Inspection on 06/10/05 for Brookdale Nursing Home

This inspection was carried out on 6th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brookdale Nursing Home 14/11/06

Brookdale Nursing Home 07/06/05

Brookdale Nursing Home 14/03/05

Brookdale Nursing Home 01/07/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Brookdale Nursing Home 16 Blakebrook Blakebrook Kidderminster Worcestershire DY11 6AP Lead Inspector C Presley Unannounced Inspection 6th October 2005 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 Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brookdale Nursing Home Address 16 Blakebrook Blakebrook Kidderminster Worcestershire DY11 6AP 01562 823063 01562 823150 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) Alder Meadows Limited Post Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (40), of places Physical disability (1), Physical disability over 65 years of age (40), Terminally ill (3) Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may also accommodate one person with a physical disability aged 55 years to 64 years on admission. 7th June 2005 Date of last inspection Brief Description of the Service: Brookdale is a care home for older people, providing nursing and personal care. The home is a traditional Georgian listed property which has been converted to provide nursing care for 40 older residents. Brookdale is situated in a pleasant residential area of Kidderminster, close to local amenities. The home provides accommodation on the ground and first floor, consisting of single and double bedrooms, lounges and dining areas. The home has a pleasant and wellmaintained garden which residents can access weather permitting. The home does not have a registered manager in post however Elizabeth Parker who has been the deputy of the home for a number of years is applying to the Commission to become registered. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the morning and concentrated on those standards not inspected at the last visit and requirements from the last report. In total 25 comments were received; 8 residents, 5 General practitioners and 12 relatives/ visitors responded. Comments from relatives were;‘All the staff are very caring to all the residents and they are all very hard working people’ ‘Overall care level ok but some problems e.g. door shut and bell left out of reach’ discussion took place with the acting manager who has since addressed this problem. ‘The staff are always very kind, cheerful caring and capable doing a very difficult job’. Comments from GP’S were;‘The best nursing home in the area’ ‘I have a number of patients in Brookdale and feel they receive a good standard of care, I am always contacted appropriately’. What the service does well: What has improved since the last inspection? Most of the 41 requirements from the last report have been addressed. The inspector acknowledges the work undertaken by the acting manager. Policies and procedures were readily available for inspection, the acting manager has worked hard to ensure all staff are trained and able to care for residents in a safe environment. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 6 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. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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 Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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 The acting manager or one of her team assesses residents before admission to the home to ensure the placement is appropriate to their needs. EVIDENCE: The care plan of the last resident admitted to the home was inspected. The assessment is based on the activities of daily living; the document had been filled out in detail and contained enough information for a basic care plan to be formulated on admission. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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&9 Medication policies and procedures ensure residents receive medication in a safe manner and those residents who self medicate are risk assessed and monitored to ensure compliance. EVIDENCE: Medication policies and procedures are under review following new regulations on disposal of medication. Medication charts were examined and signatures for medications given had been filled in appropriately; there were some signature gaps during a night period. Medication received into the home needs to be documented. The homely remedies policy was out of date and a new one had been ordered via the Wyre Forest PCT. Two care plans were inspected and contained enough information to ensure staff could care for residents. Risk assessments had been filled in and there was evidence of monthly reviews and resident/relative involvement in care plans if they chose. Requirements from the last report regarding care plan documentation had been addressed. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 10 Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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 Residents were offered a stimulating range of activities, which included trips out. EVIDENCE: The home employs an activities co-ordinator and a member of staff also undertakes further activities, which includes outings for residents if they are able, and visiting entertainments. A coffee morning was being arranged and the home actively involves families and friends to visit. Documentation of activities needs to be developed. The home is employing a volunteer who is planning sewing sessions with residents. There is a monthly Communion Church service held in the home. Arrangements for visits during the Christmas period from local school children and Christmas carols are being organised Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 12 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): None of the standards in this section were inspected at this visit, for further information refer to previous report. EVIDENCE: It was noted that a recent complaint to the home had been dealt with using the Home’s complaints procedure within the set time scales. There have been no complaints to the Commission for Social Care Inspection since the last inspection. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 13 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): None of the standards in this section were inspected at this visit, for further information refer to previous report. EVIDENCE: It was noted staff had received up dated training in fire procedures and the environmental requirements from the last report had been mostly met. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 14 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): 28 & 29 Recruitment procedures are robust and ensure staff employed to work with vulnerable adults are safe to do so. EVIDENCE: Staff files checked evidenced staff had a full employment history and gaps in employment had been explored. All staff including volunteers had a POVA first and Criminal Record Check at enhanced level check before commencing employment in the home. The home had 70 of care staff that had attained an NVQ in direct care. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 15 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): 33 & 35 There is a quality assurance programme in place, which ensures residents and other members of the multidisciplinary team comment on outcomes of what it is like to live in the home and visit the home in either a professional or social capacity EVIDENCE: Residents monies are not kept in the home, all residents have a lockable storage cabinet in their bedroom for valuables however many residents are mentally and physically frail and would not be able to use the key. A quality assurance review, which includes comments from other stakeholders, is readily available on the notice board for residents, visitors and potential new residents to the home to read. Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 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 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x x Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? yes 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 2 3 4 5 Standard OP9 OP9 OP 12 OP19 OP19 Regulation 13(2) 13 (2) 16 13 23 Requirement Medication received into the home must be documented The trained nurse must sign for medication given to residents on administration. There must be documentation regarding activities offered to residents Slide sheets used for moving and handling must be replaced The water pressure in the home must be addressed so the dishwasher can be used at lunchtime There must be a statement in residents care plans evidencing risk assessments have been carried out regarding bedroom door locks. The registered manager must ensure care records and other sensitive documentation is kept secure at all times The fire door, which is kept open from the kitchen to the dining room during the serving of meals, must be risk assessed. There must be evidence in staff files that UKCC pin numbers DS0000004100.V251903.R01.S.doc Timescale for action 07/10/05 07/10/05 31/12/05 31/12/05 31/12/05 6 OP24 12,13 31/12/05 7 OP19 13 07/10/05 8 OP19 13 07/10/05 9 OP29 18 07/10/05 Brookdale Nursing Home Version 5.0 Page 18 have been checked. 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 Brookdale Nursing Home DS0000004100.V251903.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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