CARE HOMES FOR OLDER PEOPLE
Bearwood House Residential Care Home 183 Bearwood Hill Road Winshill Burton-on-Trent Staffordshire DE15 0JS Lead Inspector
Mr David Cowser Key Unannounced Inspection 19 July 2006 09:30 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 Bearwood House Residential Care Home DS0000061581.V302962.R02.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. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Bearwood House Residential Care Home Address 183 Bearwood Hill Road Winshill Burton-on-Trent Staffordshire DE15 0JS 01283 561141 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) Mrs Judith Dena Griffin Mrs Caroline Elizabeth Ward Care Home 21 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (21) of places Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That the Care Manager completes NVQ Level 4 qualifications during the coming 12 months as agreed 22nd November 2005 Date of last inspection Brief Description of the Service: Bearwood House is a large Victorian detached house that has been extended to provide 21 beds. The home is registered for 21 older people, three of whom may have dementia care needs. The home is located on the outskirts of Burton on Trent in a residential area. Public transport and all amenities are close at hand. Accommodation is provided on three floors accessible by staircase and a shaft lift. There are six double and nine single bedrooms, of which two doubles and one single are on the ground floor. Communal facilities consist of two lounges and a dining room. There are four bathrooms and an adequate numbers of WCs situated throughout the home. There is no sluice facility or hairdressing facility in the home. Externally there are small gardens to the front, where access is by steps from the road. To the side and rear there are larger gardens all accessible to residents. Car parking is restricted with additional on street parking adjacent. The aims of the home are to provide 24hour care for residents in a homely environment whilst enabling residents to maximise their independence. Care is provided by care assistants led by a Care Manager. District nurses, community psychiatric nurses and other professionals are accessed by the home when required. A local GP surgery and pharmacist service the home. NHS facilities and health services are accessed, and assistance is provided for residents to attend, when required. Activities take place with family and relatives involvement. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine announced inspection was made on the 19 July 2006 at 09:30hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre-inspection work and fieldwork, amounted to 12hrs. The registered care manager was in charge of the home accompanied by her deputy, a senior care assistant and two care assistants (5 care staff in total). This level of staffing was adequate to meet the needs of the current 19 residents in the home (one of which was currently in hospital). All residents were receiving personal care for needs associated with old age, and two also had dementia associated needs. The age range of service users was 74 to 98 years. The inspection included the following elements; a tour of the building, observation and inspection of records relating to provision of care, discussions with all four residents, discussions with the owners (delivering care), observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, quality assurance and health & safety. Since the last inspection on 22 November 2005; there had been no changes to the registration of the home, only one unsubstantiated complaint had been received, and no additional visits had been necessitated. The home continues to be run well. The scale of charges range from: £290 to £365 per week. Resident/relatives satisfaction remains high and many very positive comments were made to the inspector. What the service does well:
Residents and/or their representatives had been able to choose the home, following an assessment and an invitation to visit, prior to admission. Asking four residents and relatives, and inspecting the admission documentation, confirmed this. The above aspects had ensured that each resident had been suitably placed, and that the home had the ability to meet their assessed needs. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 6 It was evident, from discussions with residents and staff, and an inspection of the relevant documentation, that the provision of health and social care had been addressed well. Service user plans seen were well written, up to date and had been regularly reviewed. The plans were based on the community care plans completed by social workers, and agreed by residents/representatives. There was a good safe system in place for the receipt, storage, administration and disposal of medicines. No errors were noted concerning medicines, and residents asked said that they had their right medicines on time. Privacy, dignity and choice aspects for residents were seen being upheld during the caring process. When the residents and relatives said that they were very happy with the health and personal care being delivered by the home. During the past 12 months there had been no accidents and incidents in the home. Intermediate care is not undertaken in this home. All of the above had contributed to suitable placements and the residents needs being met. Activities had taken place and very good links had been maintained with the community, and this was seen documented. Residents told the inspector that they had appreciated activities, and that they were able to choose whether or not to take part. Relatives confirmed that links were maintained with them and links had also been maintained with the local community. Catering aspects were very good and records seen showed that individual dietary requirements had been met. Residents spoke of choices and said that they were very pleased with the food provided. The inspector sampled the main meal of the day, which met all requirements and was well presented. During the meal residents told the inspector that the meals were always very good. All of the above had assisted the residents in their daily living and social activities. No incidents or reports of abuse of any kind had been reported or recorded, and policies and procedures seen covered these issues. One unsubstantiated complaint had been recorded since the last inspection. Residents and relatives understood the complaints procedure. These aspects had contributed to the protection of service users. The home was fit for purpose, and provided a safe environment for the residents, staff and visitors. A very homely atmosphere had been created and the premised were clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms (see also below). Services and facilities including catering and laundry were adequately provided, and staffed. All residents asked stated that they were happy with the facilities and that they were comfortable with their surroundings. All of the above had contributed to this high level of satisfaction being expressed. The registered care manager and care staff provided care. A good working relationship was evident with the local GP practices and pharmacist. NHS facilities and both community and hospital health professionals had been accessed when required. Community Psychiatric Nurses were also accessed to
