Inspection on 05/08/08 for Bramley Court

This inspection was carried out on 5th August 2008.

CSCI found this care home to be providing an Adequate service.

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

Bramley Court 12/05/09

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

CARE HOMES FOR OLDER PEOPLE Bramley Court Bramley Court Care Home Chivers Way Histon Cambridgeshire CB4 9YR Lead Inspector Janie Buchanan Unannounced Inspection 5th August 2008 09:20 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 Bramley Court DS0000071225.V369368.R03.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. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bramley Court Address Bramley Court Care Home Chivers Way Histon Cambridgeshire CB4 9YR 01223 236105 01223 234289 charlie.carter@carebase.org.uk 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) Carebase (Histon) Ltd New manager to be appointed Care Home 67 Category(ies) of Dementia (67), Old age, not falling within any registration, with number other category (67) of places Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home with nursing - Code N To service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 67 Not applicable 2. Date of last inspection Brief Description of the Service: Bramley Court is a new, purpose built residential care home with nursing that provides care and accommodation for 67 older people. It opened on 17 March 2008 and is owned by Carebase (Histon) Ltd who already own and manage three residential and four nursing homes. Weekly fees for residents vary between £650 and £950 depending on their needs. At time of inspection the home accommodated 28 residents and employed 14 permanent staff. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. For this inspection we (The Commission for Social Care Inspection) looked at all the information that we have received. This included the annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. We received 14 surveys from people living in the home, their relatives, and staff working there. We have also received feedback about the home from local social workers and contracts monitoring officers. We spoke with five residents, four members of staff and one of the temporary managers, and looked at a range of policies and documents. We undertook a brief tour of the home to check the environment and health and safety matters. Ten requirements have been made as a result of this inspection, and one recommendation. What the service does well: What has improved since the last inspection? What they could do better: Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 6 There is much this home could do better: • The Statement of Purpose and Service User Guide must include details of how the needs of residents with dementia can be met at the home. For example; how the home’s environment will enable people with dementia to remain independent, how care planning will be person centred, what increased level of support and staffing there will be, what specific activities there will be for people with dementia, and what the security of the building will be. Details about the fees payable, and by whom, must also be made explicit on residents’ contracts so they know just how much their care is costing them. Residents must be more actively involved in the development and review of their care plan so that they are partners in assessing and planning their care. Plans should also be reviewed monthly to ensure that changes in residents’ needs are identified and addressed. The recording and storage of medication must improve so that residents receive their medication safely, and there is a clear record of what they have taken. Laundry systems must be much tighter to ensure that residents wear their own clothes at all times and are not dressed in other people’s. Residents’ and relatives’ concerns must be more thoroughly documented, investigated and responded to within a timely manner so that they can be assured they will be taken seriously. Staff must have further training in dementia care so they have the knowledge and skills to look after these residents properly. The home needs to improve the way it deals with residents’ and relatives’ concerns and also communicate with them about changes in its management team. The home’s POVA (protecting vulnerable adults policy) should include details of local reporting procedures and guidelines and also who to contact in the event of an incident. This information should be displayed around the home so that it is accessible to residents and relatives. Staffing levels must be reviewed to ensure there enough staff available to meet residents’ needs. More permanent staff should be employed so the use of agency staff is reduced and residents receive consistent care from staff who know them well. • • • • • • • • Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 7 • Two references must be obtained for all prospective staff at the home before they start working to ensure that only the right people are employed to look after vulnerable adults. Staff must receive supervision so that they have the opportunity to discuss their concerns and so that their working practices can be reviewed and their training needs identified. Fire doors must not be pinned back as this prevents them from closing in the event of a fire and puts residents at unnecessary risk All night staff must practice fire drills so they know what to do in the event of a fire • • • Bramley Court has got off to a shaky start and a permanent manager should be appointed soon so that the many shortfalls identified in this report can be addressed and to bring much needed leadership and guidance to the home. 