Inspection on 12/08/05 for Brookside Court

This inspection was carried out on 12th August 2005.

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

The inspector 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 Court 23/02/09

Brookside Court 04/01/07

Brookside Court 04/01/06

Brookside Court 25/11/04

Brookside Court 02/09/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE Brookside Court Cademan Close Church Lane Knighton, Leicester LE1 6ZG Lead Inspector Rajshree Mistry Unannounced 12 August 2005 at 10.30am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brookside Court Address Cademan Close Knighton Leicester Leicestershire LE2 3WT 0116 2706942 0116 2706944 socis212@leicester.gov.uk Leicester City Council Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Georgina Gamble Care Home 24 Category(ies) of DE Dementia - 16 registration, with number MD(E) Mental Disorder over 65 - 8 of places MD Mental Disorder - 8 OP Old Age - 24 DE(E) Dementia over 65 - 16 SI(E) Sensory Impairment over 65 - 2 SI Sensory Impairment - 2 PE (E) Physical disability over 65 - 3 PD Physical disability - 2 LD Learning disability - 2 LD(E) Learning disability over 65 - 2 Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No one falling within the categories of Sensory Impairment (SI) or Sensory Impairment - Elderly (SI(E)) may be admitted to the home when 8 persons in total of those categories/combined categories are already accommodated in the home. No one falling within the categories of Physical Disability (PD) or Physical Disability - Elderly (PD(E)) may be admitted to the home when 3 persons in total of those categories/combined categories are already accommodated in the home. No one falling within the categories of Learning Disability (LD) or Learning Disability - Elderly (LD(E)) may be admitted to the home when 2 persons in total of those categories/combined categories are already accommodated in the home. All persons admitted to the home may only be accommodated for a maximum period of 84 days from the point of admission to the home as stated within the Statement of Purpose for Brookside Court. Date of last inspection 25th November 2005 Brief Description of the Service: Brookside Court Intermediate Care Unit is registered to accommodate up to twenty-four residents and is owned by Leicester City Council Health and Social Care Department. The home is registered to provide personal care in a rehabilitation and intermediate care setting. The home is located in the residential area of Knighton, close to shops, pubs, the post office, a church and other local amenities. Leicester city centre is a short journey from the premises and is accessible by car or public transport. Car parking is available to the front of the home. The premises consists of two floors with level entry access. The upper floor is accessible via the passenger lift and stairs. There is a dining and choice of lounges. Bath/shower rooms, washing and toilet facilities are accessible and close to bedrooms and communal areas. Bedrooms for the intermediate care service are situated on the first floor, without ensuite facilities. There is a large therapy room used by residents under the guidance of therapists and health care professionals. The garden to the rear of the home is well maintained and used by the residents on warmer days. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 10.30am on 12th August 2005 and lasted over 5 hours. The method of inspection consisted of examining the information received in the pre-inspection questionnaire prior to the inspection and the line managers’ monthly report in accordance with the obligations under Regulation 26. On the day of the inspection the methods used consisted of a tour of the premises and examination of the health and safety records for the home and discussion regarding any changes to the home since the last inspection. Four residents were spoken with and observed, specifically to look at their lifestyle at the home and how their care needs were met, as part of the case tracking method. Those resident’s individual plans of care and relevant care records were examined. Staff talked about the care provisions, how identified needs were met and their training and management support. Residents were observed participating in the planned activity for that day. The residents spoken with were generally positive and complimentary about the care provided by the home for the residents. Towards the latter part of the inspection visit, time was spent with the Registered Manager discussing concerns regarding accessing GP services for the residents, some of the findings of the day, information received and observations made. The comments received from residents included: “Feel the staff are very good”. “The staff do make you smile, respect you when you speak with them, never rush you and when you pull the call bell will come and tell you if they are helping someone else before coming to you”. “Staff know what likes I have and how I prefer my tea”. “Staff are good and don’t make you feel bad”. What the service does well: Brookside Court provides quality care for residents, supported by care plans that are individually tailored with robust and comprehensive records. The management and staff group are accessible and demonstrate a commitment to caring and work with other health and social care professionals. The home presents a clean, tidy and welcoming atmosphere. The décor, furniture and fittings create a homely environment. Residents and staff have access to a range of specialist equipment to aid with everyday living such as mobility aids. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 6 Residents can have their own keys to their bedrooms. Bedrooms are variable in size and can accommodate equipment to transfer residents. The Brookside Court works closely with the Intermediate Care Team adjacent to the home, sharing exercise equipment and the therapy room. What has improved since the last inspection? 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. