Inspection on 04/01/06 for Brooklands 1

This inspection was carried out on 4th January 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

Brooklands 1 13/12/06

Brooklands 1 16/08/05

Brooklands 1 22/09/04

Brooklands 1 06/05/04

Similar services:

Flint House

Hillview Farm

St Vincents

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

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

CARE HOMES FOR OLDER PEOPLE Brooklands 1 14 Dashwood Road Banbury Oxfordshire OX16 5HD Lead Inspector Kate Harrison Unannounced Inspection 4th January 2006 10:30 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 Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brooklands 1 Address 14 Dashwood Road Banbury Oxfordshire OX16 5HD 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) 01295268522 Brooklands 1 Limited vacant Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named service user under the age of 65 years. Date of last inspection 16th August 2005 Brief Description of the Service: Brooklands 1 is a large town house within five minutes from Banbury town centre, providing 24 hour nursing care to residents. The home has good access to the main shopping area, churches, bus and rail stations, library, hospital and doctors surgeries. The accommodation is spread over three floors, served by a passenger lift. There is a wheelchair lift for ease of access from the rear of the building and car park. Accommodation is provided in 9 single rooms and 7 double rooms. There is a combined lounge/dining area on the ground floor. There are small garden areas at the front of the building and four small patio garden areas. The proprietors plan to extend and renovate the building in the near future. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one morning and early afternoon. The inspector spoke to several residents and members of staff, visited communal and private areas of the home, saw records and discussed policies and procedures with the acting manager and with both the proprietors. The proprietors also discussed issues arising from the forthcoming development at Brooklands 1, and plan to carry out risk assessments to make sure that each stage of the development is managed in the residents’ best interests. The previous registered manager finished her employment at the home in December 2005 and the deputy manager is now the acting manager until the process of her registration with the Commission is complete. Only those key standards not assessed at the last inspection were assessed and the inspector made no requirements or recommendations at this inspection. What the service does well: What has improved since the last inspection? More adjustable beds have been provided for the residents. A new carpet has been fitted in the lounge. A designated member of staff spends two days each week on activities with residents. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 6 Two new birds live in the birdcage in the sitting room, and residents enjoy watching them. The recommendations from the last inspection have been implemented, including an improved induction programme. Planning permission has been granted for the expansion of the home. 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. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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): Standard 3 was assessed at the last inspection and Standard 6 does not apply to Brooklands 1. EVIDENCE: Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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): 10. Residents are treated with respect. EVIDENCE: Residents told the inspector that staff treat them well, and that they feel that staff respect their privacy, such as receiving mail unopened. Personal care takes place in private, and residents are addressed by their preferred name. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 14. Residents are happy with the lifestyle at the home, and are able to keep contact with whomever they want to. Residents are able to have choice and control over their lives as far as possible, with the help of staff. EVIDENCE: Several residents told the inspector that they were satisfied with life in the home. A member of staff dedicates one weekday and one day at the weekend to activities. Residents’ interests are recorded with the help of relatives and friends soon after arrival, and the activities coordinator organises a programme of activities of interest to all the residents. The inspector saw the programme for the week before Christmas, showing festive related activities. Residents are able to attend religious services of their choice with help and services are held in the home, especially at significant times such as Christmas. The home’s visitors’ policy shows that visitors are welcome at flexible times and residents said that they had no problems with the arrangements. One resident also said that staff helped her to go out shopping for Christmas presents, and helped her to wrap items and sign the present tags. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 the following standard(s): The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 the following standard(s): The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 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): The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 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 and 38. Residents and relatives have opportunities to discuss any issues with the home’s management. Residents’ financial interests are safeguarded. The health, welfare and safety of residents and staff are promoted and protected in the home. EVIDENCE: Regular residents meetings are held in the home, and the minutes of the meetings are circulated to relatives. The proprietors have an open door policy so that residents and relatives can discuss issues as they arise if they wish to. The acting manager or the nurse in charge is also available to listen to concerns. A suggestions box is also provided in the home so that residents or relatives can put ideas to the proprietors. The expansion of the home is discussed at residents’ meetings, and the proprietors are considering implementing a formal consultation process for residents and relatives when the home has expanded. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 15 Residents can manage their own financial affairs for as long as they are able, and care managers and relatives take responsibility when they are no longer able to. Secure facilities are available in each room for residents’ valuables and records are kept of money or valuables kept securely by the home. The home has a designated health and safety officer, and two fire wardens. There is a safe working policy for staff, and training and equipment is available to enable staff to keep safe, for example in first aid and in moving and handling residents. The inspector saw records relating to recent servicing of the passenger and wheelchair lifts, and saw the fire records showing that procedures regarding fire safety are implemented. Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 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 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 17 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. Refer to Standard Good Practice Recommendations Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Brooklands 1 DS0000046595.V276183.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!