Care Home: Brookfield Residential Care Home Limited

Similar services:

• Sunny Bank (P.R.S.) Ltd
• Ashwood Court Unit 1
• Thornton Lodge
• Alfred House Residential Care Home
• Barkerhouse Road (123)
• Fernhaven
• Thames House
• Creative Support

What the care home does well Most of the people living at the home had done so for many years. We spoke with two people who confirmed that they were happy and liked living at the home. The atmosphere was very relaxed and friendly and there were no concerns about people`s mental health needs at the time of our visit. One person said that although they had enjoyed their time at Brookfield they were looking forward to moving on to their own flat and more independent living in the near future. The staff team were in the main very knowledgeable about people`s support needs but this was not always reflected in people`s support plans and risk assessments. A new large conservatory had been built to good effect and had brightened up the living space in the dining area. A smoking shelter had been built in the garden and people were no longer smoking in the house, which had improved fire safety. Sleeping in staff now had their own bedroom to sleep in rather than a pull down bed in the office. However, they were still sharing a bathroom with people living at the home. Warning signs had been put on the cellar door to warn people of low headroom to improve health and safety, when accessing the laundry. We spoke with two support workers who confirmed that they enjoyed working at the home and that they felt safe during the night time when they were lone workers. They had access, by phone, to the registered manager at all times should they need support. An NVQ assessor was at the home working alongside support workers to evidence goodpractice for their qualifications. We checked the recruitment file of the last person to be employed at the home and found that an Povafirst check and a criminal records check had been undertaken. The manager was very knowledgeable about the people who lived at the home and said that good relationships continued to be in place with healthcare professionals. What the care home could do better: The registered manager must ensure that each person has an up to date CPA on their file. Support plans could be more person centred support and show that the the person concerned was involved in their development. Clear risk assessments must be in place that give detailed instruction to support workers about what action they must take should the person`s mental health needs change. Hand written transcribes on the medication sheets need to be double signed by a staff member to ensure that they are accurate. The staff team must receive up to date training in the local authority safeguarding procedures, as well as Mental Capacity Act training that includes deprivation of liberty. This needs to be done to ensure that the registered manager and support workers know what action they must take to protect a person from abuse or harm. Now that people had stopped smoking in the house the lounge, hall, landings and stairwells must be decorated to remove both the visual evidence of nicotine and the smell. Both areas are very dark and consideration should be given to improving levels of light at the same time either by decoration or changing light fittings. People`s mattresses need to be checked to ensure that they are in good condition and replaced where necessary. Hand washing must improve and the use of old communal hand towels must cease to improve control of infection practices. This is an outstanding requirement. Most bathrooms and toilet areas were not as clean as they could be. There was a very strong malodour in some toilets. Toilet brushes were in very poor condition and shower heads needed to be thoroughly cleaned. Hot water to the second floor bathroom was excessively hot. The registered manager was fully aware of this situation and must take action to remedy the problem. It was not clear what training the staff team had undertaken, particularly around mental health training. A copy of the staff team training matrix must be sent to us to evidence what training had been undertaken and when to ensure that support workers have received all the training they need to safely and effectively meet people`s needs. The registered manager continues to have no access to a computer, although the registered provider had brought in some information about a new computer that day, and little administrative support to help in the day to day management of the home.Confidential records were not being securely held in lockable cabinets. There were no recent copies of Regulation 26 visits that must be undertaken by the registered provider for us to look at. The annual quality assurance assessment (AQAA) that we requested from the home was poorly completed and needs to give us more information in the future to help us make a judgement about the quality of care received by people living at the home and what ongoing improvements are being made. Random inspection report Care homes for adults (18-65 years) Name: Address: Brookfield Residential Care Home Limited Brookfield St Anns Road Prestwich Manchester M25 9QE two star good service 24/03/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Bodell Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Brookfield Residential Care Home Limited Brookfield St Anns Road Prestwich Manchester M25 9QE 01617731165 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Barry Douglas Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brookfield Residential Care Home