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. Bramley Court DS0000071225.V369368.R03.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 Bramley Court DS0000071225.V369368.R03.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): 1,2,3,4,5 Quality in this outcome area is good. Residents have information about the home to help them choose if it is the right place for them. They have their needs assessed and a contract that gives details of the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a statement of purpose and service user guide that gives good information about the building, care and nursing services, staffing structures, health and safety, communication and how to complain. However, these documents should also include residents’ views of the home and outline its admission procedure. The home is registered to accommodate people with dementia and more detailed information is required in these documents to show how the home can meet the specific needs of these residents. We have not made a requirement on this occasion and expect the home to update its information. Each resident is also given a contract that states the terms and condition of their stay at the home. However, in one contract we checked important details about the fees payable (and who pays what contribution) was missing. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 10 Residents told us they did receive enough information about the home before they moved in, and also had a chance to assess its facilities. One reported; ‘I came and looked round with my daughter in law twice. I was given brochures and we asked lots of questions’. All residents have their needs assessed by senior staff before moving in so that they can be assured that they will be met. There was good pre-admission information available about residents’ needs on the files we checked. One relative was pleased that someone from Carebase was able to assess her mother’s suitability for the home, even though her mother lived in Worthing. Bramley Court DS0000071225.V369368.R03.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): 7,8,9,10 Quality in this outcome area is adequate. Residents are treated respectfully by staff, however they are not involved in planning the care and support they receive from them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We checked the care plans for three residents. The quality of the information they contained was very variable. Daily notes were generally detailed and residents’ life and social histories were good. However, in two plans important information concerning residents’ dependency levels, nutrition and Waterlow Scores had not been completed at all. Two of the plans had not been reviewed since April 2008, so it was not clear how staff were identifying any changes in residents’ needs. Some information in the plans was not signed or dated so it was not possible to tell how up to date it was. Falls risk assessments had not been completed for these residents. Despite the home’s service user guide explicitly stating that residents and their families will be fully involved in planning and reviewing their care plans we saw no evidence of this, and staff showed genuine surprise when we suggested this to them. We sat and went through one resident’s care plans with him. Although the information it contained was pretty detailed about his needs, he told us he had never seen it Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 12 or been involved in updating his plan despite being someone who could actively contribute to it. We checked medication storage and a sample of medication administration records (MAR) sheets and observed a member of staff as she administered residents their medications. The following shortfalls were identified: • • • • • • The member of staff administering the medication had not yet completed her training in medication She signed the MAR sheets indicating that residents had received and taken their medication before she had actually given them their tablets The recording of ‘variable dose’ medication was erratic and it was not always possible to tell if a resident had received one or two tablets. There were gaps in the MAR sheets where staff had forgotten to sign, and therefore it was not possible to tell whether or not they had received their medication The member of staff was constantly interrupted whilst giving out medication. Staff’s ability to administer medication safely has not been assessed by the home, so there is no way of knowing whether or not they are competent to undertake such an important and potentially dangerous task. The medication cupboard was untidy and disorganised and we found a bottle of nail varnish remover stored inappropriately there. • Residents told us that staff treated them well and maintained their dignity. One commented: ‘I always get a bath when I want and staff help very well’. One relative was very pleased that staff put up a screen every time her mother was hoisted in the lounge. This is excellent practice. However this same relative told us that her mother was wearing someone else’s jumper that day. She knew it wasn’t her mother’s as her mother never wears jumpers (much preferring cardigans). She told us that all her mother’s cardigans had been lost since she was admitted to the home. Bramley Court DS0000071225.V369368.R03.