Inspection on 22/11/07 for Barton Brook

This inspection was carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Barton Brook 10/11/06

Barton Brook 18/01/06

Barton Brook 19/07/05

Barton Brook 24/03/05

Barton Brook 22/06/04

Barton Brook 07/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

CARE HOMES FOR OLDER PEOPLE Barton Brook Trafford Road Eccles Manchester M30 0GP Lead Inspector Elizabeth Holt Unannounced Inspection 22nd and 23rd November 2007 10:00 X10015.doc Version 1.40 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 Barton Brook DS0000006695.V342532.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 Older People. 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. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barton Brook Address Trafford Road Eccles Manchester M30 0GP 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) 0161 787 8437 0161 707 9855 www.bupa.com BUPA Care Homes (CFHCare) Ltd Ms Margaret Reeves Care Home 120 Category(ies) of Dementia (30), Old age, not falling within any registration, with number other category (90), Physical disability (4) of places Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people 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, (maximum number of places: 90) Dementia - Code DE (maximum number of places: 30) Physical disability - Code PD (maximum number of places: 4) The maximum number of people who can be accommodated is: 120 Date of last inspection 10th November 2006 Brief Description of the Service: Barton Brook is a care home providing nursing care and accommodation for up to 120 older people. Within the maximum number, accommodation is provided for 30 older people with a dementia type illness. The home is owned by BUPA Care Homes. The home is set in its own grounds in the centre of a residential area in Eccles, Manchester. The accommodation is provided in four single storey units, each unit housing up to 30 residents. Each unit has access to level garden areas. A number of the bedrooms have personal patios accessed by French windows. A central building contains the administration area, laundry and central kitchen. The home is close to local amenities with the Trafford Centre shopping complex within a two-minute drive. The home is readily accessed by local public transport and the motorway network is within close proximity. Barton Brook’s fees ranges from £364.41-£623.50. This covers personal care only to nursing care. There are additional charges for hairdressing, chiropody and newspapers. Information about the home can be gained through contacting BUPA, the registered provider. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place over two days on Thursday 22nd November and Friday 23rd November 2007. The manager of the home was not told beforehand of the inspection visit. All key National Minimum Standards for Older People were assessed at the site visit and information was taken from various sources including observing the staff, talking with residents who live at the home, the staff team and the manager. Resident’s care files were looked as part of the inspection and other documentation. A tour of some areas of the building including resident’s bedrooms also took place. We sent the manager an Annual Quality Assurance Assessment (AQAA) form before the inspection for her to complete and tell us what they thought they did well and what they need to improve on. We considered the responses and other information gathered during the visit and have referred to this in the report. Surveys were left for residents, relatives, staff and health professionals. At the time of writing the report 19 surveys were returned by residents/relatives, 9 by staff and 3 by health professionals. As part of this inspection an expert by experience assisted the inspector for part of the visit. The phrase “expert by experience” is used to describe people whose knowledge about social care services comes directly from using social care services. This person talked to various residents about their quality of life. He also spoke with some visitors. He completed a report after the inspection and some of his written comments are included in this report. What the service does well: The internal and external appearance of Barton Brook provides a clean, pleasant and comfortable environment for the residents to live in. A number of residents said they liked their bedrooms and some enjoyed a garden view. One resident had a bird table which he enjoyed looking out to. The standard of cleaning throughout the home was good. All residents have an assessment of needs before they are admitted to make sure the home can meet all their needs. The home has an open visiting policy and relatives and residents said they were always made to feel welcome in the home. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 6 Residents’ comments about the home included how kind and caring the staff are. One relative said, “although the staff are often working under stress, they are most caring towards relatives and families and do all they can to maintain a close relationship between everyone.” A number of thank you cards were displayed on each unit from relatives showing their praise for the care and attention delivered to their relatives. The menus looked at show that a wholesome, varied diet is provided and on the day of this visit the residents were seen to enjoy their meal at lunchtime. The home carries out proper checks before new staff start working at the home. This makes sure that the staff they employ are suitable to work in this care environment. The home has systems in place to support residents and relatives to make complaints and the manager kept accurate records of complaints investigated. What has improved since the last inspection? What they could do better: Although the home do provide a lot of activities there is still space to develop more day to day activities. It is recommended that more time is spent providing meaningful activities. The staff must continue to provide attention to detail in caring for the residents, for example mouth care, oral hygiene, nails and hair care. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 7 Following complaints made to the home and comments from relatives it is strongly recommended that improvements are made to the laundry service provided. Some shortfalls in the staff recording handwritten entries of medication on the medication administration charts (MARS) were noted. If hand written entries are not signed as witnessed there is the potential for error and a risk of the wrong medication being given to residents. 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. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about the home and their needs are assessed before they are admitted to the home to ensure that their needs can be met. EVIDENCE: BUPA provides a standard information pack that includes general information in relation to BUPA homes and a Statement of Purpose specific to Barton Brook Nursing and residential home. This information is available at the reception area or on request and is given to prospective residents and or their representatives at the point of admission. All prospective residents undergo a pre-admission assessment to ensure the home can meet their identified needs and that the placement will be appropriate. Since the last inspection new documentation had been introduced to the home. Three completed pre admission assessments were looked at and Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 10 there was evidence these new forms were clearly detailed. The care needs that were identified in the assessments had been followed on in the care plans. Staff spoken to were finding the new assessment forms and care plans “good to work with and easier to fill in than the others we have used in the past.” One resident had been admitted from home as an emergency and the manager had undertaken a pre-admission assessment, it was evident she had met the resident and the resident’s next of kin. A thorough initial assessment had been completed and relevant information obtained. This enables an accurate decision to be made as to whether the person’s needs could be met by the staff at the home. Barton Brook does not provide intermediate care and therefore this standard was not relevant. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provided sufficient detail to ensure the health and personal care needs of the residents were identified and met. EVIDENCE: Five residents were case tracked in the three units visited. Records generally were well detailed to enable staff to understand the care they needed to provide and enabled the staff to monitor the residents’ progress and condition. The following issues were identified: Care plans looked at gave a good overview of the residents’ needs and were adequately reviewed. Changes to the residents’ condition were identified and addressed, for example, care plans and risk assessments for a resident who was being monitored by his GP had been reviewed and updated. The care plans included a lot of detail of how the residents were to be supported and how frequently the support was needed. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 12 A care plan for a resident who is an Insulin dependent diabetic clearly stated what the staff member should do in the event of a staff member finding the resident unwell and the guidance written gives the staff clear guidelines of the appropriate action to take. Another care plan commented on the need to observe a resident for signs of pain because they were not able to express this verbally. This was evaluated and included staff recording information from the GP visits and discussing the resident’s management of pain. The records for residents whose care plans showed they needed their diet and fluid intake monitoring were well recorded and up to date. Charts were signed and up to date for residents who needed assistance to have their position changed. Residents nursed in bed looked well cared for and comfortable however one resident was in need of mouth care. Staff need to make sure they pay attention to the care of residents teeth and mouths particularly those who are unable to carry this out themselves. Three of the five care plans were drawn up with the involvement of the family. Staff spoken to said where possible they spent time with relatives and discussed the plan of care. Risk assessments were available and these were up to date and appeared accurate. Each resident had a number of core risk assessments, for example, nutrition, pressure care, moving and handling, falls and bed rails that were completed on admission. Other assessments were seen and covered health and safety issues and personal risks, for example the risk of scalding on hot drinks. These risk assessments were clearly recorded, were up to date and appeared accurate. Before the site visit the CSCI sent surveys to residents and relatives asking about their views of the home. Nineteen residents/relatives responded and, of these the majority said they felt the care home was friendly, the staff are great, they were kept up to date most of the time with changes in the healthcare condition of their relative. On the day of the inspection a sample of Medication Administration charts and the blister packs was looked at. There was one area for improvement, which was the recording of medications for new admissions, which should be signed and countersigned by two staff members. This practice was happening in one house and not in the other, to ensure good practice clear, witnessed records must be in place throughout the home. Nurses spoken to were aware of the recently updated medication policy and a copy was available in each house. During the visits staff were seen to encourage residents to be independent and to maintain their dignity. The residents generally appeared settled and happy in their environment and staff chatted with residents on a one to one basis and in small groups. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given support and the opportunity to exercise choice and control over their lives and received a balanced and nutritious diet. EVIDENCE: The care plans included a section on the life story and a map of life for the staff to get to know about the past hobbies, interests and family life of the residents. Staff spoken to said where possible the family fill this in and these were well recorded for the sample looked at. An activities organiser is employed by the home and a programme of activities is displayed in the main building. During the site visit there was little activity seen in the houses, two residents were seen to enjoy a game of bingo. A discussion was held in relation to the need for more than one person to fulfil this role in such a large home. The manager said there was currently two vacant posts for activities organisers and these will be filled in the New Year. The expert by experience commented that the Activities coordinator was very enthusiastic about her role at the home. She had a wide range of activities for the residents. Where possible she used some physical aspect to Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 14 games/activities to overcome some of the inactivity residents experience whilst constantly sitting. She had been working closely with Salford Museum who had helped to provide large photographs of familiar scenes on the walls of the corridors depicting pre-war kitchens, living rooms and fruit and vegetable market stalls to encourage involvement of residents who had conditions associated with dementia. Artefacts of school day memories were available and residents were encouraged to handle these and then talk about their experiences or memories of those days. After speaking to a number of residents, they all seemed very happy and content living at the home. On asking them about the food provided for them they all agreed there was ample for them and well cooked; a number of them enjoyed a full cooked breakfast each morning. The religious needs of the residents were well covered and various denominations regularly visited the home. The local community was involved with the home particularly at this time of the year as arrangements had been made for the local school children to sing carols and a local amateur group would be providing a Pantomime. Film shows were a regular feature and artists were brought in to sing to the residents. The home has an open visiting policy and from discussions with residents and relatives and conversations with staff it was clear residents are encouraged to maintain contact with their families and friends. Residents were encouraged to exercise some choice and control over their lives. They could choose to spend some time in the privacy of their own room if they wanted and residents could walk around the home or sit quietly if they wanted. Relatives spoken to and comments in the surveys showed concerns about the laundry service. The manager was aware of the shortfalls and was trying to make improvements here. The menu provided offered a variety of wholesome and nutritious meals. Staff were seen supporting residents to eat in a sensitive and discreet manner. A “Night Bite” system is in place for residents to have access to food twentyfour hours, which is seen as good practice. A number of residents looked in need of the hairdresser; this was discussed and the manager said they are in the process of recruiting for this position at present. Where possible staff said they tried to make the residents’ hair look pleasant. Responses from the surveys and cards from relatives were positive and complimentary about the care given. One relative wrote, “Words cannot describe how much we want to say thank you for all the love and care you are Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 15 giving granddad”. One of the surveys commented, “The staff treat the residents with care and understanding and all staff seem to know and can answer any questions relating to individual residents.” Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems and procedures in place that allow people to express their complaints/concerns. Residents are protected from abuse. EVIDENCE: The home had a complaints procedure, which was on display in the main reception area. The manager kept a copy of any complaints/concerns raised which included details of the investigation and the action to be taken. Two concerns recently made were in relation to shortcomings in the laundry service. Three surveys from relatives expressed concerns about the laundry and a discussion with the manager highlighted that they are addressing concerns that have been raised with the laundry service provided. Policies and procedures relating to the Protection of Vulnerable Adults were available and staff had received adult protection training. The home have been involved in two Protection of Vulnerable Adult (POVA) investigations since the last inspection. The manager has responded appropriately in referring any allegations of poor practice and any recommendations following the investigation have been acted on. Since the last inspection the Commission for Social Care Inspection have not been in receipt of any upheld complaints/concerns. Three staff members Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 17 spoken to were aware of the procedures to follow in the event of an allegation of abuse. On each of the units there were a number of cards and letters from residents’ families complimenting them on the care given to their relative. One relative in the survey said, “In general I am happy with this care home. I know if I have any concerns I can voice them on an informal level. Most of the staff have the personal interest of the resident in mind”. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well maintained home that was clean, comfortable and generally odour free. EVIDENCE: A partial tour of the home was completed and a number of houses were visited. The home is well furnished and is suitable for the residents living at Barton Brook. Adequate toilet and bathroom facilities are provided and these vary to meet the needs of the residents. Bedrooms were personalised with photographs, ornaments, televisions and some had small fridges. Over the two days of these visits the home was found to be clean and tidy and generally odour free. There was an odour noted at one of the houses and one of the relatives commented, “There is sometimes some odour here”. The visit to this house was made in the morning and a later visit noted the odour had Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 19 gone. The manager must monitor the environment for unpleasant odour and manage this accordingly. One relative responded in the survey saying that the “room sometimes smells really bad, however overall she was happy with the care she received”. There was evidence of an ongoing refurbishment programme of the building and its environment and some bedrooms had recently been redecorated. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels were sufficient to meet the residents’ assessed needs. The procedures for the recruitment of staff were robust and provided safeguards to protect residents. EVIDENCE: At the time of the inspection there were 57 residents in receipt of nursing care and 56 residents in receipt of personal care only. Since the last inspection the home had opened Moss House for the personal care of residents with a dementia type illness. Staffing levels throughout the home were adequate to meet the needs of the residents accommodated. Comments from the resident survey forms showed the staff to be helpful, kind, thoughtful and caring and that they deal with enquiries well. One relative wrote, “The care home is a very friendly place, the staff are great and they look after everyone well. I feel they are always busy and rushed and need more carers. Sometimes when you need a bit of attention you feel like you are taking away someone else’s time”. Residents were not seen to be left unattended for periods of time, however the manager must continue to monitor this to ensure the staffing levels are enough to meet the residents needs. Existing staff and bank staff were working extra hours to cover for sickness and absence, which some staff said, did put them under strain. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 21 Recruitment was discussed with the manager and attempts were being made to fill vacancies. Examination of four staff files indicated that the home had carried out the necessary recruitment checks to ensure the protection of residents. Criminal Records Bureau disclosures and POVA 1st checks had been undertaken. There was evidence of an induction programme for newly recruited staff. The home has a commitment to encouraging care staff to undertake the NVQ level 2 qualifications. The pre inspection information stated the home employed 37 permanent care staff, 20 of the staff members having successfully achieved NVQ level 2 or above. Training records showed that most staff had received fire safety training, food hygiene, moving and handling. Other training had been undertaken in care of the dying, dementia care and the mental capacity act. An in house trainer is due to start in the New Year to progress the training programme further. Staff spoken to said they attended study days and one had done an update in diabetes recently, which she had enjoyed. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was seen to promote the health, safety and welfare of the residents and staff and is managed in the best interests of the residents who live there. EVIDENCE: The residents in Barton Brook benefited from an experienced manager who is a Registered Nurse who is committed to the care of older people. The manager clearly demonstrated the need to look at the service provided to develop this and improve the care for the residents. The home has a policy in place for the resident or their family member to be responsible for their personal finances. A sample of personal finance accounts were looked at and found to be satisfactory. The administrator and the company audited all the transactions. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 23 The home has residents’ meetings where friends and family members are invited to attend. Minutes of the previous meeting are available. Evidence in the pre inspection information (AQAA) showed that maintenance and safety checks were carried out and checks of the records showed that fire logs and fire drills were being recorded and maintained and portable electrical appliance testing had been carried out as required. BUPA undertake an annual quality customer satisfaction survey of the service provided and produce a report on the findings. Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 3 Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 25 No 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. 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 OP9 Good Practice Recommendations It is strongly recommended that any handwritten entries on the medication administration charts are signed and the witnessed to minimise the risk of errors. The manager should ensure that residents are able to be involved in their preferred activities and this includes one to one and group activities. It is recommended that improvements are made to the laundry service provided for the residents. 2. OP12 3. OP16 Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Barton Brook DS0000006695.V342532.R01.S.doc Version 5.2 Page 27 - 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. 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