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Inspection on 30/09/05 for Brooke House Care Home

Also see our care home review for Brooke House Care Home for more information

This inspection was carried out on 30th 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.

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

The home now provides an inviting and more homely environment for service users to live compared with the existing environment of Heron House.

What has improved since the last inspection?

There has been a vast improvement within the environment of the home. The home has been redecorated, new furniture has been purchased, there are pictures and plants around the house and a brand new kitchen has been fitted. The bathrooms have been modified. Service users bedrooms have been redecorated and cleaned. The garden has been cleared and there are new plants and garden furniture. Assessment procedures for new admissions are comprehensive and the recruitment procedures for staff are robust.

What the care home could do better:

As the service is not up and running it was difficult to assess where the service could do better.

CARE HOME ADULTS 18-65 Brooke House Care Home 123 Millbrook Road East Freemantle Southampton Hampshire SO15 1HQ Lead Inspector Janet Shipman Unannounced Inspection 30th September 2005 12.30 Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 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 Brooke House Care Home DS0000037569.V253627.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 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. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brooke House Care Home Address 123 Millbrook Road East Freemantle Southampton Hampshire SO15 1HQ 023 8023 5221 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) heron.house@craegmoor.co,.uk Park Care Homes (No 2) Ltd Linda Audrey Bartlett Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2004 Brief Description of the Service: Heron House closed its service towards the end of 2004. Shortly the home will be re-opening under the new name of Brooke House. Brooke House will be providing a new transition service catering for adults who primarily have a learning disability but may also have a diagnosis of Autism and/or Asperger’s Syndrome. The aim of the service is to support service users in developing life skills to live independently or in supported accommodation. Brooke House is located close to the city centre of Southampton and is within easy access to all main amenities, transport links and local shops. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection carried out this year. The home previously known as Heron House closed towards the latter part of 2004. The home has been renamed Brooke House and intends to open towards the end of October 2005. The home will be offering a transition service for adults who primarily have a learning disability but may also have a diagnosis of Autism and/or Asperger’s Syndrome. The service will aim to enable service users to develop the skills needed to live independently or in supported living environments. The home has been redecorated throughout and new furniture and fittings have been purchased. As the service was not up and running the inspector carried out a brief inspection with the aid of the new manager. Staff records and a potential service user’s assessment were inspected and a tour of the building was undertaken. What the service does well: What has improved since the last inspection? There has been a vast improvement within the environment of the home. The home has been redecorated, new furniture has been purchased, there are pictures and plants around the house and a brand new kitchen has been fitted. The bathrooms have been modified. Service users bedrooms have been redecorated and cleaned. The garden has been cleared and there are new plants and garden furniture. Assessment procedures for new admissions are comprehensive and the recruitment procedures for staff are robust. Brooke House Care Home DS0000037569.V253627.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. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 7 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 Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 8 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): 1&2 A new Statement of Purpose has been completed which reflects the new service that is going to be offered. The home has an assessment process in place, although this is currently being modified to reflect a more personcentred approach. Introductory visits will be tailored to the individual needs of service users. EVIDENCE: The Statement of Purpose identifies the aims of the home and how it will meet those aims through the service it intends to provide. The Service User Guide has not been completed as the manager is in the process of drawing up an accessible guide with the use of photographs and symbols. The manager stated that both documents would also be available on audiotape. The Service User Guide will be looked at the next inspection. The manager has completed one assessment for a new admission using Craegmoor’s Outcome Based Evaluation Assessment and modified the assessment documentation to meet the particular needs of the service user. The assessment was detailed and completed in the person’s existing accommodation. The manager informed the inspector that a working group is currently developing a person-centred assessment tool for the home to use. Introductory visits have already started. One service user has visited the home and chosen his room and requested shelves to be put up and the inspector observed that this has been completed. The manager stated that it is important to ensure that the right people are admitted to the home to ensure that the project of transition into independent Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 9 or supported living works. Therefore, the beds will be filled on a gradual basis. The manager envisages that three service users will be admitted into the home by the end of the year. The manager informed the inspector that 2 beds would be kept vacant for service users who have moved out to supported or independent living who may need to return to Brooke House for an interim period if there situation breaks down for whatever reason and they need to relearn some skills. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 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): The standards were not assessed at this inspection. EVIDENCE: Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 11 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): The standards were not assessed at this inspection. EVIDENCE: Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 12 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): The standards were not assessed at this inspection. EVIDENCE: Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 13 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): The standards were not assessed at this inspection. EVIDENCE: Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 14 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): 24,25,26,27 & 28. The home offers a welcoming and comfortable environment for service users to live. EVIDENCE: The home has been redecorated throughout, with new furnishing and fittings. A new kitchen has been installed and designed to enable service users to be involved in food preparation and cooking meals. The bathrooms have been updated with a new bath in the downstairs bathroom. The garden has been cleared and new bedding plants have been planted and new patio furniture has been purchased. The manager stated that service users will be able to bring their own furniture for their bedrooms and that they will assist in putting up shelves etc to take service users personal possessions. This has been the case for a service user who has just recently visited. Lockable cabinets have been purchased for each bedroom. New dining room furniture has been purchased and new furniture for the lounge. There are pictures, plants, and new curtains around the home, which together with the other improvements to the home gives a nice homely atmosphere. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 15 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): 34 The home is currently in process of recruiting staff. The recruitment process appears robust and thorough. EVIDENCE: The manager informed the inspector of the recruitment process for the home. An open day was held at the home. Prospective applicants were able to look around the home and talk informally with the manager about the job role. Applicants were also able to pick up application forms. The interview process consisted of a written exercise, to assess literacy skills as well as a face-to-face interview. The inspector viewed one file for a member of staff who will be commencing employment shortly. There was evidence on file of the application form, record of the interview; two references with follow up telephone call, CRB, Pova check and copies of birth certificate, driving licence and qualifications. Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 16 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): The standards were not assessed on this occasion. EVIDENCE: Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brooke House Care Home Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000037569.V253627.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No – as the requirements related to the previous service that has closed. 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. Refer to Standard Good Practice Recommendations Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Brooke House Care Home DS0000037569.V253627.R01.S.doc Version 5.0 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. 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