Inspection on 05/09/05 for Brook House

This inspection was carried out on 5th September 2005.

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 02/03/06

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 Unannounced 5 September 2005 th 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 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 E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Brook House Address Woodhill, Morda, Oswestry, Shropshire, SY10 9AS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01691-654167 01691-656128 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 E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 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 it’s 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 E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 9.30am and lasted 3.5 hours. 31 places were occupied. The inspection included discussion with service users and staff. Observation of daily routines, examination of service user records and a home tour took place as part of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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. 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 E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 standard(s) 3 All service users are assessed before moving into Brook House. EVIDENCE: The three most recent service users who moved into the home were all assessed by the manager prior to moving in. Evidence of the homes assessments were seen on all three files. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 standard(s) 7, 8 &10 There is a good clear care planning process in place. The staff are sensitive to the needs of each service user and meet these in a professional manner. Service users right to be treated with respect and dignity is maintained by the staff group. EVIDENCE: All service users have a plan of care, these were well documented and detailed individuals needs and clear instructions to staff on how identified needs should be met in line with service user preferences. Information contained in the care plan demonstrated that individuals had been consulted in the care planning process, however confirmation by means of the service user or their representative signature should be evidenced upon completion of each plan. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 10 In two cases evidence of reviews having took place was seen, however this was not seen to be monthly. In the third case no evidence of a review could be located. After discussion with the member of staff responsible for reviews it was clarified that even those service users considered to be temporary must have their care plan reviewed each month. Written evidence, observations of health care professional visits during the inspection and discussions with service users informed the inspector that service users’ health care needs are fully met. Service user relatives and friends were seen during the inspection visiting their relative in private. Individual’s receiving care from staff and visiting health care professionals during the inspection were seen to be given this in the privacy of their own rooms. Many service users spoken to shared with the inspector that staff treated them extremely well with regard to respecting them as individuals and their right to privacy and maintaining their dignity. Staff observed during the inspection spoke respectfully to service users. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 Service users expectations of the home and their lifestyles within the setting appear to be sensitively considered by staff. Service users are able to maintain contact with their family and friends as they wish. Service users are enabled to exercise choice and control over activities of daily living so far as practicable. Service users are offered a varied, well balanced diet, which takes into account individual likes and dislikes along with seasonal changes. EVIDENCE: Service users spoken to described a variety of activities taking place within the home on a regular basis. A list of activities arranged for September was on display on the hall notice board. Some service users spoken to were happy to share with the inspector that they regularly see their family and friends. Visitors are not restricted and welcomed Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 12 into the home at all times. Visitors were seen coming and going throughout the inspection. Service users told the inspector that where possible they are able to have choice and control over their lives. One service user told the inspector that they had only just risen at mid morning, a choice that is exercised frequently. Service users spoken to were very complimentary about the quality of food. The home has exceeded in this standard on previous occasions. The quality of food, variety of choice and presentation is always of an excellent standard. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 standard(s) 16 & 17 There is a clear complaints procedure in place. Service users legal rights are protected. EVIDENCE: It was stated by the manager that there have been no complaints received since the last inspection. Records were shown to the inspector to confirm this. There have been no complaints received at the Commission for Social Care Inspection. Service users legal rights are protected and individuals are enabled to exercise them as they wish. Discussion with the manager demonstrated that the home consider this issue important to individuals. A recent example of the use of advocacy involvement was shared with the inspector. The electoral register is maintained and service users told the inspector they used their postal votes to participate. One service user was taken to vote by the homes manager. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 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 standard(s) 19 & 26 The standard of the environment is good providing service users with a safe well-maintained environment to live in. The standard of cleanliness was good in areas seen on the home tour. EVIDENCE: The location and layout of the home is suited well to it’s purpose. The home is well maintained and service users were complimentary with regard to the accommodation. A tour of the home during the inspection found the accommodation to be clean and comfortable. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The homes recruitment processes are robust and all necessary recruitment checks are carried out before staff commence working at the home. EVIDENCE: The files of the three newest recruits to the home were examined and found to contain all the relevant pre employment checks. Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 18 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. 1. 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 Good Practice Recommendations Brook House E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn 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 E56 S20704 Brook House V212739 UI 05.09.05 Stage 4.doc Version 1.40 Page 20 - 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!