose and Service User Guide (information about the Service) and a copy of the last inspection report is available on request. Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for residents and their views of the service provided. The inspection took place on a Wednesday. It took eight hours to complete. This home provides care for up to twenty-eight residents. Brook House caters for people who fall within the category of old age or with a mental disorder. Discussion was held with four residents. However, other residents were observed in their daily routine. Three residents were spoken with at length. Three residents’ relatives were spoken with. A regular visitor to the home also spoke with the inspector. The primary method of inspection used was “case tracking”. This involved speaking with the residents who use the service provided, looking at four residents care plans, making observations, talking with three residents and observing care practices. All the required key standards were inspected during this visit. Areas of concern raised by the last inspection report were discussed and had been addressed. The Registered Manager facilitated the inspection. What the service does well: Relatives who spoke with the inspector felt the Registered Manager would address any concerns or complaints they had. Residents and relatives who spoke with the inspector said that they felt that the lifestyle at the home matched their expectations and satisfied their cultural, social and religious needs. Residents are encouraged to continue their personal interests or needs. A religious service and prayer is conducted each week at Brook House in a quiet area of the home by the local clergy. Residents wishing to take Holy Communion at the home are encouraged to do so on a regular basis. Residents spoke of the choices they made; for example when to get up and what to wear, or if they wanted to have their hair done by the hairdresser who visited weekly. Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 6 One resident told the inspector that they thought the laundry system was very good. Residents living at the home appeared comforatable and well cared for. Brook House undertakes a quality review with residents, relatives and staff from other organisations who provide care at the home. The residents and relatives who spoke with the inspector felt residents living at the home had their needs met. 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. Brook House DS0000064289.V311480.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 DS0000064289.V311480.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have information about the home in order to make an informed decision about whether the service is right for them. EVIDENCE: Assessments in the home are completed prior to admission although many of the residents find the admission process difficult to recall as their relatives dealt with the admission process. Some of the residents who spoke with the inspector had poor memory recall due to their condition. The personalised needs assessment ensures that people’s diverse needs are identified before they move into the home. Brook House does not provide intermediate care. Brook House DS0000064289.V311480.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. At Brook House staff are successful in delivering appropriate care to individual residents. Service users health and care needs are met. EVIDENCE: Four residents were case tracked, this included people with different care needs. Care plans of the four residents case tracked were satisfactory as they included all the relevant details needed for the care of the residents. Carers assisted residents to move safely. The inspector observed transfers including the use of a transfer belt which encourages residents who can stand Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 10 to have assitance to do so. In this way residents are encouraged to remain independent. The last inspection report mentioned a broken wheelchair in use in the home. It has now been replaced and two new wheelchairs with footplates are used. Residents who needed wheelchairs were seen during the inspection being transferred safely in and around the home. Assessments in the care plans were up to date and included nutritional screening, moving and handling information, and risk assessments for trips and falls. On a care plan weight was not recorded. However, a record of the residents appearance was made in the care plan. The care plan gave an explaination for this. Records by the senior care staff about the care of residents indicated that they were actively monitoring and alerting other health care professionals to treat residents when needed. In this way the staff at the home were able to demonstrate part of their caring role. The last inspection report mentioned that follow up care of residents following a fall was not done. This has been amended and residents care plans now have evidence of follow up for care following an accident, and accident reviews at 12 hours and at 36 hours. In all four care plans there was clear evidence of care planning and follow up treaments when needed. Service users who spoke with the inspector felt their care needs were met and that they were treated with respect and their dignity maintained. Medication of the four residents case tracked was checked. One resident was allergic to penicillin but this information was not transferred to the medicine kardex (a medicine kardex is a reording sheet for medications). The Registered Manager said this would be amended. An antibiotic was found in the fridge. It was a general food fridge. It was not kept in a locked container, the food fridge was not locked, neither was the external door to the fridge. This is unsafe practice in regard to the custody of medications. A recommendation has been left for this practice to be discontinued to ensure the safety of medications. Control drugs were checked and satisfactory. Brook House DS0000064289.V311480.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities within the home succeed in meeting the identified daily and social needs of residents and the outcome is positive for the residents. EVIDENCE: Six to eight residents regularly see the visiting Church of England Priest who visits from the local church and two residents are regularly seen in their rooms for prayers. On the day of inspection six residents were taking part in a religious service and having prayers in a quiet area of the home. One resident was able to tell the inspector that they took holy communion at the home with the visiting clergy on a regular basis. The Priest explained that a prayer to help ease their pain and discomfort is performed. In this way spiritual needs are identified and met on a regular basis at Brook House. One resident who spoke to the inspector explained that they liked living at the home because they enjoyed having the company of other people, they took part in the homes activities such as bingo and was happy to take part in Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 12 anything that the home provided. The hairdresser