Inspection on 25/05/05 for The Brooklands

This inspection was carried out on 25th May 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 Brooklands 12/06/07

The Brooklands 08/06/06

The Brooklands 16/09/04

The Brooklands 27/04/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Brooklands Coombs Road Bakewell Derbyshire DE4 1AQ Lead Inspector Stuart Hannay Unannounced 25 May 2005, 9.15am 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 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. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Brooklands Address Coombs Road Bakewell Derbyshire DE4 1AQ 01629 812023 01629 814105 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Christian Homes for the Elderly Mrs Janice Barbara Hallam Care Home 19 Category(ies) of Old age - 19 registration, with number of places The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To register one bed for DE(E) for the individual named in the notice of proposal for the duration of their stay. Date of last inspection 16/9/04 Brief Description of the Service: Brooklands is a Christian Residential home and is run by a non-profit making organisation. It is in an older building, which has been adapted to residential home use, and is situated in its own grounds on the outskirts of Bakewell. It is registered to provide services for 19 people. A choice of lounges and dining rooms is provided. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three of the 18 service users were interviewed on the day an another 4 were spoken with. The care plans were checked and the home’s training and health and safety records were seen. Two care staff were formally interviewed and the inspector had lunch with a group of service users. A check was also made of the home’s medication system and monies held on behalf of service users. What the service does well: What has improved since the last inspection? The home had amended some records as required in the previous report and had upgraded one of the bathrooms. Quality assurance reviews had now been set up. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 standard(s) 3 Information obtained about the service users prior to them entering the home ensures that at the time of admission the home is able to meet their needs. EVIDENCE: Three care plans were checked in detail. Each of these contained assessments about the service users needs and capabilities. In each case there was an assessment from a professional worker, e.g. a care manager or nurse, which outlined the level of care needed. Two of the three service users spoken with said that they had the opportunity to come to the home prior to moving in, the other service user said that she had relied on her son to make the choice for her. This service user’s plan contained a detailed assessment of her care needs made by social services and this matched how the service user described her needs and wishes in interview, however the home had not yet completed all of its own service user assessment and other admission information, despite the fact that she had been admitted 3 weeks prior to the inspection. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 8 9 10 The care plans demonstrate that the home is able to meet the health and care needs of the service users. The medication system ensures that service users medication is properly administered and that service users can look after their own medication. Service users said that they are treated with dignity and respect. EVIDENCE: Three service users’ plans examined contained information about their general health needs, medical history and medication. Visits by outside professionals such as GPs, chiropodists, district nurses, dentists and opticians are recorded. The care plans contained information about what staff needed to do in order to meet these needs and any treatments prescribed by visiting professionals. Service users spoken with said that they felt all their health care needs were met. Those not able to express themselves clearly looked clean and well-cared for. Service users’ glasses, hearing aids and dentures appeared to be properly cared for. All of the service users interviewed said that the staff treat them with a great deal of respect and one said that their behaviour is ‘exemplary’. Interaction between staff and service users on the day was friendly with evident mutual respect. One service user stored and administered his The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 10 medication. Medication was generally well stored, however, the temperature of the drug’s medication fridge was not monitored. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 14 15 The service users were happy with how the home was run and that they can choose how to spend their time. Contact with relatives and friends is encouraged. Food is varied and well-presented with choices available to service users. They said their social and religious needs were met but care plans did not always reflect this. EVIDENCE: Three service users interviewed said that they were able to choose how they spent their day and had agreed flexible daily routines with the staff, which could be varied if service users wished. Two of the service users had regular visits from friends or relatives and they said that these people are always welcomed into the home. One service user said that there were plenty of social activities, including singing groups, organists and other events but that he preferred not to get involved in all of them and liked to stay in his room. Two other service users confirmed that there is entertainment provided and also that the home supports them to attend religious ceremonies or to take communion if they wish. The menus checked contained a variety of different meals on a three-weekly cycle and the food prepared on the day was well presented, tasty and served in a calm and pleasant atmosphere. The service users were offered the choice for lunch on the morning of the inspection and the food served reflected what was on the menu for that day. Opinion was divided between two service users as to who was the best of the home’s cooks The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 12 and this seemed to be a matter of personal preference rather than a marked variation in standards. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users are protected by the home’s policies and procedures and staff training in the recognition and reporting of abuse. EVIDENCE: Nine staff members had undertaken recent training (April 2005) in the recognition and reporting of abuse. Two staff interviewed were aware that the home had policies on the reporting and recording of abuse and of their responsibility to report it within the organisation and, if necessary, to outside agencies. One of the staff members interviewed had undertaken training on recognising abuse as part of her Level II NVQ. Both said that they would have no hesitation in reporting any concerns to the senior staff. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20 24 26 The home provided a clean, safe and well-maintained environment for service users. EVIDENCE: There were no unpleasant odours in the communal parts of the building on the day of the inspection. The lounges, dining-room and hallways were clean with no obvious hazards. All communal areas were decorated in a homely way. Service users spoken with said that they appreciated the attractive gardens and they liked to sit outside when the weather was better. They were happy with their bedrooms. Seven bedrooms were checked during the inspection; they were well-decorated, highly personalised with comfortable beds and contained wardrobes and storage space. Two of the bedrooms checked had slight unpleasant odours related to continence management problems. It was clear that the home was taking measures to try to address this. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 28 29 30 There were sufficient numbers of staff on duty to meet the needs of the service users. They had received a range of training enabling them to understand the needs of the service users. Recruitment procedures protect the service users. EVIDENCE: The current rota showed that agreed staffing levels were being met. Staff training records and staff interviews confirmed that a range of statutory and professional training is provided. The records of the two most recently recruited staff members were checked. Both had completed full application forms, written references had been obtained and Criminal Records Bureau checks had been provided. One new staff member had provided a clear Criminal Records Bureau check on starting work but this had been resubmitted to obtain an updated record and a POVA check. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 34 36 37 38 The home is well run by a suitably qualified and experienced manager who fosters an open atmosphere which promotes the rights of the service users. EVIDENCE: The manager has achieved the Registered Manager’s Award. She has a wide range of experience in working with older people. Staff and service users said that she is approachable and that they would not hesitate to express any concerns to her or the other senior staff. Service users said that they are able to choose how they spend their time at the home and that they are consulted about their care. The home had accurate records of the monies held on behalf of the service users (3 service users’ monies were cross-referenced with the records kept), however, there was only one signature for monies paid out and deposited. Staff said that they have formal professional supervision meetings, which look at their work practice and personal and professional development. Staff meetings are also held regularly. Staff had received recent Health and The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 17 Safety and other statutory training such as manual handling and COSHH. All staff had received updated fire training and 2 staff interviewed were able to clearly describe the fire procedure. The alarm system was checked on a weekly basis by the home and, according to the records, had been serviced in April 2005, although the company had yet to provide a certificate. The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 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 Standard No 16 17 18 Score x x 3 3 3 3 2 x 3 x 3 The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 19 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. 1. Standard OP7 Regulation 15 Requirement Admission information sheets in care plans must be consistently recorded within a few days of admission. Temperatures of the medication fridge must be recorded daily Any transactions made by staff for service users monies must have 2 signatures. Timescale for action 31/8/05 2. 3. 4. OP9 OP35 13 (2) 13 (6) 31/8/05 31/8/05 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 Good Practice Recommendations The Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection South Point Cardianl Square Nottingham Road Derby DE1 3QT 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 Brooklands C52-C02 S19949 Brooklands V226978 250505 Stage 4.doc Version 1.30 Page 21 - 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!