Inspection on 30/07/07 for Bradley Resource Centre

This inspection was carried out on 30th July 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

Bradley Resource Centre 03/09/09

Bradley Resource Centre 14/08/06

Bradley Resource Centre 24/10/05

Bradley Resource Centre 07/07/05

Bradley Resource Centre 11/01/05

Bradley Resource Centre 28/09/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Bradley Resource Centre Lord Street Bradley Wolverhampton West Midlands WV14 8SD Lead Inspector Rosalind Dennis DRAFT Unannounced Inspection 30th July 2007 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 Bradley Resource Centre DS0000035751.V343060.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. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradley Resource Centre Address Lord Street Bradley Wolverhampton West Midlands WV14 8SD 01902-553543 01902 553448 helen.heathcote@wolverhampton.gov.uk www.wolverhampton.gov.uk Wolverhampton City Council 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 Elizabeth Helen Heathcote Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23), Old age, not falling within any of places other category (23), Physical disability (23) Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 50 and over 14 rehabilitation beds and 9 respite care Date of last inspection 14th August 2006 Brief Description of the Service: Bradley Community Resource Centre provides a respite unit and a multidisciplinary rehabilitation unit for older people, focussing specifically on people being discharged from hospital. The rehabilitation unit provides rehabilitation therapy and social care to 14 people in a care home setting-rooms are single with wash hand basins. Rehabilitation is usually provided for a six-week period by staff at the centre with specialist support provided by occupational therapists and physiotherapists who are based at the centre. The Respite Unit has nine single bedrooms with en-suite facilities and provides short-term care for older people. A Home Support service operates from the Centre, providing support to people in their own homes-this is regulated and inspected by CSCI and is available as a separate report. A Day Care service, which is not inspected by CSCI, is also based at the Centre and people staying at the Resource Centre are able to access this service. Bradley resource Centre is close to a bus route, the Metro and shops and a public house are nearby. It was noted that the fees are set at the following rates:- Rehabilitative services are free at the point of delivery. A stay on the respite unit is currently £14.09 per night for a maximum of six nights. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by one inspector over a period of around 6 hours. All ‘key’ standards were assessed during the daythat is those areas of service delivery that are considered essential to the running of a care home. Time was spent speaking with people living at the home, speaking with staff, observing staff working and looking at range of documentation. The inspector had opportunity to attend a weekly meeting, attended by different members of the multi-disciplinary team and this provided an insight into how the staff share the same values -to maximise independence from the time of a person’s admission to the home, during their stay and at the time of their discharge, enabling people to return to their own home wherever possible. Some weeks prior to this inspection the manager had responded to a request by CSCI to complete an annual quality assessment document (AQAA)comprehensive information within this document demonstrates that the manager is very much focussed on achieving good outcomes for people living at the home but also recognises where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The information contained within the AQAA also formed part of the inspection process What the service does well: Bradley Resource Centre has a sustained track record of delivering good performance and managing improvement. The manager, Helen Heathcote is focused on achieving positive outcomes for people living at the home, leading and supporting a highly skilled staff team who share the same values. The home continually monitors and reviews processes to ensure that people receive a good range of quality services. People staying at the home were forthcoming in providing positive comments throughout the inspection such as ‘carers are good’ ‘the staff are doing everything to help me to get home’, ‘this is an excellent place’, and ‘staff provide help when it’s needed’. The home has a committed staff group who communicate effectively with people, showing kindness in their approaches, supporting people to maintain independence and providing assistance when needed. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 6 People are involved in the development and reviews of their care plans-these plans are working tools, which set out in detail the interventions needed to meet personal and therapeutic goals. A range of aids and adaptations are available and the provision of an Occupational Therapist and Physiotherapist on site is a great asset to the Centre and ensures people receive specialist support to maximise independence. Admissions to the home are well managed and an effective assessment procedure takes into account people’s needs including those regarding equality and diversity-care is then planned to take account of these needs, individual likes/dislikes and preferences. The home described how people are enabled to access church services, a quiet area has been provided to enable an Asian individual to pray and the menu has been expanded to provide choices, which are ethnically diverse. What has improved since the last inspection? No requirements or recommendations for improvement were made at the last inspection. The home is continually reviewing the quality of the service it provides and the manager provided information to CSCI where the home has made changes as a result of feedback from people who have stayed at the home, including changing one of the showers to enable easier access, purchasing and providing televisons for individual bedrooms on the respite unit, increasing the range of ethnic meals, purchasing different styles of pillows, changing a carpet- following comments made by a service user after their stay and reviewing the time of the evening meal. