Inspection on 24/10/05 for Bradfield Residential Home

This inspection was carried out on 24th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Bradfield Residential Home 25/08/09

Bradfield Residential Home 29/09/07

Bradfield Residential Home 08/08/06

Bradfield Residential Home 25/05/05

Bradfield Residential Home 02/12/04

Bradfield Residential Home 17/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Bradfield Residential Home Hawksdown Road Walmer Deal Kent CT14 9PW Lead Inspector Chris Randall Unannounced Inspection 24th October 2005 : 09.25 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 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. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bradfield Residential Address Hawksdown Road, Walmer, Deal, Kent, CT14 7PW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01304 360960 Mr David James Johnson & Mrs. Brenda Eileen Johnson Mrs Brenda Eileen Johnson Care Home 20 Category(ies) of OP Old age registration, with number of places Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/05/05 Brief Description of the Service: Bradfield is a large, detached house situiated in a quiet residential area of Walmer near Deal. The home is close to Walmer Castle, local shops, and the sea, and is only a short drive from the towns of Deal to the east and Dover to the west. The home was extended to its current size some years ago. The house and gardens are very well maintained, and the premises are entirely suitable for the category of service user accommodated. Bradfield is owned and run by Mr. & Mrs. Johnson who have managed the home since it opened some 10 years ago, and are experienced in the care of older people. Mr. Johnson oversees the general maintenance, and is actively involved in the running of the home. Mrs. Johnson, the registered manager and her daughter Rebecca, who is the assistant manager, oversee the day to day running of the home and the care of the service users. Mrs. Johnson and Rebecca have both qualified for the Registered Managers Award. Bradfield provides accommodation over 3 floors for up to 20 older people. A passenger lift is available for access to the upper floors. All but two of the rooms have en-suite toilet and shower facilities and some of the upper rooms also have the advantage of sea views. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 10 hours, (6.6 hours in the home plus preparation time). The majority of standards were looked at during the previous announced inspection and therefore this visit concentrated mainly on the standards not covered and included inspection of medication, inspecting some records, observation of a meal being served, and speaking to most service users 10 in some depth, 4 members of staff, and the management. The home was found to be clean, comfortable and well maintained; service users looked well cared for; there was a nice atmosphere in the home. The meal served looked appetising and nutritious. Service users expressed their satisfaction at living at Bradfield through comments which included, “I could not have come anywhere better” “I’m very happy here”, “I like it here very much” and “I’m happy here, its my home”, and staff commented, “its really nice – lovely”, “it’s a really relaxed environment”, and “its really pleasant to work here”. During the inspection it came to light that the home is currently breaking the terms of their registration as they are accommodating 21 service users whilst being registered for 20. Although it is considered that this was a genuine misunderstanding this is an offence under the Care Standards Act 2000 and needs to be urgently rectified. What the service does well: The home is spacious with a variety of sitting areas, it is well maintained, clean and hygienic. There is a pleasant, calm and friendly atmosphere in the home. The manager and assistant manager are actively involved in the day-to-day running of the home and give support to the service users and the staff team. The home offers a good quality of care. A service user commented, “we get excellent care”. The very pleasant gardens are available for service users to enjoy the fresh air with some of the bedrooms in the extension opening out directly to a secure garden area. Food served at the home is well presented, home cooked, varied and nutritious and comments included a service user who said “its good quality food”, and a staff member who said “the food is brilliant”. The home has its own mini bus transport available for outings. General service user comments included, “it’s a lovely place”, and “this place is an excellent idea”, and staff comments included, “I love it”, and “it’s a really friendly home”. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 6 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. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, & 5 Prospective service users can be confident that they will receive adequate information, that their needs will be assessed, and that they can have a trial visit before confirming they wish to stay at Bradfield. The home is currently in breach of Regulation 24 of the Care Standards Act 2000 by accommodating more service users than are shown on their Certificate of Registration. EVIDENCE: The home has produced a ‘welcome pack’ which encompasses all of the information included in the statement of purpose and service user guide for the home and which is made available to all prospective service users and their representatives. Currently the home is accommodating 21 service users although the registration certificate only states 20. Although it is considered that this was a genuine misunderstanding as the management considered that their registration was for 20 rooms not 20 service users at present they are committing an offence by failing to comply with the requirements of the Care Standards Act 2000 and a requirement has been made that this issue is Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 9 urgently addressed. The options available are that they apply for their registration to be amended to cater for 21 service users or reduce the number of service users accommodated in the home to comply with the existing registration. All service users are issued with a contract, which includes details of the fees payable, information about additional items not covered in the fees, the number of the room to be occupied, and details regarding termination of the contract by either side. Prospective service users are only admitted to the home after undergoing a thorough assessment process. The home manager and/or assistant undertake their own assessment of all prospective service users. For service users funded under the care management scheme a joint assessment is also obtained from the care manager. A plan of care is drawn up for each service user taking into account all of the information gained during the assessment process. Service users will only be admitted to the home if the manager is confident that the home can meet their assessed needs. Prospective service users can spend a day at the home prior to admission. All admissions to Bradfield are made on a 3-month trial period basis, and this is shown on the contract. This 3-month period gives the service user time to settle and be confident that the home is right for them and the home time to ensure that they can fully meet the needs of the service user. Service users commented, “I chose this place myself”, and “my daughter helped to choose this home for me”. The home does not offer intermediate care. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, & 11 Service users health, personal, medical, and social care needs are recorded and met, their dignity is maintained and they are treated with respect throughout their lives at Bradfield. EVIDENCE: The home has a comprehensive care plan for each service user which includes, medical requirements, mental health risks, personal care assessments, visits from professionals, nutritional needs, weight records, likes and dislikes, risks of pressure sores, manual handling requirements, fall risks, risks to carer, continence needs, records of accidents, communication needs, leisure and recreation, and risk assessments. Daily records are also kept and these are completed 4 times a day or whenever anything significant occurs. Currently the home is in the process of updating and changing the format of the care plans and a cross section of old and new types were seen. Service users health needs are met by the home and by visiting professionals including G.P’s, district nurses, continence advisor, chiropodist etc. The district nurses provide equipment necessary to ensure skin integrity. The staff at the home encourage service users to take part in armchair exercises, and service users are able to wander around the home (and the gardens in good weather) Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 11 to maintain their mobility. Service users are encouraged to maintain their independence as long as possible with staff available to support or help with personal care tasks whenever necessary. Service users commented, “I’m looked after fine”, “Brenda took my glasses to be repaired first thing one morning and I had them back by lunch time”, “they look after me very well”, and “we cant want for anything, chiropodist, hairdresser, nails cut by staff”. Staff commented”, “the care and cleanliness of residents is very thorough, between toes, around the ears etc”, “in the afternoons we check on residents nails”, “I think the care is very good”, and “I wish I had done care years ago”. Records of medication received, given, and disposed of were in good order. The home uses the Boots monitored dosage system for the majority of their medication, and has 2 trolleys for transporting drugs around the home, and storage cupboards for spare medication and dressings. Service users who administer any of their own medication are assessed as to their competence to undertake this procedure. The manager has attended medication training and she imparts the knowledge to the other staff that undertake this task. A recommendation has been added that all staff who administer medication attend a recognised training course to give them a more in depth understanding of this role. The dignity of service users is upheld and they are treated with respect. Many of the service users have telephones in their own rooms and there is a cordless telephone for use as needed for those without this facility, or for anyone who receives a call whilst using one of the communal rooms. Service users wear their own clothes at all times and the home ensures that these are kept clean and well presented. A staff member commented, “we encourage the residents to choose their clothes and they are all kept clean”. Staff knock on service users bedroom doors before entering and call service users by their preferred name. Medical examinations are carried out in the privacy of service users own bedrooms. There is a screen available for the double room when needed to ensure that privacy is not compromised. A staff member commented, “The residents are treated with the utmost respect”. The home has a clear and comprehensive policy on dealing with death and dying. The home will assess the situation and discuss matters with the G.P. district nurse and families and if it is felt appropriate by all parties the service user will be supported to die at home in familiar surroundings. District nurses provide any extra equipment needed. Families are fully supported during this time and are able to visit at any time, night or day. Management and staff try to ensure that the service user has someone to sit with them if the family are not available. The changing needs of the service user during this time are updated daily. Wherever possible a representative of the home will attend the funeral of every service user. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 12 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 standard(s) 12, 13, 14, & 15 The daily life and social activities provided at the home meets the needs and expectations of the service users; they are encouraged to maintain contact with their families and friends; and they receive a wholesome appealing and balanced diet. EVIDENCE: Service users are encouraged to exercise choice in all aspects of daily living including what time to get up and to go to bed, what to wear, where and what to eat, whether or not to join in activities, where to sit, and who to talk to. Staff members commented, “Residents are able to do what they want” and “they have choices in what to do”. Personal choices are recorded in the care plan. A variety of activities are provided including card games, scrabble, armchair exercises, ball games, connect 4 and reminiscence. A service user commented, “I join in the activities”, and a staff member commented, “We talk to them and do reminiscence”. If, and when the service users choose they are encouraged to help out with light duties, washing up, hanging out washing, laying tables, tending plants etc. to help maintain their independence. In the hallway there is a library serviced by the Kent Library Service, which includes large print books, videos and listening stories. The home has its own mini bus that is used for trips out. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 13 Service users commented, “I can walk to the seaside”, and “you can say what you like and do what you like”. Staff commented, “we do activities in the afternoons”, “they don’t have to go to bed until they want to – we help them to get ready for bed and then they sit and watch TV in their rooms”, “they all have breakfast in bed and then get up when they choose”, and “they try to promote independence here whereas in the hospital that does not happen”. Visitors are encouraged at the home and are always made welcome and offered a drink. Service users can choose whom they see and where they prefer to meet, this can be in one of the communal rooms, their own bedrooms, or weather permitting in the garden. Service users commented, “my husband comes to see me regularly”, “they always make my daughter and all visitors welcome and offer them tea or coffee”, “I went to my sons for lunch on Sunday”, and “my daughter takes me out”. Service users, their families or their powers of attorney deal with their own financial affairs. The home holds small amounts of pocket money for a few people and this is securely stored and properly accounted for. Service users are encouraged to bring some of their own possessions into the home to personalise their own room and service users commented “That’s a picture of my home”, “I made these cushions”, and “that is my own bureau”. The home operates a 4-week menu and there is a choice of food for all meals served. The food is freshly prepared, balanced, nutritious and attractively served. Liquefied meals are served in separate portions to resemble a normal meal. Hot and cold drinks are available at all times. The kitchen is clean and tidy and has recently been recommended for a ‘Clean Food Award’ by the local district council, the home is currently waiting for the certificate to be issued. Food storage is appropriate. Meals are held either in the homes spacious dining room or if the service user chooses in the lounge or their own bedroom and help is given sensitively where needed. Service users commented, “I had wine and cake on my birthday” “the food is excellent”, “the food is good – I have what I want” “I enjoy my meals immensely” and “its quite decent food, I usually eat all of mine” Staff said, “the food is really nice, I would eat it”, and “they can have tea and biscuits or cold drinks whenever they want”. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 14 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 standard(s) 16 & 18 The home takes all complaints seriously but recent investigations by the home instead of referral to Adult Protection may have compromised the safety of service users. EVIDENCE: The home has a simple and clear complaints procedure and all complaints and moans are recorded however trivial. Outcomes of investigation are also recorded. A copy of the complaints procedure is posted in the hallway. The home has an abuse and a whistle blowing policy. The recent guidelines on adult protection have not been received by the home, and an issue that should have been reported directly to adult protection was investigated by the home thus compromising any investigation that should have been carried out by the Adult Protection team. A requirement has been made that any concerns that may involve abuse in any form are reported to the adult protection coordinator and a Regulation 37 notification be sent to CSCI The care staff spoken to during the inspection confirm that they understand their responsibilities with regard to adult protection issues and that they would report any concerns to the management immediately. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 20, 21, 23, 24,, 25, & 26 Service users live in a clean, comfortable, homely environment with bedrooms that meet their needs. Safety is compromised by the use of wedges to hold open fire doors. EVIDENCE: Service users at Bradfield are accommodated in a comfortable, and homely, environment. The home is kept clean, hygienic and free from odours. A service user commented, “its all very clean”, and staff comments included, “the cleanliness is fairly high”, and “beds are changed very regularly and there are always clean towels to hand”. The home has been adapted and extended from the original family home to form accommodation suitable for the needs of the service users. The building is well maintained with Mr. Johnson, one of the providers, overseeing all of the maintenance work. The grounds are tidy, safe, attractive, and accessible to service users with eight of the bedrooms having direct access to the enclosed garden area Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 16 Magnetic door openers have been fitted to some fire doors as recommended during the last visit from the Fire Officer, however service users safety is being compromised as other fire doors are still being held open by wedges. A requirement has been made that no fire door should be held open by a wedge. If a fire door is required to be held open it should be fitted with a suitable device that will automatically close on the sounding of the fire alarm. Communal space in the home comprises of a main lounge, a television lounge, a link conservatory, and a dining room on the ground floor and a small lounge on the second floor. All furnishings, fittings and lighting are domestic in character and appropriate to meet the needs of the service users. All but two of the service users bedrooms are fitted with en-suite toilet and shower facilities, and there are sufficient communal toilets and bathrooms with hoists available. All service user bedrooms are appropriately furnished, many including items of their own furniture, and all with their own knick-knacks, and pictures. All rooms are naturally ventilated, and heating and lighting are appropriate. Where radiators are not guarded appropriate risk assessments are in place. Currently one large bedroom that had previously been a double room is being used as a double room to accommodate a married couple. This is in contravention to the conditions of registration as it has taken the home over the numbers registered as mentioned under the first category of the report ‘Choice of Home’. Service users commented, “I have a nice quiet room”, “I’ve got my own toilet”, “the room is just right”, and “this is all my own furniture” Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, & 30 Service users are supported and protected by an appropriate number of properly trained staff