Inspection on 05/05/05 for Brooklands

This inspection was carried out on 5th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brooklands 01/11/07

Brooklands 28/11/06

Brooklands 27/09/05

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 PR2 3PU Lead Inspector Lynne Lynch Unannounced 05 May 2005 9:30 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 F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brooklands Address 6 Blackbull Lane, Fulwood, Preston, Lancashire, PR2 3PU 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) 01772 719078 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 F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 24 service users to include up to 23 service usersin the category of OP and one service user in the category PD. Date of last inspection 28/10/04 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 F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 5th of May and was unannounced it started at 9.30am and took place over 6 hours. The Inspector spoke to two staff members, six residents, one visitor and the manager. Comment cards were issued one service user and one relative replied back at the time of the report. Staff and care records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The homes Statement of Purpose and Service User Guide must be updated to provide prospective residents with up to date information. Greater emphasis needs to be placed on the individual’s specific leisure interests. Reports must be sent to the Commission as part of quality monitoring by the provider. The manager should commence the NVQ 4 award in Management and Care to update her knowledge and skills. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 6 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 F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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 standard(s) 1 and 6 The home provides information to enable residents to make an informed choice however this information needs reviewing to reflect the current state within the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide both these documents however do not reflect the current state in the home. Both service users and visitors spoken to confirmed they had received information from the home prior to them moving. People are not admitted to Brooklands solely for intermediate care. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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 standard(s) 7,8,9 and 10 The home provides a good level of health care. Resident’s welfare is closely monitored and health needs are met. Good medication records are maintained and respect and privacy is upheld. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needs to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents are met. Significant events had been recorded and daily entries made setting out the care given. However some daily recordings are brief and these should be expanded on to give a clearer picture of how the individual has been that day. The care plan for one resident showed how care needs had changed and the action taken by the home to enable this lady to remain at the home. Daily records show good contact with health professionals and indicate that staff have a good awareness of when to seek advice. The inspector spoke with several service users and a visitor in respect of their health needs. They confirmed that they are being met stating “they keep track of my appointments”, “they will call for the doctor if you need one”. One lady confirmed that the optician and chiropodist make visits. One lady said, “I Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 10 wasn’t well the other day and the care staff checked on me three times that was good”. The pharmacist inspector previously examined medication procedures. A marked improvement was noted in respect of requirements and recommendations made during a prior inspection. Staff are given a handbook detailing how principles of care such as dignity and privacy are promoted. This handbook also contains guidance on key policies such as moving and handling. Service users spoken to confirmed staff were always polite and respected their privacy. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 11 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 and 13 Social activities and contact with family and friends are actively encouraged. Greater emphasis needs to be placed on the individual’s specific leisure interests. EVIDENCE: People living at the home stated that they were happy with the activities provided by the activities organiser at set times each week. People particularly enjoyed the bingo and exercise to music. Details of resident’s interests were ascertained during the assessment process not all these are necessarily pursued this information should be forwarded to the activity organiser. People living at the home stated that they enjoyed outings on the minibus, however one lady said that these didn’t always take place on Wednesday afternoons as planned. Provider advised that minibus outings are not planned weekly events. Some of the residents spoken to felt that there was not enough going on however others showed disinterest in activities and preferred to occupy themselves. A number of residents and visitors were spoken to and all commented that everything possible is done in order that residents can retain relationships with family and friends. One visitor commented that they are welcome to visit at any time and the staff, always give them information on the health and wellbeing of their relative. The inspector witnessed good relationships between staff and relatives. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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) 18 The home has a policy and procedures in place to protect residents from abuse. EVIDENCE: The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Service users spoken to said they felt well cared for and safe. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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) None of the above standards were inspected at this visit. EVIDENCE: Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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) 29 The home has well established procedures for the recruitment of staff, which provide safeguards for the protection of people living in the home. EVIDENCE: Appropriate recruitment and selection procedures are in place and staff files viewed showed that information required by regulation is maintained. CSCI inspectors have previously viewed the criminal records bureau disclosures for all staff within the organisation. No new staff had commenced duty without the required checks taking place. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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) 31,33 and 35 The home is well managed and quality monitoring systems are effective and lead to service improvement. EVIDENCE: Residents and staff made positive comments about the manager and all said that they are kept well informed. Residents and visitors spoken to said they found the manager to be approachable, supportive and helpful. Staff members said they found the manager was supportive. The manager stated that she would soon be commencing the Registered Managers level 4 award. Quality monitoring systems include internal systems, which invite feedback from people living at Brooklands and their relatives and the achievement and maintenance of the ISO 2000 award. Monitoring focuses on different aspects of the service each month. The manager follows up any issues raised on the feedback questionnaires sent out. The Care Homes Regulations 2001 require that a monthly report be sent to the Commission for Social Care Inspection. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 16 Although these reports are kept on file at the home a copy must be sent to the Commission. Inspection of resident records showed them to be comprehensive, well written and up to date. Records of money being handled by the manager for residents were up to date, explaining the reason for any expenditure and the balance of the money that was being retained. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 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. 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 2 x x x x N/A 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 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 2 x 3 x 3 x x x Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 18 yes 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. 2. Standard OP1 33 Regulation 6 26 Timescale for action The homes Statement of Purpose 01/08/04 and Service User Guide must be reviewed and updated. The registered provider must Immediate supply copies of the regulation and 26 visit reports to the ongoing Commission.(Timescale of 30.5.04 not met) Requirement 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 12 31 Good Practice Recommendations The manager should review the provision of activities to ensure that individual preferences and needs are met. The registered manager should gain a qualification, at level 4 NVQ in management and care. Brooklands F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S9822 Brooklands V216390 260405 Stage 4.doc Version 1.30 Page 20 - 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. 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