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 6 The admission process is good and residents are consulted to develop a care programme, which is tailored to meet individual needs. EVIDENCE: The admission process is initiated by the assessment completed by the multidisciplinary team of health and social care professionals consisting of social workers, therapists, occupational therapists and speech and language therapists, as part of the referral process. The prospective resident is consulted as the home provides rehabilitation and intermediate care for a period of 6 weeks. The four residents care files viewed contained the evidence of the individual placement agreement that forms the contract, detailing the terms of their stay. Records viewed showed how the residents receive the therapy and care as part of their rehabilitation and intermediate care to support and promote their independence, as part of the agreement. Discussion with residents being case tracked indicated that that they were satisfied with the rehabilitation and intermediate care provided and were made aware of the terms of their stay. Specialist equipment and health care professionals and therapists were seen working with residents who were supported by the carers. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9, 11 Residents are looked after well in respect of their health and personal care needs. EVIDENCE: The residents being case tracked spoke with the Inspector and individual care plans were examined. Care plans reflected residents’ specific needs and tailored to reflect the rehabilitation programme with the resident’s preferences, the input from therapists and health care professionals, with residents signing their care plan, where possible. The staff spoken with indicated that they have the supporting risk assessments in place as a guide when they are delivering the care. The views of residents and relatives were recorded within the care plan should the resident become ill and how and when the relatives wish to be informed and residents’ last wishes, if known. At the time of the inspection a District Nurse was seen to be visiting some residents at the home in order to meet their healthcare needs. The management team have instigated agreed protocols to ensure residents can access a GP during their short-stay. Requests for GP services are now formalised and documented in detail. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 10 Medication is kept securely in the medication room, in a locked medication trolley. Procedures for receiving, order and returning medication were viewed and found in good order. A discussion with the Assistant Manager indicated that residents are often admitted to the home from hospital, with a ‘bag’ of medication, which is signed in and checked against the discharge letter. Procedures are in place for staff to follow-up when discrepancies are identified during the admission process specifically in relation to medication, which results in the GP or the hospitals being consulted. Trained staff are responsible to the administration of medication. Medication procedures were examined in conjunction with the records and discussion with the Assistant Manager. The medication records for four residents were checked against the medication and found to be in good order. Residents who spoke to the Inspector confirmed that they receive medication in a timely manner. Risk assessments are in place for residents in order that they are able to continue managing their own medicines in readiness to return home. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 Residents have a varied lifestyle at the home and are provided with a good social and recreational programme which meets their needs. EVIDENCE: The home has a therapy room for residents, which is equipped with a variety of rehabilitation aids of different heights and sizes. The carers and therapists from the health care teams use the therapy room with the residents to promote and enhance their skills and confidence. At the time of the inspection residents were sat in the lounge upstairs with carers who led the reminiscence quiz. Residents spoken with indicated that they enjoyed being in the large room, during the quiz. There is a choice of reading books, available in larger prints, residents can watch television and listen to the radio. The staff spoken with said bingo and sing-a-long sessions are also done with the residents. Residents can receive visitors at any time and can meet with them in private. Residents have access to a mobile payphone, located in the smaller lounge. One resident spoken with said that they were able to visit friends in the intermediate care unit adjacent, every evening. Residents were asked as to their views of meals within the home, the majority making positive comments. Lunch is the main meal of the day. Meals are prepared on the premises by trained cook. Residents confirmed that they were Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 12 offered choices at all meals that are served at the tables. Special dietary requirements such as culturally appropriate meals, vegetarian meals and meals for residents with diabetes, are all accommodated. Staff were seen serving drinks, fruit and biscuits to residents in the afternoon. Water dispensers were placed in the lounges and the dining room for residents. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Residents are protected by robust and accessible complaints and adult protection procedures. EVIDENCE: There is a robust complaints procedure is displayed at the entrance of the home and in communal areas. Complaints procedure is also available in other languages and formats. Residents’ comments indicated that people are very comfortable discussing any concerns with the carers on duty or the home’s manager. One resident described how staff are vigilant with personal property. Records of complaints received and remedial actions taken were documented in the complaints folder and were up to date. Complaint received by the Commission for Social Care Inspection was referred to the home, which has been investigated and remedial actions are being implemented. Residents spoken with felt they were safe and protected. The new adult protection procedure has been introduced. Staff spoken with had a good understanding the procedure to follow in accordance with adult protection issues and whistle blowing. Staff demonstrated good awareness of the protection of vulnerable adults and the whistle-blowing policy procedures to follow if an allegation of abuse arose. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 26 A comfortable, clean and safe standard of accommodation is provided for the residents, which individually and collectively meets the resident’s needs. EVIDENCE: Entry to the home and to the garden is wheelchair friendly. The home is well maintained and suited to the needs of residents. It is decorated and furnished to a standard that creates a comfortable and homely environment. The garden is well maintained, and provides comfortable seating with mature plants. There is a large dining room that looks out onto the front and side of the home. All communal areas and hallways were clean and free from obstructions. Throughout the home there are antibacterial gel dispensers secured high on the walls for the staff to use. Bath/shower and toilet facilities are located throughout the home and were in hygienic condition. The home has a range of specialist equipment such as electric hospital beds and hoists, mobility aids and equipment to promote residents’ independence through the programme of rehabilitation, which is operated by trained staff. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 15 Several vacant bedrooms were viewed, which were varied in size; all rooms were comfortably decorated and furnished provided with wash hand basins. Low-level light switches and call bell systems are in place to ensure the safety of residents. Two residents were spoken with in their own bedrooms; they indicated that sufficient space was available when using their wheelchair or mobility aids. There is a designated team of domestic staff responsible primarily for the cleanliness of the home. Staff demonstrated an awareness of the procedures to be followed to prevent cross infection. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 The needs of the residents are well met by a skilled and trained team of staff. EVIDENCE: The staff rota viewed reflected the staff on duty including the two agency staff currently being used as an interim arrangement to accommodate the organisational recruitment process. The staff team consists of the Registered Manager, two Assistant Managers and a total of twenty-five senior carers and carers. There is a team of seventeen domestic staff responsible for the cleanliness of the home. At present less than 50 of staff have completed the National Vocational Qualification level 2 and over. The management team demonstrates proactive approach to ensuring staff have up to date training and good practice on working with older people to maximise their independence. The Local Authority has in place a departmental training plan, the document details general areas of training and training specific to needs of residents. Staff spoken with indicated that working with therapists had increased their own knowledge and skills for working to maximise residents’ independence. Staff training records reflected a variety of topics of training accessed which included health and safety, adult protection, care practice and specifically training in rehabilitation. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36, 37, 38 Staff are supervised, trained and supported to provide care needs safely. EVIDENCE: The two members of care staff spoken with stated that they receive formal one to one supervision session with a member of the management team, which take place on a regular basis and are used to discuss training needs and any areas of concern. Minutes of the meetings are held on the individual staff file. The staff and some of the residents spoken with were aware of the policies and procedures used to protect and safeguard individuals. Staff have access to all the policies, procedures and training information both in the main office and in the designated staff room. The care plans and care records examined were in good order, and the key working system works well, providing residents with continuity of care during their stay. Residents are consulted daily and formal review meetings are held regularly to discuss issues or concerns relating to the provision of care at Brookside Court with the senior staff and the resident social worker. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 18 During the tour of the premises, observations made on the fire exits being clearly marked and were free from obstructions. There is a programme of maintenance that is supported by the local authority’s property maintenance team. In general the home appeared to be safe for the benefit of the residents, staff and visitors. The main corridor upstairs near to the medication room, the main lounge and toilets, used by the residents was very dark due to lights being out of order. This specific concern, which poses risks to residents and staff’s health and safety, was raised with the Registered Manager, who had similar concerns caused by the delay by the local authority’s property maintenance team. A random sample of records checked relating to health and safety including fire drills, fire inspection, environmental health inspection and testing of fire safety equipment and call bells and were found up to date. Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 3 2 Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 20 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. 1. Standard OP38 Regulation 13(4) Requirement The lighting in the corridor on the upper floor must be repaired or replaced and ensure good lighting is maintained to prevent risks to residents and staff. Timescale for action By 12th September 2005 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. Refer to Standard Good Practice Recommendations Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Brookside Court C51 C01 S37671 Brookside Court V224263 270705 Stage 4.doc Version 1.30 Page 22 - 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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