Inspection on 09/03/09 for Brooklands Care Ltd

This inspection was carried out on 9th March 2009.

CSCI found this care home to be providing an Adequate service.

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

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Brooklands Care Ltd 22 Brockhurst Road Gosport Hampshire PO12 3DE Lead Inspector Craig Willis Unannounced Inspection 9th March 2009 10:00 Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 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 Care Ltd DS0000072446.V374384.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 Adults 18-65. 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 Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brooklands Care Ltd Address 22 Brockhurst Road Gosport Hampshire PO12 3DE 02392647674 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) Brooklands Care Ltd Mrs Nicola Quirke Care Home 5 Category(ies) of Learning disability (0) registration, with number of places Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 5. This is the first inspection since this home was registered. Date of last inspection Brief Description of the Service: Brooklands Care Limited is a care home that provides care and accommodation for up to five people who have a learning disability. The home is situated on the main road into Gosport, with shops and pubs in the immediate vicinity. There are regular buses to Gosport town centre and Fareham that stop outside the home. Each person has their own bedroom and shares the use of a lounge, kitchen, dining room and garden. The weekly fees for a place in the home range from £1609.72 to £1797.31. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The evidence used to write this report was gained from all the information we have received about the home since it opened and the annual quality assurance assessment completed by the manager. A site visit was made to the home on 9 March 2009. During the visit we spoke to one person who lives in the home, the manager, provider and staff on duty. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the service does well: What has improved since the last inspection? Not applicable. This is the first inspection since the home opened. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess people’s needs before they move into the home. This reassures people that the home will be able to meet their needs. EVIDENCE: The manager reported in the annual quality assurance assessment that the home has clear assessment procedures. We inspected the records of the two people who have moved into the home since it opened. Both people had been living in the home for approximately a month and both had a full needs assessment that was completed before they moved in. The assessments were completed by the manager and provider, with input from the person, their relatives and other people involved in their care, for example, care managers, staff at their previous placement and in one case information from staff at the person’s school. The assessments included needs relating to personal care, education, mobility, diet, communication, social and personal relationships and domestic skills. Both people had received a review of their needs assessment a month after moving in. We spoke with one person who lives in the home during the visit. They said staff know what support they need to provide. One staff member was spoken with during the visit. This person said they received good information about people’s needs before they moved in, which helps to provide the support that people need. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has individual planning and risk assessment systems in place, however these have not been fully implemented as people have only recently moved into the home. It is therefore not possible to assess whether these systems work in practice. People are supported to make decisions about daily activities. This gives people more control over their lives. EVIDENCE: We inspected the records of both people who currently live in the home during the visit. Both people had moved into the home approximately a month before the visit. Each person had information about their needs, however, this was not always set out in care plans, giving specific information about how these needs should be met. One person has a set of care plans that covered personal care, eating and drinking, communication, maintaining a safe Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 10 environment, behaviour, health and medication, mobility, cultural needs, education, and family contact. These had been completed in the month before they moved into the home and reviewed a month later. The other person living in the home did not have a set of care plans. As reported in the choice of home section, there was a needs assessment in place, which gave detailed information about the person’s needs and some information about how they should be supported. The care plans that were in place gave information about how to support the person to make decisions, for example the way they communicate. During the visit we observed staff supporting one person to make choices about what to have for breakfast and what to do during the morning. The one person spoken with during the visit said they were able to decide what they do. One of the person’s records inspected contained some risk assessments covering support when out in the community and epilepsy. The epilepsy assessment contained some actions that staff needed to take, however, did not cover having a bath. The person’s needs assessment states they need support at all times whilst in the bath. The manager reported that this epilepsy risk assessment is currently being re-written with input from the health team and she expected to have an updated version by the end of the week. The staff member spoken with during the visit had a good understanding about the person’s needs regarding epilepsy and the need to remain with them at all times whilst in the bath. The other person who lives at the home did not have any specific risk assessments, although there was some information about the risks to the person in the needs assessment. The manager reported they are currently in the process of developing the risk assessments for both people to provide more detailed information about what support staff should provide to manage the identified risks. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for people to take part in a range of activities, to maintain contact with family and friends and to follow a healthy diet. EVIDENCE: People are being supported to develop an individual programme of activities. One person is still attending school until they leave in summer 2009. The other person who lives in the home is being supported to apply for a number of college courses. Social activities include shopping trips, going out into the New Forest, football and having lunch out in a local pub. The manager reported in the annual quality assurance assessment that they were also looking into supported employment opportunities for people. People are supported to keep in contact with their friends and family, with staff providing support for people to visit family where necessary. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 12 The home has a menu that is planned with both people who live there, with staff support to provide a balanced diet. The manager reported that when the home is full the menu planning would take place in regular service user meetings. A record is kept of the food that people have. The one person spoken with during the visit said they like the food and are able to be involved in planning and preparing meals. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and healthcare needs are well met by staff and there are good systems to safely store and administer people’s medication. EVIDENCE: The information in people’s needs assessments included the support that was required with their personal care. The one person who lives in the home spoken with during the visit reported staff treat them well and listen to them. The records for each person include their health needs and the health professionals they regularly have appointments with. Records of appointments with the GP and optician had been recorded since people moved into the home. These records included details of the appointment and any advice given by the practitioner. Medication is stored in a locked cabinet and most tablets are supplied in blister packs. A record is kept of medication coming into the home and returned to the pharmacist for disposal. The medication administration record for the current month was inspected and had been fully completed. Guidelines are in place for the administration of ‘as required’ medication. A daily medication Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 14 audit is completed, which included a tally of medication held in the home and a record of any medication that is taken out of the home. All staff have completed some medication training and are currently completing a more in depth course. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. EVIDENCE: The home has a complaints procedure, which is provided to all people living in the home. The manager reported that they have not received any complaints since the service opened. We have not received any complaints about the service. The home has a copy of the Hampshire safeguarding procedures and has their own policy on keeping people safe from abuse. The manager reported that all staff will attend safeguarding training. One staff member was spoken with and they demonstrated a good understanding of different types of abuse, signs that someone may be being abused and action to take if abuse is witnessed, reported or suspected. The money of one person who lives in the home was held for safekeeping. This was inspected and the records matched the money held. Receipts were kept of expenditure and the money was stored in a locked cupboard. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a clean, comfortable and safe environment for people. EVIDENCE: All of the home’s communal areas were viewed during the visit. The home is well maintained, with good quality domestic furniture and fittings. People living in the home share the use of a lounge, kitchen, dining room, sensory room and garden. The home has a separate utility room, with washing machines capable of washing soiled clothing. The home is clean throughout. Hand washing facilities are suitably situated in the kitchen, utility, toilets and bathrooms. The home has infection control procedures and the manager reported all staff would receive infection control training. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a staff training programme, although it has not been fully implemented and it is therefore not possible to assess whether it is effective. There are systems to check staff before they start work in the home, however, failure to obtain two written references for one staff member does not demonstrate that the system is robust. EVIDENCE: The manager reported that three of the five staff have completed the National Vocational Qualification in care at level 2 or above. Staff members were observed spending time listening to people and responding to requests for support. The staff member spoken with said they felt there were enough staff to provide the support people need. The records of four staff members were inspected during the visit. All had evidence that a Criminal Records Bureau disclosure about them had been obtained by the provider and confirmation that they were not on the protection of vulnerable adults list as unsuitable to work in a care home. The files of three staff had two written references, however, there was only one reference Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 18 for one of the staff. The manager reported that this reference had been given verbally but she was still waiting for the written form. The manager has a training programme, although this has not yet been fully implemented as staff have only been employed for approximately a month. All staff have completed epilepsy training and are currently completing an in depth medication course. Courses are planned in autism, safeguarding, first aid, manual handling and food safety. Further training will then be planned, including health and safety, person centred planning, makaton sign language, communication and first aid. The one staff member spoken with said they had come from a similar service and had completed a lot of training in their previous post. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has management systems in place to assess the quality of the service being provided, however, they have not been fully implemented and it is not possible to assess whether they are effective. EVIDENCE: The manager reported that she has managed a similar service for a different provider and that she has started work on her National Vocational Qualification in care at level 4. Staff spoken with during the visit reported that they found the manager open and supportive. The provider was present for part of the visit and reported that she will be completing monthly visits to the home to assess the quality of the service provided. These visits have not yet taken place as there have only been people living in the home for approximately a month. The manager reported Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 20 that surveys would be carried out of people who live in the home, their relatives and other people who are involved in their care, for example social workers. The manager also reported that they plan to have regular meetings for people who live in the home. Records of the servicing and testing of the fire alarm, gas system, portable electrical appliances and electrical wiring were inspected and all were up to date. A fire risk assessment has been completed for the home. Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 22 N/A 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. 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. Refer to Standard Good Practice Recommendations Brooklands Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Care Ltd DS0000072446.V374384.R01.S.doc Version 5.2 Page 24 - 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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