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Inspection on 02/09/09 for Brooklyn

Also see our care home review for Brooklyn for more information

This inspection was carried out on 2nd September 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Brooklyn The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Louise Bushell Date of this annual service review: 0 2 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 22-24 Nelson Road Clacton on Sea Essex CO15 1LU 01255430324 01255688370 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Mrs Eileen Theresa Morley Number of places (if applicable): Under 65 Over 65 16 0 0 16 The maximum numbers of service users who can be accommodated is: 16 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Brooklyn is a converted premises, which is in walking distance of Clacton seafront, and local amenities. Mrs Morley is the registered owner and Manager of the home. The home provides accommodation for 16 residents on two levels. Communal space is made up of two lounges and a dining room. Twelve of the fourteen bedrooms are single and all but one room have en suite facilities. Residents have Annual Service Review Page 2 of 7 access to a passenger lift. The home is well maintained throughout and there is a small garden area to the back of the premises. Parking can be found to the front of the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection and annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service in July 2009. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The AQAA is a legal document that a service must complete annually. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and annual service review and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. We also consider what other people have told us about the service and any feedback received from completed questionnaires. What has this told us about the service? We have viewed the services most recent annual quality assurance assessment (AQAA). It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they continue to consider whether further improvements can be made. Surveys were sent to the people who use the service, for the completion of the previous annual service review and key inspection. A number of comments were received. Families of people living at the service told us in one of our surveys that they continued to be happy with the service and the quality of support they offered their relative. Their comments included Brooklyn cares. I am so glad my relative is in this home. I was worried at first but the love and care they have shown xxx has amazed me, nothing appears to be too much for the staff, a friendly home that looks after my relative 24 hours a day, 7 days a week. We are able to visit any time day or night, carers appear to be well trained, able usually cheerful and often take time to chat to residents and Brooklyn do as much as they can to support activities and stimulation and within reasonable demands allow people to live their life as they would chose. The previous inspection found that the home offers a robust pre-admission procedure with assessments being carried out by senior nursing staff to ensure prospective residents needs can be met by the service. The service is able to demonstrate that continuous improvements are required and the AQAA tells us that the service is planning to refine the initial assessment stage to ensure that more cultural and diversity issues are detailed in a persons life history document. Annual Service Review Page 4 of 7 Additional improvement include the installing of a hearing loop system for people who use the service who may be hearing impaired. The AQAA also tells us that the service is commencing a music group to increase the provision of activities for all. The key inspection highlighted that the service has good care planning systems in place. Regular and informative reviews were evident and care plans were individual to each resident, with plenty of detail and information on resident choice. Care plans were also seen to promote resident independence and self worth. A range of risk assessments were also completed and regularly reviewed. The AQAA also supports this information and states comprehensive care plans identify interventions necessary to achieve the optimum level of health and personal care. Care plans, reviews and staff handover ensure the residents needs are frequently monitored. Input from GPs, Dietitians, District Nurses, Community Psychiatric Nurses and Physiotherapists is sought where a need is indicated. The service is demonstrating that they are trying to continuously develop new and creative ways to make sure that their service is able to do the things that matter to people. The AQAA provided us with information regarding staff training and stated that by the end of September 2009 that fourteen staff would have successfully completed their National Vocational Qualification (NVQ) in care level II, with an additional five staff obtaining their level II NVQ in care. The service is committed to providing training opportunities to all staff and the information gathered as part of this annual service review tells us that all staff have received training in the Mental Capacity Act and the Deprivation of Liberty and Safeguards, with seven staff having completed Dementia Awareness level II and four staff completed a distant learning course in equality and diversity which is being cascaded to the remaining staff. The last inspection report dated 16th October 2007 stated, Brooklyn is a wellestablished service in the Clacton area that has continuously developed the quality of its provision over successive years. People using the service benefit from the consistent provision of a core staff group who are committed to the service. Previous information gained regarding the service shows that the relatives of people who lived at the service continue to be happy with the way the service supported their family member. They said Brooklyn is a warm and caring place, I am so glad we were able to use this home, The staff always take time to chat to people living there and I can visit whenever I want day or night. We have received any additional information showing that these views have changed. We are always told about important things that have happened in the service since we did our last key inspection. The service is managed in a way that shows it has the interests of the people using the service at the centre of what they do. We have not received any concerns about the service in the last year. They have told us about the complaints and the outcomes. They maintain records of complaints and compliments made and these are available for inspection. We have looked at the information provided by the AQAA and surveys returned to us and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 2nd September 2010. We can review at any time the regulatory activity of this service if we have reason to believe that the outcomes for the people who use the service have changed. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!