Care Home: Brookes House Care Centre

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Annual service review Name of Service: Brookes House Care Centre The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 2 0 0 8 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?   No 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: Diane Roberts Date of this annual service review: 2 1 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 79-81 Western Road Brentwood Essex CM14 4ST 01277212709 01277200706 brookeshouse@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne Boss Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 70 Personal care to be provided to no more than 70 service users over 65 years of age. Total number of service users for whom personal care is to be provided shall not exceed 70. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Brookes House Care Centre provides 24 hour accommodation and personal care for up to seventy older people. The home is not registered to care for people with dementia. It is a three storey building with residents accommodation on the first two floors and staff accommodation is provided on the top floor. It is situated a short distance from Brentwood Town Centre with its shopping areas and public transport. The home provides mostly single bedrooms and some double bedrooms. All bedrooms have ensuite facilities. There are lounges and dining rooms on both floors, which are accessible to residents by way of a passenger lift or ramp. 1 4 1 0 2 0 0 8 Annual Service Review Page 2 of 7 Parking facilities are available at the front of the premises. There is a garden to the rear, which has a small patio area that is easily accessible to residents. Additional charges to residents relate to chiropody, hairdressing, personal toiletries, newspapers/magazines, participation within raffles and taxis. Inspection reports are contained within the homes Statement of Purpose/Service Users Guide. A copy of these documents was located within the main entrance to the care home. The current scale of charges ranges from £421.54 (Social services placement) up to £800.00 (private/single room) Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked out all the information that we have received, or asked for about Brooks House, since the last key inspection. We looked at any correspondence that we received outlining any event that may have affected the running of the home, including complaints. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA) form. This form is for the manager to consider and report on how well the service they provide meets the expected outcomes of the people using the service. We sent surveys to the manager to give to residents and staff that asked them to tell us their views on how they think the home is run. We looked at the report that was written about the homes last key inspection. An Inspector went to the home as part of that key inspection and spent time with the manager and the residents. What has this told us about the service? No correspondence relevant to this report was received by the Commission since the last key inspection. We have not received any complaints about the home and the manager has notified us appropriately of any issues that may adversely affect the welfare of residents. The managers AQAA confirmed that they have had to deal with 3 formal complaints in the last year,which were upheld. These were dealt with prior to her coming into post and since that time she herself has not received any formal complaints. The manager has an open and objective approach to the management of complaints. Nearly all the residents who commented said that they knew how to raise a complaint. In addition to this the manager holds weekly surgeries for relatives to be able to pop in and discuss any queries or concerns that they may have and bi-monthly meetings are also held for residents and relatives. The manager sent us a completed Annual Quality Assurance Assessment when we asked for it. This was completed quite well and showed that the manager has a developmental approach to the services provided in the home and continues to try and build upon the standards already achieved. On discussion with the manager some guidance was given on completing the AQAA in order to provide better evidence on the services in the home. To overcome this we spoke to the manager about some of the information provided. There is evidence that after consultation, the manager has and is putting into place suggestions from the residents. Comments we received from the residents on the food provided were variable with some saying The food is lovely and others saying the meals could be better. It is clear that the manager consults with residents on this matter and feeds back to the kitchen staff as appropriate. It is not clear whether the kitchen staff speak to residents directly for feedback. Residents have asked for more home baking and it is also evident that the mealtimes are now more flexible and resident led. The manager has also consulted on the redecoration of the home and is taking residents ideas on board with, for example, the proposed theme of the dining room. Annual Service Review Page 4 of 7 In relation to care standards, the manager has continued to develop person centred care planning in the home and feels that she has a robust approach to this and that the individualised care provided, along with the attention to detail, helps to identify residents changing needs along with providing quality care. The manager is keen on developing the key worker system in the home and feels that standards have improved now that staff are very clear about their roles and responsibilities. Our only slight concern is whether the staff team are having a sufficiently proactive approach to the care of residents at risk of pressure sores. Records show that 5 people have developed sores in the home in the last year and it may be that the staff team need some training on the assessment of risk and the correct time to refer to the district nursing team. The manager confirmed that pressure relieving equipment is now in place and there are no residents with sores at the current time. This was discussed with the manager. Activities are popular in the home and residents generally feel that the entertainment is good. The manager has worked on ensuring that residents social preferences are known but there was no discussion in the AQAA that residents individual needs have been assessed and planned for, in relation to social care that could help them with their independence, self worth and the retention of skills. Relatives are increasingly encouraged to attend social events at the home and over the year these have included cream teas, BB Qs and cheese and wine evenings. The percentage of staff achieving an NVQ qualification is high with 21 of the 29 staff having a qualification. This is good. Staff turnover is low and agency use is minimal. The AQAA shows that staff are attending regular training sessions with their overall compliance levels being 86 . Records show that all of the staff had attended infection control and nutrition training. The manager hopes to have in-house trainers in place in the future to help with key subjects such as manual handling. The manager reports that robust staff supervision and appraisal systems are in place. Staff who commented said that the manager was supportive and that the training provided was good. Since the new manager has been in post, more staff have been recruited and staffing levels are reviewed and are flexible in relation to the needs of the residents. On discussion the manager said that the staff team is stable and there are no care vacancies in the home. The manager has a new deputy and administrator in post and she now holds regular heads of department meetings to ensure that any issues are addressed and that the home continues to develop. Since we last visited the home there has been a significant amount of redecoration and this is positive as the premises were letting the home down. The manager reports that the corridors have been redecorated along with most of the bedrooms. Work has been undertaken in 2 of the bathrooms, where the most attention was needed and there are plans to redecorate the main dining area downstairs. Some new furniture has been purchased and the manager reports that more is on order. The residents surveys we received showed that overall people are happy living at Brooks House. Comments included my bed is always well made, nice fresh linen, very friendly staff, good activities, a relaxed home, I am happy with the services they provide, I am happy here but I would like to go out more, I hope the homes continues as it is, we are lucky, I want nothing changed, very friendly relaxed atmosphere, the staff are always on hand to help, they look after me well and any problem the care staff help me straight away. Annual Service Review Page 5 of 7 The last key inspection judged the home as proving an good service. The report said The staff team at the home are doing well at providing person centered care to the residents, which recognises them as individuals. They are planning the care of the residents well and ensuring that they receive the input they need from health care professionals. Residents are happy living at the home and say that they have choice and that the staff team are nice. Comments include I find the care staff very good and the staff are good to me. The in house social activities provided at the home are generally good and residents are involved with choosing what happens. Residents can be assured that the staff are recruited properly and that all the required checks are made. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by the 14th October 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 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. 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