Inspection on 27/09/05 for Brooklands

This inspection was carried out on 27th 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.

Other inspections for this house

Brooklands 01/11/07

Brooklands 28/11/06

Brooklands 05/05/05

Brooklands 28/10/04

Brooklands 27/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brooklands 6 Blackbull Lane Fulwood Preston Lancashire PR2 3PU Lead Inspector Mrs Lynne Lynch Announced Inspection 27th September 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 DS0000009822.V252402.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 DS0000009822.V252402.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brooklands Address 6 Blackbull Lane Fulwood Preston Lancashire PR2 3PU 01772 719078 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) J.T. Care Homes Limited Susan Williams Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (23), Physical disability (1) of places Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The registered provider should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 24 service users to include up to 23 service users in the category OP and 1 service user in the category PD 5th May 2005 Date of last inspection Brief Description of the Service: Brooklands Residential Care home is registered with the Commission for Social Care Inspection to provide personal care for twenty-three older people of both sexes aged 65 years and above and one person with a physical disability under the age of 65 years. The home is situated in a residential area on the outskirts of the city of Preston. It is on a main road and is close to shops and local amenities and on a bus route. Brooklands is a detached home with a purpose built extension, with a small garden to the front of the home, a paved patio and a parking area at the side of the home. Accommodation is provided in twenty-four single rooms all with en-suite facilities. The bedrooms are individually decorated and furnished to a good standard. Rooms are situated on the ground and first floor and can be accessed by a lift. There are a variety of communal areas including a visitor’s lounge and there is a hairdressing room. Service users are encouraged to retain their links in the community and every effort is made to ensure that relationships, hobbies and interests are pursued. Relatives, friends and visitors are made welcome at the home at anytime. Activities are arranged within the home and outings are arranged for service users who wish to participate. Brooklands belongs to the J.T. Care Homes Limited group of care homes. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 9.30 a.m. It took place over five hours. The inspector spoke to six residents, the registered manager and two members of staff. Part of the inspection was spent looking at care documentation together with the homes Statement of Purpose and Service User Guide. Staff records and records in respect of safe working practices were also examined along with minutes of meetings held for staff. Criminal record bureau disclosures are to be viewed by the Commission for the four homes owned by this provider on a separate day. Comment cards were distributed prior to and during the inspection seven residents and seven relative comment cards were received back. What the service does well: What has improved since the last inspection? What they could do better: A training matrix should be introduced for the home to give a clear indication of the staff teams skills and qualifications at any given time. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 6 The progress of NVQ training within the staff team needs to continue and this should be closely monitored/addressed. This also applies to the manager gaining level 4 NVQ. Residents meetings at the home would support the quality monitoring processes in place and would be a good opportunity for open discussion. 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 DS0000009822.V252402.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 DS0000009822.V252402.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): 3 Prior to moving into the home, a full comprehensive assessment takes place, which ensures that needs are met. EVIDENCE: The homes admission policy and criteria are clearly stated in the homes Statement of Purpose, which also includes an emergency admissions policy. The admission procedure is thorough and provides a good guide for staff on the actions to be taken to ensure that new residents needs are properly addressed and planned. The manager or senior care staff carries out an initial needs assessment prior to admission. The assessment documentation is comprehensive and includes all the required elements of this standard and informs the care planning process. Relatives are involved as appropriate to the individual. Additional local authority assessments were evidenced on file. The residents spoken to confirmed information was collated by the home and they had been involved in planning their care. Brooklands DS0000009822.V252402.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): None of the above standards were inspected at this visit. EVIDENCE: Brooklands DS0000009822.V252402.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): 14 and 15 Residents are supported to exercise choice and control over their lives. Meals are varied and a nutritionally balanced diet is provided to residents. EVIDENCE: The homes induction covers training and information in respect of principles of care. Choice, civil rights and access to information are covered in the Statement of Purpose and information regarding advocacy services is available in the home. Residents can exercise choice over their chosen lifestyle. Residents spoken to said Brooklands is like “home from home” and that you can please yourself how you spend the day “you are free to do whatever you want there is no questioning”, “you are not restricted here you have a free choice in whatever you want”. Personal possessions were viewed in each bedroom. Staff were observed asking residents re hairdressing meals and drinks. The home has a four weekly menu, which is well planned and provides nutritionally balanced meals. The cook at the home felt her budget was more than adequate enabling her to purchase fresh produce. She was well informed by care staff in respect of specialist requirements. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 11 During the inspection it was noted that one lady who was at a hospital appointment over lunchtime had requested a sandwich be saved. The lunch was well presented with liquidised diets being presented as separate elements. Residents spoke highly of the food advising that soups were homemade as were some cakes, biscuits and pies. Each resident is made a cake for his or her birthday. Residents said “ I haven’t to eat pork so they always make me something else”, “on Sunday everyone is offered sherry and chocolates that’s a nice touch”; “the manager is lovely she gets me a bottle of Guinness when I ask her to”. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 12 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): 16 Good practices and policies are in place to enable concerns to be raised and responded to. EVIDENCE: The home has a comprehensive complaints procedure, which is contained in the Service User Guide and is displayed throughout the home. The home has received no complaints since the last inspection. The Commission for Social Care Inspection has received no complaints within the last year .The home has always been responsive in respect of any concerns raised in the past. Comment cards received from residents and relatives all confirmed that people were well informed in respect of the homes complaint procedure. All confirmed they had not needed to make a complaint. Complimentary letters are received regularly by the home and some of these were viewed and one stated “thank you for a pleasant and peaceful time I have been well cared for by you all”. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 13 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 The home continues to provide a safe, comfortable and clean environment, which meets the needs of the people living there. EVIDENCE: The home is clean and warm, with dedicated domestic staff on duty each day. A full tour of the home was made both internal and external. All areas of the home were well maintained with appropriate furnishings. There was good Health and Safety signage within the home and the residents on call system was in full working order. The kitchen area is a little dated and in need of redecoration. The manager advised that there are plans in progress for a new kitchen to be fitted. A recent environmental health visit to the home had been positive with a further visit being planned in 18 months time. The laundry facilities appear well organised, with additional outdoor space for drying of clothes. Clothing is generally well cared for, with the manager recently discussing the importance of correct laundry procedures with staff. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 14 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): 27,28 and 30 Staffing levels are satisfactory to meet the needs of resident’s. Progress with NVQ training has been hampered by staff movement. EVIDENCE: At the time of the inspection there were 23 people resident at the home, with three care staff, plus a cook and a cleaner on duty. Two waking staff cover nights. Comment cards from relatives stated that there are usually sufficient staff are on duty, residents spoken to also felt there were sufficient staff to support their needs. There are 14 care staff at the home, five of whom have completed NVQ level 2 or 3, and five more staff commencing training in October. A statement from the training organisation providing NVQ training for the home was viewed, which confirmed the homes commitment to achieving their objective of training all staff to NVQ level. The manager is continuing to monitor the progress of NVQ training. Staff spoken to were happy with the levels of training and support given and felt they were given the opportunity to develop. A rolling programme of training provides all induction and mandatory training with some areas being carried out in house. Residents spoken to felt that the staff were well trained and knowledgeable of their needs, they said “ staff are very good they come when you need them”, “The new staff have to know so much so that they are Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 15 capable they are not left on their own, they have lessons here so they know what they are doing”. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 16 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): 31 and 38 The manager and her staff team are approachable and effective. The health, safety and welfare of residents are strongly promoted. EVIDENCE: The manager stated that she would soon be commencing the Registered Managers level 4 award in January 2006. There are clear lines of accountability within the home between the manager and her three seniors. This management team, work closely together under the leadership of the registered provider. People living at the home made positive comments about the managers and staff being available, approachable and willing to listen to their opinions. Health and Safety is covered in the homes staff induction and all staff receive health and safety information. Health and Safety is something that the home takes seriously and good mandatory training is in place. There is a designated Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 17 Health and Safety officer for the company. Risk assessments are carried out for the building and the home employs a maintenance person one day a week to ensure repairs are carried out. A designated senior member of staff carries out room inspections on a monthly basis and records of these were well maintained with any concerns being reported in handyman book. Inspection of records indicated that regular fire drills take place and that fire equipment is regularly serviced. Information provided in the questionnaire completed by the general manager stated that all safety equipment is regularly serviced. A record of all accidents is maintained. COSHH data sheets were noted throughout the home providing relevant information. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 18 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 19 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 2 3 Refer to Standard OP28 OP31 OP30 Good Practice Recommendations The provider should closely monitor the progress of NVQ training working towards 50 of care staff being qualified by 2005. The registered manager should gain a qualification, at level 4 NVQ in management and care. A training matrix should be introduced for the home to give a clear indication of the staff teams skills and qualifications at any given time. Brooklands DS0000009822.V252402.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 DS0000009822.V252402.R01.S.doc Version 5.0 Page 21 - 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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