Limited care home 14 Number of places (if applicable): Under 65 Over 65 3 mental disorder, excluding learning disability or dementia Conditions of registration: 14 The service should employ a suitable qualified and experienced manager, who is registered with the Commission for Social Care Inspection. Within the maximum registered number 14, there can be up to 14 Adults with Mental Disorder (MD); 3 Adults with Mental Disorder over 65. Date of last inspection Brief description of the care home Brookfield is a care home providing personal care and accommodation for 14 adults with a mental disorder and helps to support people recovering from severe and long term mental health needs. The fees range from three hundred and fifty to five hundred Care Homes for Adults (18-65 years) Page 2 of 12 2 4 0 3 2 0 0 9 Brief description of the care home and fifty pounds per week depending of the individual needs of people living at the home. The home is situated in Prestwich, close to the shopping centre, local pubs and bus routes. Brookfield is an old Victorian house and provides accommodation on 3 levels. It has 14 single bedrooms, a large lounge, dining room, kitchen and separate laundry. The home is set in its own grounds with a well-maintained garden and patio area to the rear of the property. There is a small car park area to the front of the building. Information about Brookfield can be obtained by contacting the manager directly at the home Care Homes for Adults (18-65 years) Page 3 of 12 What we found: This unannounced visit took place on 25th May 2010 and lasted for five hours. The reason for the visit was to check what action had been taken to complied with the requirements made at the last key inspection on 24th May 2009. We decided to undertake a visit because information we received in the homes annual quality assurance assessment (AQAA) was limited and did not give us this information we needed to make a judgement about any improvements that may have been made. During our visit we spoke with the registered manager, a senior support worker, a support worker and two people living at the home. We also spoke briefly with the registered provider. We looked around parts of the building, at paperwork and checked the safety of the medication system. We found that all but one of the requirements had been met. However during the course of our visit we found improvements were needed in a number of other areas. These included paperwork, standards of hygience and infection control, hot water temperatures, decoration and administration at the home. What the care home does well: Most of the people living at the home had done so for many years. We spoke with two people who confirmed that they were happy and liked living at the home. The atmosphere was very relaxed and friendly and there were no concerns about peoples mental health needs at the time of our visit. One person said that although they had enjoyed their time at Brookfield they were looking forward to moving on to their own flat and more independent living in the near future. The staff team were in the main very knowledgeable about peoples support needs but this was not always reflected in peoples support plans and risk assessments. A new large conservatory had been built to good effect and had brightened up the living space in the dining area. A smoking shelter had been built in the garden and people were no longer smoking in the house, which had improved fire safety. Sleeping in staff now had their own bedroom to sleep in rather than a pull down bed in the office. However, they were still sharing a bathroom with people living at the home. Warning signs had been put on the cellar door to warn people of low headroom to improve health and safety, when accessing the laundry. We spoke with two support workers who confirmed that they enjoyed working at the home and that they felt safe during the night time when they were lone workers. They had access, by phone, to the registered manager at all times should they need support. An NVQ assessor was at the home working alongside support workers to evidence good Care Homes for Adults (18-65 years) Page 4 of 12 practice for their qualifications. We checked the recruitment file of the last person to be employed at the home and found that an Povafirst check and a criminal records check had been undertaken. The manager was very knowledgeable about the people who lived at the home and said that good relationships continued to be in place with healthcare professionals. What they could do better: The registered manager must ensure that each person has an up to date CPA on their file. Support plans could be more person centred support and show that the the person concerned was involved in their development. Clear risk assessments must be in place that give detailed instruction to support workers about what action they must take should the persons mental health needs change. Hand written transcribes on the medication sheets need to be double signed by a staff member to ensure that they are accurate. The staff team must receive up to date training in the local authority safeguarding procedures, as well as Mental Capacity Act training that includes deprivation of liberty. This needs to be done to ensure that the registered manager and support workers know what action they must take to protect a person from abuse or harm. Now that people had stopped smoking in the house the lounge, hall, landings and stairwells must be decorated to remove both the visual evidence of nicotine and the smell. Both areas are very dark and consideration should be given to improving