Inspection on 20/01/10 for Brookwood Manor Ltd

This inspection was carried out on 20th January 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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

Brookwood Manor Ltd 30/11/09

Brookwood Manor Ltd 13/03/09

Brookwood Manor Ltd 18/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 10/04/2010.

Annual service review Name of Service: Brookwood Manor Ltd The quality rating for this care home is: The rating was made on: two star good service 1 3 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Claire Hutton Date of this annual service review: 1 1 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Holbrook Hall Park Little Waldingfield Sudbury Suffolk CO10 0TH 01787248062 01787247525 brookwoodmanor@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Brookwood Manor Ltd Number of places (if applicable): Under 65 Over 65 0 28 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: We became aware on 21st October 2009 that this home was in liquidation. We had not been notified by the home of any financial difficulties. On 3rd November 2009 an application was made in the high court and this home moved back into administration. The Insolvency Practitioner for Brookwood Manor is Baker Tilly and they notified us on 9th November 2009 that a management company called Healthcare Management Solutions Limited had been appointed to manage the home. 1 3 0 3 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Brookwood Manor, Great Waldingfield, is registered to provide care for 28 older people with Dementia. The home is located between Sudbury and Lavenham on the B1071. The Home is a large period building set a distance back from the main road and can be reached by a single-track road. There is sufficient parking for several cars and the Annual Service Review Page 2 of 6 homes is surrounded by mature grounds and then open fields. The building has been converted into a care home and has a shaft lift to access the first and second floors. The home consists mainly of single bedrooms with three bedrooms being shared. There are two lounge areas and one dining room. There are ample bathroom and toilet facilities positioned appropriately around the home. On the second floor there is a small laundry. Fees for this home range from £500.00 to £650.00 per week. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: * The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. * Surveys returned to us by people using the service and from other people with an interest in the service. * Information we have about how the service has managed any complaints. * What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. * The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. * Relevant information from other organisations. * What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us some of the information we asked for. There were gaps within the document and the term unable to comment was used repeatedly when asked what the plans were for development and improvement over the next 12 months. The document also made reference to some financial constraints, but not to the degree we have now discovered. We looked at the information in the AQAA and our judgement is that the service may not be providing a good service and that they will not continue to develop in the coming year based upon this information. We received a positive response to all our questions on 1 returned survey from people who use Brookwood. They are particularly pleased with the level of care and support they receive and the staff. They told us Everybody is marvellous, the people are lovely. We received comments from 3 staff. All continue to be very satisfied with the induction training and support they receive. All staff were positive about information they received to support people and felt that they had the experience, and knowledge to support people who lived at the home. All staff said they knew what to do if anyone had a concern about the home. When asked what the service did well one staff member said Brookwood promotes service users to be individuals and becoming an extended family for them. We understand dementia very well and are able to support service users with their needs. it is a friendly atmosphere for the relatives and relaxed Annual Service Review Page 4 of 6 and welcoming for the relatives to see their loved ones. Another staff member said The meals are excellent and every effort is made to provide entertainment for the service users. We also received 2 completed surveys from health professionals and they responded positively to all our questions on health care, support and their experience of the home. One person wrote Brookwood generally responds to the needs of clients and seeks assistance from specialist services for people when required. Another person wrote I would like to see those residents who are permanently on bed care given a change of scene and integrated into the lounge environment. From the date we were aware that the care home went into liquidation we made a safeguarding referral to Suffolk Social Services to ensure the ongoing protection of the vulnerable adults who live at the home. We have liaised closely with Suffolk Social Services through their safeguarding procedures and are aware of their quality monitoring visits they have made to the home and have received detailed feedback. We believe currently that the residents are well cared for and the home is being run satisfactorily. However we have concerns about the management of the home as the administrator has left and not been replaced and the manager is due to leave on 18th December 2009. We arranged to meet with the management company on 30th November 2009 to discuss their plans for the home with specific reference to finances and management, but unfortunately their representatives did not attend the meeting. Therefore we have written to the Insolvency Practitioners for more information and assurances. What are we going to do as a result of this annual service review? We are to change our inspection plan. We will determine through gathering of intelligence what type of inspection is required. We have recently on 30th November 2009 completed a random inspection. This information is written in a separate report. We will closely monitor the situation, liaise with other regulatory bodies and visit when necessary to ensure the quality of the service and the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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