Inspection on 04/01/06 for Brookside Court

This inspection was carried out on 4th January 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 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 12/08/05

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 Knighton Leicester Leicestershire LE2 3WT Lead Inspector Rajshree Mistry Unannounced Inspection 4th January 2006 9:55 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 Court DS0000037671.V275966.R01.S.doc Version 5.1 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 Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brookside Court Address Cademan Close Knighton Leicester Leicestershire LE2 3WT 0116 2706942 0116 2706944 socis@leicester.gov.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) Leicester City Council Georgina Gamble Care Home 24 Category(ies) of Dementia (16), Dementia - over 65 years of age registration, with number (16), Learning disability (2), Learning disability of places over 65 years of age (2), Mental disorder, excluding learning disability or dementia (8), Mental Disorder, excluding learning disability or dementia - over 65 years of age (8), Old age, not falling within any other category (24), Physical disability (3), Physical disability over 65 years of age (3), Sensory impairment (2), Sensory Impairment over 65 years of age (2) Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. 9. All persons admitted to the home for non-nursing care may only be accommodated on the first floor within the premises registered to Leicester City Council. No person under 55 years of age who falls within categories PD, DE, MD, LD or SI may be admitted to the home. No person to be admitted to the home in categories DE/E or DE when 16 persons in total of those categories/combined categories are already accommodate d in the home. No person to be admitted to the home in categories MD/E or MD when 8 persons in total of those categories/combined categories are already accommodated in the home. No person to be admitted to the home in categories SI/E or SI when 8 persons in total of those categories/combined categories are already accommodated in the home. No person to be admitted to the home in categories PD/E or PD when 3 persons in total of those categories/combined categories are already accommodated in the home. No person to be admitted to the home in categories LD/E or LD 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 Home’s Statement of Purpose. Named Person to be able to admit the named person of category PD under the age of 65 years named in variation application No. V24026 dated 24 August 2005 12th August 2005 Date of last inspection 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. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 5 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 en-suite 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 DS0000037671.V275966.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the morning of 4th January 2006 and lasted 3¾ hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’. Three residents, of which two new residents were newly admitted to the home, were identified for case tracking. The quality of care they received was examined through reviewing their care records, discussion with the residents, the staff, visiting District Nurse and observation of the care practices. The inspection included a tour of the home and the facilities available to the residents. What the service does well: What has improved since the last inspection? Since the last inspection, the requirement identified at the last inspection has been addressed. In addition the following improvements have taken place: • • • All the lighting in the corridors in the home has been thoroughly checked and lighting replaced where required. All staff now wear name and designation tags to enable residents, relatives and visitors to easily identify the member of staff at all times. The protocol and arrangements for residents to access local GP services is now in place. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 7 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 DS0000037671.V275966.R01.S.doc Version 5.1 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 Court DS0000037671.V275966.R01.S.doc Version 5.1 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): EVIDENCE: The core standards were inspected at the last inspection and were met. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 10. Residents are treated with respect at all times and having their health care needs met promptly by trained staff and health care professionals. EVIDENCE: Three plans of care were viewed for the residents tracked and found to reflect the residents’ care required, preference in the way care is provided, diet, medication, rehabilitation goals, interests and health care support provided by the District Nurse, Occupational Therapists and Speech and Language Therapists (SALT). Observations made during the inspection showed that staff have a good awareness of residents’ ability and showed respect in the way they spoke and assisted the resident. Staff were seen to offer residents choice and encouraged to make decisions about doing their rehabilitation exercises. Comments received were all very positive and shared with the Registered Manager, including: • “The District Nurse pops in and does what she has to do”; • “The staff had to get the GP out for me yesterday”; • “Girls are very attentive, all you need to do is ask and they give over and above”; • “Bedside manner to be more than acceptable”; Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 11 • • “I am never rushed or hurried along”; “I will miss the staff and the friends I’ve made here when I leave this afternoon”. The visiting District Nurse spoke to the Inspector and commended the staff at the home for the way residents were cared for and presented. The District Nurse confirmed staff followed clear instructions left; recording is always good and reflective of the residents wellbeing and having a good working relationship with the staff who are confident to ask for advice and guidance when required. The District Nurse confirmed staff have had training on Catheter Care and Pressure Care to benefit the residents. Records examined showed visits, treatment and instructions provided by the GP or the District Nurse is recorded timely. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15. Residents are supported to maintain their own independence, choice of life style and provided with a variety of meals to suit any dietary requirements. EVIDENCE: Staff were observed being offered choices of drinks and meals, activity in the lounge such as quiz or watching television and when they wish to do the rehabilitation exercises in the therapy room. All the residents spoken with indicated they felt in control of their lives at the home. One resident who was at the home previously said the way the care was provided has not changed. Examples of how residents are supported to make choices and maintain control over their lives such as preference of shower not bath; assisted into the shower and preferred to wear fresh clothes in the bathroom and not wearing the gown and choosing to go out for lunch with family. The residents have a choice of menus for breakfast, lunch and tea with snacks and drinks available throughout the day. On the day of the inspection residents had already chosen their lunch and were making their way to the dining room on the ground floor. The home prepares meals to meet residents dietary requirements such as diabetic meals and soft diet for one resident being case tracked. Dietary needs were also reflective in the residents’ individual care plan. Residents spoken with were complimentary about the quality of meals, commending the healthy portions and the way in which meals are served. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 13 There was a variety of meals being eaten by the residents, meals looked warm to eat and appeared nutritionally balanced. The home is commended for the quality and standard of meals provided. Comments received from the residents’ included: • • “You get the main meal served on the plate and vegetables are placed on the table so you can help yourself” “If I was paying for this I would think this is good value for money – the home is clean, help is always on hand, food is wonderful and a good choice . . . . you couldn’t get any better” “Christmas lunch was turkey or gammon with all the trimmings” “Always have 3 choices on the menu but the Chef would make something different if you like”. • • Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: Residents are provided with the Complaints Procedure at the point of admission to the home. The complaints procedure is displayed on the notice boards, with details of the Advocacy Service and is available in other formats if required. Records showed no complaints had been received since the last inspection. Residents spoken indicated they had no complaints, felt safe and protected by the way the home is managed and aware of whom to contact in the home should any concerns arise. All were confident that any concern and complaint made would be addressed promptly. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26. Residents live in a homely and comfortable environment that is kept clean and tidy. EVIDENCE: The home is well furnished and decorated to create a homely and welcoming atmosphere. The home benefits from having a handy-person responsible for maintenance in the home. Several bathrooms and toilets seen were clean and well ventilated. Staff spoken with stated they have sufficient supply at all times and were observed wearing protective clothing when carrying out personal care tasks. Anti-bacterial gel dispensers, fixed to the walls in the corridors and bathrooms for all to use. Four bedrooms are currently blocked due to planned refurbishment. Two residents bedrooms viewed were individually decorated, bright with ample natural lights, low level light switches and personalised with family photographs and homely soft furnishings. Residents and the visiting District Nurse spoken with stated the cleanliness in the home is very good. The home is safe and well maintained with equipment provided suit residents’ specific health care needs. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 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): 29. Residents are protected by the home’s robust recruitment and induction procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Registered Manager receives confirmation checks carried out are satisfactory. The home has not appointed any new staff since the last inspection. The Inspector examined training records for two members of staff, which showed staff had completed the Local Authority Induction, policies and procedures and certified training in care, moving and handling, adult protection, first aid, administration of medication, health and safety and NVQ awards. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 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): 33, 35. Residents should be given the opportunity to share their views on the provision of care, facility and the home environment to continuously improve to service. EVIDENCE: Brookside Court is a home providing short-term residential care primarily to rehabilitate residents to return home. Residents are involved and consulted on a daily basis regarding the provision of care, the facility and the manner in which care is provided. The last Residents’ Meeting was held on May 2005 and minutes showed the topics discussed and recommendations. Cards, letters and telephone calls received from residents and their relatives are kept as a record and compliments are shared with the staff concerned. The home does have ‘A Residents’ Questionnaire’ form setting out questions to seek the views of the residents and their carers. On examination of this document and discussion with the Senior Carer and the Registered Manager it was evident that the form had not been updated and is seldom offered to Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 18 residents and their relatives to complete. This was discussed with the Registered Manager and assurance was given for the form to be updated and offered to all residents and relatives at the home. The home’s does not manage the residents’ finances. All residents are informed of the home’s policy for managing residents’ finances at the point of admission and offered lockable cabinets and keys to their bedrooms. The Registered Manager indicated residents are encouraged to manage their own finances with the support of their family, as their stay at the home is primarily short-term. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 20 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. 1 Refer to Standard OP33 Good Practice Recommendations It is strongly recommended that the home’s management team update the Residents Questionnaire and ensure all residents and their relatives are offered the form, giving them an opportunity to share their views, opinions and good practice suggestions to improve the provision of care. Brookside Court DS0000037671.V275966.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 DS0000037671.V275966.R01.S.doc Version 5.1 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. 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. 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