Inspection on 15/08/06 for Brookside Residential Care Home

This inspection was carried out on 15th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brookside Residential Care Home 08/11/05

Brookside Residential Care Home 09/06/05

Brookside Residential Care Home 20/12/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Brookside Residential Care Home 159 Eccleshall Road Stafford ST16 1PD Lead Inspector Mrs Joanna Wooller Key Unannounced Inspection 15 August 2006 08:00 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 Residential Care Home DS0000061715.V306461.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 Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside Residential Care Home Address 159 Eccleshall Road Stafford ST16 1PD 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) 01785 240738 Mrs Margaret Ann Rowlands Robert James Rowlands Mrs Margaret Ann Rowlands Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 MD Minimum age 50 years on admission Date of last inspection 8th November 2005 Brief Description of the Service: Brookside Care Home is a family run care home. The providers Mr and Mrs Rowlands have owned the home since August 2004. The home consists of 17 single bedrooms and four double bedrooms, most with en-suite wc facilities. The spacious sitting room and the refurbished conservatory allow a choice for the service users and complement the homely environment. There are cosy rooms set aside for quiet times. A passenger lift is provided in the home to allow ease of movement between floors for service users and staff. The dining rooms and refurbished kitchen reflect the care that has gone in to providing the highest standard of food preparation. The chef post has been recently filled and the staff haveq1 continue to produce imaginative menus, ensures the meals are presented to reflect the quality of produce purchased, and the individual dietary needs of the clients are addressed. Outings and planned entertainment provide social stimulation for the service users. Relatives are encouraged to participate when possible. Both single persons and married couples are welcomed in to the home. To the rear of the home there are stunning views of the garden and local marshes. The homes decoration and furnishings were seen to be good quality and the atmosphere at the home was warm and relaxed. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key Inspection was made on 15th August 2006 at 08.00hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The Providers Mr and Mrs Rowland’s were present at the home. The home was in the charge of a senior carer and four care assistants. The ancillary staff on duty included a cook (Which was Mrs Rowlands covering an absence) and a domestic. The staffing levels were evidenced as being adequate to meet the needs of current 25 residents in the home. Since the last inspection no complaints had been received and no additional visits had been required. The inspection included the following elements; A tour of the building, observation and inspection of records relating to provision of care, discussions with several residents, discussions with staff members on duty, observation of services within the home such as catering and laundry, and an inspection of the managerial aspects such as staffing issues and health & safety. It was evident that all aspects of care had again been well addressed, with residents able to choose to live at the home following an assessment and a visit to the home. There was evidence that most health, personal and social care needs had been met and were generally well documented in individual files. Privacy, dignity and choice aspects for residents were being upheld and the Inspector observed the staff. The home was fit for purpose and provided a safe environment for the residents and staff. The home was again noted to be exceptionally clean and tidy. Health and safety aspects had been given a high priority and it was noted that the outside risk assessments were now completed. Recruitment and retention of staff aspects were good with little staff turnover. Staff training had been given a priority, with induction training being followed by NVQ training, and staff had received some supervision. Records had been correctly filed and stored. Fees - £317 to £380 Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 6 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. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 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 the following standard(s): 3 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users had all been assessed prior to admission except for one emergency admission. Relatives and representatives along with the Service Users are encouraged to visit the home prior to making a decision. EVIDENCE: Pre admission procedures remain as at previous visits. The documentation seen, and following a discussion with Service Users evidenced that Service Users had been assessed prior to admission and they had been enabled to make a choice about the home. One emergency admission lady had not been assessed but a handover from the Social Worker had taken place. Those involved had the opportunity to visit the home prior to choosing to stay. The community care plans provided by the social worker were used to support the initial service user plans as part of the initial individual needs assessment procedure. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 9 Service Users that were spoken to were asked and they were able to confirm that they had been fully involved and were in agreement with the assessments. The admission records seen evidenced that care staff, individually and collectively; continue to have the necessary experience and skills to meet the assessed needs of the current service users. One lady on respite told the Inspector “ I wouldn’t go anywhere else the home and the staff are marvellous”. Brookside Residential Care Home DS0000061715.V306461.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 11 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Care records were examined and some issues were raised. One respite Service User had no care plan. Medication policies and procedures were followed. There was evidence from Service Users they were treated with respect, privacy and dignity, during the caring process. EVIDENCE: Service users that the Inspector had previously spoken again commented positively about the care being provided. They commented that the staff were exceptionally kind and caring and spoke very highly of them. The service user plans and associated documentation was generally well written and reflected the current condition of most residents. The Inspector highlighted that the documentation could be further extended to individualise the care and health issues be identified in short-term care plans. Personal care needs were being met; with individual risk assessments and social care plans updated. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 11 One Service User on a respite stay had an existing care plan from the previous stay in May with no record of her new stay. Care records had space allocated for Service Users photographs but these were not all in place. Boots pharmacy supply, monitor and audit the medication systems, records of their visits and outcomes were seen documented. During the visit, the inspector observed that privacy and dignity were being offered to residents, and there was good interaction with staff. Staff chatted to Service Users as they transferred them from the dining room to the lounges. