Inspection on 17/07/06 for Brookland House

This inspection was carried out on 17th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brookland House 09/12/08

Brookland House 11/12/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Brookland House 2 Watson Place St Judes Plymouth Devon PL4 9QN Lead Inspector Tina Maddison Unannounced Inspection 17th July 2006 10:00 Brookland House DS0000065169.V300492.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 Brookland House DS0000065169.V300492.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. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookland House Address 2 Watson Place St Judes Plymouth Devon PL4 9QN 01752 690684 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) Mr Nigel Bruce Troke Mr Nicholas Simon Troke Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection NA this was the homes first inspection Brief Description of the Service: Brookland House is a end of terraced property conveniently positioned in a residential area in the centre of Plymouth. There is easy access to a bus route and all local shopping and social facilities. The home is registered for three adults who have a learning disability and who may have behaviour that will challenge the service. Brookland House is Managed by Westlake Care who have another home in Cornwall. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This first inspection of Brookland House was undertaken on 17th July 2006. A pre inspection questionnaire was sent out prior to the inspection. The home has not had any service users resident since October 2005 when it was first registered. The operations manager for the company was present at the home during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Some minor changes need to be made to the statement of purpose, as the first resident that will be moving to the home in August has behaviour that may challenge the service, and it should be made clear in the statement of purpose Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 6 that Brookland House is able and how it will provide a service for service users with these needs. In view of the service users behaviours, the balcony at the top of the stairs must be made safe, and radiators must be covered. The proposed Registered Manager should complete the application process to become the Registered Manager of Brookland House. 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. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 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 Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 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): 1,2,3,4. Service users can be confident that their care needs will be assessed prior to admission, and once the statement of purpose is amended will have the information they need to make an informed choice about where to live. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Brookland House has a statement of purpose and service users guide that is available for service users. It should be amended to ensure that readers are aware that the home admits service users who have behaviour that may challenge the service, and how the home proposes to manage this behaviour. The home has a pre admission assessment document that has been used to assess whether the home is able to meet the prospective persons care needs. The prospective service user, who will move to the home at the end of August has visited the home and will be introduced to the staff prior to moving to Brookland House. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 9 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): 6,9,10 Service users who move to the home can be assured that their care needs will be documented on an individual care plan and will be supported to take risks as part of an independent lifestyle. Quality in this outcome area is adequate. This judgement has been made including a visit to this service. EVIDENCE: The home has a pro forma to record care needs on and to formulate into an individual care plan. As no service users have yet moved in to the home, there was not a care plan or risk assessment available for inspection. The Senior staff member assured the inspector that the proposed service users care plan and risk assessment will be fully written and in place prior to the service user moving in. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 10 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): Not inspected EVIDENCE: It is intended that service users will be as independent and access as many opportunities and leisure activities as possible. It is hoped that service users will become fully a part of the local community. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 11 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): Not inspected EVIDENCE: The home has policies and procedures regarding medication, ageing and death of a service user that are appropriate and comprehensive. As there are no service users currently residing at the home, this standard will be fully inspected at the next inspection. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 12 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): Not inspected EVIDENCE: The home has a complaints policy and procedure, also a policy and procedure regarding adult protection and whistle blowing for staff. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 13 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): 24,25,26,27,28,30 Service users will live in a homely and comfortable environment. Safety will be improved by the addition of radiator covers and the head of the stairs being made safe. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A tour of the home was conducted by the Inspector. The home was refurbished last year and is homely, and comfortable. Service users bedrooms are well furnished and will be personalised when the service users move in. Bedrooms are en suite. It is a requirement of this inspection, that due to the needs of the prospective service user who will move in shortly, that the top of the stairs is made safe. A risk assessment must be undertaken and covers must be fitted to the radiators in view of the needs of the prospective resident. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 14 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): Not inspected. EVIDENCE: Staff are currently being recruited for the home. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 15 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): 38,40,42 Policies and procedures are in place to ensure that the home will be well run. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The prospective Manager is currently completing her registration application. The home has policies and procedures in place that cover all safe working practices and health and safety issues. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 16 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 2 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x x 3 3 3 x 3 x Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 17 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 2 Standard YA24 YA24 Regulation 12 12 Requirement Radiators must be covered. The head of the stairs must be made safe. Timescale for action 26/08/06 26/08/06 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 YA1 Good Practice Recommendations The statement of purpose should be amended to make clear that the home will meet the needs of service users who have behaviours that challenge the service. Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Brookland House DS0000065169.V300492.R01.S.doc Version 5.2 Page 19 - 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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