Inspection on 05/01/06 for Brook House

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brook House 13/09/07

Brook House 27/09/06

Brook House 13/09/05

Brook House 23/11/04

Brook House 20/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Brook House 391 Padiham Road Burnley Lancashire BB12 6SZ Lead Inspector Mrs Marie Dickinson Unannounced Inspection 5th January 2006 01:00 Brook House DS0000009467.V276461.R01.S.doc Version 5.1 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 DS0000009467.V276461.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 Adults 18-65. 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 DS0000009467.V276461.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brook House Address 391 Padiham Road Burnley Lancashire BB12 6SZ 01282 413107 01282 835863 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) Mr Hurrylall Gungah Mrs Bibi Farida Gungah Mrs Toni Jackson Care Home 10 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (1) of places Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The registered provider shall, employ a suitably qualified manager who is registered with the Commission for Social Care Inspection The LD(E) place is for a named gentleman, and the registered provdier will notify the CSCI when this person no longer resides in the home. The home must be staffed as follows: Management: 1 person on duty at all times. (Hours required per week: 105) During the day in addition to the full time manager, two carers to cover the waking hours at all times service users are in the home. During the night, an experienced carer must be employed to sleep in on the premises each night. In addition there must be, at all times another member of staff on call, in the vicinity within three minutes travelling distance. The home can accommodate a total of ten (10) service users to include up to nine (9) service users in the category of Learning Disability - LD and one Service user in the category of Learning Disability over 65 years -LD(E) 13th September 2005 4. Date of last inspection Brief Description of the Service: Brook House is a large Victorian house, situated within a short walking distance to Burnley town centre and is keeping with other houses in the neighbourhood. The home is owned by Mr and Mrs Gungah, and managed by Toni Jackson, the registered manager. Brook House is registered to provide personal care and accommodation for ten people with a learning disability. Accommodation is in ten single bedrooms with en suite facilities. There are two lounges, dining room and kitchen combined, bathroom, toilet and a utility room. Staff have sleeping in accommodation. There are garden areas to the front and rear with parking space. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 5th January 2006. It is the second statutory inspection carried out this year. During the inspection, time was spent talking to the people who live at the home and staff on duty. Information was obtained from staff records, care records and policies and procedures. A tour of the premises was also carried out. What the service does well: Admissions to the home are planned. Before anyone stays at the home, they benefit from an assessment carried out by the manager and social worker. Visits to the home to look around first and spend time there are encouraged. Activities were varied. They included group activities and activities personal to them. Residents said they ‘celebrated birthdays how they wanted and had a birthday cake. By residents discussing what help they needed with staff, this allowed them the opportunity to make important decisions about their lives. Residents were happy with the help staff gave them. Medication was managed properly and staff were attending College based training for this. To help residents understand how to make a complaint and ‘be heard’, the home is commended for arranging a formal training session for residents on how to make a complaint. The home is also commended for providing residents with formal training in food and hygiene, and maintaining high standards of hygiene. Sufficient staff were employed who were supervised in their work. Teamwork was evident and the manager worked with the staff. Staff said they enjoyed their work. They were given opportunities for training. Residents were protected by correct recruitment procedures that were followed. Residents were of the opinion staff ‘looked after them well’. The overall provision of the facilities in the home was to residents liking, ‘homely’ and ‘comfortable’ and the standard of hygiene maintained was observed as being good. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 6 Residents and staff said they ‘liked their manager’ and expressed their confidence in how the home was managed. The health, welfare and safety of residents was considered in the management of the home. What has improved since the last inspection? What they could do better: To make sure all residents have their say in how staff treat them and understand their needs better, ‘listen to me’ workbook should be completed. When progress has been made in how residents manage risks, this should be recorded and risk assessments changed. To help residents be involved in the recruitment of staff, they should be supported to be involved in interviews. As part of the interview process interview notes should be made. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 7 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 DS0000009467.V276461.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4,5 Procedures were in place to ensure all residents are admitted in a proper manner. The assessments completed contained sufficient information to write a plan of care. People living at the home had a written contract. EVIDENCE: During inspection it was possible to look at the process of routine admissions. Relatives of a person who was considering moving into the home were visiting. They had a look at the vacant bedroom and the living areas. They also talked to the owner Mr Gungah, the manager and staff on duty. Procedures were in place to ensure all residents are admitted in a proper manner. Proper use of assessment information and planning for a resident being admitted was considered important. The manager said by following procedures, it was easy to make sure the home was suitable for the person. They would then invite the person to spend some time at the home as part of an introduction plan to meet with staff and other residents. People living at the home had a written contract. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Residents benefited from good assessments to ensure that all their needs were considered. Being involved in writing their own care plans meant they could have personal goals that staff knew about and helped them achieve safely. This level of support however indicated in ‘listen to me’ workbooks, must be maintained for all residents and reviewed regularly. EVIDENCE: All residents’ had an assessment of needs. These informed staff as to the type and amount of support residents’ required for daily living. Specialist help required for residents was identified and the support provided. Restrictions on residents doing what they liked that may cause them problems was recorded and agreed with them. Residents benefited from personalised support from a member of staff called a ‘key worker’. The key workers role included the responsibility in making sure the resident’s needs were met. Key workers were linked to residents they communicated well with. Residents could change their carer if this was Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 11 requested. Residents in the home said they were pleased with their carer. They could ‘discuss things with them.’ Residents looked after their own money with the help of staff. How this was managed was recorded in their files, for example daily budgeting and savings plan. Care plans were reviewed regularly showing progress and changes needed in meeting needs or achieving goals. Residents said they had discussions about their care with their carer and the manager. The ‘listen to me workbook’ used to record important information about residents was very good. However not everyone’s was completed. Risk assessments were clearly written. Action required to minimise the risk was recorded and agreed. Reviews of these to show progress made could be better evidenced. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Residents living in the home were given opportunities to live a fulfilling lifestyle at the home and in the community. This included social activities and learning new skills for personal development. Residents were helped to keep in touch with their families and friends. Residents were provided with a nutritious and varied diet. EVIDENCE: Residents continued to be given opportunities for personal development. This was seen in care plans. Resident’s views about their opportunities to take part in activities were positive. There was no pressure to be involved in activities organised for their benefit by staff. After the Christmas break, residents said they were returning to College to continue their learning. Residents said they went shopping in town with staff. They also made full use of community facilities and enjoyed activities such as bowling, going out for meals and walking. The manager had continued to make sure residents had opportunities to be involved in the local community. She was currently looking to arrange voluntary work for residents by attending meetings with people Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 13 involved in these schemes. Residents said they continued to attend Church and one resident had taken part in their nativity play. All the residents said they had a lovely Christmas. Some had visited relatives. One resident said this was important to her. Visitors to the home were made welcome. Staff induction training covered residents’ basic rights such as treating people with respect and their right to privacy. To support this residents had locks on bedroom doors, and managed their own keys Residents preferred name was recorded on their plan. Daily living patterns were agreed and recorded on weekly planners. They had their own house rules they agreed on. Residents said the food was good. They planned their own menus and took turns to go shopping for food. Staff helped them cook meals. They also prepared pack lunches when they were going out. One resident said ‘I like the food, since I came here they have shown me different foods I try’. Special diets were provided and encouragement was given to residents to keep to these. All the residents liked their pet cat Poppy. They had the responsibility to feed it. This was recorded on individual daily activity planners. They enjoyed looking after the cat and occasionally spoilt it with extra bits of food Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Medication practice and procedures was managed correctly. Staff benefited from additional college based training. EVIDENCE: Staff responsible for giving residents their medication had been given basic training. Staff were also been given additional training to a level two standard in managing and safe handling of medicines which is accredited by College. Medication was stored correctly and records showed it was managed properly. Residents had the option to manage their own medication if possible. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents felt their interests were protected. They were confident in the owner and staff to deal with complaints properly. Residents benefited from training to help them understand the complaints procedure. Good practice in employment, safe guarded resident’s financial interests. EVIDENCE: Residents in the home had recently had training in how to make a complaint. They were aware they had the right to make a complaint should the need occur. They said they had confidence the manager would listen to any concern they had. Comments from residents showed they were involved in their meetings and approached their key worker with any problem they had. The complaints procedure assured residents their ‘complaints would be taken seriously’ and was written and illustrated for better understanding. Policies and procedures were in place to protect residents from abuse. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28,30 Residents lived in a comfortable homely environment, which they said they liked. Their rooms were private and they had their own shower and toilet for personal use off their bedroom. The lounges, dining room/ kitchen and laundry were shared. Maintenance was good and standards of hygiene were high and residents benefited training to help them understand the importance of this. EVIDENCE: Brook House is a large spacious property in Burnley. Residents are accommodated in single bedrooms. There are two lounges, dining room/kitchen and laundry room. The home was decorated to a good standard and furnishings and fittings were ‘homelike’ in style and of a good quality. Since the last inspection a lounge had been redecorated and new floor covering fitted. Residents made positive comments about their home. They liked it and their relatives were also pleased where they lived. During inspection one resident described the home as ‘absolutely wonderful here’. The home was very well maintained. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 17 Accommodation is offered in ten single bedrooms that most benefited from having en suite facilities that included toilet and shower. Residents were happy with their bedrooms. One resident said her bedroom was ‘absolutely gorgeous’ and ‘big’. Residents had personalised their rooms. They were decorated and furnished to their requirements. The quality of furniture and bedding provided was very good. Residents liked having their own toilet and shower, which also helped promote their independence. In addition to this there is a communal bathroom and toilet downstairs they can also use. There is a separate laundry room. Residents do their own laundry with staff helping. The washing machines had the correct programmes to make sure laundry was washed to a proper hygienic standard. The overall standard of hygiene was very good throughout the home and residents had the additional benefit from formal training in food and hygiene. . Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35 Good staff recruitment procedures were followed. Resident benefited from staff they liked and enjoyed their work. Staff were given opportunities for relevant training and were supervised properly. EVIDENCE: The home was fully staffed during the inspection. The current level of staffing was linked to the needs of the residents currently living at the home. The residents were very happy with the staff in the home. They discussed how staff helped them. They were introduced to new staff before they started work. Two new staff member’s had been employed since the last inspection. Records showed correct recruitment procedures had been carried out. References had been applied for and Criminal Record Bureaux (CRB) and Protection of Vulnerable Adults (POVA) check had been obtained prior to staff working in the home. To improve recruitment it is advisable interview notes are completed during interview. Residents could be involved in interviewing staff, although no one had taken this opportunity. The importance of this was discussed with the manager. Support in how to do this should be given such as what questions to ask illustrated in pictorial formats. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 19 There was evidence staff had induction training. Other training was provided such as medication and fire. Staff on duty discussed their role and what was involved in caring for people with learning disability. One resident said ‘the staff look after us well. Residents said they didn’t like it when staff left. However the manager kept them informed when this was happening. Exit polls showed staff generally left to progress in their career in care. Comments included ‘Although I have only worked at Brook House for a short while, it has changed my outlook on life and people’ and ‘reason for leaving is a career in nursing’. All staff had a yearly appraisal. In addition to this staff had regular formal supervision. Records were kept. The benefits of residents taking an active part in this was also discussed Staff said they enjoyed their work and the training given. They were encouraged and supported to attend training by the manager. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 Residents and staff were happy with the way the home was managed. They were confident in the manager. Guidance and support was given to staff. Residents had meetings and were given training in health and safety. The health, safety and welfare of residents was managed properly on a day-to-day basis. EVIDENCE: The home is owned by Mr and Mrs Gungah and managed by Toni Jackson the registered manager. Both staff and residents expressed confidence in her leadership. Residents said they were able to talk to her and she was involved in their care. She always listened to them’. Staff said they had opportunities to discuss work issues. Mr Gungah visits the home daily keeping contact with staff, residents and manager. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 21 Residents said they had regular meetings with the staff and manager. Records of these meetings showed they discussed for example house rules. There was a friendly relaxed atmosphere in the home. Residents were praised for this achievement in their last meeting. One resident said ‘we all get along together fine’. Residents said their views were generally listened to. They also had questionnaires they could complete to say what they thought about living at the home. Staff had regular meetings. These consisted of senior meetings and general staff meetings. Staff were supervised and had formal supervision. Support was given with training and staff worked to a code of conduct and practice they received. Confidential records were locked away. Residents had the benefit of up to date relevant policies and procedure. The health, safety and welfare of residents was considered. Residents were involved in keeping safe. They said they had monthly fire drills and knew what to do to keep safe. They also had training sessions in fire safety and food and hygiene. Risk assessments were completed for resident’s personal safety. Training in health and safety is also provided for staff to help them at work. All senior carers were qualified in first aid. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 3 3 3 3 4 X Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 2 3 4 Refer to Standard 6 9 34 34 Good Practice Recommendations It is recommended all residents benefit from the ‘listen to me’ workbooks used to help staff provide quality care. It is recommended risk assessments are changed where needed during reviews. It is recommended interview notes are taken during interview. It is recommended residents be given support to be involved in staff recruitment. Brook House DS0000009467.V276461.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 DS0000009467.V276461.R01.S.doc Version 5.1 Page 25 - 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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