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 7 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. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is good. The home has a good assessment and admission procedure, which ensures that the home is able to meet people’s needs. Staff are committed in providing support to people to maximise their independence and to meet individualised goals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who were spoken with during the inspection confirmed their satisfaction with the admission process, this included people experiencing their first admission to the home and others who had previously been at the home for a period of rehabilitation and are now receiving respite care. One person visiting their relative also confirmed their satisfaction with the admission process. Assessments were present on all care files seen, these incorporated Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 10 assessments of individual needs in respect of cultural, spiritual needs and preferences. An excellent range of information is available about the home and services provided-the statement of purpose was reviewed in April 2007 and provides clear information on the aims and objectives of the service and the service user guide is informative and easy to read. The manager recognises that translation of all or at least part of the guide into alternative languages could further enhance what is already a very good document. A weekly ‘snapshot meeting’ is held each Monday and this involves members of the multi-disciplinary team such as key workers, occupational therapist, physiotherapist, manager and care co-ordinator. The meeting looks at how the home will meet the therapeutic and care needs of people due to be admitted in the forthcoming week, progress of people currently residing at the home and the interventions needed to ensure that any proposed discharges are organised well. Attending this meeting as part of the inspection provided an insight into how the staff share the same values to maximise independence from the time of a person’s admission to the home, during their stay and at the time of their discharge-enabling people to return to their own home wherever possible. The home has introduced individualised goal setting for people admitted for rehabilitation and staff training sessions ensure that staff are equipped with the knowledge and theory to promote independence and rehabilitation. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. All members of the multidisciplinary team work together to provide care and support to achieve individual goals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of a proposed admission, the home starts the process of planning how to provide care so as to maximise the person’s potential for rehabilitation. Observation of three people’s care files demonstrates that care plans are working tools, which set out in detail the interventions needed to meet personal and therapeutic goals. The process of care planning and risk assessment involves the different members of the multi-disciplinary team, for Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 12 example a ‘transfer and mobility’ care plan completed by the physiotherapist looks at the individuals current problems and includes details of different moving and handling equipment needed to promote independence. Care staff complete comprehensive daily records, which refer to the care plans and recognise people’s progress in achieving goals. Evidence of regular reviews involving the person, their significant others, social worker and/or other heath care professionals were present on the files seen which demonstrate that people are enabled to contribute to the development of their care plan. Four people who were spoken with on the rehabilitation unit provided comments including ‘carers are good’ ‘the staff are doing everything to help me to get home’ and ‘this is an excellent place’. Similar views were obtained from people on the respite unit –‘staff provide help when it’s needed’ and ‘carers are good’. Aids to enhance mobility were readily available on both units with care staff providing assistance as necessary. Care staff who were spoken with during the inspection were able to describe their role in promoting independence and demonstrated good awareness of the differing needs of the people currently staying at the centre. Discussion within the ‘weekly snapshot’ meeting shows that the home looks at people’s needs, capabilities and wishes on an individual basis. If people are assessed as being able to administer their own medication then the home has robust processes in place to enable this to be carried out safely. Observation of individual medication administration records (MAR) demonstrates good recording, with all medication signed and accounted for. The manager confirmed that senior staff have attained certificates in the ‘safe handling of medicines’ and the plan is for other staff involved in the administration of medication to also receive this training, which is good practice. Observation of records showing the temperature of the medication fridge show that this is generally maintained within limits and the temperature taken twice daily-it is recommended that a minimum and maximum temperature is recorded. