Inspection on 22/06/06 for Brookfield

This inspection was carried out on 22nd June 2006.

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

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Brookfield 4 Brookfield Avenue Castleford WF10 4BJ Lead Inspector Mr Tony Brindle Unannounced Inspection 22nd June 2006 10:00 Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 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 Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 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. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookfield Address 4 Brookfield Avenue Castleford WF10 4BJ 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) 01924 223652 01924 223652 Hapton Care Homes Mr John L McIntosh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for one named service user who in addition to having a learning disability, has a physical disability. Date of last inspection This is the first inspection of this service. Brief Description of the Service: Brookfield is a small group home providing services to up to 3 people with a learning disability. The design and layout of the home enables one named place to be offered to a person with a physical disability in addition to their learning disability. The home is situated on a quiet residential cul-de-sac in Castleford. The semi-detached house comprises of a lounge, dining area and kitchen on the ground floor. In addition to this, there is a bedroom with ensuite facilities and shower on the ground floor, large enough to accommodate a person with a physical disability. The first floor has two bedrooms with en suite and shower facilities, and a toilet for use by staff and visitors. The home has a large garden to the rear, a driveway with carport, and a smaller garden to the front. The home is located near to a major road in and out of Castleford, providing good transport links to the town and surrounding area. The current fees for June 2006 range from £816 to £1050 per week per person. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, a visit to the home took place. The inspector, Tony Brindle, visited the home unannounced from 1400hrs to 1700hrs. Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms and garden. 2 service users were spoken with. 6 members of staff were spoken with, along with the manager. The manager had been asked to complete a pre-inspection questionnaire. This was returned to the Commission prior to the site visit taking place. Comment cards were sent to all the service users, their relatives, 2 visiting professionals and 1 GP. All the comment cards were returned to the Commission prior to the visit taking place. Feedback was positive with people saying that they felt welcome What the service does well: People living at the home say that they are happy. The staff agree with people what support they will get, and write this down in people’s support plans. The staff follow the support plans. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 6 People say they are given choices about how to spend their day. People say they are offered choices about activities and keep in contact with their family and friends.. People are kept safe. People are supported with their medication and healthcare. People say they are happy to put forward their point of view. People think the house is comfortable and nicely decorated. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 7 The staff are well trained and carry out what they have learnt. Staff checks are done before people start work at the home. The choice and type of food is good. The manager and staff check quality of support and care given to people. What has improved since the last inspection? What they could do better: Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 8 The inspector could a lot that needed to get better at this time. Staff should keep up the good work so that they get their NVQ award. 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. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 9 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 Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. EVIDENCE: The manager ensures that an assessment is carried out before offering a place to a potential resident. He said that as a matter of good practice, the assessment process would continue after admission and for as long as the person continued to live at the home. The manager sees it as essential that the individual is involved in this process and that this is seen as the first step in working alongside them as an equal. The service user’s guide explains that potential service users are invited to visit the home prior to a placement being offered. The staff who were spoken with said that people would be given the opportunity to meet the existing service users. One service user who was spoken with explained that they had been given the opportunity to visit the home and meet the other people living there, and that staff from the home had visited them and asked them about their needs and interests before they moved in. One person living at the home said Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 11 that they were really happy living there, and that they loved having their own room, with their own things in it. “It feels like home” said the person. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 12 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 and 9 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. The systems and procedures operated by the staff at the home make sure that the assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. EVIDENCE: The staff at the home said that they ensure that individual’s health, personal and social care needs are set out in the individual plan of care. The records held at the home demonstrated this. The staff make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. A sensible balance is offered to people in everyday events and activities, between the reasonable risks they want to take and the safety of the staff and other people living at the home. People’s care plans contain detailed information about support and healthcare needs. The plans are of a high standard and have a straightforward approach, concentrating on aspects of daily living and contain information about an individual’s family history, their past, their hopes for the future, activities, daily Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 13 living skills and health. A service user