Care Home: Brooklyn Care Home

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What the care home does well Anyone wanting to come and live at the home is fully assessed to see if their needs can be met. Service users have a detailed care plan which provided the information needed to fully support them in all aspects of their daily life. The plans are well presented and easy to follow. Service users are able to choose how they spend their time and risk assessments are carried out. Service users attend a day centre, go into the local town and on trips further a field. Service users keeps in contact with her family through visits and phone calls. Service users are involved in planning and preparing their meals and were seen having a snack on return from the day centre. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Service users receive the level of support they require and their healthcare needs are attended to, with support form healthcare professionals when required. One service user has recently had some dental work carried out. Service user are made aware of the complaints procedure and that they can use this if they have any complaints. Staff are made aware of their responsibilities to ensure service users are safeguarded, and when there was an incident which staff felt may affect service users` safety they reported this to the manager. The home is set in extensive grounds and provides a peaceful setting. There are currently two buildings where service users can live, and there are plans to convert more in future, as well as create a soft play area. There are some animals living in a paddock area, which service users can join in the care of. A high standard of cleanliness is expected and one service user was seen using a hand sanitizer after touching the animals. A staff team is being established through following the correct recruitment practices. Some training has been provided and plans are being made to provide a rolling training programme. Staff are enrolled on a course that leads to a professional qualification. There are suitable management arrangements in place for running the home and service users can express their views on the service provided. The required health and safety checks and tests to the building and equipment are carried out. What has improved since the last inspection? This was the first inspection of this service following registration in November 2008. What the care home could do better: There needs to be more information about resources available in the local area. When staff have completed their induction they should sign the book to show this has been completed. Key inspection report CARE HOME ADULTS 18-65 Brooklyn Care Home Lodge Farm Wheatgrass Hill Upton Newark Nottinghamshire NG23 5TJ Lead Inspector Stephen Benson Key Unannounced Inspection 18th June 2009 09:30 Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brooklyn Care Home Address 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) Lodge Farm Wheatgrass Hill Upton Newark Nottinghamshire NG23 5TJ 01636 815553 01636 812997 Brooklyn Care Homes Ltd Miss Lynda Callan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered person may provide the following categories only: Care Home Only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 3 \ N/A Date of last inspection Brief Description of the Service: Brooklyn Care Homes is a care home providing personal care and accommodation for 3 younger adults who have a learning disability, with a further two places in the process of being registered. The home is owned by Lynda Callan which is a run as a small business. The home is located in a rural location approximately 2 miles from shops, pubs, the post office and other amenities. The home was opened in November 2008 and consists of 2 bungalows (The Lodge and The Retreat) and some further out buildings, which are to be developed. All of the home’s bedrooms are single, and have en-suite facilities. Bedrooms are located on ground floors. The home has extensive acreage with private gardens to each bungalow. One is accessible for wheelchair users. There is a smallholding area with several breeds of small animals including goats chickens ducks rabbits and a horse. There is ample car parking available and there is their own a 7 seater people carrier. The manager said the basic fee for the service starts from £1200 with individual programmes of additional support as assessed. Brooklyn Care Home DS0000073033.V376027.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 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since it was registered in November 2008. This inspection involved one inspector; it was unannounced and took place in the daytime. Prior to the visit an analysis of the home was undertaken from information gathered since the home was registered, including that from the Annual Quality Assurance Assessment they completed. . The main method of inspection used is called case tracking which involves looking at the quality of the care received by people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Anyone wanting to come and live at the home is fully assessed to see if their needs can be met. Service users have a detailed care plan which provided the information needed to fully support them in all aspects of their daily life. The plans are well presented and easy to follow. Service users are able to choose how they spend their time and risk assessments are carried out. Service users attend a day centre, go into the local town and on trips further a field. Service users keeps in contact with her family through visits and phone calls. Service users are involved in planning and preparing their meals and were seen having a snack on return from the day centre. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 6 Service users receive the level of support they require and their healthcare needs are attended to, with support form healthcare professionals when required. One service user has recently had some dental work carried out. Service user are made aware of the complaints procedure and that they can use this if they have any complaints. Staff are made aware of their responsibilities to ensure service users are safeguarded, and when there was an incident which staff felt may affect service users’ safety they reported this to the manager. The home is set in extensive grounds and provides a peaceful setting. There are currently two buildings where service users can live, and there are plans to convert more in future, as well as create a soft play area. There are some animals living in a paddock area, which service users can join in the care of. A high standard of cleanliness is expected and one service user was seen using a hand sanitizer after touching the animals. A staff team is being established through following the correct recruitment practices. Some training has been provided and plans are being made to provide a rolling training programme. Staff are enrolled on a course that leads to a professional qualification. There are suitable management arrangements in place for running the home and service users can express their views on the service provided. The required health and safety checks and tests to the building and equipment are carried out. What has improved since the last inspection? What they could do better: 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 7 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 Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 8 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 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. New service users are fully assessed prior to moving into the home to ensure that their needs can be met EVIDENCE: There is a separate file for assessments and these included a range of background information collected from the Local Authority and National Health Service. In addition to the assessment for the one person currently been admitted to the home, there were details of other people referred to the service. Of these one assessment is ongoing; another has been declined as the assessment demonstrated the person’s needs could not be fully met in this setting. Staff said they knew from the start about the person coming to the home and had met her as part of the introductory visits, so had got to know her before she moved in. Staff were also aware of other people being assessed to see if their needs can be met in the home. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users’ assessed needs and personal goals are reflected in their individual plan and they are assisted to make decisions they are able to about their lives. EVIDENCE: The care plan for service users at the home was seen, and this was clearly presented using pictures and colours to make it more interesting. The language used was positive and clear giving a real feel as to the service users’ needs and preferences. There was a pen picture which has been prepared jointly by the service user and deputy manager, which showed the things the service users likes to do, such as feeding the animals and wearing jewellery. It also stated what service Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 10 users can do, including wash dishes and make choices over food and drink. There was information about healthcare treatment and medication. This is a working document showing when it was prepared, and states more will be written in the future There is another booklet called ‘I would like to tell you a bit about myself’ which explains the things service users enjoy and choices they are able to make. There is a further file called ‘My person centred care plan’. This explains personal detail including the next of kin and appointee. There is information about medication taken and a summary of the person’s health. All the care plans explain in clear detail how the person wishes to be supported, and makes clear what they are able to do for themselves. There are references to using visual prompts to make choices easier and what the best communication practices are. There have been handwritten additions to the printed care plans showing where they have been updated as new information is gathered or changes occur. This includes using sun block and helping peg out and bringing in washing. There is a section to reflect the service users individual goals over coming months called ‘My way forward’. A further file of positive behaviour support plans and risk assessments showed risks faced and staff responses to these. A review meeting was held six weeks after one service user moved in attended by the service user, relatives, staff and healthcare professionals. Staff said they saw the care plans as working documents and felt they gave good insight as to what service users likes and enjoy. When walking in the garden with one service user, we saw some windmills stuck into flowerbeds the service user had chosen at the garden centre. Staff said the service user had also chosen and helped plant some new shrubs. Staff said they had carried out a risk assessment on the building and grounds before the service users moved in and made some adjustments, for example putting socket covers on all plug sockets. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 11 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): This is what people staying in this care home experience: 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. Service users decide how they spend their time and make use of the facilities outside of the home. They are able to maintain family contact and their rights are respected, and they enjoy their meals which they choose. EVIDENCE: One service user is taken to and collected from the day centre the service user attended prior to moving to the home, five days a week. The service user had just left with a member of staff when I arrived at the home in the morning, and was picked up in the afternoon. On returning the service user was supported to put her things away and have a drink and some fruit. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 12 The service user had made a pizza at day centre which the service user wanted to have for tea later. Staff showed a communication book they use to pass information between the home and the day centre. One service user goes out to local shops and enjoys choosing a magazine. The daily diary sheet showed this had happened the previous weekend. There have been trips to local National Trust properties, which the service user is a member of. Staff said they have been on trips to the local town, including visits to the library, where recently they had hired the DVD Oliver, which one service user likes watching. Staff said they were looking at the possibility of attending a local swimming pool, but had limited knowledge of what other resources are available in the local area, which would be suitable for service users. There was some information seen in care plans about local community resources, and there is a people carrier for transporting service users. There is information in the care plan about family and friends who are important to service users. One service user has regular contact with their father, and had a father’s day card ready to give him. Staff take the service user to visit the family home and the local area. They also have regular phone contact. There is a section entitled ‘Good things people say about me’ which promotes strengths and positives of service users’ personality, and there is also information about ‘Things that annoy and upset me’, and how these things may be avoided. Service users participates in the routines of daily living, including getting their lunchboxes ready in the morning and putting their coats away on return from day centre. Service users also helps with preparing dinner, laying the table and pegging gout the washing. The care plans includes different routines for weekday and weekends. Staff said they try to give service users full choice over their routine and try to give them plenty of time in the morning so she they are not rushed. The care plans show service users are encouraged to have a balanced diet. There is reference to one service user saying ‘I adore my full Sunday lunch’. Staff said they prepare the menu with service users and that one service user has now started to like mushrooms. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: 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 Service users receive personal support in a way appropriate to their needs and their physical and emotional health needs are met. EVIDENCE: How personal support is to be provided is clearly set out in the care plan. Staff spoke of prompting service users to do what they are able to. The care plans referred to how service users like to present themselves, and they were seen dressed as described, including wearing some jewellery. There was descriptive information in the care plan about how service users physical and emotional needs present and there were monitoring charts for weight and self checking. