Inspection on 04/07/06 for Brooklands Residential Home

This inspection was carried out on 4th July 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 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 Residential Home 16/05/07

Brooklands Residential Home 31/01/06

Brooklands Residential Home 18/10/05

Brooklands Residential Home 11/02/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Brooklands Residential Home 16 Harper Lane Yeadon Leeds West Yorkshire LS19 7RR Lead Inspector Sue Dunn Key Unannounced Inspection 4th July 2006 09:30 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 Residential Home DS0000001429.V298596.R02.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 Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brooklands Residential Home Address 16 Harper Lane Yeadon Leeds West Yorkshire LS19 7RR 0113 2508677 P/F 0113 2508677 mandyjowett@hotmail.co.uk 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) Mr Paul C Jowett Mrs Amanda Jowett Mrs Amanda Jowett Care Home 27 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (27) of places Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for DE is specifically for the service user named in the variation application dated 20.9.4 31st January 2006 Date of last inspection Brief Description of the Service: Brooklands Residential Home is situated near Yeadon town centre, which is a suburb of Leeds. The home is situated on a bus route and is within easy reach of local amenities. There is an off road parking area. The building is an extended and converted detached property. There is a pleasant conservatory on the side of the building, which opens out into a secure and well tended garden area. Accommodation for service users is provided in nineteen single rooms and four shared rooms. The ground floor has two lounge areas and a dining room in addition to the conservatory. The home is managed by the proprietor and provides residential care for up to twenty-seven older people of both sexes. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. One inspector undertook the inspection, which was unannounced. The inspection started at 9.30am and finished at 3.50pm A pre inspection questionnaire sent to the manager had been completed at the time of the inspection and was used to support judgements made during the inspection visit. Comment cards with pre paid envelopes were left in the home inviting people to express their views about the service. The report is based on information received from the home since the last inspection in January, observation and conversation with residents and staff, discussion with the manager, examination of five care files (which included case tracking two) and an inspection of the premises. This included an inspection of some bedrooms and all communal areas. The fee, which is currently under review, is £375. There are some minor shortfalls against the standards but the home is judged to be managed in the interests of the residents, with attention paid to the details, which provide good care and quality of life. What the service does well: The entrance to the home inspires confidence with it’s neat well kept garden. The domestic style of furnishings and fittings creates a warm ‘homely’ atmosphere. All areas of the home seen were clean and fresh with no unpleasant odours. Bedrooms were well decorated with evidence of recent redecoration in one area. It was clear that some people had brought photographs and other personal possessions into the home. Bed-linen and residents’ clothing was well laundered. Personal care was of a good standard and people were dressed to their own preferences with makeup and jewellery according to taste. The staff were neatly dressed, relaxed and friendly. Residents were full of praise for the staff, describing them as ‘marvellous’, and ‘excellent’. A regular visitor used the words ‘caring and considerate’ to describe the staff. A questionnaire returned by a relative indicated satisfaction with the standard of care. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 6 Some of the staff recorded detailed information in the daily notes, which gave a picture of the quality of life experienced by residents on a day- to- day basis. The manager was aware that other staff needed more support in this area. The records showed what action was taken if anyone had health care needs. The home was giving good bedside care for people who were unwell by paying attention to the details which keep people comfortable. Residents have the opportunity through meetings to comment on the service they receive and make suggestions for activities. The home is well positioned to allow ease of access to the bustling local community which some use to their advantage. In house activities suited the group of people spoken with. What has improved since the last inspection? What they could do better: The Statement of Purpose and Service User Guide are informative but when next reviewed the format and layout could be improved with colour print and pictures. This would make the information easier to read. Assessments of need should place more emphasis on abilities rather than ‘problems. The care plans can then show more clearly how people need supporting to maintain their abilities and independence. All written documentation must be dated. Staff should record positive events in the daily records as well as ‘problems’ to give a balanced picture of each person’s experiences. The records seen did not do justice to the quality of life observed. Staff were able to show they had knowledge of each residents’ life and achievements but this was not shown anywhere in the care file. As this information is unique to each person, it is an important part of providing care which is ‘person centred’. The manager should try to obtain an induction loop system to aid communication for those people with hearing aid difficulties. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 7 The staff team have yet to meet the 50 target of care staff with the NVQ award though this is ongoing. The CSCI must be informed of any events which may affect the welfare of residents. This includes any staffing issues. The recruitment and selection records could be improved There must be written evidence to show that regular Health and Safety checks are undertaken. 