Care Home: Brook House

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What the care home does well Staff members are given up to date information about the needs of the people they care for. People who use the service indicated that they receive the care & support they require and that staff members are always available when they need them. One person reported that `any need during the day or night is taken care of`. People also stated that they are treated with respect. People who use the service enjoy the food that is provided. They are offered a choice of two meals and can eat in the dining room or their rooms. They stated that they are happy with the environment in which they live and indicated that the home is always fresh and clean. People`s needs are met by well-trained staff. Sixteen of the twenty-four members of care staff have obtained National Vocational Qualification level two or above and two are working towards such an award. The manager has completed a level 4 National Vocational Qualification in management & care and the Registered Managers Award. The home obtained the Investors in People award in July 2008. People who completed comment cards reported `full confidence in the staff & the manager at Brook House`; and stated that `it`s more like home from home`. When asked what the home does well, staff members stated: `We give a good service to the residents and look after all of their needs and I think we look after them very well`; and `Brook House provides a homely, friendly, clean and safe environment and a team which helps support and respect the service users` individual needs`. What has improved since the last inspection? Information about known allergies has been transferred to medication administration records to ensure the safety of people who use the service. New carpets have been fitted and action has been taken to rectify some areas of uneven or sloping flooring identified at the time of the last visit. It has not, however, been possible to resolve other areas. What the care home could do better: Information about the home should be made available in other formats so that it is accessible to all of the people who live there. Consideration should be given to obtaining storage facilities for Controlled Drugs, which comply with the Misuse of Drugs (Safe Custody) Amendment Regulations 2007. CARE HOMES FOR OLDER PEOPLE Brook House 15 Bell Lane Husbands Bosworth Leicestershire LE17 6LA Lead Inspector Martin Hefferman Unannounced Inspection 29th September 2008 09:45 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 Brook House DS0000064289.V370843.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. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brook House Address 15 Bell Lane Husbands Bosworth Leicestershire LE17 6LA 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) 01858 880247 01858 881473 Pradeep Arvind Patel Mrs Karen Brett Care Home 28 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (10), Old age, of places not falling within any other category (28) Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of service users resident in the home must not exceed 28. Within this total of 28, up to 28 may be in the category of old age (OP). Within this total of 28, up to 10 may be in the category of dementia care (DE). Once 10 services users are admitted within the category of dementia no further service users may be admitted under this category. 13th September 2006 Date of last inspection Brief Description of the Service: Brook House is registered to provide care for up to twenty-eight older people, including ten who have dementia. The home is located in Husbands Bosworth, which is situated between the market towns of Lutterworth & Market Harborough and has the benefit of a local bus service. The home is a converted house in the centre of the village. There are four shared and twenty single bedrooms, a significant number of which have ensuite facilities consisting of a toilet and hand-wash basin. The home has three lounges and two adjoining dining rooms. Bedrooms are on the ground and first floor, which can be accessed by stairs or a passenger lift. Local shops and other facilities are situated close by. At the time of the inspection, fees ranged from £335 to £450 per week. Information about the home and a copy of the last inspection report is available on request. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A visit to the home took place on 29th September 2008, lasting approximately four hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who use the service and tracking the care they receive through review of their records, discussion with them & staff and observation of care practices. Four people who use the service were spoken to during the course of the visit. This inspection has also taken into account all information received since the date of the last visit, including the home’s annual quality assurance assessment. Comment cards were received from ten people who use the service and five members of staff. What the service does well: What has improved since the last inspection? Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 6 Information about known allergies has been transferred to medication administration records to ensure the safety of people who use the service. New carpets have been fitted and action has been taken to rectify some areas of uneven or sloping flooring identified at the time of the last visit. It has not, however, been possible to resolve other areas. 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. Brook House DS0000064289.V370843.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 Brook House DS0000064289.V370843.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. Assessment practices appear to be effective, ensuring that individual needs are identified before people move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about Brook House was available at the time of the visit. Nine of the ten people who completed comment cards indicated that they had received enough information about the home to enable them to decide it was the right place for them. The tenth person reported that they had chosen Brook House on the basis of a recommendation from the family of someone else who lives in the home. The registered manager stated that information about Brook House is not available in other formats such as large print or audio. An assessment was available for one of the people who were chosen for the purposes of case tracking. The registered manager stated that she had completed an assessment for the second person but this appeared to have been mislaid. It was clear from her conversation with the person concerned Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 9 that she had visited him at home before he moved in. His individual needs were reflected in a care plan (see ‘Health & Personal Care’). The home does not provide intermediate care. Brook House DS0000064289.V370843.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. Staff members have access to the information they require to meet individual needs. People who use the service are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. Records indicate that each person’s needs are reviewed on a monthly basis. Risk assessments have been completed on issues such as fire safety, medication and slips, trips & falls. All of the staff members who completed comment cards indicated that they are always given up to date information about the needs of the people they care for. People who live at the home stated that staff would take action to ensure that any health care needs are met. Individual plans contain details of any needs that have been identified and of any action that is felt to be necessary as a result. Records of appointments attended by people who use the service indicate that they are in contact with a range of health care professionals where appropriate. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 11 None of the people who were chosen for the purposes of case tracking manage their own medication. Records of the medicines administered to people met relevant requirements. Information about known allergies has been transferred to medication administration records to ensure the safety of people who use the service. Whilst none of the people who live at Brook House were prescribed Controlled Drugs at the time of the visit, it was noted that storage facilities do not comply with the Misuse of Drugs (Safe Custody) Amendment Regulations 2007. People who use the service stated that they are treated with respect. They reported that staff members use their preferred form of address and that they would knock & wait for a response before entering their rooms. Brook House DS0000064289.V370843.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. People who use the service enjoy the daily life of the home and the social activities that are provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The majority of people who were either spoken to or who completed comment cards stated that there are activities arranged by the home that they can take part in. Regular activities include bingo, film shows and movement with music. There is also a special event every month. Posters advertising a forthcoming games evening were on display at the time of the visit. The registered provider stated that he has recently bought a plasma television and a Wii for one of the lounges. People who use the service stated that they are able to maintain contact with their families & friends. A number of people received visitors during the course of the inspection. One person reported that he keeps mints in his room for the horses that visit as they pass by. People who use the service reported that they enjoy the meals that are provided. Eight of the ten people who completed comment cards indicated that they always like the meals at the home, with the other two ticking ‘usually’. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 13 The lunchtime meal was observed. People were offered a choice of two meals and sweets which they said they enjoyed. Most people ate their meal in the dining room whilst others chose to eat in their rooms. Records of the meals provided indicate that people receive a varied diet. Brook House DS0000064289.V370843.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. People who use the service are protected by the home’s arrangements for dealing with complaints and for responding to allegations of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people who completed comment cards indicated that they know who to speak to if they are not happy about anything and that they know how to make a complaint. All of them reported that staff listen and act on what they say. People who were spoken to during the course of the visit confirmed this to be the case. Information provided prior to the visit indicates that the home has not received any complaints in the last twelve months. Details of the home’s complaints procedure & an advocacy service are displayed in the entrance hall. The registered manager indicated that she is aware of the action to be taken in the event of an allegation of abuse. She agreed to obtain an up to date copy of the local multi-agency policies & procedures on the protection of vulnerable adults. Staff members have received training on adult abuse & protection. Brook House DS0000064289.V370843.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. People who use the service live in clean and comfortable surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who use the service stated that they are happy with the environment in which they live. All of the people who completed comment cards indicated that the home is always fresh and clean. The areas of the home that were inspected were decorated and furnished to a satisfactory standard. The registered provider stated that new carpets have been fitted since the date of the last inspection. He reported that action had been taken to rectify some areas of uneven or sloping flooring identified at the time of the last visit but stated that it had not been possible to resolve others. The registered manager agreed to display notices warning people that the floor is uneven. The registered provider reported that the outside of the building would be redecorated as part of work to extend the home. Brook House DS0000064289.V370843.R01.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 & 30 Quality in this outcome area is good. Arrangements for the recruitment and training of staff ensure that people who use the service are protected and that their needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people who completed comment cards indicated that they receive the care & support they require. Nine of the ten people who responded indicated that staff members are always available when they need them (with the tenth ticking ‘usually’). One person reported that ‘any need during the day or night is taken care of’. People who were spoken to during the course of the visit confirmed this to be the case. When staff members were asked whether there are enough staff to meet the individual needs of all the people who use the service, one ticked ‘always’, one ‘usually’ & three ‘sometimes’. One person reported that ‘it would be nice if we had more staff which would mean more time with each resident’. Staffing levels appeared to be sufficient at the time of the visit. The records relating to two members of staff were inspected. One of them contained two written references and a Criminal Records Bureau disclosure (CRB). The second person – whose records contained a CRB but no references – has worked at the home for many years and was employed by a previous owner. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 17 New members of staff complete induction training to the standards set by Skills for Care. Information provided by the home prior to the visit indicates that sixteen of the twenty-four members of care staff have obtained National Vocational Qualification level two or above and that two are working towards such an award. Records indicate that staff members have received training on issues such as dementia awareness, mental health, medication, challenging behaviour, record keeping and a range of safe working practices. All of the staff who completed comment cards reported that they are given training which is relevant to their role, helps them understand & meet people’s individual needs and keeps them up to date with new ways of working. Brook House DS0000064289.V370843.R01.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 & 38 Quality in this outcome area is good. People who use the service benefit from a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has completed a level 4 National Vocational Qualification in management & care and the Registered Managers Award. Certificates on display indicate that she has attended training on a range of issues. The home has completed a survey of people who use the service, their relatives and visiting professionals. The results indicate that people are satisfied with the quality of the care provided. The home obtained the Investors in People award in July 2008. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 19 The registered manager stated that no money is held on behalf of people who use the service. She reported that financial affairs are either managed by people who use the service or by family members. Staff members have received training in first aid, fire safety, food hygiene, infection control and moving & handling. Records indicate that fire tests and drills have been completed at the required frequency. Brook House DS0000064289.V370843.R01.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 N/A X X 3 Brook House DS0000064289.V370843.R01.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. 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 OP1 OP9 Good Practice Recommendations Information about the home should be made available in other formats so that it is accessible to all of the people who live there. Consideration should be given to obtaining storage facilities for Controlled Drugs, which comply with the Misuse of Drugs (Safe Custody) Amendment Regulations 2007. Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Brook House DS0000064289.V370843.R01.S.doc Version 5.2 Page 23 - 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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