Inspection on 04/06/07 for Bracknell Nursing Home

This inspection was carried out on 4th June 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

Bracknell Nursing Home 27/06/08

Bracknell Nursing Home 27/07/06

Bracknell Nursing Home 02/08/05

Bracknell Nursing Home 07/04/05

Bracknell Nursing Home 13/07/04

Bracknell Nursing Home 10/06/04

Bracknell Nursing Home 24/04/04

Bracknell Nursing Home 01/04/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Bracknell Nursing Home Crowthorne Road Bracknell Berkshire RG12 7DN Lead Inspector Julie Willis Unannounced Inspection 4th June 2007 10:15 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 Bracknell Nursing Home DS0000010977.V337283.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. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bracknell Nursing Home Address Crowthorne Road Bracknell Berkshire RG12 7DN 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) 01344 484584 01344 429343 bracknell@fshc.co.uk Tamaris (RAM) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Lydia Dipuo Makuyama Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Physical disability of places over 65 years of age (30) Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only people over the age of 60 years to be admitted. Date of last inspection 6th June 2002 Brief Description of the Service: Bracknell Nursing Home is situated close to the local shopping precinct in Easthampstead. Bracknell Town Centre is approximately one mile away and is accessible via local public transport. The home provides accommodation for up to thirty service users with nursing needs in a variety of single and dual occupancy bedrooms. The service users’ accommodation is on two levels with a passenger lift available between floors. There is a small garden to the rear of the property and parking to the front. The fees for the home range between £529.91 and £622.91 per week. Service users pay additional charges for chiropody, hairdressing, toiletries, newspapers, trips out and transport. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection was an unannounced ‘Key Inspection’. The inspection took place on Monday 4th June 2007 between 10.15am and 4.00pm and covered all the standards for older people. At the time of inspection 26 residents occupied the home. Prior to the visit a questionnaire was sent to the manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents and two relatives who were visiting at the time of the inspection. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural backgrounds. The inspector gave feedback about her findings to the home’s manager at the end of inspection. There were no legal requirements made as a result of this inspection. Only three recommendations were made to improve the service. The Commission has received no information concerning complaints since the 1st January 2007. What the service does well: The manager is competent and qualified to run the home for the benefit of its residents. Residents say that the management and staff listen to their views and opinions. The home is comfortable, clean and satisfactorily decorated and furnished throughout. Residents are encouraged to personalise their own rooms and these are equipped to meet the needs of the individual residents. The staff team are kind, caring and know the needs of residents well. They are quick to respond when called. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 6 The activity programme is varied and interesting and includes trips out to local places of interest. Records are well kept and provide staff with information they need to provide good quality care to residents. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 7 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 Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 8 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): Standard 3 Quality in this outcome area is good. All potential residents are fully assessed prior to their admission to ensure that the home will be able to effectively meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of the documentation and case tracking of four residents it was clear that admission to the home only takes place if the service is confident that staff have the level of skill, knowledge and expertise to meet the needs of the prospective resident. Following initial referral a visit to the prospective resident is made, either at home or in hospital. The manager uses a comprehensive and holistic tool to gain a picture of the needs of the individual and information gathered from a variety of sources forms the basis of the care plan. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 9 The majority of the current residents have been referred through the care management system. In each case the home had obtained a summary of the care management assessment prior to the person’s admission. Evidence confirmed that in cases of privately funded admissions a full needs assessment is carried out by the registered manager, which conforms to the requirements of the National Minimum Standards and includes all aspects of the individual’s health and welfare, including a social history. The inspector spent time with residents who confirmed that they had been provided with information about the home prior to admission and been offered the opportunity to visit the home informally to meet staff and other residents. One resident said that they had been offered a visit to the home, but as they were receiving treatment in hospital at the time, they had relied on their family to visit the home on their behalf. The resident said, “My son said the home was nice, I knew I couldn’t return home, so this seemed the next best thing”. They went on to say, “I haven’t been disappointed, staff are kind here and the food is excellent”. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9, 10. Quality in this outcome area is good. Sufficient information is in place to enable staff to effectively meet the health & personal care needs of residents. The system for the administration of medication is good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector case tracked four of the residents from their initial referral to the home by Social Services or privately, to date. Each resident had a care plan, which was highly detailed. However, it was not clear how much residents had been involved in the care plan process and their agreement to the content was not fully evidenced in every plan. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 11 Clinical tools were being used routinely to assess and monitor tissue viability, nutrition, dependency levels and mental state. Where a risk had been identified there were risk reduction measures in place and care plans gave guidelines to staff on how to reduce the risks identified. Risk assessments had been routinely undertaken on a range of risks including manual handling, risk of falls, use of cot sides and bathing. The risks associated with verbal and physical aggression need to be more fully developed to reflect recent incidents and staff should receive appropriate training in the management of such risks. The manager said that these issues had already been identified during a recent audit and suitable training for the staff was being sourced by the organisation. From examination of documentation it is evident that the home reviews care plans regularly and any changes in users’ needs were well documented. The plan is a working tool and nurses are involved in writing the daily report and keeping the care plan up-to-date. The staff team were observed to be polite and courteous to residents at all times. They offered personal care in a discreet and sensitive manner, which recognised the residents’ rights to privacy, independence and choice. Residents are provided with access to other health and social care professionals for advice and support. The local general practitioner was visiting the home at the time of inspection and saw a number of residents in the privacy of their own bedrooms. Residents confirmed that they are referred to hospital when necessary and screening and preventative treatments are provided as a matter of course. From examination of the medication administration system and discussion with the senior nurse on duty, it is clear that the home follows best practice guidance when administering drugs. A monitored dosage system is in operation at the home and medication is delivered to the home on a monthly basis. Storage systems were effective and disposal systems were safe. The home has a contract with a waste disposal company to remove and destroy unwanted medication using the ‘Doom Box’ system. There was evidence on file that users have regular chiropody treatments, hearing tests and sight tests and that the home proactively refers residents to specialist services when needed. The home is effective at advocating on behalf of residents to ensure that they receive the health services they need in a timely fashion. Records evidenced that ‘End of Life’ care and pain relief issues are dealt with effectively by the registered nurses. Appropriate referrals to McMillan Nurses and GPs are made when necessary to gain additional advice and support. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 12 The relatives of residents made various positive and complimentary comments to the inspector about the quality of services provided, including “The care of my Dad was excellent, they were really kind”, “The nursing care is very good here, better than it was in hospital”. Bracknell Nursing Home DS0000010977.V337283.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): Standard 12, 13, 14, 15 Quality in this outcome area is good. A range of activities is offered to residents that provide them with the opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with the management, staff and residents it was clear that service users are offered the opportunity to participate in a range of activities suited to their needs. On the afternoon of inspection residents were participating in a ‘sing-a-long’ session and were thoroughly enjoying themselves. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 14 The home engages an activity organiser for 20 hours a week who encourages users to engage in craftwork, shopping trips, Tai Chi, origami, flower arranging, quoits, ‘Hoy’, Lexicon word games, poetry afternoons, collage, quizzes and painting. Singers and musicians are regular visitors to the home and there are parties and other entertainments arranged on special occasions and for festivals throughout the year. A trip out to Windsor proved to be popular with residents and there are plans to return there shortly and to visit other venues over the summer period. Residents confirmed that their visitors are made most welcome at any time and are offered appropriate hospitality during their visits. A number of social events are held throughout the year, which promotes community involvement and provides residents’ families with the opportunity to engage with the staff and residents on an informal and regular basis. Since the last inspection the home has employed a new chef and has developed a new menu. Residents say that the food is of satisfactory quality, and is varied and plentiful. On the day of inspection residents were eating lunch of goulash or sausages with mashed potato and peas followed by lemon sponge and custard. Tea was scrambled egg on toast or soup and sandwiches. Special diets can be catered for including diabetic or vegetarian meals. Discussion with service users evidenced that the food was well cooked, tasty and plentiful. A number of service users made comments such as, “The food is good here”, “I like the food too much, and I’m putting on weight”. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff who can demonstrate knowledge of the home’s abuse of vulnerable adults and whistle-blowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaints procedure, which is clear and accessible to residents. Service users are provided with information on how to make a complaint to the home, the timescale for response, and the stages and process of the organisation’s complaint process. Examination of the complaint records indicated that there have been four complaints made to the home since the last inspection. Three complaints had been resolved to the satisfaction of the complainant and one complaint was still being investigated at the time of inspection. The details of the complaints were well documented. All complaints are fully investigated by management and an outcome is provided to complainants. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 16 Residents spoken with at the time of inspection confirmed that they felt confident that concerns would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. There was evidence in staff files, and from discussion with staff, that they receive training in the protection of vulnerable adults as part of their formal induction to the home. Their learning is later consolidated when they undertake NVQ training, in which it forms a core module. Staff interviewed were aware of the home’s whistle-blowing policy and understood the importance of protecting users from abuse and exploitation at all times. Service users confirmed that they felt safe and well cared for by kind and caring staff. Bracknell Nursing Home DS0000010977.V337283.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is adequate. The service provides a homely environment for its residents but there is a lack of sufficient storage space, which means that the home can look and feel cluttered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents say that the home is comfortable, clean, warm, well lit and there is sufficient hot water. All residents have been encouraged to personalise their own bedrooms and to bring with them personal items from home and small items of furniture to enhance their environment. The home has a rolling programme of redecoration and renewal and several rooms have been redecorated since the last inspection. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 18 The inspector observed that the carpet on the stairway and landing is badly stained. Discussion with the domestic staff confirmed that, despite regular shampooing, the carpet is beyond cleaning and needs replacement. The manager told the inspector that this had already been identified in a recent home audit and funds were being sought from capital expenditure to renew it. The home has limited storage space and, as a result, washed woollen cardigans were hanging to dry in an unused sluice, which does not appear hygienic. The hoists are stored in linen cupboards, which make doors difficult to close and access limited. Alternative storage should be found for these items as a matter of priority. The inspector was informed of plans to redesign the garden to enhance the environment for residents. There are plans to provide easy ramp access and raised beds to make the garden more accessible to wheelchair users. Included in the design is an area of sensory planting. Several of the residents are keen to become involved in the project. The home is currently fundraising for a conservatory, which will provide alternative sitting space for the residents. Bracknell Nursing Home DS0000010977.V337283.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27, 28, 29, 30 Quality in this outcome area is good. The staff team were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of residents in their care. Staff recruitment procedures are robust and protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of six staff files evidenced that the selection and recruitment procedures at this home are robust. All necessary checks are carried out on staff to ensure that they possess the necessary attributes to care effectively for residents. Recent interviews for care assistants included a resident on the interview panel. The resident was encouraged to ask the interviewees pertinent questions and to give their view as to the candidate’s suitability to work at the home. Outcome of the resident’s involvement was well recorded. There was evidence that care staff have been properly inducted and have received training in core skills such as fire safety, first aid, manual handling, food hygiene, health & safety, COSHH and infection control. All staff have received training in POVA (protection of vulnerable adults) as part of their induction and as a core module in NVQ training. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 20 All staff at the home appeared well motivated and have achieved or are working towards a National Vocational Qualification at Level 2 or 3. There was sufficient numbers of staff on duty at the time of inspection to effectively meet the needs of residents. One nurse and four carers were on duty supported by five ancillary staff and a maintenance man. Although the home currently has a number of permanent vacancies, there is no reliance on agency to cover gaps in the roster; instead, staff are happy to work overtime to provide continuity for residents. The qualifications of nurses have been checked effectively to ensure that they are fit to practice. The nurses’ PIN numbers and statement of entry on the register were well recorded and up-to-date. All nurses are provided with regular refresher training in core skills and the safe administration of medication and these sessions are recorded. The home regularly provides placements to student nurses from Thames Valley University. The inspector had the opportunity to meet and speak with a student during the inspection period. The student confirmed that they were enjoying their placement at the home and felt well supported by the permanent staff and management. The inspector spoke to the majority of the staff informally. The staff confirmed that they feel well supported by management and have the opportunity to express their views in regular team meetings, staff handovers and in formal supervision sessions. It was clear that those interviewed had a good understanding of the needs of residents in their care and had built a good rapport with them. Residents and relatives made positive comments about the qualities and caring attitude of the staff. They told the inspector that staff were “friendly and kind”, and “happy to help”. Bracknell Nursing Home DS0000010977.V337283.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36, 38 Quality in this outcome area is good. The residents benefit from living in a well run home, where there is evidence that health, welfare and safety is of primary importance and where quality assurance systems seek their views. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s manager is an experienced nurse and has attained the Registered Managers Award to further enhance her knowledge and skills. The manager is resident focused and leads the staff in their duties in a ‘hands-on’ manner. Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 22 There is a strong ethos of being open and transparent and the staff said that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. The home actively monitors its own performance on an ongoing basis. Regular auditing is carried out against quality standards and the regional manager verifies the results. An examination of the home’s quality audits evidenced that it seeks the views of residents, relatives and staff on a regular basis. The results of the annual survey (last carried out in 2006) are used by the organisation to measure the home’s success in meeting its published aims and objectives. In addition to formal mechanisms to gain feedback, the home has instituted a complaints, comments and suggestion box which is situated in the entrance hall and emptied regularly by management. Action is taken to rectify any problems and suggestions at the earliest opportunity. From discussion with residents and their relatives it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account. From examination of the minutes of residents’ and relatives’ meetings there was evidence that when requests are made or concerns expressed in the meetings, the issues raised are followed up by management. Meetings last took place on the 6th February & 9th May 2007. Examination of a sample of service user cash accounts indicates that a safe procedure is followed for deposit or withdrawal of residents’ monies. Receipts are kept of all cash spent and balances in accounts were accurate and up-to-date. Residents and relatives confirm that financial matters are dealt with safely and efficiently by the home. Examination of a sample of health and safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. All risks to residents are effectively risk assessed and managed. Residents confirm that they feel the home is well run. One resident said, “If I have a problem, I know the staff will sort it out. I’ve got no worries”. Bracknell Nursing Home DS0000010977.V337283.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 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 2 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 3 X 3 Bracknell Nursing Home DS0000010977.V337283.R01.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 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 OP26 Good Practice Recommendations An alternative to the ground floor sluice should be found to hang clean woollen cardigans and jumpers for airing. The current practice could put residents at risk of cross contamination. For the benefit of staff and residents consideration should be given to providing more storage space so that all areas are uncluttered and accessible at all times. 2 OP19 Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Bracknell Nursing Home DS0000010977.V337283.R01.S.doc Version 5.2 Page 26 - 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. 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