visited every week and on the day of inspection was seen attending to residents hair. A married couple living at the home spoke with the inspector they were proud of their accomodation. They had a seperate lounge and bedroom. The rooms contained some of their own furniture and they were able to continue with their hobby of enjoying potted plants. Their need for privacy was maintained by them having their own front door key to their rooms. This couple and their relative felt that the home met all their needs. Residents spoke about the choices they made, some chosing to dine in their bed rooms or in the dining area downstairs. Rooms seen by the inspector were partially furnished with residents own furniture or as provided by the home. Other residents spoke of the choices they made for example when to get up or what to wear or if they wanted to have their hair done by the hairdresser. One resident told the inspector that they thought the laundry system was very good. Residents living at the home appeared comforatbale and well cared for. One resident chose to continue to manage their finances whilst living at Brook House. At various times of the day family members were seen visiting their relatives who lived at Brook House. Lunchtime was observed. The meal was served in the dining rooms and the residents were offered a choice of two meals and sweets which they said they enjoyed. One resident’s family member described the home as being “excellent care in every way.” Brook House DS0000064289.V311480.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Provider has robust procedures for dealing with complaints and protection giving protection to residents. EVIDENCE: The Commission of Social Care Inspection has not received any complaints about Brook House since the last inspection. The Registered Manager was able to show the inspector the staff training records. On the issue of the Protection of Vulnerable Adults (POVA) additional training is included in the National Vocational Qualification in care evidenced in staff records ensuring that residents are protected in this way. The inspector spoke with three staff members. The staff members were able to describe their induction process and training received whist working at the Brook House. They felt able to deal with most care situations. There are policies and procedures for dealing with complaints and protection. This protects residents. The Complaints book was checked and there were no complaints. The Complaints procedure is displayed in the hallway at the front entrance of the building. Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 14 Relatives who spoke with the inspector felt happy to express their concerns or complaints and knew that the Registered Manager would address them. Brook House DS0000064289.V311480.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a safe, hygienic and comfortable environment. EVIDENCE: Bedrooms of residents case tracked were seen. Locked drawers were seen in bedrooms for locking personal items away. The rooms were pleasant and homely. Some residents had potted plants in their rooms to recreate their own homely environment. The Registered Provider should continue the refurbishment programme for the covering of radiators. A recommendation in the last report indicated that keys to residents rooms were seen hanging outside the bedroom doors. The Registered Manager Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 16 explained that they had been removed. Residents who wanted their own keys to their rooms were given them. Rooms seen were well decorated, clean and well kept. Public areas appeared clean. The floor at Brook House leading to the dining areas is uneven. Notices are in place to warn residents, visitors and staff that this is so. The notices would be more effective if they were in large bright colours to ensure that they are not missed. The Registered Provider should review the flooring. In this way the safety of residents will be improved. Changes since the last inspection included the training of a senior carer to do the Moving and Handling training for staff. This has reduced the waiting time for staff to be trained, as it is now available at Brook House. A new hoist and two new wheelchairs have been purchased for the safe moving and handling of the residents. Brook House DS0000064289.V311480.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Provider and Registered Manager has a recruitment procedure, which is fully implemented and protects the residents. EVIDENCE: A key worker system is in place. The key worker is a care worker who is allocated to a resident to ensure that tasks that may get forgotten are checked and done. They will get to know the resident better and are able to ensure that personal needs are addressed. Staff records were checked and clear evidence of relevant training was seen. For example, moving and handling, NVQ level 2 in care, basic first aid, emergency first aid, dementia care or record keeping and vulnerable adult training. The skill mix of staff was sufficient to meet the needs of the residents. There was evidence of good recruitment practices. Staff records inspected were satisfactory and had relevant information in them. In this way the residents are supported and protected by well- trained staff competent to do their jobs. Brook House DS0000064289.V311480.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Provider and Registered Manager ensure that the home is run in the best interests of residents. EVIDENCE: The residents and relatives who spoke with the inspector felt residents living at the home had their needs met. They felt confident that if they needed to raise a concern the Registered Manager would address the issues. Brook House undertakes a quality review with residents, relatives and staff from other organisations who provide care at the home. The comments seen were positive about the home. Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 19 The Registered Provider does not hold any money for residents. This is done by residents themselves or their family members. Fire records were up to date. Care must be given to ensure that night staff are also regularly updated. This ensures the safety of residents living at the home. Brook House DS0000064289.V311480.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 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 21 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 Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The Registered Manager should ensure that all medicines are correctly stored. Information about allergies should be transferred to the medicine kardex to ensure the safety of residents. The Registered Persons should consider ways of improving the potential safety of residents by reviewing the uneven flooring between the corridor and the entrance to the dining rooms. 2. OP19 Brook House DS0000064289.V311480.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 DS0000064289.V311480.R01.S.doc Version 5.2 Page 23 - 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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