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. The home actively encourages people to maintain social, emotional, communication and independent living skills, providing support where appropriate. The meals at the home are good, offering variety and catering for different nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information on activities is available in the reception area of the home, these activities are provided ‘in house’ and at the Day Centre, which people staying at the home are able to access. On each of the care files a completed activity questionnaire was present, which shows that staff had sought information from people regarding how they usually like to spend their time and what would they be interested in during their stay. Daily entries within care records describe whether people have chosen to take part in activities. Two people on the rehabilitative unit spoke of how they can access activities if they wish or spend time watching television, chatting to other people or reading Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 14 newspapers and one person on the respite unit described how they access the Day Centre. The manager describes how the rehabilitation programme includes cooking, shopping, domestic tasks and management of finances –the home has a kitchenette area where people are provided with ingredients and the support to prepare and cook a meal. People spoken with described meals within the home as good and menus showed that a range of meals are offered with staff confirming that meals are produced from mainly fresh ingredients. One person described how individual preferences are catered for in that their recent dislike of a particular teatime choice resulted in staff providing an alternative meal. The home ensures that special diets and people’s cultural dietary needs are met and the manager described how the home has accessed a catering supplier of Caribbean foods to ensure that people of this ethnic origin can also practice preparing meals prior to discharge. One person visiting the home described how staff are always welcoming and keep people informed of any changes or developments with their relatives care. Bradley Resource Centre DS0000035751.V343060.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): 16 and 18 Quality in this outcome area is good. The home ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager provided confirmation that the local authority complaints procedure and policy is adhered to and this complaints leaflet is widely displayed in reception, the service user guide and the statement of purpose. Observation of the complaints procedure shows that it is easy to read and provides clear instruction to people if they wish to complain –providing posters of this information in different languages is a positive development. The manager showed where complaints are recorded and this process enables close auditing of any complaints and the action taken to address themminimal complaints have been received by the home. The manager described how a trend with complaints in connection with people’s belongings had been identified and this resulted in an improvement in the personal property inventory. People spoken with confirmed their awareness of the complaints Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 16 procedure and stated that they would feel comfortable with raising concerns with staff. Staff confirmed that they are provided with adult protection/abuse awareness training and the manager demonstrated a sound knowledge of dealing with concerns, complaints and adult protection issues. Some staff have received training in Management of Violence and Potential Aggression (MAPA) with plans for other staff to attend. Bradley Resource Centre DS0000035751.V343060.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): 19, 22 and 26. Quality in this outcome area is excellent. The home is well -maintained and provides aids, equipment and specialist support to meet the needs of people staying at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prior to this inspection the manager provided detailed information to demonstrate that the home is well maintained and that new furniture and equipment has been purchased to ensure that people staying at Bradley Resource Centre are provided with a high standard of accommodation. The manager has also provided information to confirm that the home is accessible for people with disabilities and acted on the recommendations of an occupational therapy report to make structural changes and improvements to Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 18 furnishings. The building is single storey with level access and has two separately designated areas for the rehabilitation and respite facilities. Specialist areas exist within the home such as a therapy gym, rehabilitation kitchen and kitchenettes and a good range of equipment is available to promote independence. En-suite facilities are available within the respite unit, including walk in showers. Individual bedrooms, lounge and dining areas are all decorated to a good standard. The home provides confirmation that it has an infection control policy, procedure and puts systems in practice, for example hand sanitisers are placed at entrances, with signage to promote good hand hygiene. Staff were seen using protective clothing for different tasks and all parts of the home were very clean. Bradley Resource Centre DS0000035751.V343060.