and an appropriate recruitment procedure. EVIDENCE: Staffing levels at the home are appropriate to meet the needs of the service users. The manager and assistant manager are actively involved working alongside the care assistants and are able to assess any increase in needs. Currently the day staff consists of two care assistants and one of the managers working on the floor, together with domestic staff and a cook. There are two waking night staff on duty. Mr. Johnson also helps out working in the home, mainly in the early mornings. Two recent recruitment files were inspected. No new staff are started in the home until 2 satisfactory references have been received, an enhanced disclosure has been submitted, and a satisfactory POVA first check has been received. All staff receive a contract of employment, and are employed in accordance with the GSCC code of conduct. The home is advised that they should not accept references addressed to ‘to whom it may concern’. New staff undertake induction training to meet TOPPS specification, and have regular reviews of progress and performance. During the induction process they also read all of the homes policies and procedures and are made particularly aware of Abuse and Whistle blowing. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 18 Service users comments included, “the staff are good, thank god for them”, “the night staff are so good” “the girls are most attentive”, “the girls are good” “the staff and the manager are nice” “xxx is very special”, and “staff are excellent – very helpful” Staff commented, “I really enjoy it”, “I have learned a lot”, “we do induction books” “its really good here, I’m enjoying it” and “lots of times I don’t even think of it as work” Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35, 37, & 38 The home is generally well managed but the management need to refamiliarise themselves with the provisions of the Care Standards Act 2000. Service users benefit from the positive ethos of the home. EVIDENCE: Both the registered manager and the assistant manager have attained their NVQ4/RMA qualification. The manager is one of the providers and has been managing the home since it first opened over 10 years ago. Both the manager and the assistant attend regular training to update their skills and knowledge. Unfortunately the management failed to realise that by using one of their rooms as a double room they were exceeding the number of service users on their Certificate of Registration. The room in question had been a double room in the past and they misunderstood that the number shown on the certificate is Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 20 the number of service users not the number of rooms. A requirement has been made regarding this as mentioned under the first section of the report. It is suggested that the management of the home re-familiarise themselves with the provisions of the Care Standards Act 2000 and the Care Homes Regulations 2001. A service user commented, “the management is excellent”. The ethos of the home is open, positive and inclusive. Both the manager and the assistant manager regularly spend time every week ‘working on the floor’ with their staff. This gives them the opportunity to see at first hand what is going on in the home; to quickly be aware of any changes in the needs and dependency levels of the service users; and to ensure that the other staff are doing things in the way they have been taught and are complying with the policies and procedures of the home and with the GSCC code of practice. Service users commented, “Brenda and Rebecca are very good” and “David keeps an eye on things”, and staff said, “we get plenty of support from Brenda and Rebecca” and “Brenda and Rebecca are lovely, they give us lots of support and work side by side with us” The insurance certificate is displayed on the notice board and is in date. The accounting and financial procedures for the home ensure that it is financially viable. Service users, or their families or powers of attorney, deal with their own finances. The home only maintains small amounts of petty cash for a few service users. All service users money is safely stored and all transactions are properly recorded and receipts kept. The registered manager does not act as appointee for any service user. All records are kept up to date and are safely and securely stored. The management encourages safe working practices within the home. Staff undertake training in fire safety, moving and handling, basic food hygiene, and infection control. Hazardous substances are stored safely and COSHH sheets are prepared and available when needed. Accident records are all in order. Wheelchairs are serviced twice a year and checked by Mr. Johnson between times. There is a Health and Safety poster displayed on the notice board. Kitchen hygiene is good and the Environmental Health department has recommended the home for a Clean Food Award Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 2 3 x 3 3 x 3 3 Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 22 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. 1. Standard 1.2 & 31.1 Regulation 4 (1) (b), (c) Schedule 1 & 16 (1) & 23 (2) (f) and Regulation 24 of the Care Standards Act 2000 12 (1) (a) & Public Interest Disclosure Act and No Secrets 23 (4) (a) (c) (i) Requirement Timescale for action 07/11/05 2. 18.2 3. 19.5 The manager shall ensure that the home complies with the conditions set out on the Certificate of Registration, and that the home does not accommodate more service users than permitted on the Registration Certificate and as stated in their Statement of Purpose. This is in compliance with Regulation 24 of the Care Standards Act 2000 Any suspicion or evidence of 31/10/05 abuse of any kind to service users shall be reported immediately to the Adult Protection department of Social Services and a Regulation 37 notification shall be sent to CSCI No fire door shall be held open 30/11/05 by the use of a wedge, if such doors need to be kept open they should be fitted with appropriate devices which will close when the fire alarm is sounded Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 23 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 9.2 Good Practice Recommendations All staff who administer medication should attend a recognised training course. Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Bradfield Residential Home H56-H05 S23330 Bradfield V245128 241005 stage 4.doc Version 1.40 Page 25 - 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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