Inspection on 28/11/06 for Brooklands

This inspection was carried out on 28th November 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 01/11/07

Brooklands 27/09/05

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 Felicity Lacey Unannounced Inspection 10:00 28 November 2006 th 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.V314921.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 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.V314921.R01.S.doc Version 5.2 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.V314921.R01.S.doc Version 5.2 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 27th September 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.V314921.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place unannounced. During the visit the inspector spoke with residents, relatives, the manager and staff on duty. The premises were toured. Records kept at the home were looked at. The manager provided additional information in a Pre Inspection Questionnaire and 3 comment cards were received. What the service does well: What has improved since the last inspection? The manager has established a system to ensure that all training completed by staff is recorded; this shows the skills and knowledge of the staff team. The number of staff with a recognised qualification has increased. A key worker system has recently been introduced. The key worker helps with practical tasks such as making sure that wardrobes are kept tidy and the resident’s property list is up to date. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 6 Ramped access to the patio area at the rear of the home has been provided. Some rooms have been redecorated. 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 DS0000009822.V314921.R01.S.doc Version 5.2 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.V314921.R01.S.doc Version 5.2 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): 1,2,3 The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The service user guide and contract ensure that residents are aware of the services and facilities at the home. All residents have their needs assessed prior to moving to the home, which ensures that the home understands these needs and is able to offer appropriate support. EVIDENCE: The home has a detailed service user guide, which includes relevant information about the running and operating of the home. The residents spoken with had a copy of this, or where they had lived at the home for some time knew where a copy was available. Where appropriate a relative has been given this information, and a number of residents spoken with indicated that their families took care of ‘paper work’. The consideration of resident’s files and discussions with residents showed that each resident has a contract, which outlines the terms and conditions of residency and the cost of care at the home. This contract is renewed annually. Where a resident is not able to full understand the contract a representative may act on their behalf. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 9 All files looked at contained a pre admission assessment this may be from the social services or from hospital. The manager also visits all prospective residents prior to admission. A relative spoken with confirmed that she had been involved in planning her sister’s admission to the home. The pre admission assessment covers all areas of daily living and forms the basis of the care plan. The files also contained signed disclaimers where relevant, for example a number of residents prefer not to be checked by night staff, and some residents like to retain responsibility for all or some of their own medication. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 10 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, 8, 9, 10 The quality is this outcome group is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are set out in the individual care plan, which is reviewed regularly, this ensures that support is provided in a consistent way. EVIDENCE: The care plans used include checklists and scoring to assess needs, such as mobility needs and nutrition. The care plan details the areas in which the resident needs support. The care plans should be signed by the resident or their representative, this shows that there is a common understanding of the care needs of the individual. There was evidence of frequent reviews of care plans and amendments were made were needed. Risk assessments are completed when indicated by the care plan, for instance regarding falls prevention. Residents were confidant that their health care needs were being met. There was evidence on file of the involvement of health care professionals when needed. The district nurses provide community health care when needed. Appropriate referrals are made to specialists, for example the audiologist. The Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 11 home can arrange chiropody services if needed. Residents are able to choose their own GP, however it is sometimes not possible to retain the residents own GP because of surgery boundaries. Medication is stored and administered in a safe way. There is a disclaimer form that can be used if a resident wished to retain control over some or part of their medication. Records are maintained of all medicines administered. The manager ensures that staff responsible for the administration of medication have undergone training. Residents felt that the staff at the home respected their privacy and dignity. The relatives who completed comment cards indicated that they were able to see their relative in private. Some residents have their own phones in their rooms. Staff members use the terms of address preferred by residents. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 12 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, 14, 15 The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The social, cultural and religious needs of residents are identified and these are reflected in the activities and social life of residents. EVIDENCE: There is a range of activities on offer in the home; these include gentle exercise, carpet bowls and beauty treatments. There is also a regular trip out in the minibus, and residents have recently enjoyed trips out to Lancaster and Blackpool. Residents can have a daily newspaper delivered Visitors are made welcome at the home. There is a visitor’s lounge or residents can receive visitors in their own room. A relative spoken with thought that the staff were very helpful and friendly. Residents maintain their own financial affairs or appoint a representative. Residents are able to bring their own personal possessions to the home. There is new key worker system and one of the duties of the key worker is to ensure that the property list for the resident is kept up to date. The residents were pleased with the standard of food at the home. Special diets are catered for. There is choice of menu, and the home has a dedicated chef. There are regular drinks rounds, and some residents have their own Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 13 kettles. There are set meal times, but preferences are respected for example some residents prefer to take meals in their own rooms. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 14 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, 18 The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The complaints and adult protection procedures at the home are understood and safeguard the welfare of residents EVIDENCE: All residents spoken with and comment cards received indicated that the complaints procedure was understood. The current record of complaints could be improved; it should include the name of the complainant and be set out in a way that ensures that confidentiality is respected. A record was being maintained which is monitored by the manager, the majority of concerns raised were quickly sorted out. All residents felt that if they had a concern they would raise this with the manager who would try to resolve the concern. Staff spoken with understood the complaints policy and the adult protection procedures. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 15 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): 19,26 The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a pleasant place to live. EVIDENCE: Brooklands is a well maintained and clean home. Residents were pleased with the standard of cleanliness at the home. There are a variety of sitting rooms, and residents can choose whether to spend time with others or alone. There is an accessible patio area to the rear of the building this has been improved by the provision of a ramp and handrail. The home has suitable laundry and cleaning procedures in place. Residents spoken with said that their clothes were laundered and returned to them promptly. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 16 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, 29, 30 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The home is staffed in accordance with the needs of the residents. The recruitment procedure ensures that residents are protected. EVIDENCE: The residents spoken with said that staff were readily available. Comment cards indicate that relatives considered there to be sufficient numbers of staff on duty. The home has waking watch staff. There are dedicated domestic staff and care staff undertake some domestic duties. Currently 75 of care staff have achieved National Vocational Qualifications in Care at level 2 or above. There are opportunities for staff to undertake training and records are kept of courses completed. The training includes Moving and Handling, First Aid and Infection Control. All new staff complete induction training. The home has a recruitment procedure, which ensures that an application form and relevant checks are completed. The staff files seen included 2 references and Criminal Bureau Disclosure checks are obtained and the POVA First system used. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 17 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, 33, 35, 38 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Resident’s views are sought and taken account of. The manager encourages an open and positive atmosphere. The health and safety of residents and staff are promoted through the policies and practices of the home. EVIDENCE: The manager has many years experience and continues to work towards achieving a NVQ level 4 in Care and Management and the Registered Managers Award. Residents and staff members consider the manager to be accessible and effective in her leadership of the home. The home has an ISO 9002 quality assurance award. The home also sends out a relative’s questionnaire periodically and the views expressed are collated by the head office of JT Care Homes and any action points past to the manager. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 18 The responsible individual for JT Care Homes delegates a representative to carry out the monthly visits required by regulation 26 of the Care Homes Regulations however these visits have not been carried out consistently, with reports being received in August and November. Small amounts of money are retained on behalf of some residents and accounts are kept of all transactions entered into. The manager does not act as agent for any residents. The pre-inspection questionnaire indicates that health and safety checks are up to date at the home. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 19 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 20 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 OP33 Regulation 26 Requirement The responsible individual must conduct monthly visits to the home in line with the requirements of regulation 26. Timescale for action 28/12/06 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. 2 Refer to Standard OP31 OP16 Good Practice Recommendations The registered manager should gain a qualification, at level 4 NVQ in management and care. The record of complaints should record the details of the complainant and should ensure that confidentiality is protected. Brooklands DS0000009822.V314921.R01.S.doc Version 5.2 Page 21 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.V314921.R01.S.doc Version 5.2 Page 22 - 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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