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. No Service Users had a pressure area. Local GPs visit the home, and there is a good working relationship with them. Service Users spoken to told the inspector that they were content in the home and were treated with respect, and that the staff were very good. One lady said, “I shouldn’t stay if it wasn’t good, it’s marvellous”. Brookside Residential Care Home DS0000061715.V306461.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users were content with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Individual contact had been maintained with relatives and friends. Catering services were good with balanced nutritious meals being served. EVIDENCE: Many contacts had been maintained, where possible, with relatives and friends and this was seen documented. Trips out to the community had proved less successful due to Service Users choice. The Inspector evidenced some activities displayed on the notice board and some photographs which evidenced the activities both inside and outside the home. Service Users had enjoyed the activities and entertainment within the home, but did not like too much going on everyday. Service Users were eating breakfast when the Inspector arrived and they told her they were very satisfied with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of Service Users were individually met. A new cook, who had many years of experience, was due to start at the home the next day. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 13 The mid day meal seen was in the process of being cooked when the Inspector examined the kitchen. Fresh meat and vegetables are brought to the home and cakes and pastries were mainly home baked. Brookside Residential Care Home DS0000061715.V306461.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users are supported through the complaints procedure to rectify any complaints and they are protected from abuse by the well-trained staff and the homes policies and procedures. EVIDENCE: There had been no formal complaints brought to the attention of the home or the Commission for Social Care Inspection. The inspector observed the complaints policy and procedure documentation. The inspector evidenced many ‘Thank You’ cards and complimentary cards from appreciative relatives. No incidents of neglect or abuse had been reported. The policy documentation seen, and a discussion with staff confirmed that Service Users are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. Brookside Residential Care Home DS0000061715.V306461.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users live in a well maintained home which is clean and comfortable. EVIDENCE: The Inspector took a tour of the building, which was found clean, hygienic, and in good repair. All the maintenance documentation confirmed that the premises were fit for purpose. The duty rosters evidenced that sufficient ancillary staff were employed. The records evidence that maintenance of the premises was now being given a high priority. Windows had been replaced and a new central heating system had been installed. Painting and re-decorating was ongoing. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 16 There are one outstanding issue from the Fire Prevention Officer, which was being actioned at the time of the visit with regard to the smoke detectors. Environmental Health visited the home within the last 6 months and no issues were found. Brookside Residential Care Home DS0000061715.V306461.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 to 30 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users needs were being met by the numbers and skill mix of the staff in the home. Staff were trained and competent to do their jobs. Service Users were protected by the recruitment policy and procedure. EVIDENCE: The duty rosters were inspected and regular staff covered all shifts. Staff evidenced that adequate numbers of staff were on duty to meet the needs of the service users in the home at the present time. Staffing numbers would be adjusted to ensure needs were met if the Service Users dependencies rose. Suitable and sufficient ancillary staff is rostered in the home each week. Staffing levels were being maintained as at 1st April 2002 and following a discussion with the staff it was agreed that the shift cover was adequate for the Service Users needs. Over 50 of the care assistants were trained to NVQ level 2 or above. The remaining staff was completing NVQ training or similar. Training had again been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client group. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 18 The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff had job descriptions and contracts of employment. Service Users when asked whilst taking their breakfast said that staff was very approachable and always available when they wanted them. They confirmed that they thought the staff were very patient with them and offered them support, as they needed it. Brookside Residential Care Home DS0000061715.V306461.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. The home continues to be well managed and the home is run in the best interest of the Service Users. The health, safety and welfare of the Service Users and staff are promoted and protected. EVIDENCE: The service users confirmed to the Inspector that the home was being run in the interests of service users. Quality assurance systems have been put in place to assess the services and this included Service Users, relatives, visitors and visiting professionals. The outcome was positive in all areas. A check on the records and a discussion with Service Users evidenced that all service users had the opportunity to handle their own finances and all Service Users and families had chosen to do so. Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 20 Pocket monies were checked and found to be in order. Any valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. A private Health and Safety officer had visited the home and his advise had been followed with the work being completed. The documentation seen for checks and examination of equipment was all correct and up to date. The manager and staff spoken to confirmed that health and safety issues are given a high priority. Risk assessment re ‘falls’, outdoors and outdoor equipment had been put in place. Brookside Residential Care Home DS0000061715.V306461.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 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brookside Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP8 Regulation 15 (2b/2c) Requirement All Service Users must have a care plan, which is reviewed with the Service User or a representative. Timescale for action 18/09/06 2. OP8 12 (1a) All residents are to have 18/09/06 individual needs identified and reviewed within the care records. 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 Residential Care Home DS0000061715.V306461.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Residential Care Home DS0000061715.V306461.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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