Inspection on 23/11/06 for Brookside House care Home

This inspection was carried out on 23rd November 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 House care Home 19/11/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Brookside House care Home 35 Wagstaff Lane Jacksdale Nottinghamshire NG16 5JL Lead Inspector Roger Harrison Key Unannounced Inspection 23rd November 2006 9:30 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 House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside House care Home Address 35 Wagstaff Lane Jacksdale Nottinghamshire NG16 5JL 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) 01923 842222 Farrington Care Homes Ltd Lyn Castledine Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25), of places Physical disability (1) Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Situated in Jacksdale village, Brookside House is an established care home, which has recently been purchased by Farrington Care Homes Ltd and provides personal care for twenty-five residents. The home has two lounges, one next to the dining room. Currently there are twenty-one single and two double rooms all of which have washing facilities and telephone points. The bedrooms are located on both floors of the home, which have access to three bathrooms and four single toilets. The home provides equipment to support residents with mobility and a lift is provided. The home has attractive gardens and patio areas. Car parking is available at the rear of the building. The home provides a comfortable, clean and homely environment with a family atmosphere generated by the staff team and current group of residents. The manager confirmed that charges made by the home on 23/11/06 are currently set at a flat rate of £375.00 pw. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a five-hour period by the inspector reviewing all the Inspection records and information provided by the Manager about Brookside, and through undertaking a visit to the home, with the inspector using a method of inspection called “case tracking”. This involved identifying three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at Brookside. The inspection visit was also used by the inspector to talk to the manager, look at information on care plans and files, and to talk to residents, family members and care staff while observing day-to-day care practice within the home. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 6 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 House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 7 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 [Standard 6 N/A]. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs are assessed prior to admission and they have access to information about the home before deciding to move in. Brookside House does not provide an intermediate care service. EVIDENCE: Before the inspection visit took place residents sent written comments to the inspector saying that they had received enough information about the home before moving in, which helped them to decide it was the right place for them. Information provided by the manager showed that the she has produced an information brochure, which includes the homes statement of purpose. This is provided with terms and conditions, which residents said are available on admission to the home. The registered manager confirmed that she arranges, and carries out assessments with all new residents prior to them moving into the home. Risk assessments are also completed, which are reviewed regularly and all Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 8 residents are offered a trial visit. Care plans showed details of pre admission assessments. Two family carers said that they were given enough information, and were encouraged to visit the home to enable them to support their mothers decision to move to Brookside and one resident said “I like it here and chose to come myself”. Brookside does not provide an intermediate care service. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, personal and social care needs are set out in an individual care plan. Resident’s health needs are met. The manager has policies and procedures in place, which staff follow in order to support residents with their medication needs. Residents are treated with respect and supported to maintain their dignity. EVIDENCE: During the inspection visit three care plans were selected which contained assessments of physical and social care needs. Care plans described each residents needs and there was information available to show that the manager consults and works with other professionals to support residents safely including; doctors, district nurses and chiropodists. One resident said he knew about his care plan and how it is used to support him and three family carers who were visiting the home said that they felt residents are supported in a professional and caring way though the use of the care plans. Staff were observed working sensitively with residents and helping them to be as Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 10 independent as possible. One resident said “They respect me” and a family carer said, “Its pretty good here the staff are very caring”. Residents and family carers said they are encouraged to make their rooms personal by brining in their own possession and all residents have the option of having a phone in their rooms. The manager confirmed that the home has a policy and procedure for helping residents with their medication needs and that residents are supported to self medicate whenever possible. On the day of the inspection visit all residents needed some level of support with their medicines. Medicines are stored in a locked cabinet and put in a locked mobile trolley when being used. The manager said that only those senior staff members who had received training were responsible for supporting and giving medication to residents. A record of training achieved was available on the senior staff members file on duty. Medication records are kept with the medicines and are used to show when medicines have been given. These records were fully up to date and a senior staff team member was observed providing support at different levels and working with each resident to ensure their medication was taken at the time residents needed it. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents would benefit from having more staff time available to plan and undertake activities with them. Residents have regular contact with family and friends and are supported to have control over their lives. Residents receive a balanced and nutritious diet. EVIDENCE: During the inspection visit the manager confirmed that she does not currently have an activity organiser but that the staff team are involved in arranging activities with residents throughout the day. Three staff members said that they support residents with activities and were observed taking a full part in a sing a long session with residents and family carers. The manager confirmed that she has an activities list and is planning a Christmas party at the home, which family carers said they are looking forward to. Residents said that games and bingo are popular and the community atmosphere created by the residents, staff and family carers is something that they really like. Visitors were observed coming and going throughout the inspection visit and one visitor to the home said “Its really flexible we can come whenever we want and there is always a welcome”. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 12 Some residents said they like quiet space and there is a separate lounge, which has books and a television for those who wish to use it. Two residents said they felt the activities are generally good but that the staff team are sometimes faced with providing care and activities at the same time. One family carer commented that it would be good for the home to employ an activity organiser and said, “The staff are brilliant but they are stretched with having to do the activities as well as care-giving”. Other comments from family cares included, “more staff would give them more time to talk to them” and “Could do with more entertainment and more staff to give them more time”. Meals at the home are planned by the cook using a menu book. This is used to keep a record of what residents are offered for lunch and the book is updated daily so that it can be used flexibly to meet the dietary needs of residents. Care plans contained details about each residents dietary needs and the cook said she knows all the likes and dislikes of each resident. Residents were observed enjoying lunch, which they said was very good. Some residents were observed being supported to be involved in the returning of plates and cups at the end of the meal. Residents said they enjoyed taking part in this. One resident said “It keeps me busy, I like helping out and the staff are good ”. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager and care team take complaints seriously and wherever possible involve residents and carers in resolving issues as soon as they are evident. The Care team know how to act in order to protect residents from abuse. EVIDENCE: The manager has produced a complaints policy and procedure. There is a copy of the compliants procedure on display at the entrance to the home and residents said they felt happy to raise any concerns thay may have with the Manager. The manager keeps a record of any formal complaints received and confirmed that she has receieved two complaints which have been recorded along with the action the manager has taken to try to resolve these. The manager said she provides a written response to any complaint and always attempts to meet with individuals whenever concerns are raised. The manager has a policy for the protection of all residents who live at the home and training records show that some staff have received training in adult protection. The manager said that she has provided additional awareness training and three staff members described the action they would take to ensure that residents are protected from abuse. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, safe, clean and well maintained home. EVIDENCE: During a tour of the building the home was observed to be clean and well maintained. Residents and carers said a family atmosphere is maintained at the home. The manager confirmed that she employs a maintenance person, which residents and staff said helps to make sure any improvement work needed is completed quickly. The manager said some decoration has already been completed in the dining room and some residents rooms, and that a plan in place to update the decoration to other communal areas of the home, which she is going to share with the new owners. Residents rooms were observed to be highly personalised and also had equipment available to support residents with their physical needs. Call bells were available in all rooms and were tested during the inspection visit. Care Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 15 staff responded to the call immediately. Radiator covers are fitted in all rooms. Two communal bathrooms contained walk in showers, baths and special equipment to support residents safely with their personal needs. Staff confirmed that fire bells are checked on a weekly basis and a fire drill is carried out regularly. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has a team of safely recruited care staff available at the home with appropriate training and skills to meet the physical needs of residents. Additional staff time is needed to organise and support residents with social activities both inside and outside the home. This would help ensure residents social needs are fully met. EVIDENCE: The manager provided staff files, which showed that references and checks are carried out to make sure recruitment is carried out safely. Residents said that they felt they receive good support from staff and that they felt safe when receiving care and support. Training records were available on staff files to show that staff had attended a range of training courses. Training included; moving and handling, medication and adult protection to help make sure residents are cared for in a safe way. All the staff team have completed dementia awareness training. Staff said they are supported to undertake NVQ training and the manager said that half of the current staff team are either doing or have completed NVQ awards. The manager also showed that she is producing a full staff-training plan, which will be used to show what staff training has been provided in a clear way so that it shows any gaps in which need to be met. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 17 During the Inspection visit the Manager confirmed that the she uses staff rotas to make sure there are sufficient staff levels in place to meet the physical needs of residents, but did recognise that some residents felt there are sometimes not enough staff available to provide responses to all calls for support and undertake activities with residents. Residents said that they felt that care is provided in a safe way and that the staff team are committed and work hard to meet their needs. But they also made comments that staff time being used to doing activities is putting pressure on time available to provide care. One resident said that; “staff are sometimes so busy, its hard for them” a family carer commented that, “more staff would give them more time to talk with residents and do more activities”. The Manager said she will use this feedback to continue monitoring staff levels and to keep staffing under review with the new home-owners so that more staff time to plan and provide actvities can be made available. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 18 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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an established manager who supports the staff team to care for residents safely and encourage them to be as independent as possible. The manager encourages feedback from residents and staff but there is no formal system in place for consulting residents about the quality of care provided. EVIDENCE: The home has recently been purchased by Farrington Care homes limited. Since the change took place the manager confirmed that the staff team has mostly remained unchanged and that she has ensured that care has remained consistent for residents so that any disruption has been minimal. The manager is registered to undertake her role and obtained the registered managers award in 2005. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 19 Staff members said that they found the manager to be very supportive. One staff member said, “I have been here three months and am doing my induction. The manager always checks that I’m okay and I find she is there whenever I need to ask anything”. Residents and family carers said that they feel the manager does a good job and is available to talk to when needed. One resident said “The manager knows us all well” and a family carer said, “The manager really cares about her job and always works to keep the residents safe”. All residents are encouraged to manage their own finances with support from family members wherever possible. This includes resident’s personal allowance. The manager confirmed that no money is held by the home on behalf of residents. Residents and staff all said that they feel able to talk to the manager about any concerns they may have. However there is currently no formal system in place for seeking resident’s views about the care they receive. The manager confirmed that she is producing a magazine for the home, which will be used to invite feedback from residents and carers about the quality of care at the home and any thoughts that would help to improve care and practice at the home. Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 20 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 X N/A 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 2 13 3 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 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 OP27 Regulation 18 (1)(a) 16(m) Requirement The registered provider must review the current staffing levels in order to provide additional staff to support the social activity needs of people living in the home. Timescale for action 23/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. Refer to Standard OP30 Good Practice Recommendations It is strongly recommended that the system for recording training undertaken by each staff member clearly identifies all training completed so that any gaps can be easily identified and acted upon. It is strongly recommended that the registered person ensures that there is an effective quality assurance system in place at the home to regularly measure and evaluate its success in meeting its aims and objectives, and which records the views of residents, family carers and staff members along with action taken to improve the home in the way residents ask them to. 3. OP33 Brookside House care Home DS0000067754.V315920.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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