levels of light at the same time either by decoration or changing light fittings. Peoples mattresses need to be checked to ensure that they are in good condition and replaced where necessary. Hand washing must improve and the use of old communal hand towels must cease to improve control of infection practices. This is an outstanding requirement. Most bathrooms and toilet areas were not as clean as they could be. There was a very strong malodour in some toilets. Toilet brushes were in very poor condition and shower heads needed to be thoroughly cleaned. Hot water to the second floor bathroom was excessively hot. The registered manager was fully aware of this situation and must take action to remedy the problem. It was not clear what training the staff team had undertaken, particularly around mental health training. A copy of the staff team training matrix must be sent to us to evidence what training had been undertaken and when to ensure that support workers have received all the training they need to safely and effectively meet peoples needs. The registered manager continues to have no access to a computer, although the registered provider had brought in some information about a new computer that day, and little administrative support to help in the day to day management of the home. Care Homes for Adults (18-65 years) Page 5 of 12 Confidential records were not being securely held in lockable cabinets. There were no recent copies of Regulation 26 visits that must be undertaken by the registered provider for us to look at. The annual quality assurance assessment (AQAA) that we requested from the home was poorly completed and needs to give us more information in the future to help us make a judgement about the quality of care received by people living at the home and what ongoing improvements are being made. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 24 13 Hand drying facilities must improve and communal towels not used for hand drying. So people living and working in the home are not at risk of cross infection 18/06/2009 Care Homes for Adults (18-65 years) Page 7 of 12 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 2 14 A copy of the most up to 30/07/2010 date CPA for people must be kept on each individual file. This must be done to evidence that a qualified person has undertaken an assessment prior to the persons admission and ongoing CPA reviews are being undertaken. 2 9 13 Clear risk assessments must 30/07/2010 be in place. This must be done so that support workers know what action they must take should a persons mental health needs change. 3 23 13 The staff team must receive 30/07/2010 up to date training in the local authority safeguarding procedures as well as Mental Capacity Act training that including deprivation of liberty. This needs to be done to ensure that the registered Care Homes for Adults (18-65 years) Page 8 of 12 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action manager and the support workers know what action they must take to protect a person from abuse or harm. 4 24 23 The main lounge and the hall 30/07/2010 stairs and landings must be decorated. This must be done to maintain good standards of decoration, remove the staining and smell caused by nicotine and increase the brightness of the surroundings. 5 30 13 Hot water to the second floor 15/06/2010 bathroom was excessively hot. This problem needs to be resolved as soon as possible to prevent people from being scalded. 6 30 13 Handwashing practices must 30/06/2010 improve and the use of old and worn communal hand towels must cease. This must be done to protect people from the spread of infection. 7 30 13 Bathrooms and toilet areas must be kept hygienically clean, including showerheads. This must be done to protect people from the spread of infection. 8 35 18 A copy of the staff team 30/07/2010 Page 9 of 12 30/06/2010 Care Homes for Adults (18-65 years) Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action training matrix must be sent to us. This must be done to evidence what training has been undertaken, and when, to ensure that support workers have received all the training they need to safely and effectively meet peoples needs. 9 39 26 The registered provider must 30/06/2010 carry out regular visits to the home in line with the regulation and produce a report to confirm this. This must be done to evidence that the home is well managed in the best interests of the people who live there. 10 41 17 The personal records of both 30/06/2010 people living and working at the home must be securely held at all times. This must be done to ensure confidentiality and peoples right to privacy. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The support plan format needs to be reviewed to make it more person centred, demonstrate that the person was involved in their development and reflect a value base, for example choice, promotion of independence, fulfilment, Page 10 of 12 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations decision making, etc, 2 20 Hand written transcribes on the medication sheets need to be double signed by a staff member to ensure that they are accurate. Peoples mattresses need to be checked to ensure that they are in good condition and replaced where necessary. That the registered manager would benefit from having access to a computer and additional administrative support to ensure the effective management of the home. 3 4 24 40 Care Homes for Adults (18-65 years) Page 11 of 12 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 12 of 12 - 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!