Inspection on 01/11/05 for The Brook

This inspection was carried out on 1st November 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

The Brook 04/09/09

The Brook 04/04/07

The Brook 24/02/06

The Brook 12/01/05

The Brook 07/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Brook 303 Leyland Lane Leyland Preston Lancashire PR25 3BP Lead Inspector Ms Janet Spink Unannounced Inspection 1st November 2005 11:00 The Brook DS0000033563.V263522.R01.S.doc Version 5.0 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 The Brook DS0000033563.V263522.R01.S.doc Version 5.0 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 Adults 18-65. 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. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Brook Address 303 Leyland Lane Leyland Preston Lancashire PR25 3BP 01772 431466 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) Dawaking Care Ltd Mr Vinod Buldawoo Mrs Erika Ann Catherine Clayton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should, at all times, employ a suitably qualified and experience manager who is registered with the NCSC. 12th January 2005 Date of last inspection Brief Description of the Service: The Brook is located on the outskirts of Leyland town centre, and provides 24hour support for up to 6 people with learning disabilities. The Brook offers accommodation on two floors, and all rooms are single. One room has a toilet en-suite facility, and a second has a shower en-suite facility. The communal lounge, dining area and kitchen are on the ground floor. The home has a private patio area to the rear. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted by two inspectors and was unannounced. It took place during an afternoon when four of the six people accommodated were at home. It comprised of looking at documentation, discussions with a service user, observation and discussions with staff and the manager. What the service does well: What has improved since the last inspection? Service users’ and terms and conditions now have evidence of consultation as recommended during the last inspection. Care plans now include the extent of family involvement included. A training matrix has been developed so the manager can identify training needs for staff. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 6 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 Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Each service user has an individual contract or statement of terms and conditions in the home ensuring their rights are protected. EVIDENCE: During the last inspection it was identified that some contracts had not been signed by service users. There was evidence during this inspection that this had been addressed by the registered manager. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 All individuals had comprehensive plans of care ensuring staff had clear guidance regarding their needs and aspirations. EVIDENCE: The inspectors viewed the person centred plan and personal files for one resident, which confirmed that staff had clear guidance about specific needs in relation to mobility, communication, social needs, personal care, diet etc. The home had a system in place where the plans are reviewed regularly. Thisl involves social workers and family as well as the staff from the home. All appointments with other health care professionals such as the GP or Occupational Therapist were recorded in daily notes. It was recommended during the last inspection that the extent of family involvement should be included in care plans. This was seen to be in place. Two service users who were present during the inspection had no/little verbal communication, however staff were able to demonstrate that they had good understanding of their non-verbal communication, such as facial expressions and gestures. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 10 Care plans included assessing risk such as leaving the home alone and moving items that may cause harm if eaten. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13 and 14 Opportunities for development and community participation were addressed in care plans. EVIDENCE: Staff were aware that their role is to enable the residents rather than “do for” them. Residents were seen to be encouraged to take responsibility for some housework as much as they are able, and are actively involved in shopping, cooking and preparing meals. Service users are encouraged to use community facilities such as local pubs, sports centres and the cinema. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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, 25, 26 and 28. EVIDENCE: One service user showed the inspector his bedroom which was well decorated and homely. There was evidence of his personal possessions being in place such as models and photographs. He also had an en-suite shower facility. He showed the inspectors the lounge that he shares with others, which had a TV and suite. There lacked some individuality in the communal rooms, but this is a result of risk assessments where some objects such as ornaments and pictures may be deemed a risk for individulas at the home. Discussions with the registered manager confirmed that she is aware of the need for some redecoration throughout the home and addressing this with the owners. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Staffing levels were sufficient to meet the needs of the residents. Recruitment was carried out in a professional manner ensuring the protection of the residents. Training continues to be provided to ensure staff have the knowledge and skills required to carry out their roles. There was a need for the home to make progress towards achieving 50 of care staff having NVQ level II in care. EVIDENCE: The most recently appointed member of staff was on duty at the time of the inspection and confirmed with documentation that all police checks and references had been obtained prior to employment. Induction records were seen and confirmed that new members of staff undertake LDAF (Learning Disability Award Framework) induction and foundation within the first six weeks. This was also confirmed by the staff member who has almost completed this award. A system is in place for identifying training needs, and the company ensures staff receive training such as managing challenging behaviour and medication awareness. There continues to be a need for 50 of the staff team to complete NVQ level II in care so that service users are cared for by qualified staff. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x 3 x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 2 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Brook Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000033563.V263522.R01.S.doc Version 5.0 Page 18 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. 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 2 Refer to Standard YA32 YA24 Good Practice Recommendations The home should continue to work towards having 50 of care staff achieve an NVQ 2. The home should continue to upgrade the building by redecorating some areas. The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Chorley Local Office Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW 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 The Brook DS0000033563.V263522.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!