Inspection on 31/05/05 for Brooklands

This inspection was carried out on 31st May 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 31/12/05

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 Ron Reeves Unannounced 31.05.05 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 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 I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Brooklands Address 25 Lambeth Road Eastwood Leigh on Sea Essex SS9 5XR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01702 525375 01702 421121 Dr Ram Kishore Tandon Vacant at present CRH 45 Category(ies) of PD X1, OP X44 registration, with number of places Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate 44 persons of either sex who fall with the category of old age and one person who has a physical disability. Date of last inspection 10th March 2005 Brief Description of the Service: Brooklands is a large detached establishment set within it’s 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 car-parking 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 I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place during the afternoon and evening of the 31st May 2005. and lasted for 7.5 hours. Opportunity was taken for a quick tour of the premises and inspection of records and documentation. Discussions were held with the proprietor, manager and 5 staff. Most of the residents were seen during the inspection and several were spoken to. Two visiting relatives gave their views on the home. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 standard(s) 1,3,4,5 The home operates a thorough pre-admission assessment process, which ensures the home can meet individual needs. Appropriate verbal and written information is given to prospective residents and their families and preadmission visits encouraged to enable informed choices. EVIDENCE: The home has an appropriate statement of purpose and service users guide which has recently been updated. Care records evidenced a full assessment had been undertaken by the manager or senior staff. Full social worker assessments were available for those residents sponsored by local authorities. Although eight care staff have recently left the home for a new recently opened home, the home still maintains a core group of experienced staff, both as nurses and carers, who were knowledgeable of the residents health and care needs. All prospective residents and their families are invited to visit the home before making a decision. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 standard(s) 7-10 Residents’ needs are being met by the home and records evidenced this. The home has a stable care group of staff who have a good understanding of residents’ health and care needs. Staff treat service users in a sensitive and respectful manner. EVIDENCE: Examination of a random sample of residents care plans evidenced an admission care plan and a comprehensive care plan developed during the trial period. Care plans seen were to a good standard, clearly identifying residents needs and giving concise instructions to staff on how those needs should be met. There was evidence of service user and family involvement. No resident has been assessed as able to manage their own medication. All medication is administered by nursing staff. Records were completed appropriately. Records showed good monitoring of health needs and appropriate referrals to medical professionals. Residents were complimentary with regards to the way their personal and health care needs were being met and felt that staff treated them in an appropriate way, respecting their privacy and dignity. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 9 The home has comprehensive policies and procedures regarding death and dying. Residents wishes are recorded in their care plans. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 standard(s) 12-15 Social activities and meals are both well managed, creative and provide daily variation for the residents. Visiting arrangements were open and relaxed. The home supplied sufficient quantity and quality of food and provided a well balanced diet that met individual needs. EVIDENCE: The home has an enthusiastic activities organiser who arranges a wide range of activities for the residents both in groups and individually including activities which take the residents outside the home. She said she hopes to develop a mobile shop for residents to purchase small items including toiletries and sweets. On the day of the inspection a residents meeting took place where residents were able to express their opinion on the home’s menus, quality of food, activities and on the general running of the home. Residents were generally satisfied with the level of activities and said they can say what they like at the residents meetings. Visiting relatives said they were always made welcome and can visit when they liked. One relative commented that he was very impressed with the home. The home’s menus were seen to contain a wide range of varied and nourishing meals. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 11 Special diets are catered for and the cook provides a cake for each resident’s birthday. Residents commented that the quality and choices of food provided is to a high standard. Residents requiring assistance with eating were helped in a sensitive and unhurried manner. Individual nutrition records are maintained. The main kitchen was large, well equipped and spotlessly clean and tidy. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 standard(s) 16 and 18 Appropriate policies, practices and training are in place in respect of complaints and protection of vulnerable adults. EVIDENCE: The home has an appropriate complaints policy and procedure. No complaints had been received since the previous inspection. Appropriate policies and procedures are in place for the Protection of Vulnerable Adults. Some staff have received Protection of Vulnerable Adults training. All other staff have bee booked on courses throughout 2005. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 standard(s) The home continues to provide a high standard of accommodation for the residents. EVIDENCE: Although there is 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. The home was clean and tidy throughout and is a credit to the domestic staff. The home benefits from a large well equipped laundry. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 Staffing levels are being maintained with existing staff working additional shifts and extra hours. However, there appears to be a better team spirit amongst the staff. Organisation of staff training requires further development. EVIDENCE: Staff rotas indicated staffing levels are being maintained. However with 8 care staff leaving to join a newly built home and recruitment of staff being difficult, existing staff are having to work additional shifts and on some occasions long shifts. Some staff spoken with felt they were better off without the staff that left and said there was a better atmosphere in the home and existing care staff and nursing staff are now working as a real team. The proprietor said he is recruiting more adaptation nurses from abroad. Staff recruitment policies and practices were not inspected in depth at this inspection as the standard was met at the previous inspection. Staff induction programme is 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 Staff are now receiving supervision on a regular basis. Service users said,” the staff are lovely and caring although at times they are very busy”. One service user said although she likes it there, sometimes there are not enough staff to help her to the toilet.” Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36, 38 The home has shown improvement in the management and staff morale since the new acting manager was appointed. She is aware that there is still much to be done and is working towards raising standards. EVIDENCE: 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 acting manager has applied for registration and is awaiting a “Fit Person Interview”. She is seeking training to meet the Registered Managers’ award. The home does not have an official quality assurance scheme, however Regulation 26 visits are being carried out by the proprietor, satisfaction Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 16 questionnaires have been received from all the service users and questionnaires are being prepared for relatives and visiting professionals. The home looks after small amounts of residents personal money for day to day expenses eg. Hairdresser, chiropody etc. A random sample of money and records checked were seen to balance. Staff supervision has commenced and all staff except four have received their first supervision by either the manager or Senior Nurse. The acting manager explained that she will be 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. The acting manager was aware of her duties under health and safety. The home’s maintenance person carries out regular safety checks. Safety certificates were available for services and equipment. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 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 2 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 2 x x 2 x 3 Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 18 Are there any outstanding requirements from the last inspection? 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 30 Regulation 12 and 18 Requirement Timescale for action 30/7/2005 2. 33 26 3. 18 36 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 30/7/2005 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 30/7/05 ensure that the staff induction programme meet National Training Organisations Standards. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 19 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 19 31 Good Practice Recommendations It is recommended that the Proprietor looks at a format, which records planned renewal and decoration, carried out at the premises. The manager to achieve the registered managers award. Brooklands I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 Page 20 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 I56 I06 S15524 Brooklands V222820 310505 Stage 4.doc Version 1.20 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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