said that they had had a lot of involvement in putting the care plan together, and staff that were spoken with confirmed that the care plans are completed in partnership with service users. The manager said that restrictions are only placed on the people following an appropriate risk assessment. This was supported following discussions with the service users and some of the staff team. The service user records show that risk assessments are carried. Discussions with the staff showed that they have a good understanding of the support and care needs of the people living at the home, as detailed within the care plans. Care staff confirmed that they are involved in supporting people with personal hygiene and care, and that wherever possible, support the people’s own capacity for self-care. This was backed up by comments from people at home who said that the staff are always willing to help, and they help them properly under their direction. The records show that people’s needs are assessed, by a person trained to do so, and appropriate interventions to meet those needs are recorded in the plan of care. The manager said that he and the staff can access professional advice about the promotion of independence, healthcare and skill development from outside agencies and experienced staff within the company. The records show that other agencies and professionals are involved in people’s lives, and a service user confirmed that they visit the doctor and see their social worker from time to time. Staff were observed to work in partnership with people, promoting independence, showing respect and maintaining people’s dignity. Comment cards received made positive remarks about the ways in which the staff support people appropriately. People said they the staff talk to them about their interests and what they want to do. They added that staff support them to use community activities, go on holiday, see friends, make and attend appointments. The care records and discussions with the people living at the home supported these comments. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 14 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): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. Links with the community are good which supports people to use community facilities, engage within the community and take part in social and educational opportunities. EVIDENCE: The routines of daily living and activities made available to people living at the home were found to be flexible and service users indicated that they are suited to their needs, preferences and capabilities. 2 people said that they have a varied and appealing diet, and the menus showed that the meals are wholesome providing a satisfactory balance. The manager explained that people can be and are given the opportunity to practice their beliefs, including keeping in touch with their faith community. One person living at the home explained how they are supported by the staff to attend a local church group. “The staff help me to decide what to do during the day. Most of the time I tell the staff what I want to do, like shopping or going for a walk”. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 15 There are systems in place for the staff to make sure that they are properly informed about the implications of other people’s social, cultural and religious belief or faith by way of training and regular discussions at staff meetings and handovers. The manager said that people can and are supported to celebrate their holy days and festivals, birthdays and personal anniversaries, and the staff explained that they would try and find ways in which they were marked and celebrated in ways personal to the individual. On the day of the inspection visit, one service user was getting ready to celebrate their birthday by way of a BBQ to which they had invited a number of friends. The records show that social events, entertainment and activities are organized and provided by staff at the home. The care records and discussions with the people living at the home supported these comments. The individual support plans and daily records show that people are offered opportunities to develop their personal and social skills. Discussion with the people living at the home, the manager and staff demonstrated that ordinary community based leisure services are used as well as specialist day care services. One person said that they like staying at home and cooking. A staff member said that in order to help people keep their independence and to learn new skills, people living at the home are encouraged and supported by staff to choose their own menu and help in preparing their own meals following an assessment of their capabilities. The records supported this, and a person living at the home confirmed their involvement in cooking and meal preparation. People at the home spoke highly of the meals provided within the home. The staff are aware of individual likes and dislikes regarding food. People confirmed that snacks and drinks are available throughout the day. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 16 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): 18, 19 and 20 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. The systems and procedures followed by the staff at the home make sure that the healthcare needs of people, including medication requirements, are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. EVIDENCE: One person living at the home said that they were happy that the staff knew how meet their particular needs. The personal plans take account of the need to create opportunities to maintain and develop interests, and the plans describe the way people living at the home will receive the individual support and care that they need. The manager said that people living at the home could expect that their personal plans will change as their needs for support change. This was reflected in the way in which a care plan had been updated as a result of a change in a person’s medication. One person living at the home said that they are treated with respect and their dignity is upheld during all activities, including personal care, healthcare, social activities and community life. The staff training records show that if a person’s medicines are being Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 17 organized for them, people can be sure that the people who are doing this are knowledgeable and trained to do so. Discussions with and observations of the staff showed that they know how to store and administer people’s medication safely and in the way that suits the people living at the home. One person living at the home said that the staff support them to get advice from their GP if there are any concerns about their health or medication. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 18 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 and 23 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. Service users feel their views are listened to and acted on. There are appropriate systems in place to protect people from abuse. Staff know what to do if alerted to suspected or alleged abuse. EVIDENCE: Discussions with the staff at the home demonstrated that they take people’s comments, concerns and complaints about the quality of the service they provide and their experiences of it seriously. One person living at the home said that they are confident in speaking up for themselves, and would do so if there was a problem. The person continued to say that they had nothing to complain about, as the staff team were the best they had ever had. The records show that people living at the home are encouraged to express their views on any aspects of the care. The plans show that the staff record people’s comments and opinions, and act on them. A good example of this was when a person living at the home requested that more female staff work at the home, and this was recorded and acted upon. The service user was very happy about this. The service has an appropriate adult protection and whistle blowing policy in line with recognized guidelines. Discussion with staff members showed that they had a good understanding of how to respond to suspected or alleged abuse, and were aware of the signs of abuse. The training records demonstrated that staff had attended relevant training in the protection of vulnerable adults. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 19 The manager confirmed that physical and verbal aggression by a service user is understood and dealt with appropriately, and if physical intervention were to be used, it would be used only as a last resort. Training records show that staff have received training in this area from a company that is working towards accreditation with the British Institute for Learning Disabilities (BILD), and has adopted the BILD Code of Practice. (A BILD representative confirmed this). Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: One person living at the home indicated that the design and layout of the physical environment help to make sure that they can enjoy living in safe and comfortable surroundings. The design and layout of the home is accessible to disabled people. One person living at the home said that they help the staff to kept the home clean and hygienic. This point was supported when a tour of the home took place. The home was found to be clean, free from any offensive smells and intrusive noise throughout. There are systems in place to control the spread of infection, in line with relevant regulations and published professional guidance, such as appropriate hand washing and laundry systems. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 21 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): 32, 34 and 35 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. The current staffing numbers and skill mix of staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The safety of people at the home is promoted via a good mix of staff with difference experience, skills, abilities and qualifications. The manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of service users. Staff should keep up the good work in order that at least half of them are NVQ qualified. EVIDENCE: The rota showed that there is a satisfactory mix of well trained staff working at the home, with levels appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The training records show that staff have the skills and experience necessary for the tasks they are expected to do. Discussions with staff members demonstrated that they are very clear about their roles and responsibilities and understand the management and reporting structures for the home. Training records showed staff were up to date with all areas of mandatory training, and there was evidence of specific learning disability training. The recruitment records show that two written references Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 22 are obtained before appointing a member of staff, and any gaps in employment records are explored. New staff are confirmed in post only following completion of a satisfactory Criminal Records Bureau (CRB) check, and satisfactory check of the Protection of Vulnerable Adults and NMC registers (where appropriate). Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 23 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, 39 and 42 Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. EVIDENCE: People living at the home said that they experience good-quality support and care. Records within the home demonstrate that this is provided by a well trained management and staff team. The manager and staff make sure that so far as is reasonably practicable, the health, safety and welfare of service users and staff is promoted. This is done by way of staff training, fire safety system testing, risk assessment and safety system monitoring. Staff explained that they take part in fire drills, and have received fire safety training, along with health and safety training. The records supported this. The manager explained that there is a quality assurance scheme run by the company. This involved Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 24 obtaining feedback from service users, their families and professionals. Once feedback is received, than a report on the quality of care is published with an accompanying action plan (if required). As Brookfield is a new home, this quality assurance system has not yet been implemented, but will be within the forthcoming 12 months. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 25 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 Refer to Standard YA32 Good Practice Recommendations Staff should keep up the good work in order that at least half of them are NVQ qualified. Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Brookfield DS0000065453.V295798.R01.S.doc Version 5.2 Page 28 - 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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