Care Home: Brookwood EMI Home

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Annual service review Name of Service: Brookwood Residential Home The quality rating for this care home is: The rating was made on: two star good service 0 7 0 1 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Eileen Engelmann Date of this annual service review: 2 6 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 12 - 14 Greenfield Lane Balby Doncaster South Yorkshire DN4 0PT 01302310295 01302853518 NONE None Atheray Organisation Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 28 The registered person may provide the following category of service 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 categories: Old age, not falling within any other category - Code OP (3) and Dementia - Code DE (25) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The registered manager left the service in December 2009 and a new registration certificate was issued in January 2010. 0 7 0 1 2 0 0 9 Number of places (if applicable): Under 65 Over 65 0 0 25 3 Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 7 Brief description of the service Brookwood provides personal and residential care for up to 28 older people, 25 of who may also have dementia. The two Victorian semi-detached houses provide 28 single bedrooms. It is situated in the Balby area of Doncaster. It is close to local shops, a church, a library, public house and other local facilities. The home provides two dining rooms, two lounges and a quiet room. Access between the floors is through a passenger lift and staircases. There is a garden to the front and rear of the home, part of which is enclosed for the safety of people using the service. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We last visited this home on 7 January 2009 for its key inspection when we rated it as a 2 star or good service. What did we do for this Annual Service Review. We looked at all the information that we have received, or asked for, since the last key inspection. This included The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? Due to an error in administration within the Care Quality Commission the service had to re-send us their AQAA. When we received it we found it was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and they know what further improvements they need to make. The AQAA tells us that in the last 12 months the service has improved its staff training programme, with all staff having achieved a National Vocational Qualification in Care level 2 (NVQ); a number of staff are now working towards their NVQ 3 or 4. Information in the AQAA tells us that in the last 12 months staff have accessed training around the Mental Capacity Act (MCA), Deprivation of Liberty Safeguards (DOLs) and Equality and Diversity issues. This knowledge and information is used to ensure that peoples choices and human rights are maintained and that any limitations on facilities or personal choice are only made following assessment, best interest meetings, risk assessments and discussion with the person concerned or their representative. Staff are able to access specialist training around dementia care and conditions associated with older people to ensure they have the skills and experience to meet the needs of the people using the service. The acting manager has written in the AQAA that there is an ongoing maintenance and Annual Service Review Page 4 of 7 renewal programme in place. The service recognises that a lot of the environment requires improvement but this is being planned and implemented as capital expenditure allows. In the last 12 months the service has completed a lot of work including: The laundry has been altered to create two rooms with a walk through system between the areas. A new gas heating system has been fitted and radiators now have thermostatic valves so people can adjust these to suit themselves. New furniture has been purchased for the home and carpets have been fitted in certain areas. A community room has been developed where people can come and share activities and experiences with each other. Blinds have been fitted to the main lounge: an action brought about by peoples requests. A new television and music system have been purchased for the conservatory. Some bedrooms have been refurbished with new vanity sinks. The service has provided a new sluice machine for cleaning commode pans. Due to an administration error within the Care Quality Commission surveys were requested but not sent out to the people using the service and other stakeholders. So we are unable to include the viewpoints of people into this report. We will contact individuals as part of our ongoing monitoring of the service and use the information gathered as part of our future inspection programme. We have not had any formal complaints reported to us in the last 12 months; information in the AQAA, provided by the acting manager, indicates the home has not received any complaints. There have been no safeguarding of adults from abuse referrals made in the last 12 months (this is where someone reports any concerns they have about a person not being safe). Staff have received training around safeguarding of adults and management of challenging behaviours. They have also undertaken sessions on dementia care. This training ensures staff have the knowledge and skills to work confidently with people using the service and keep them safe from harm. The home continues to let us know about things that have happened since our last key inspection, and they have shown us that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 The completion of this Annual Service Review has not changed our view of the quality rating for this service. Future visits will be determined through our Registration process and the new Compliance Standards. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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 non-commercial 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. 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