Inspection on 21/02/07 for Brookside

This inspection was carried out on 21st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brookside 06/03/09

Brookside 03/11/05

Brookside 07/06/05

Brookside 30/01/05

Brookside 25/06/04

Brookside 26/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOMES FOR OLDER PEOPLE Brookside 99 High Street Kempston Bedfordshire MK42 7BS Lead Inspector Carol Mitchell Unannounced Inspection 21st February 2007 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 Brookside DS0000014888.V329498.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 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. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside Address 99 High Street Kempston Bedfordshire MK42 7BS 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) 01234 854623 01234 854453 BUPA Care Homes (Bedfordshire) Ltd Mrs Debra Dalton Care Home 22 Category(ies) of Learning disability (22), Learning disability over registration, with number 65 years of age (22) of places Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Brookside is a 22 bedded home for adults with learning disabilities. Some may have additional physical problems. Usually no one over 45 years is admitted to the home, and many of the residents are now over 60 years old. The home was built by the Local Authority in the 1960s, and is now owned and run by BUPA. All service users have single bedrooms. The home offers pleasant and tastefully furnished communal areas. The Morley Lodge, a unit adjacent to the main building, is run separately, but the manager oversees its operation. More independent service users are accommodated in Morley Lodge. The area to the front of the building provides parking space and there is a garden at the rear. A summerhouse, raised flowerbeds, and a water feature are recent additions to the main garden. Service users living in Morley Lodge have their own small garden area. The home is located close to the shops of Kempston, near pubs and churches, and on a bus route. The home has two vehicles, a minibus for the main building and a people carrier for Morley Lodge, the second belonging to service users. More information about this home can be obtained by phoning, emailing, or visiting the home direct. The following information about fees was obtained on 21/02/07: Lowest fee per week, £435.49; Highest fee per week, £560. (Morley Lodge fees, £870.31.) The following items are not covered by the fees: Hairdressing (starts at £6); Some transport to and from appointments (cost varies); Music therapy sessions (depends on number taking part, currently £6.25). Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received by the Commission since November 2005, and from a visit on 21st February 2007. Information received before the visit included a pre-inspection questionnaire completed by the manager, and 19 comment cards with feedback from residents. The inspection visit was unannounced, and took place over 4 hours. During the visit the inspector spoke to some residents, staff, and the manager. Some records were checked, and the inspector looked around some parts of both the main home, and Morley Lodge. A few residents at the home are now over 70 years, and a majority is now over 60. Only 2 residents were under 50 years at the time of completion of the preinspection questionnaire. The manager of the home usually only considers people who are over 45 years for admission, and contacts the Commission if she thinks it might be right to admit anyone younger than this. The standards for older people have been considered on this occasion. What the service does well: This home is well organised with staff who know the residents very well indeed. People living at the home are happy there. “I am very happy living here,” said one resident. “It’s great, the food’s lovely and there is a choice”. “The home is always beautifully clean”. The manager and staff make sure that people at the home know how important they are and they listen to what they want. People at the home can talk to the manager whenever they want to. A resident said, “I talk to people, they talk to me”. Staff at the home are trained in how to support residents well, and they write care plans and keep these up to date. People’s health needs are taken care of, and the home gets help from family doctors and others to make sure that everyone is well cared for. There is a good team working at the home. The manager said, “We are passionate about what we do, I have a very strong team.” Staff like working at the home. They said, “I love it here”; “The manager is lovely”; “We enjoy our work”. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 6 People make choices all the time at the home, and residents do as much for themselves as they can. People keep very busy, and they enjoy themselves. People like the entertainment that the home organises.” A resident said, “Any type of entertainment that is arranged I am very happy with and I like to join in”. What has improved since the last inspection? What they could do better: There are plans for the fitting of a “wet room” in the home. This will make showering easier and more enjoyable for some people living at the home. The manager is going to check that the training for staff includes issues that may be important for older people. The manager wants to improve the homes’ links with some different professionals from outside the home. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 7 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. Brookside DS0000014888.V329498.R01.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 Brookside DS0000014888.V329498.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager makes sure that only people who can be supported in the right way move in. Therefore people living at the home can be sure that their needs will be met. EVIDENCE: A pack of information is given to people who may wish to live at the home, and the manager tries to make sure the information can be understood by using the right words and pictures. The manager visits people before they move into the home to make sure that they will be happy there. Someone who is going to move in visits the home a few times and stays overnight first. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The way people need supporting is written down in good care plans. The manager makes sure that people such as family doctors are seen when necessary. This means that people living at the home can be sure that their health needs will be met. EVIDENCE: The support for residents including health needs, is very well organised. Each resident is allocated a key worker who has special responsibilities, and knows the residents concerned very well. The home has good support from the local family doctors and district nurses. Others who look after people’s health help residents too. For example the dentist, optician, and chiropodist. Residents are taken to any health Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 11 appointments, and if anyone is diabetic they go to a clinic where there is a special nurse. The manager is good at organising training for staff, and she is going to be concentrating on training in areas to do with health such as skin and diabetes. Staff are already trained about epilepsy and how to give special medication. The care staff who give medicines to residents have all had training for this, and the pharmacist who sends the medicines to the home checks that everything is in order twice every year. The pharmacist is next due to do this in March. If people are able to, they can look after their medicines themselves, and at the time of the visit one resident was doing this. During the visit the inspector looked at some care plans. These showed that staff are aware of the health problems that some people have, and how to deal with them. Detailed information was written down about the needs of each person checked. The care plans also showed that staff think carefully about the risks faced by residents. Staff make sure that the information written down is correct, and they sign every month to say that they have checked this. The inspector asked some staff about how they support particular residents, and the staff really knew about the needs of people living at the home. During the visit the inspector saw that staff listened to what residents want, and that they are kind and gentle with them. Staff are good at understanding the residents. Staff make sure that residents are attended to in private, and residents are in charge of who goes into their rooms. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live their lives as they choose, and they stay as independent as possible. Therefore anyone moving in can be very sure that their expectations of living at the home will be met. EVIDENCE: Many of the residents live busy and independent lives, and some were out at day care facilities or college at the time of the inspection visit. Residents are encouraged to go out into the community as much as possible, and friends and family are welcome to visit the home at any time. Key workers have a role in making sure that individual needs regarding daily living and leisure activities are met. “Key worker days” are arranged so that the resident and key worker have time allotted to do whatever is required or wished by the resident. A staff member has specific responsibility for arranging monthly entertainment. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 13 People living at the home are encouraged to be as independent as they can manage. They are supported to attend clubs outside the home and to take part in daily life at the home, for example they may help with the preparation of snacks. “Befrienders” visit some residents and sometimes accompany people to church when requested. At the time of the inspection visit, one resident had just returned from shopping in Bedford with a member of staff, and he chatted about his life at the home in a contented and relaxed way. During the week before the inspection, a special celebration had taken place for Valentines’ Day, and themed evenings are a feature at the home. These are well supported by the cook who provides special food for such occasions. Meals out and visits to the local pub are enjoyed, and theatre and other visits are arranged. One resident does woodwork and has a shed in the garden for this. Another resident has a shed which he uses for growing plants. The garden has been improved and is very well used especially in better weather. There are now a summer house where meals can be eaten, raised flower beds, and a water feature. Leisure activities are provided in line with people’s wishes and at the time of the inspection visit these included bingo nights, board games, video nights, musical evenings, and arts and crafts. Residents told the inspector that they enjoy the food at the home, and that they can choose what they have to eat. Residents in Morley Lodge do some food shopping. The home has just reviewed the menus to make sure that a balanced diet is provided. The dining areas seen were well presented and there were fresh flowers on the table. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff listen to what people say, and the staff are trained about how to protect them. Therefore residents can be sure that they will be protected from harm. EVIDENCE: The home has a straight forward complaints procedure with illustrations. Residents told the inspector that they would talk to someone at the home if they are unhappy about anything. During the inspection visit residents were at ease and felt comfortable to pop into the home’s office and chat to either the administrator or manager. Since the time of the last inspection visit no complaints have been received, and one unfounded allegation had been referred to the Protection of Vulnerable Adults team in the correct manner. Training about how to protect people from harm has been and is being given to staff. The staff questioned knew what to do if they should be worried about anything to do with the treatment of a resident. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The company does safety checks, and someone is employed to maintain and decorate the home. Therefore people there can be sure they will be living in a safe, well maintained home. EVIDENCE: There is an ongoing decoration plan at the home, and a part time maintenance man is employed. Residents choose colour schemes and sometimes key workers get involved with the decoration of their resident’s bedroom. There are plans to add a wet room with shower to the facilities at the home, and this may be particularly helpful for anyone finding it increasingly difficult to get into the bath. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 16 A resident showed the inspector through the home and to his room. Bedrooms were comfortable with many personal items on display. The parts of the home seen during the inspection visit were clean and well kept. The laundry was busy and well organised, and a member of staff was making sure that all residents’ clothes were labelled. A new washing machine had been ordered at the time of the inspection visit. Work required to two fire doors has been attended to, and some new selfclosure fire doors have been fitted to bedrooms where the residents like their doors to be left open. The company had completed a health and safety inspection the day before the inspection visit, and the report was awaited. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager makes sure that staff are well trained and supported. Staff enjoy their work. The manager also makes sure that the right checks are made before anyone can work at the home. Therefore people living at the home can be sure that they are in safe hands. EVIDENCE: How much care and support residents need is measured by the manager so that she can check that the right amount of staff are employed. Since the last inspection visit some residents have left and at the time of this inspection visit the manager and staff said that there are enough staff. One staff member did say that she is worried about not having the time she used to for talking with residents. The manager keeps checking the situation and decides how it is changing over time. When needed, extra staff have been employed so that one to one care could be given. Staff at the home are friendly and enthusiastic about their work. They know the residents very well and try hard to support them in any way they can. Staff spoken to had received training and loved their work. Their relationships with residents are warm and friendly. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 18 Staff are well organised and keep records up to date. There are team leaders and key workers. The inspector spoke to both and each had a clear understanding of what they do in the home, and their responsibilities to residents. Staff receive supervision and appraisals. At the beginning of shifts handovers are held so that any changes are communicated, and staff meetings take place regularly. Training in essential and other areas is organised with in house and external speakers. Training for staff is considered very important, and on the day of the inspection visit moving and handling training was being done. The manager checks that everyone has received all the important training. Many of the staff have undertaken National Vocational Qualification training. Some staff have received infection control training, and the manager is considering introducing training in areas such as diabetes. Proper recruitment procedures are in place, and a sample of staff files showed that the correct checks are made before anyone is can work at the home. Equal opportunities information is requested on application forms. New staff receive induction training. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff really listen to residents and put their views first. The home is well organised, residents help to manage it, and the company supports the manager well. Therefore people living at the home can be sure that it is run with their best interests at heart. EVIDENCE: The manager is supported by senior members of the company, a deputy, administrator, and team leaders. The home is very well organised and the staff understand the different roles such as key worker and team leader. Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 20 The company had just done health and safety checks at the time of the inspection visit, and other checks including making sure residents’ money is looked after properly are also done by the company. Monitoring visits are done in line with the regulation. The manager’s door is always open, and residents feel completely free and welcome to speak with her about anything at any time. During the inspection visit residents popped into the office for a chat and they were made to feel very welcome. Residents’ views form part of all decisions made about the running of the home. For example choice of colour in decorating schemes, choice of leisure activities, involvement in taking on new staff when possible. Residents meetings are held every month, and the outside speaker at the next meeting will be discussing what residents should expect from “person centred planning”. Residents take part in the planning of their care and with their permission letters are written to invite family members to be involved with care planning too. The company sends questionnaires to residents every year to seek their views about the service. Aspects considered include care, food, laundry, and cleanliness. The most recent survey showed that people are very happy with the home and how it is run. Staff feel very well supported at the home and in particular by the manager. Proper checks are made of equipment maintenance and fire arrangements, and a very safe system is in place for the management of money. Brookside DS0000014888.V329498.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 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 x 3 3 x 3 Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No. 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 Brookside DS0000014888.V329498.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Brookside DS0000014888.V329498.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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