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 Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 8 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 Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 9 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, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home, examination of documentation, discussion with service users and relatives and information provided by the manager. Prospective residents are provided with information to help them make an informed choice about the home. The documentation could be made more interesting to read by highlighting the information with colour and pictures. Assessments could be improved by focussing on abilities rather than problems. EVIDENCE: A copy of the Statement of Purpose was seen on the computer. This is printed off as required for new people. The document is adequate but could be made more interesting with the inclusion of colour and some pictures to highlight the information. The contract also gives useful information clearly stating what is included in the fees. The current fee for new people is £375. This was reviewed in April but is awaiting further discussion with Leeds Social Services. Privately funded people have been informed in writing, in accordance with regulations, that there will be a further review of fees in this financial year. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 10 Pre admission assessments were inspected for two people, one admitted in 2003 and one admitted recently. The information showed that the manager visited the person whilst in hospital to carry out her assessment. She had to base her assessment on information from hospital documentation which was quite limited regarding the person’s lifestyle before admission. A further assessment on admission was based on a care plan from a previous placement and had been expanded to highlight particular areas of care. This gave staff detailed guidance on how care was to be provided. The care plan was evaluated monthly. Most staff were providing good detailed documentation of progress, though some were simply writing ‘care as planned’. The manager said she was aware of the different levels of recording skills within the staff team. The other assessment inspected identified ‘problems’ rather than existing abilities. The staff should try to recognise each person’s level of ability then base the care plan on what staff help is required in each area to ensure needs are fully met. Discussion with the staff and manager indicates they have a positive approach. All spoke of encouraging independence whilst minimising risk. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including discussion with service users and staff, inspection of care plans and observation. The care plans were satisfactory but all documentation must be dated and staff should aim to build the care plan on the background knowledge they have of each person and their remaining skills. Daily records should also include information about the positive events in each person’s day. EVIDENCE: The care plans of four people were inspected. The first care plans were undated but as the evaluations were dated it gave a clue as to when the initial care plan had been developed. In the general information section of the file there was a brief description of peoples’ interests. Disappointingly there was nothing in the care files to describe the personality and background of each person but a care worker was able to give a fair summary of the background and interests of the person for whom she was key worker. There was written evidence in the daily records to show how care was followed up after falls or if people were unwell. An example of this showed where a care Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 12 plan had been amended following a fall advising staff to keep discrete but close observation of the person to reduce the risk of falls. The content of the daily records is based on the physical care given and does not include information which describes the quality of life for each resident each day. It was apparent from observation and talking to people that they are encouraged and supported to lead a fulfilling life but this was not reflected in the care plans or daily notes. The manager is reluctant to routinely weigh people unless there is a valid reason to justify weight monitoring such as ill health, poor diet or obvious signs of weight increase or loss. The manager is hands on and is aware if there is any reduction in appetite. Nutritional supplements are prescribed for those at risk of pressure sores though this was not apparent in one of the care plans seen. The home has domestic scales for those who can weight bear sit on scales are to be purchased. One person who was being assisted to lose some weight is weighed regularly. The care plan showed this was being done effectively by food portion control . The plan had been discussed with the family. Residents said they felt safe and well cared for. This was borne out by observing a person being cared for in bed who was lying on clean crisp, unwrinkled sheets and pillows. The curtains were drawn against the sun and there was a fan close to the bed. The resident looked very comfortable and sleepy but able to smile. The television was on low as quiet background sound but not intrusive. There was a jug of juice and a turning and fluid chart in the room. The resident’s named care worker said it was her responsibility to keep the drawers tidy, ensure there were toiletries, and follow and evaluate the care plan. She was satisfied that other staff followed the plan to maintain consistent standards. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including information gathered from the residents meeting, discussion with relatives, examination of care files and observation. The residents in the home have a good quality of life in which they can exercise choice. This however is not reflected in the recorded information. EVIDENCE: A residents meeting had been arranged on the day of the inspection. The inspector was given the opportunity to attend the meeting, which 7 residents attended. This gave a good picture how people viewed life in the home. The Manager and deputy chaired the meeting, which was run as an informal discussion. The manager and deputy repeated information directly to people who had difficulty hearing. One person volunteered the information that she was very happy and had no complaints. She repeated that she was very comfortable and it was good home cooking which she enjoyed (this raised a laugh as she is known for her good appetite). She also said how clean the home was with no smells. ‘Its excellent I can go to bed and feel very safe’. Another person said she was worried that she might be in peoples’ way where she liked to sit and was reassured. She said there seemed to have been a few staff changes recently, and thought it was because ‘people don’t like night Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 14 work.’ She went on to say ‘We all like the motivation man, he is very nice to everybody.’ Another resident said ‘I am happy with the way things are’. She had a book on her knee, and was later occupied with a puzzle book. One lady said she was quite alright with her book and her knitting. This prompted a general discussion about knitting baby clothes for a member of staff expecting a baby. One person said ‘I’ve been here for 12 years and can recommend it. My family is happy too’. She said she would like to go on an outing to the Millstones again but the manager explained that the others on the group were not interested and suggested an alternative place closer to home which all agreed to. Another lady said she could get up and go out for a walk if she was fed up. She also said she liked the quiz. All said they felt comfortable with staff doing 2 hourly checks during the night and one person said ‘and they do carry out the checks’. The manager explained later that people do not like to move from their chairs so respond to the quiz and other activities which they can do from their chairs. eg- large playing cards, jigsaws, clothes parties, bingo. Dominoes or a quiz takes place every Saturday afternoon. Many people enjoy a 1:1 with staff. Some residents were sitting in the lounge chairs either dozing or staring into space, some were in their rooms actively watching TV. Staff talked to people as they were carrying out their care tasks and explained what they were doing. One person was assisted to the office telephone to receive her daily phone call from family members. Several people have had a telephone installed in their room. Two visitors were spoken with and appeared to have a relaxed relationship with the managers. Both were satisfied with the service the home provides. The care plans and daily records did not reflect the quality of life experienced by the residents. The cook said that the manager advises her about special diets. She said she was catering for 3 people on fat free diets and several people with diabetes. She described how she tried to make diabetic diets as close to the meal everyone else was having. Residents spoke highly of the meals. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 15 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including discussion with service users, staff and a relative. Residents were seen to have the opportunity to raise any matters of concern. Minor ‘irritations’ are dealt with immediately. The home has clear guidance on adult protection. EVIDENCE: The questionnaire completed by the manager stated that there have been no complaints since the last inspection. It was clear from the residents’ meeting that people can speak to the staff if they have any concerns. The manager said she deals with day- to- day grumbles as they arise (egcoffee not hot enough) therefore they don’t become complaints. A visitor said there had been little cause for complaint over the years. There had been odd occasions when clothing was not satisfactory and this was immediately dealt with. The deputy matron and matron have done the train the trainers course for Adult Protection and provide in house training as seen on the training plan for March and April. An adult protection flow chart gives step- by- step guidance on what to do if an allegation of abuse is made. This is read and signed by all staff. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 16 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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement based on all the available evidence which included speaking to the manager, staff, residents and relatives, observation and a tour of the building. The home was clean, pleasantly decorated and furnished and free from any unpleasant odours. There must be evidence to show that safety checks are carried out on equipment and the building. EVIDENCE: The approach to the home and grounds was neat and well tended. The manager’s husband (who is the joint proprietor) and son were gardening on the day of the inspection. The home is well situated within easy reach of local amenities, GP surgeries and banks. One person said she regularly goes across to the local supermarket where there is a café and seating. The surrounding hedges offer privacy from the road with panoramic views over the valley from the back of the home. The interior of the home had a warm ‘homely’ feel with a variety of seating in the communal lounges. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 17 Bathrooms and toilets were domestic in style and equipped with appropriate aids. One had a shower. The manager said she routinely checks equipment and the premises with her husband but does not have a system for recording this. A notice in the bathroom gave guidance to staff on safe bathing practices. The manager was advised to apply for an induction loop for one of the residents who was clearly having difficulty hearing in the communal lounge. All residents with hearing aids can benefit. A tour of the building found all parts spotlessly clean and free from any odours. The cleaner explained that she and a colleague each has responsibility for cleaning a floor. Bedrooms were well decorated and carpeted and each room reflected the personality of the occupant. Residents who remained in their rooms were comfortable and had drinks. Bed-linen was well laundered and soft and residents clothing looked well cared for. The care staff are responsible for the laundry tasks and a person is employed to do the ironing. A visitor commented that he appreciates the assistance of the key worker who will purchase clothing and do any mending required for his mother. A washing machine with sluice cycle has been purchased within the past year to reduce the risks of cross infection. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made from all the available evidence which included information received from the pre inspection questionnaire, speaking to the manager and deputy manager, staff, residents and relatives. The home continues to support staff to achieve the NVQ award but has not yet reached the 50 minimum requirement. The manager works ‘hands on’ and is able to closely monitor staff practices to ensure these meet the standards she sets. EVIDENCE: On the day of the inspection visit there were two experienced care workers, a new recruit, who was working under supervision with the other two staff, the manager and cook. The matron arrived later and a domestic was seen during the tour of the building. The staff were caring for 22 residents with an additional person who was staying on an introductory two day trial visit. One person was on full bed care another on a recliner in his room. Out of a total care staff team of 13, as shown on the questionnaire completed by the manager, 3 care staff have the NVQ award (one of these is due to start maternity leave) and 3 are working towards the award with two expected to complete it by November. The manager and matron are NVQ assessors and will enrol more staff when the present staff have completed the award. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 19 The manager had requested a POVA (Protection of Vulnerable Adults ) check for the new member of staff which had not been received. The manager said she needed to fill a vacant post quickly to maintain staffing levels so had started the employee on the home’s induction training. She was said to be shadowing other staff until the results of the check were completed. The manager was advised that she must notify CSCI if such a situation occurs. A staff personnel file was checked. This included a CRB check, one written reference and a note saying that a verbal reference had been received. The manager said she had been unable to get a written reference. She was advised to make notes of any future verbal references. An interview check list had been used but this did not show what the outcome of the interview was judged against. In the interests of equal opportunities the manager is advised to keep a copy of the job description and the questions asked at interview. The file contained notes of an appraisal and the action taken regarding employee performance. The home has a racial harassment policy in the policy and procedure file but this is not easily available to residents and anyone coming into the home. The manager was advised to place this in a prominent place for the benefit of visitors, staff and residents. An induction check- list is used to record all the basic introductory training for new staff. The home is using an external training provider who provide a 1 day induction at no cost to the home Training certificates in the file seen were for first aid, basic health and safety, hand hygiene, and an introduction to moving and handling. A training plan on the wall in the office gives an overview of the year’s training programme. One of the key-workers was able to explain her role and give a good background history of person for whom she was named worker. She was doing the NVQ, had done manual handling training, adult protection, infection control and dementia and was booked to do a first aid course. All care staff are involved in handling medication and are doing an accredited medication course. A relative spoke highly of his mother’s key-worker describing her as an ‘excellent carer’. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 20 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, 32, 33, 36, 37 and 38 Quality in this outcome area is adequate. This judgement has been made from discussion with the manager and staff, inspection of records, information on the pre inspection questionnaire, discussion with residents and observation of practices. The home is managed to provide a high standard of care in the best interests of the residents, and staff morale is good. However there is room for improvement in some of the record keeping, as identified earlier in the report. There must be written evidence of the routine health and safety checks of the premises and equipment such as bedrails and wheelchairs. EVIDENCE: The manager completed the managers award earlier this year but has not yet received the certificate. She felt the study was very time consuming and disappointingly did not feel it provided her with any new management Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 21 information or skills. She works ‘hands on’ and has good knowledge of all the residents. Staff meetings are held three monthly. Examination of the minutes of the last meeting showed that staff take an active part in the meetings and are encouraged to make suggestions and express views. One care worker said everyone worked well together with no ‘them and us’. There is a relaxed atmosphere but the manager will ensure practices are of a good standard. The residents’ meeting gave a good insight into the way the home is managed. Some of the records seen were undated and there was no record of the health and safety checks which the manager said were undertaken. The manager said she will occasionally hold personal money for residents if their family are unable to visit regularly and she keeps a record of any spending on their behalf. This record was not checked. Mr Jowett, the joint proprietor, does the routine tests on all small electrical appliances. Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 22 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 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 4 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 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 2 2 Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement All records must be dated and daily records give a balanced view of daily events Each care file must include relevant background information about each resident. The registered person must continue to aim for a minimum of 50 of the care staff to have the NVQ award The CSCI must be informed about any events in the home which may affect the well being of residents There must be written records to show that regular Health and Safety checks are undertaken Timescale for action 31/10/06 2. OP30 18 31/03/07 3 OP27 4 OP19 OP37 OP38 37 31/08/06 23 30/09/06 Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 24 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 OP1 2 3 OP4 OP22 Refer to Standard Good Practice Recommendations The Statement of purpose and service users guide could be made more interesting to read with some colour and pictures to highlight the information The home assessments and care plans should be built on existing skills rather than problems The manager should consider having an induction loop system installed in the main lounge area Brooklands Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Residential Home DS0000001429.V298596.R02.S.doc Version 5.2 Page 26 - 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!