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 14 There was information about how to support service users when accessing community based healthcare resources, including how to occupy one service user whilst in the waiting area. One service user has been supported through a period of dental treatment to make some new dentures. A plan is currently being drawn up with the Speech and Language Team to introduce the dentures to the service user and provide support to use them. Staff said they had accompanied one service user to hospital for a regular injection, and had attended a healthcare review at the hospital. Care plan state service users are unable to self medicate, but describe how they like to take their medication Medication is stored in a separate room and kept in a locked cupboard. It needs to be established whether this cupboard meets the current legislation for the storage of medicines in a care home. The Medicine Administration Records were seen and these were fully completed. Staff said they were currently enrolled on a safe handling and administration of medicines course. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: 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. Any complaint made would be promptly acted upon. There are actions taken to protect service users from being exposed to any form of abuse. EVIDENCE: There are copies of the complaints procedure displayed in both text and pictorial format in both buildings, including the service users’ bedrooms. Staff said they have spoken to service users about the procedure and told them they can raise anything at the day centre if they would prefer. The deputy manager said there have not been any complaints made. Staff meeting minutes showed prompt action was taken when a member of staff was found to be sleeping on duty following a whistleblowing by staff. There was references seen in staff meeting to the use of social network sites by staff, and how they must not make any reference to their work, staff or service users at any time. Staff said they are booked to go on safeguarding adults training in September 2009 which is the first available time they can make, but said that safeguarding was included in their induction. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 16 There was an interview for one prospective new member of staff taking place in the morning and the applicant said she had been asked questions about safeguarding. In a feedback form one service user completed it stated the service user felt safe at the home. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: 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. Service users live in a homely, comfortable and safe environment, which is kept clean and hygienic. EVIDENCE: The home is set on a former farm area, in a large plot of land, which is fully enclosed. Each bungalow has there own self contained garden area. There are two bungalows (The Lodge and The Retreat) that have been registered, both are self contained. The Lodge has three bedrooms and The Retreat two. Each service user will have their own ensuite bathroom with either a bath or shower. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 18 How the standard of cleanliness should be promoted and maintained was discussed in a staff meeting. The Retreat is fully accessible for wheelchair users, but wheelchair access is limited within The Lodge. There are plans to develop more of the outbuildings in the future to provide a soft play area and two further living accommodation buildings. There is a paddock area that has some small animals and pony. There is a hand sanitizer located nearby to promote hygiene and one service user was seen using this after visiting the animals when she returned from the day centre. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 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. Preparations are being made to recruit and train a competent staff team. EVIDENCE: At present staffing levels are being expanded to prepare staff for when more service users are admitted. A prospective member of staff who had been interviewed said that the interview had been focussed around the needs and interests of the service users, and that she had been told she would require a Criminal Records Bureau check and provide 2 satisfactory references. Two staff files were seen, one raised some issues that required further checking, but the manager was satisfied the person was suitable to work in the home. The other file showed all appropriate checks have been carried out. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 20 Staff have been provided with a staff handbook and have completed the induction programme, although had not signed their induction books. The deputy manager is due to attend a course in planning training in September 2009. A record is made of training undertaken and there are further courses planned. A copy of certificates obtained are kept in staff files. All staff that have been employed so far are enrolled and commencing National Vocational Qualification level 2 and the manager said all new staff will enrol for this. Staff confirmed they have had an induction and they are attending courses as they are arranged. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: 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. There are suitable management systems in place for the smooth running of the home and to protect service users, who can express their views on how the home is run. The health, safety and welfare of people are promoted and protected EVIDENCE: The manager has got the National Vocational Qualification level 4 and registered manager’s award. The manager and deputy manager work closely sharing the management of the home. The manager previously ran another home, which was assessed as being excellent. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 22 The manager has undertaken regular training since the opening of the home which has included updates on previous training and new course such as the Mental Capacity Act and depravation of liberty. There is a feedback form to seek the views of people who have contact with the home, and a completed feedback form from the service user was on her file. There was a letter from a service user’s social worker seen providing feedback on the admission process which was described as a ‘positive experience’. Care plans were described as extremely detailed, person centred and allow for staff members to read and know how to assist the service user. The feedback forms for service users will be prepared taking into account their communication skills and this may include the use of pictures. There are questionnaires currently with other involved people to complete about their experience with the home. The manager said that all the required health and safety checks are carried out at the required frequency, and there are service contracts in place for servicing all the equipment. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. A sample of fire and electrical records were seen and found to be correct. The manager also showed the fire risk assessment. It was also stated that there are written assessments on hazardous substances Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 23 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 X 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 3 ENVIRONMENT Standard No Score 24 3 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 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 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 Version 5.2 Page 24 Brooklyn Care Home DS0000073033.V376027.R01.S.doc N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 Requirement Ensure the storage of medication complies with current requirements. This will ensure service users’ medication is safely stored. Timescale for action 01/08/09 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 YA13 YA35 Good Practice Recommendations Collect information about local resources suitable for service users. Ensure staff sign their induction books to show they have been completed. Brooklyn Care Home DS0000073033.V376027.R01.S.doc Version 5.2 Page 25 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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