Inspection on 03/11/05 for Brooklands 2

This inspection was carried out on 3rd November 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.

Other inspections for this house

Brooklands 2 10/10/07

Brooklands 2 11/04/07

Brooklands 2 24/10/06

Brooklands 2 20/07/05

Brooklands 2 17/03/05

Brooklands 2 06/10/04

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 2 11 Old Parr Road Banbury Oxon OX16 5HT Lead Inspector Kate Harrison Announced Inspection 3rd November 2005 09:30 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 2 DS0000046642.V252767.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. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brooklands 2 Address 11 Old Parr Road Banbury Oxon OX16 5HT 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) 01295 262083 01295 278404 mail@brooklandsnhs.co.uk Brooklands 2 Ltd Mrs Doolyn Lacey Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2005 Brief Description of the Service: Brooklands 2 is a three storey late Victorian town house situated in a residential road within easy access of Banbury town centre. The accommodation is spread over three floors served by a passenger lift and comprising 17 single rooms and 6 double rooms. There is an assisted bathroom on each floor, and three lounge/dining rooms. There is a small enclosed garden and patio area at the rear of the building. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This CSCI announced inspection was conducted over one day when the outcomes of key standards of the National Minimum Standards were assessed. The proprietors had previously supplied to the inspector the completed CSCI pre-inspection questionnaire and self-assessment document. Residents, relatives and health and social care professionals also returned completed comment cards to the inspector. The inspector saw all areas of the home, spoke with several residents and some relatives, and discussed key aspects of the management of the home with the proprietors and the registered manager. What the service does well: What has improved since the last inspection? What they could do better: Residents or their relatives need to sign the nursing assessment carried out after admission to show that they are involved in planning their care. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 Page 6 When residents bring medication with them from hospital or home, it must be recorded when received at the home. 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 2 DS0000046642.V252767.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 Brooklands 2 DS0000046642.V252767.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): None None of these standards were assessed at this inspection. Standard 3 was assessed at the previous inspection and Standard 6 does not apply to Brooklands 2. EVIDENCE: Brooklands 2 DS0000046642.V252767.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 and 9. Care planning is comprehensive and individualised. The general management of medication into the home is good, but medication from all sources must be recorded when received at the home. EVIDENCE: Nurses conduct a comprehensive assessment soon after admission to determine the individual’s care needs. The inspector saw several detailed care plans covering the physical and psychological needs of residents. Directions to staff were clear and relevant, and residents confirmed to the inspector that their care needs were met. To confirm that residents or their relatives are involved in the care planning process the inspector recommends that where possible they be asked to sign agreement to the nursing assessment carried out after admission. There is a clear audit trail of regular medication ordered through the pharmacy and the inspector was satisfied that good practice is followed throughout the process, including for controlled drugs. The inspector noted that in one instance medication received from a resident returning from hospital was not recorded as received in, though in all other respects recording was good. All medication received into the home must be recorded. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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): 15 Residents receive a wholesome diet at convenient times. EVIDENCE: The inspector saw the home’s four-week menu showing that home cooked food is available three times a day. Several of the residents stated in the CSCI questionnaire that they liked the food, and others told the inspector that the food was good. Special diets are catered for and pureed food is well presented. Staff attend to individuals needing help to eat in a sensitive way. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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): None None of these standards were assessed at this inspection. Standards 16 and 18 were assessed at the previous inspection. EVIDENCE: Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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): 19 and 26. Residents live in a safe and well-maintained environment. Infection control is well managed. EVIDENCE: The home complies with the environmental health and fire service requirements. There is a maintenance team responsible for the upkeep of the home, including the gardens, and ongoing replacement and updating of the fabric of the home continues. The home’s registered manager is responsible for the implementation of the home’s infection control policies. Care staff manage the residents’ laundry within the home, and the laundry facilities are good. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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): 27 The numbers and skill mix of staff meet residents’ needs. EVIDENCE: The home’s rota shows that a mix of qualified nurses and care staff are available for residents over the day and night. Additional staff are available at key times of the day to meet the needs of residents. The proprietors work hard with training providers to ensure that a wide variety of training opportunities are available to attract carers. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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. The proprietors work hard to ensure that residents’ views are taken into account to improve daily life in the home. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are protected. EVIDENCE: The proprietors use a range of formal and informal methods to audit all aspects of life in the home, including meetings with residents and relatives. The registered manager has an open door policy for residents, relatives and staff, and has responded to concerns about language difficulties by organising weekly English language lessons for staff. Relatives usually manage residents’ financial affairs, and any extra charges are detailed in the terms and conditions at the time of admission. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 Page 15 The home has safe working practice policies and risk assessments are carried out appropriately. A new call alarm system has recently been installed. Staff have training in first aid, food hygiene and infection control. Brooklands 2 DS0000046642.V252767.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 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 2 DS0000046642.V252767.R01.S.doc Version 5.0 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. 1. Standard OP9 Regulation 13 Requirement All medication received into the home must be recorded. Timescale for action 03/11/05 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 OP7 Good Practice Recommendations The home’s nursing assessments should be signed by the resident or representative to show involvement with the care planning process. Brooklands 2 DS0000046642.V252767.R01.S.doc Version 5.0 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 2 DS0000046642.V252767.R01.S.doc Version 5.0 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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