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Inspection on 23/06/05 for Brook Lodge

Also see our care home review for Brook Lodge for more information

This inspection was carried out on 23rd June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Brook Lodge is a small family run home which is homely and comfortable with a friendly and inclusive atmosphere. Residents are very much part of the family, and are provided with good care from dedicated staff. The care given is individualised and the staff are aware of the residents changing needs and act quickly when changes occur. Residents are encouraged to pursue interests and hobbies, and also to retain links with the community via various clubs and the church. When this is not possible due to illness, the residents participate in activities and occupation within the home. Residents feel well cared for and respected, and the owners in turn are well respected by the residents.

What has improved since the last inspection?

The interior of the home is undergoing extensive refurbishment, and so far a conservatory has been added, and a fireplace has been built in the lounge. This has improved the communal areas and has provided more private space for residents. The care plans have been arranged and organised in a better way, which enables residents care needs to be more easily identified and managed. One member of staff has completed NVQ 2 in care and has commenced NVQ 3, also one of the owners has commenced NVQ 4 in care and management. Risks assessments and a medication policy have been developed improving the way the home manages residents` medication.

What the care home could do better:

One staff member although experienced in caring for older people, needs to complete induction and foundation in care practice.

CARE HOMES FOR OLDER PEOPLE Brook Lodge Walcott Road Bacton Norwich NR12 0HB Lead Inspector Hilary Shephard Announced 23 June 2005 9.30am rd 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 Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brook Lodge Address Walcott Road, Bacton, Norwich, NR12 0HB 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) 01692 650383 Mr John Brooks, Mrs Diane Brooks Mr John Brooks Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2004 Brief Description of the Service: Brook Lodge is a large family home situated in the village of Bacton on the Norfolk coast. The home provides accomodation for three service users who share facilities and services with the proprietors and their family. The accomodation consists of three single bedrooms with shared use of the family lounge and dining room. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection was carried out over 4 ½ hours and evidence was gathered from residents, staff, pre-inspection questionnaire, care files and staff records. What the service does well: What has improved since the last inspection? What they could do better: One staff member although experienced in caring for older people, needs to complete induction and foundation in care practice. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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) Standards not assessed at this inspection. EVIDENCE: Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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, 9 and 10 Residents all have an adequate care plan with comprehensive assessments covering their health needs that are well met by the home. Residents are treated with respect and dignity. Medication is also managed safely. EVIDENCE: Care plans cover all aspects of the residents emotional, physical, psychological, social needs. Good detail is recorded in the assessments and the daily record, and being a small home the staff are very aware of the residents changing needs. Residents said they felt their health was well looked after and staff gave them support when it was needed. Two residents manage their own medication which has been risk assessed properly by the home. Staff were seen to treat residents with respect and were good at maintaining their privacy and dignity. One resident is very dependent, and is well cared for. The home has identified this resident as being at risk of developing pressure sores and has cared for her in a way that has kept her pressure areas intact and prevented any skin damage. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 standard(s) 12, 13, 14 and 15 Residents are encouraged to make choices and maintain an independent lifestyle, family contact is welcomed, and the meals provided are well prepared and nicely presented. EVIDENCE: One of the residents is very dependent, however, she is still included in the family activities and spends a lot of time with Mrs Brooks, either in the kitchen, in the conservatory listening to music or in the lounge watching TV and interacting with staff and the other members of the family. The two other residents are able bodied and go out to clubs, church, visit the local town, and also help around the home with household chores and gardening. Residents said they were very happy to be in the home, and were clearly being enabled to maintain the lifestyle they have chosen. Food is prepared from fresh ingredients, residents are offered a choice of meals, and are able to take these when and where they choose. One resident needs help with meals, and this is done in a discreet way to protect her dignity. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 standard(s) Standards not assessed at this inspection. EVIDENCE: Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 standard(s) Standards not assessed at this inspection. EVIDENCE: Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 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) 27 and 30 Staffing levels are good, and residents are well cared for by experienced and competent staff. EVIDENCE: Mr and Mrs Brooks with assistance from two carers staff the home. Mrs Brooks is the manager and also the main carer and has completed her NVQ 2 in care and has commenced NVQ 4 in care and management. One member of care staff has completed NVQ 2 and has commenced NVQ 3 in care and another has undertaken induction in care. Both care staff have worked for Mr and Mrs Brooks for many years and have a great deal of experience in caring for older people. One member of care staff needs to complete her induction and foundation in care and a recommendation has been made. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 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 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) 35 The home does not manage residents’ money and their financial interests are safeguarded by being managed outside the home. EVIDENCE: The residents all have someone outside of the home to manage their finances, either a relative or solicitor. The home does not manage the residents money, however, if required, items would be purchased for residents from the homes budget. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 15 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 3 x x x Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 16 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 30 Good Practice Recommendations The registered person is recommended to complete staffs induction and foundation in care. Brook Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 17 Commission for Social Care Inspection 3rd floor, Cavell House St Crispins Road Norwich NR3 1YF 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 Lodge I55s27583BrookLodgev220839230505(4).doc Version 1.30 Page 18 - 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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