Care Home: Brookfield

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What the care home does well Staff look after people well and spend time talking to them. They provide support in a friendly and helpful way. One person said, `staff are kind and helpful`. People are encouraged as much as possible to make their own choices and this helps to give them control over their lives. The staff team are settled and know people well. Care plans provide good information about the care and support that people who live in the home want from staff. This enables care and support to be given in a way that suits each person`s wishes. Staff understand in what kind of situations people can be at risk and have a good attitude to responsible risk taking to help people maintain their independence.People living in the home enjoy a range of activities that enables them to pursue their educational and leisure interests and be involved in the local community. One person said, ``I am involved with the Salvation Army and attend church services`. Another person said, `I have started a catering course at a local college`. There is a warm, friendly and welcoming atmosphere in the home. This helps people to feel comfortable and safe. One person who lives at the home said, `I like living here, staff look after us well`. The home is well managed so people can feel confident that any concerns will be addressed properly and good standards of care will be maintained. The home uses different ways to seek the views from others about the care and services they are providing in order to improve the performance of the home. What has improved since the last inspection? The number of staff who have achieved an NVQ (National Vocational Qualification) in level 2 has increased so that people in the home are receiving care from a more knowledgeable and skilled workforce. One person can now use public transport on their own without needing staff support. This enables the person to have more choice and be more independent. More day outings are now taking place at the request of people living at the home. This means people are able to get out more and do the things they enjoy. People at the home have attended a training session at their local fire station so that they have a better understanding of what to do if there was a fire. Some emergency lighting has been installed on the staircase in the home and a break glass point has been fitted near to the front door to alert people if there is a fire. Some glass in the front door has been made safer so that there is no risk of injury to people. These actions help to reduce risks to people`s safety. CARE HOME ADULTS 18-65 Brookfield 4 Brookfield Avenue Castleford WF10 4BJ Lead Inspector David White Key Unannounced Inspection 17th June 2008 09:00 Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 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 Brookfield DS0000065453.V366705.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 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. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookfield Address 4 Brookfield Avenue Castleford WF10 4BJ 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) 01977 559229 01977 559229 care@haptoncarehomes.co.uk Hapton Care Homes Mr John L McIntosh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for one named service user who in addition to having a learning disability, has a physical disability. 22nd June 2006 Date of last inspection Brief Description of the Service: Brookfield is a small group home providing services to up to 3 people with a learning disability. The design and layout of the home enables one named place to be offered to a person with a physical disability in addition to their learning disability. The home is situated on a quiet residential cul-de-sac in Castleford. The semi-detached house comprises of a lounge, dining area and kitchen on the ground floor. In addition to this, there is a bedroom with en-suite facilities and shower on the ground floor, large enough to accommodate a person with a physical disability. The first floor has two bedrooms with en suite and shower facilities, and a toilet for use by staff and visitors. The home has a large garden to the rear, a driveway with carport, and a smaller garden to the front. The home is located near to a major road in and out of Castleford, providing good transport links to the town and surrounding area. The current weekly fees at the time of the site visit on 17th June 2008 ranged from £765.47 upwards per week per person. The service provider ensures that information about the service is available to people who are thinking about moving into the home and people already living there by way of the home’s statement of purpose, the service user guide and through CSCI (Commission for Social Care Inspection) inspection reports. Brookfield DS0000065453.V366705.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 that people who use the service experience good quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 17th June 2008, lasting for four and a half hours. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. We did receive the home’s Annual Quality Assurance Assessment (AQAA) before we visited. A survey that was sent out to a professional who visited the home had not been returned at the time of writing this report. During the visit time was spent talking to people who live at the home, care staff, and the deputy manager. We observed staff caring for people in communal rooms, looked at various records relating to care, staff, and maintenance, and looked at some parts of the building. The deputy manager was available throughout the site visit and the findings were discussed with her at the end of the inspection. What the service does well: Staff look after people well and spend time talking to them. They provide support in a friendly and helpful way. One person said, ‘staff are kind and helpful’. People are encouraged as much as possible to make their own choices and this helps to give them control over their lives. The staff team are settled and know people well. Care plans provide good information about the care and support that people who live in the home want from staff. This enables care and support to be given in a way that suits each person’s wishes. Staff understand in what kind of situations people can be at risk and have a good attitude to responsible risk taking to help people maintain their independence. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 6 People living in the home enjoy a range of activities that enables them to pursue their educational and leisure interests and be involved in the local community. One person said, ‘‘I am involved with the Salvation Army and attend church services’. Another person said, ‘I have started a catering course at a local college’. There is a warm, friendly and welcoming atmosphere in the home. This helps people to feel comfortable and safe. One person who lives at the home said, ‘I like living here, staff look after us well’. The home is well managed so people can feel confident that any concerns will be addressed properly and good standards of care will be maintained. The home uses different ways to seek the views from others about the care and services they are providing in order to improve the performance of the home. What has improved since the last inspection? What they could do better: Information that is given to people about the home could explain that there are no facilities for people to have a bath and that there is a charge for the use of the home’s minibus. This will help people when deciding if the home is suitable for their needs. Two people could sign the records when money has been taken out of a person’s account that is held by the home. This will help protect people’s interests by reducing the risk of any errors and in providing a better audit trail so that monies can be easily accounted for. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 7 The home could be re-decorated so that it is more comfortable and pleasant for people who live there. 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. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 8 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 Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place and followed so that people who are thinking about moving into the home can feel confident that their needs will be met. Written information is available and provides enough information to help people decide whether the home is suitable in meeting their needs although some of this information needs amending so that people are clear about what the home can and can not offer. EVIDENCE: The home has a statement of purpose and service user guide that provides information about the care and services on offer to people who are thinking about moving into the home and those who are already living there. This information is detailed and well explained in easy to understand language. However, the information needs to explain that there are only shower facilities in the home as there are no baths. People also need to know that there are charges for use of the home’s minibus. People who live at the home said they were aware of these charges and were willing to pay them. There have been no recent admissions since the previous inspection visit, however, proper pre-admission procedures have been followed in the past to make sure that only suitable people are admitted to the home. Information Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 10 about the person’s care needs is collected from all available sources such as the placing authority to support the home in their decision making about whether they have the skills and resources to meet the person’s needs. The manager also carries out an assessment of the individual’s needs before the person is offered a place at the home. People who are thinking about moving into the home and their relatives are invited to spend time at the home before making any decisions about moving there. In the AQAA the deputy manager told us that potential users of the service would be assigned a key worker who would get to know the person and produce a detailed plan about the person’s needs before they moved in. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are encouraged to make choices about how they live their lives. This is supported through good care planning documentation that takes into account people’s wishes about the care and support they receive and any risks to people through encouraging their independence. EVIDENCE: Each person has a person centred plan which places emphasis on how they prefer to be supported in meeting their aims and objectives. This takes into account personal choices about how people choose their daily routines and includes information about what is important to people in their lives and their future wishes. The information included an ‘all about me’ section that was written in the first person. People also explained their preferences about other aspects of their life including their preferred method of communication and how they would like their behaviour to be managed if it became difficult. This helps to make sure that people are involved in the development of their care plan, have their needs met and receive support in the way they prefer. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 12 The care plans were well detailed, easy to follow and gave good specific information to staff about care and support needs. Staff had a good knowledge of people’s care needs and were able to describe the care and support they give. Care plan reviews take place on a regular basis with the involvement of the person living at the home, their relatives and relevant others who are involved in their care. One person living in the home said, ‘I meet up with my key worker and talk about my care’. Daily reports were condensed at the end of each month so that staff had a clear picture of what had been happening throughout the month in order to identify any changing needs. The care plans link well to risk assessments. There were a range of risk assessments in place for each person and these took into account different aspects of people’s daily lives. For example, an assessment had been carried out on possible risks to one person who enjoyed swimming. In another case a risk assessments had been undertaken for a person who uses public transport on their own, to look at possible risks from the person talking to strangers. There is a good attitude to responsible risk taking and this helps people who use the service to greater independence. People using the service said they were encouraged to make their own decisions and this could be observed at the time of the site visit. The risk assessments included information about why decisions had been made where people could be restricted in what they could do and these were agreed with the person or their representative. Risk assessments were reviewed on a regular basis to make sure that any changing needs could be identified promptly and acted on. Staff supported people in a respectful way. People said that staff always maintained their privacy and dignity and this could be observed during the site visit. One person described staff as ‘kind and helpful’. People have their own bedroom keys so that they can spend time in private if they want to. None of the people living at the home have any involvement with advocacy services. The deputy manager did say that links to advocacy could be accessed locally if needed to support people with their decision-making and to make sure their rights were protected. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People who use the service are able to live the lifestyle they choose. Social, educational, cultural and recreational activities meet their individual expectations. EVIDENCE: The home is committed to encouraging people with their independence. Staff encourage people to prepare their own meals where applicable, do their own daily chores and support them to manage their monies. The care records showed that one person said that they would like to be able to use public transport on their own and actions had been taken to enable the person to achieve this goal. People who use the service enjoy a variety of activities. One person said, ‘I am involved with the Salvation Army and I attend church services’. Another person said, ‘I have started a catering course at a local college’. People attend the local swimming pool, visit the library and have bus and rail passes so they can access different places at a cheaper rate. People Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 14 said that they had enjoyed a recent trip to Knaresborough and other outings and there are planned holidays for later on in the year. The home has its own transport and people said that they managed to go out regularly. People are supported to develop and maintain personal relationships of their choosing. Visitors are welcome to the home at any reasonable time. One person said, ‘I have recently come back from an holiday abroad with my sister’. People said that they liked the meals on offer at the home. They are encouraged and supported by staff to do the shopping, choose their own meals and where appropriate depending on their capability be involved in helping to prepare their own meals. Menus are planned in advance with people and alternative meals are available if someone does not like what is on the menu on a particular day. The menu choices include healthy eating options. One person said ‘I am attending a local slimming class and have lost around three stone’. A certificate had been sent to this person acknowledging their achievement. People can have snacks and drinks whenever they choose to do so throughout the day. People could be seen eating their meals in a relaxed unhurried atmosphere. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The health and personal care that people receive is based on their individual needs and is well met. EVIDENCE: Each person’s personal plan describes how support is to be given. People said that support was given in private and in the way they wanted. In the case of a person who needed support when having a shower, the care plan was very detailed and specific in saying how this was to done in a way that maintained the person’s dignity. Staff could be seen treating people as individuals and spoke to people in a respectful manner. The people who use the service all have a GP (General Practitioner) and have access to dental, optical, chiropody and specialist nurse services. One person with back problems was seeing a physiotherapist. Staff support people to attend appointments and there were good, detailed records about health appointments and their outcome. Referrals were made to healthcare specialists when needed. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 16 Staff have received training on the health needs of people at the home. One staff member said, ‘we always get training on what is needed’. One person was administering their own medication. In cases where people wish to do this, a risk assessment is completed first to make sure it is safe for them. Medication was stored safely and the medication records were up to date. All staff who administer medication receive appropriate training to enable them to do this safely. Staff would seek advice from the GP if there were any issues about health or medication. The manager carries out regular audits of the medication system so that any discrepancies can be identified at an early stage and acted on. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Systems are in place for dealing with any concerns or complaints and to ensure that people are protected from harm. EVIDENCE: The home has a complaints procedure that is on display at the entrance of the home so that people wishing to make a complaint know how to do so. People who use the service said they would talk to staff if they had any concerns. They also said that they would feel confident that any concerns would be dealt with properly. People were encouraged to voice their views about the home and these were acted on. An example of this was when people had requested for more outings to take place and this was recorded and acted on. The home has a policy on the protection of vulnerable adults and whistle blowing and staff had received training on the protection of vulnerable adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. Individual risk assessments were carried out to identify any risks from people’s behaviour and actions to be taken to minimise any risks. Staff have had some accredited training on how to manage behaviour that challenges the service and this includes learning techniques that can be used to calm down situations. The home holds monies on behalf of two people at the home. One person keeps their own bank book and was able to look after their own money. All Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 18 financial transactions were recorded. However, in some cases only one person had signed the records to say that monies had been withdrawn and it is recommended that this should be done by two people to safeguard people’s interests. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The environment is homely, clean, safe and hygienic so making it comfortable and pleasant for the people living there. EVIDENCE: The home had a nice, relaxing and friendly atmosphere and there was good humour between people living at the home and staff. One person said, ‘I like living here, staff look after us well’. Accommodation is over two floors with one bedroom on the ground floor and two bedrooms located on the first floor. Access between the floors is via a staircase. There is ramped access to the home so the ground floor is accessible for people with mobility problems. Each bedroom has en-suite facilities that include a shower. There were no facilities for people to have a bath. Bedrooms were personalised and one person said, ‘I like my bedroom and can have what I want in here’. There was a communal lounge area where people could watch television if they wished to do so. The garden area at the back of the home Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 20 enabled people to sit outside if they chose to do so. Staff said that people from the home had developed good relationships with the neighbours. The home was clean and tidy and people who live at the home said they help with the upkeep of their bedrooms. It was observed that most of the décor is in need of updating to improve the standard of the living environment for people. The deputy manager said that this work had already been planned for and is to be carried out in the next two months. There were systems in place to control the spread of infection and staff receive regular training about this. There were separate laundry facilities and hot water temperatures are regularly checked and any problems were referred to the appropriate people. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People who are using the service receive good care from adequate numbers of staff who are well trained and skilled to meet their needs. EVIDENCE: Staffing levels were adequate at the time of the site visit. The staff rota was planned around the needs of the people using the service. Overnight one member of staff sleeps at the home and people using the service can access this person if they need any support or assistance. People living at the home and staff all felt that there were sufficient numbers of staff on duty at all times and that people’s needs were always met. The deputy manager did say that staffing levels are kept under review so that any necessary action can be taken if there are changes to people’s needs. The deputy manager said that staff now work solely at Brookfield, whereas in the past they have worked between this home and another nearby home that belongs to the same registered provider. This had helped to provide more consistency in the care and support that people receive in the home. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 22 The home has a very low staff turnover. Staff said, ‘it is a great place to work and staff morale is good’. The staff file of the most recently employed member of staff showed that interviews were held and references were obtained prior to the person starting in post. The deputy manager did not have access to the Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) records that had been carried out on this person. However, in the AQAA we had been told that all the necessary checks had been completed on all staff before they started working in the home and staff said that they did not begin to work at the home until all their checks had been completed. Staff receive a range of training that is appropriate to the needs of the people living at the home. Most of the team have now completed NVQ (National Vocational Qualification) at level 2 or above. All staff were up to date with all areas of mandatory training and receive other training that is specific to the needs of people with a learning disability. One member of staff said, ‘we are always having training to improve our skills and knowledge’. All staff felt they had a ‘good team’ and said that the management were supportive. One member of staff said they benefited from having regular supervision and were always given a copy of the records from the supervision session. Regular team meetings also take place and staff said they would feel comfortable in voicing their opinions or raising any concerns. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is well managed in the best interests of people who live there and proper attention is given to their health and safety. EVIDENCE: The registered manager also manages another nearby service that is owned by the same company. Staff said that he does spend time at the home although most of his time is occupied at the other home. It is intended that the deputy manager will take over the management duties of the home on a permanent basis. The deputy manager is currently undertaking a management qualification and will be applying to register with the commission as the manager of the home. Staff said that the management provide good leadership and seek to meet the wishes of people living at the home at all times. People living at the home felt that the home was well managed. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 24 There were systems in place to seek the views of people about the running of the home. Meetings were held with people to seek their views and to act on these. Surveys had been sent out to relatives and health and social care professionals. The returned surveys were seen and provided positive feedback about the care and services on offer. This information is about to be collated and an action plan will be developed to address areas identified from the feedback. Each person who responded to the survey is to be sent a letter detailing the actions that are to be taken from the comments received. Relatives and relevant professionals are involved in care plan reviews that give them the opportunity to voice their views and opinions. Staff receive regular supervision and have staff meetings. The home continues to hold the Investors in People Award for the quality of their care and services. The home has proper arrangements in place to make sure that health and safety systems and procedures help to keep people safe. Fire safety was well maintained through regular fire safety checks and staff training. People who live at the home had attended a fire safety session at a local fire station so that they understood what they needed to do in the event of a fire. Following a visit from the fire safety officer, in order to maintain fire safety emergency lighting has now been installed on the staircase and a break glass point has been fitted near to the front door. The glass in the front door has been reinforced with perspex because of safety concerns. The AQAA information told us that all the health and safety certificates and checks were up to date and a sample check of some of these at the time of the site visit confirmed this. Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard YA1 Good Practice Recommendations The statement of purpose should be amended so that people reading it are fully aware of any additional costs and are clear about what the home provides and what it does not provide. Any transaction that involves cash being paid to an individual should be signed for by the receiver and the staff member at all times. This will help to minimise the risk of errors and make monies more easily accountable for if there are any discrepancies so protecting people’s interests. Plans to re-decorate the home should be implemented to make the environment more pleasant for people who live there. 2. YA23 3. YA24 Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Brookfield DS0000065453.V366705.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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