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): 27, 28, 29 and 30. Quality in this outcome area is good. Training opportunities within the home are good which ensures that staff are appropriately skilled and competent to carry out the duties for which they are employed. This judgement has been made using available evidence including a visit to this service EVIDENCE: People currently staying at the home spoke of how staff attend to their needs promptly and all felt that staffing levels are sufficient to meet their needs. Two members of care staff who were spoken with commented positively regarding training opportunities within the home, teamwork -in that everyone works to achieve the same goals and that enough staff are available to provide care. A central department within the local authority deals with recruitment for new staff. A recent visit to this department identified a process that is not entirely robust or consistent, however the manager at Bradley Resource Centre described and showed records to demonstrate that the recruitment process at the home is robust. The manager visits the central department and checks that all the required pre-employment information is obtained prior to a person starting work at the Resource Centre and maintains records which show that this is carried out consistently. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 20 Information provided by the home shows that staff are provided with a range of training, which is ongoing and designed to meet the needs of people who use the service. Examples of training undertaken in addition to training in safe working practice topics includes rehabilitation, mobility and immobility, pressure relieving aids and equipment, nutrition, speech and swallowing and wound care. Notices for staff were seen in the home showing planned future training, including topics on communication, report writing, social stimulation and motivation. Staff are supported to obtain qualifications for their role, at least 50 of care staff have achieved or in the process of achieving NVQ Level 2 in care, and the statement of purpose provides information on the range of qualifications held by other members of staff in the home. Staff confirmed that the home provides induction to all new staff. Bradley Resource Centre DS0000035751.V343060.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): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. The manager is focused on achieving positive outcomes for people living at the home, leading and supporting a highly skilled staff team who share the same values. The home is continually monitoring and reviewing processes to ensure that people receive a good range of quality services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager Helen Heathcote has considerable experience in managing care services for older people and has an excellent range of qualifications including NVQ level 4 in Care, Registered Manager’s Award and Masters Degree in Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 22 Business Administration. The manager provided the following comment “I strive to continually improve services at Bradley Resource Centre for the benefit of the service users” and information obtained at this inspection provides confirmation that this is an accurate reflection of everyday practice. A senior management team provide continuity in the absence of the manager and bring skills, experience and expertise to lead the team on a daily basis. The home provides good opportunities for people to comment on the services provided -questionnaires are sent out to people who use the service, the results are then collated and published along with an action plan, for example the home recently reviewed provision of ethnic diets following the result of a recent quality audit. For the purpose of this inspection the manager had responded to a request by CSCI to complete an annual quality assessment document (AQAA)-comprehensive information within this document demonstrates that the manager is very much focussed on achieving good outcomes for people living at the home but also recognising where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The manager provided confirmation that staff are managed by a clear supervisory structure and observation of minutes show that regular meetings are held with staff to give instruction, guidance and direction. Staff spoke of how the home’s supervision and appraisal process is effective, enabling staff to reflect and improve on practice and identify training needs. The manager recognises that it would be useful to develop a quality monitoring tool specific to the staff group. People are encouraged to manage their own finances as they will be returning home, but where this is not the case, people’s finances are recorded and managed in accordance with financial procedures- observation of these records confirm a robust process. The home has provided detailed information within the AQAA submitted to CSCI that servicing and maintenance of equipment is consistently undertaken and policies and procedures are regularly reviewed. Observations of documents at the time of inspection show that fire safety checks are routinely carried out and all equipment seen appeared well-maintained. Bradley Resource Centre DS0000035751.V343060.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 3 X 3 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 4 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 X 3 Bradley Resource Centre DS0000035751.V343060.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 OP9 Good Practice Recommendations A daily minimum and maximum temperature of the medication fridge should be maintained. This is to ensure that the temperature remains within 2 and 8 ºC. Bradley Resource Centre DS0000035751.V343060.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE 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 Bradley Resource Centre DS0000035751.V343060.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. 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!