Inspection on 31/12/05 for Brooklands

This inspection was carried out on 31st December 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 31/03/09

Brooklands 31/01/07

Brooklands 31/05/05

Brooklands 10/03/05

Brooklands 03/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Brooklands 25 Lambeth Road Eastwood Leigh On Sea Essex SS9 5XR Lead Inspector Helen Laker Unannounced Inspection 20th December 2005 11:00 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 DS0000015524.V273159.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 DS0000015524.V273159.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brooklands Address 25 Lambeth Road Eastwood Leigh On Sea Essex SS9 5XR 01702 525375 01702 421121 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) Dr Ram Kishore Tandon Miss Bindu Varghese Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (1) of places Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Nursing and personal care may be provided to no more than 44 older people over the age of 65. The number of service users for whom nursing and personal care is to be provided shall not exceed 45. Nursing care may be provided to no more than one service user with a physical disability who may be above the age of 50 years. Date of last inspection Brief Description of the Service: Brooklands is a large detached establishment set within its own well maintained grounds in the Eastwood area of Leigh on Sea. The home is close in proximity to all community amenities and services. Brooklands is decorated, furnished and maintained to a good standard throughout. The home has carparking facilities to the front and rear of the property. Brooklands is a care home with nursing providing 29 single bedrooms and 8 shared bedrooms. The home provides nursing care for 44 Older People and one Physical Disability service user. Residents are accommodated on two floors that are serviced by a passenger shaft lift. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection which took place over one day with one inspector in the home. There was a tour of the premises and grounds and an inspection of records and documentation. Time was spent observing the care of the residents. The proprietor, manager and one member of staff were spoken with, there were no relatives visiting on the day of inspection. Sixteen National Minimum Standards were inspected on this occasion, twelve were met and there were three requirements and one recommendation detailed in the full report. Discussion of the inspection findings took place with the proprietor and manager at the end and throughout the inspection and guidance was given. What the service does well: What has improved since the last inspection? 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 DS0000015524.V273159.R01.S.doc Version 5.0 Page 6 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 DS0000015524.V273159.R01.S.doc Version 5.0 Page 7 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): 2,6 Appropriate verbal and written information is provided to prospective residents and their families to enable informed choices. The home provides a caring environment where visitors are made welcome. EVIDENCE: The home has amended the service users contract to meet this standard. Each service user is issued with a contract. together with terms and conditions of residency. This was evidenced for the homes most recent admission. The home does not provide intermediate care. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 8 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): 11 Good arrangements are in place to ensure that the ageing, illness and death of service users needs are identified and met. EVIDENCE: It was noted at this and previous inspections that service users wishes regarding terminal care and arrangements after death were recorded in their care plans. The manager stated that flowers are sent. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 9 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): Standards 12,13,14 and 15 inspected at UI on 31st May 2005 and met EVIDENCE: Not inspected on this occasion Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 10 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): 17,18 The home has safeguards in place to ensure that service users legal rights are protected. Appropriate policies, practices and training are in place in respect of complaints and protection of vulnerable adults. EVIDENCE: Information on advocacy services is contained in the service users guide and displayed in the home. All service users are included in the voters register, those wishing to vote were said to usually vote the postal vote. Appropriate policies and procedures are in place for the Protection of Vulnerable Adults. Most staff have now received Protection of Vulnerable Adults training. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 11 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): 19,22 The home continues to provide a high standard of accommodation for the residents. EVIDENCE: Although there is still no plan of renewal of fabric and decoration, the proprietor informed that bedrooms are redecorated with every change of occupancy and if anything goes wrong he repairs or replaces it immediately. All bedrooms seen were well furnished and decorated and personalised to each individual service users taste. A plan of renewal of fabric and decoration was discussed with the proprietor on the day of inspection. The home has sufficient aids and adaptations and has been assessed by an occupational therapist and was found to be suitable for service users. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 12 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): 28,29,30 The procedures for the recruitment and training of staff have safeguards in place to offer protection to people living in the home. The home has an effective and competent staff team. Organisation of staff training requires further development. EVIDENCE: Four staff records were examined during a visit to the home on the 8th February 2005. These were found to contain all the information required to meet this standard. The same was evident at this inspection with the recruitment records sampled. Staff induction programme is still not to TOPSS specification. A wide range of training is available to staff, however, a programme needs to be developed to ensure all staff receive training and refresher courses at the appropriate times. This was discussed with the manager who stated that she is prioritising the investigation of this. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 13 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): 31,33,34,35,36,37 There is leadership, guidance and direction to staff and the home has in place practices that promote and safeguard the health, safety and welfare of the people using the service. Attention is still required with regard to legislative monitoring and audit within the home. EVIDENCE: The current manager is currently undertaking her Registered managers Award in order to meet to meet NVQ level 4 in management and care requirements. At the previous inspection a member of staff who had worked in the home for a number of years felt that the new manager was “the best thing that had happened to the home”. Staff said “she was easy, approachable and they had confidence in her.” The home does not have an official quality assurance scheme, however, although Regulation 26 visits are being carried out by the proprietor, these have not been consistent and the proprietor was reminded regarding this. The Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 14 manager has produced service users, staff and family quality questionnaires. Discussions took place regarding further action required to meet this standard. The home has appropriate insurance policies. A current employer liability certificate was displayed. It is judged that procedures are in place to ensure appropriate management of the business and there is no evidence to suggest that the home is not financially viable. The home looks after small amounts of residents personal money for day to day expenses e.g. Hairdresser, chiropody etc. A random sample of money and records checked at the last inspection were seen to balance. Staff supervision has commenced but is still incomplete. The acting manager discussed with the inspector delegating care staff supervision to the Registered Nurses in the near future. All staff spoken with were very knowledgeable of service users needs and all have received recognised training over the years. However, there is a need to provide an organised programme to ensure all staff receive training and refresher courses at the appropriate time. Records seen throughout the inspection were generally well maintained, accessible and securely stored. Some records have been commented on throughout the report. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 15 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 2 X X 3 X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 3 3 2 3 X Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 16 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 OP30 Regulation 12 and 18 Requirement Timescale for action 12/02/06 2. OP33 Reg 26 3 OP36 18(1) & (2) 19(1) The registered person must ensure that all staff employed at the home receive training for the work undertaken. It is recommended this meets the National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. The Registered Provider must 12/02/06 ensure that effective quality assurance and quality monitoring systems, based on seeking the views of service users are in place to measure the success in meeting the aims and objectives and the Statement of Purpose of the home. The registered person must 12/02/06 ensure that the employment policies and procedures adopted by the home and it’s induction, training and supervision arrangements are put into practice Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 17 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 OP19 Good Practice Recommendations It is recommended that the Proprietor looks at a format, which records planned renewal and decoration, carried out at the premises. Brooklands DS0000015524.V273159.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 DS0000015524.V273159.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. 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!