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 7 meet the mental health needs of service users when required. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment of staff aspects was good and there was little staff turnover. Staff training had recently been given a high priority, with induction training being followed by NVQ training. A total of 25 of care assistants were qualified to NVQ level 2 or above. NVQ training and in house training in relevant subjects is on going. These aspects had contributed to the good standards of care being provided by the home. The registered care manager is a registered nurse and well experienced. She is currently studying for level 4 NVQ in management. The general management and management of health and safety issues had been addressed well, and no shortfalls were noted. The documentation seen evidenced that the premises were adequately maintained. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures were adopted. The current public liability insurance certificate was seen. There was a safe system of accounting for residents day to day monies and the ledger reconciled with the money held. All the above had contributed to the protection and well being of residents in the home. Throughout the inspection the people who use, or have contact with, the home expressed only positive views. Many thank you cards and complimentary letters were seen from appreciative relatives. Comments made to the inspector during the day included: ‘the recent changes to the management of the home have been very good and the staff are very caring’. ‘The food is good and my bedroom is lovely’. ‘Staff are very good and I am happy here’. ‘I have been in other homes and this is the best, they are lovely’. ‘The staff work hard and I have no problems, its very nice’. What has improved since the last inspection?
It was pleasing to note that the requirements made during the previous inspection had all been addressed. Staff training has been given a higher priority. Redecoration has continued. A new mobile hoist and slings has been purchased. The above aspects were established during the tour of the premises, discussion with staff and residents, and inspection of the relevant documentation. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 8 What they could do better: 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. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 9 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 Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3,6 The quality outcome for the above standard is good. Residents had been correctly placed in a home of their choice, which had the ability to meet their assessed needs. Intermediate care is not undertaken in this home. EVIDENCE: The documentation seen, and a discussion with both residents and their representatives, evidenced that residents had been assessed prior to admission and they had been able to make a choice about the home. All had been given the opportunity to visit the home prior to choosing to stay. Two residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. A full assessment of each resident’s needs had taken place before admission and this was seen documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 11 All of the above had contributed to suitable placements and the residents needs being met. Intermediate care is not undertaken in this home. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 The quality outcome for these standards is good. Individual health, personal and social care needs, as documented within care plans, had been adequately addressed with privacy and dignity afforded during the caring process. There was a safe system in operation for the receipt, storage, administration and disposal of medicines. NHS health care facilities and professionals had been accessed when required. Particularly, attention had been paid to meeting dementia related needs. EVIDENCE: Four residents, and two relatives, all commented positively about the care being provided. The service user plans and associated documentation seen was well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. A total of 4 care plans were examined in greater depth. The dementia related needs of residents had been documented when applicable, and staff training had been
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 13 provided covering these issues. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A good working relationship had been established with community nurses and the community mental health team, and the documentation n seen evidenced this. Local GP practices and a pharmacy service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Currently no resident had a pressure area. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. No resident was on a controlled drug. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only senior staff administered medicines. No resident was ‘self medicating’, but locked facilities were available. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Two residents told the inspector that they were treated with respect, and that the staff were very kind. There had only been two deaths in the home during the previous 12 months. All of the above evidence satisfied the inspector that the individual health, personal and social care needs of residents had been addressed in the correct manner. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 The quality outcome for the above standards is good. Social contact had been maintained and the daily activities, along with autonomy and choice, had contributed to the resident’s lifestyle experiences meeting their expectations. Catering aspects were very good and met individual needs and preferences. EVIDENCE: The residents told the inspector that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Visitors attending the home during the inspection, told the inspector of the good links and communication with them. One visitor attending the home during this inspection spoke of the particular good links and involvement of relatives and the local community. Trips out to the community had previously been organised and transport provided. The manager had coordinated and recorded the events, and residents commented that these had been
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 15 appreciated. A summer Fete’ is organised for 29 July and residents said they are looking forward to it. The residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. A discussion evidenced that individual likes and dislikes had been established and complied with. The person cooking spoke with each resident on a daily basis to establish his or her choice of food for the day. The records evidenced that two residents’ needs with diabetes had been met. The cook when asked said that fresh good quality food from local suppliers/supermarket was purchased on a daily/weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The mid day meal seen, and sampled by the inspector, was well presented and met all nutritional requirements. The meals were served in a caring and unhurried manner. The vicar was in attendance and he conducted a service in the lounge. The residents said that they appreciated his regular services. All of the above had contributed to the high level of satisfaction expressed by service users/representatives during the inspection. Bearwood House Residential Care Home DS0000061581.V302962.R02.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18 The quality outcome for the above standards is good. An open culture existed where complaints or grumbles are listened to and acted upon. Residents are protected from all forms of abuse. EVIDENCE: An examination of the complaints records, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with. Only one complaint had been received since the last inspection, but this was not substantiated. There had been a lack of communication between family members and this did not reflect on the home. No additional visits to the home were necessitated. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. No incidents of abuse of any kind had been evidenced or recorded. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen also evidenced that these issues had been discussed at length during staff induction, training and on-going supervision. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,26 The quality outcome for the above standards was good. The home, was clean, pleasant and hygienic, and provided a suitable and safe environment for the provision of care. EVIDENCE: A tour of the building, and a check on the maintenance documentation, verified that the premises were fit for purpose, clean warm and tidy. The senior staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities were available throughout the home. The laundry facilities were seen to be compliant. If the home is altered or extended consideration should be given to the provision of the following facilities; a hairdressing salon, a larger assisted bathroom, a shower room and a sluice room, all as discussed. The dishwashing machine should be replaced, as previously agreed and reported.
