Inspection on 02/03/06 for Brook House

This inspection was carried out on 2nd March 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 06/08/09

Brook House 07/09/07

Brook House 15/08/06

Brook House 05/09/05

Brook House 07/03/05

Brook House 18/10/04

Brook House 11/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Brook House Woodhill Morda Oswestry Shropshire SY10 9AS Lead Inspector Karen Powell Announced Inspection 2nd March 2006 10:45 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 DS0000020704.V268222.R01.S.doc Version 5.1 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 DS0000020704.V268222.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brook House Address Woodhill Morda Oswestry Shropshire SY10 9AS 01691 654167 01691 656128 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) Mrs K V Cosens Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: Brook House is a private residential home providing personal care to 32 older people. It has been registered since 1984. The home is owned and managed by Mrs Kay Cosens. The home is in a quiet rural area, not far from the village of Morda and Trefonen and only a few miles away from the town of Oswestry. Brook House stands in its own attractive and well-maintained grounds with outlooks over gardens and surrounding fields. A patio area offering seating is available at the rear of the home. A number of raised flowerbeds with a variety of plants and flowers with varying fragrances can be enjoyed by all service users, families and friends. This area is particularly beneficial to those service users with a sensory impairment. The home has gone through major refurbishments and extension. The improvements to the home have provided more individual space, new assisted baths, showers and en-suite facilities. Accommodation is provided on ground and first floors, with a passenger lift providing access between first floor bedrooms and communal areas on the ground floor. The accommodation is well maintained, furnished and equipped to meet the needs of the service users. A range of communal lounges, dining rooms, the conservatory and smaller seating areas around the home provide choice for service users as to where they spend their time. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 10.45am and lasted 3 and a half hours. The inspection included discussion with service users, relatives and staff. Observation of daily routines, examination of service user records and a home tour took place as part of the inspection. This inspection reviewed key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology. This report should be read in conjunction with the unannounced inspection report of 5th September 2005. What the service does well: What has improved since the last inspection? The home continues to follow a development plan taking into account it’s stated aims and objectives. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 6 This is a home that operates well and remains committed to providing a high standard of care, which is linked closely to the National Minimum Standards for older people. 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 DS0000020704.V268222.R01.S.doc Version 5.1 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 DS0000020704.V268222.R01.S.doc Version 5.1 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): These standards were inspected at the inspection on 5th September 2005. EVIDENCE: Brook House DS0000020704.V268222.R01.S.doc Version 5.1 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): 9 Service users are protected by the homes polices and procedures for dealing with medication, and by designated staff who are trained to administer medication. EVIDENCE: It was stated on the pre inspection questionnaire completed by the manager as part of the pre inspection research that the home has a policy and procedure for receipt, recording, storage, handling, administration and disposal of medication. Records relating to the administration of medication were checked and seen to be satisfactory at the time of the visit. Medication storage was also seen to be satisfactory at the time of the inspection. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 10 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): These standards were inspected at the inspection on 5th September 2005. EVIDENCE: Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 11 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): 18 Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: The pre inspection questionnaire completed by the manager declared the home has in place an adult protection policy. The document was not examined at this inspection. There is also a copy of the Multi Agency Adult Protection policy in place. Discussion with staff indicated a clear understanding of the action that should be taken should any form of abuse be suspected. Mrs Cosens and her senior carer have experience with the adult protection process. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 12 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): 25 The home is well maintained and provides a comfortable environment for service users to live in. EVIDENCE: Feedback from service users was positive in relation to their satisfaction with the environment they live in. Relatives/visitors who completed comment cards as part of the pre inspection research offered the following comments in relation to the homes environment. “The home is kept clean and bright and is a pleasure to visit”. “The home and garden provide an outstanding environment”. It was observed on the home tour that the radiator in the downstairs passage between the hall and staff room requires a guard. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 13 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 & 30 The home is staffed to a level that ensures service user needs are met at all times. Standard 30 was not assessed as there had been no new staff appointed since the last inspection EVIDENCE: Staff seen and discussion with the senior carer confirmed staffing levels are appropriate to the number and needs of the service users living at the home. A duty rota is maintained, which confirmed observations made during the inspection and discussions held with staff. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 14 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 & 38 The home is managed by an experienced individual who carries out her responsibilities fully. There is an effective quality assurance system in place. Health, safety and welfare of service users and staff are promoted fully by safe working systems in place. EVIDENCE: Mrs Cosens has been the manager/proprietor since 1984. Through discussion it is apparent she has a sound knowledge of the needs of older people and is committed to providing a high standard of care to service users. Mrs Cosens is Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 15 supported by a senior team with individual delegated duties, to ensure the home is run effectively and efficiently. The home has an effective quality assurance system in place. An annual survey is sent out to service users. The results are collated and responded to by Mrs Cosens. A copy of the analysis and action taken is forwarded to CSCI each year. The last survey was received at CSCI in November 2005. Feedback from Health and Social Care professional’s relatives and service users was positive in relation to the quality of care at Brook House. Comments included, “Brook House seems to be a very well run establishment where the staff take a real interest in the residents”. “We are very satisfied with the care Mum receives”. “Excellent service”. “The staff are very helpful and ensure a very high level of care and comfort for the residents”. “Mrs Cosens and her staff work very hard too provide a caring and safe home for the residents, staff are very vigilant to the well being of our relative”. “My mother is always very positive about the care she receives. I have always found the manager and staff caring and helpful”. It was stated on the pre inspection questionnaire completed by the manager that there are a number of policies and procedures relating to the safe working practices within the home. These were not examined at this inspection. Two members of staff are due to attend fire risk assessment training in April 2006. This will qualify the staff to undertake fire risk assessment of the building. Matters pertaining to fire safety and environmental health were found to be satisfactory at the last inspection carried out by Shropshire Fire and Rescue service and Environmental Health Department. The home is awaiting the gas certificate, it was agreed that a copy of this will be forwarded to CSCI once it is in the homes possession. Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 16 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x X 4 x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x 3 Brook House DS0000020704.V268222.R01.S.doc Version 5.1 Page 17 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. 1 Standard OP25 Regulation 13 (4)(a)(b) Requirement The radiator in the downstairs passage must be guarded Timescale for action 02/06/06 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 DS0000020704.V268222.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 DS0000020704.V268222.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!