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 18 The records evidence that maintenance of the premises was being given a high priority. On-going painting and re-decorating was in progress. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. There are no outstanding issues known from the Fire Prevention or Environmental health departments. The bedrooms seen were very comfortable and residents spoke of there satisfaction. The whole home was comfortable and homely. All of the above had contributed to the comfort and protection of people using the service. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 The quality outcome for the above standards is good. Adequate numbers of suitably trained and experienced staff are correctly employed to meet the assessed needs of residents. EVIDENCE: The registered care manager was in charge of the home accompanied by her deputy, a senior care assistant and two care assistants (5 care staff in total). This level of staffing was adequate to meet the needs of the current 19 residents in the home (one of which was currently in hospital). All residents were receiving personal care for needs associated with old age, and two also had dementia associated needs. The age range of service users was 74 to 98 years. The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. Three care staff were on duty each morning shift, and a minimum of two care staff at other times during the 24 hrs. Two residents asked stated that staff were available when they wanted them, and that the staff were capable. However The staffing cover in the afternoons (recently reviewed), should be increased, between 2pm and 4pm, to allow the care manager to be supernumerary for management duties, all as discussed and agreed.
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 20 The records seen and a discussion with the staff evidenced that, individually and collectively, they had the experience and skills to meet the assessed needs of the current service users. There were 11 care assistants employed, of which 3 (25 ) were trained to NVQ level 2 or above. The records evidenced that induction and NVQ training had now been given a higher priority, and four care assistants were taking NVQ training. General training had also been given a higher priority and the training records of individuals were seen. Staff told the inspector that they are afforded the time off and encouraged to study. All of the above had contributed to the protection of service users. Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38 The quality outcome for the above standards is good. An experienced registered care manager is managing the home, in the best interests of service users, and in an open an inclusive atmosphere. The home is on a sound financial footing, and has safeguards for the health and well being of residents’ staff and visitors. Managerial aspects of the home are good. EVIDENCE: The registered care manager is well experienced, a qualified nurse and is currently studying for level 4 NVQ qualifications. An open, positive and inclusive atmosphere was observed during the visit and confirmed to the inspector by service users, and relatives. From observations made, discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality
Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 22 assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. Staff supervision sessions, six times per year, had all been completed and documented. A check on the records and a discussion with both residents and relatives evidenced that all service users had the opportunity to handle their own finances and residents and families had chosen to do so. Day to day monies of residents and the associated records were checked and found correct, with all money held reconciling with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was correct and up to date, these included; electrical installation and portable equipment tests, gas testing, boiler servicing, water testing, fire alarms and equipment, stair lift maintenance and examination, and maintenance/testing of lifting equipment. The homeowner has given assurances that the home was financially viable and that suitable accountancy and budgeting procedures were adopted. The current public liability insurance certificate was seen up to date and correct. All of the above aspects had contributed to the safety and well being of service users, staff and visitors. Bearwood House Residential Care Home DS0000061581.V302962.R02.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 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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 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 Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 25 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 OP28 OP27 Good Practice Recommendations Staff training should continue to enable 50 carers to achieve NVQ 2 qualifications The staffing cover in the afternoons (recently reviewed), should be increased, between 2pm and 4pm, to allow the care manager to be supernumerary for management duties, all as discussed and agreed. The acting care manager should undertake NVQ level 4 studies, as agreed. The dishwashing machine should be replaced in the main kitchen, as discussed. If the home is altered or extended consideration should be given to the provision of the following facilities; a hairdressing salon, a larger assisted bathroom, a shower room and a sluice room, all as discussed. 3. 4. 5. OP31 OP19 OP19 Bearwood House Residential Care Home DS0000061581.V302962.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Bearwood House Residential Care Home DS0000061581.V302962.R02.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. 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!