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): 12,13,14,15 Quality in this outcome area is good. Residents have access to activities to keep them stimulated and their visitors are made welcome at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents told us there were regular activities including quizzes, scrabble, bingo and flower arranging. A hairdresser visit weekly as does a beautician and one resident reported that she really enjoyed having a manicure every week. The home’s activity co-ordinator has organised trips out recently including a ‘mystery tour’ to a lake. Families and visitors are made welcome. One told us ‘I am always welcomed and greeted as a friend. It’s excellent’. A resident commented ‘staff always come with tea and biscuits when my daughter visits. There was evidence that staff respected residents’ wishes: one resident told us he liked to sit in his pyjamas with a blanket through out the day and staff let him do this, despite really wanting him to dress. We observed lunchtime on the first floor. This was a very chaotic affair with only one member of staff struggling to serve all the residents and residents had to wait a long time for their food. No drinks were served with the meal and Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 14 there were no serviettes available for residents to wipe their hands and mouth on. The member of staff took a plate directly from the hot trolley and gave it to a very frail resident. The resident’s daughter had to intervene quickly to stop her mother burning herself as the plate was very hot. Many of the residents on this floor use wheelchairs and there was not enough room to fit everyone round the table comfortably. Residents were not able to easily reach their food from their wheelchairs. We also observed lunch on the ground floor: this was a much more orderly, organised and pleasant affair. Lunch on the day we visited consisted of soup, followed by a choice of vegetable lasagne or shepherd’s pie, and followed by artic roll or lemon cheesecake for dessert. The food was cooked and presented well and residents appeared to be enjoying it, one commented: ‘the food is fresh and cooked lovely’. However another resident told us the food was very good when she first moved into but had deteriorated considerably since then. Bramley Court DS0000071225.V369368.R03.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, 18 Quality in this outcome area is adequate. Residents have access to a complaints procedure, however their concerns are not always addressed or dealt with in a timely manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed around the home (in large print) so that residents can access it. Details of how to complain are also included in the home’s statement of purpose and service user guide that is given to all new residents. We have received two complaints about the home since it opened both of which we forwarded to the manager to respond to. To date we have only received a formal response to one of the complaints. One relative told us that her complaint about the failure of the home to return items left by her father was not responded to within the home’s timescales. There was no clear record of complaints or their investigation available when we requested from the temporary manager. There was some evidence that staff do not respond to residents’ and relatives’ concerns and requests. One relative told us she had requested a small table for her father to put his coffee cup on (and save him having to get up continuously to put his cup on a side board far away from him, or on the floor where he couldn’t reach it) three times since he had moved in and nothing had been about it. Another relative told us he returned his mother’s contract to the company with lots with lots of queries it several weeks ago but still had heard nothing back. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 16 The home has its own policy (August 2007) in regards to protecting vulnerable adults (POVA) which gives good information about the different types of abuse and its indicators, however it does not refer to local Cambridgeshire guidelines or give information about local reporting procedures or the different roles agency have to play in safeguarding vulnerable adults. None of the staff have received training from Cambridgeshire County Council in POVA. We have attended two strategy meetings in relation to how staff at the home dealt with the very challenging behaviour of one of its residents. Some areas of concern where highlighted as a result of these meetings. Bramley Court DS0000071225.V369368.R03.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): 19,21,23,26 Quality in this outcome area is good. Residents live in a well designed and comfortable home with access to a range of communal and outdoor facilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bramley Court is a purpose built home that can accommodate up to 67 older people. It has been designed and built as three separate, secure units over three floors. Each unit has its own dining room, kitchen facilities and large lounge with cinema facilities. Each unit is self-contained and provides single bedrooms with en-suite shower rooms (and flat screen TV), two separate bathrooms, one wet room, two toilets, a nurses’ station, lockable drugs storage cupboard, lockable sluice room, three large storage cupboards, lounge and two quiet sitting areas within the hall-way. The home is decorated to a good standard in pastel shades and furnished with matching, fire retardant furniture, furnishing and curtains. The home has signage in written and pictorial form to identify rooms and is designed and adapted with the needs of older people and those with dementia in mind. Residents and relatives spoke highly of the Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 18 environment and facilities. Comments included; ‘everywhere in the home is clean, bright and sunny’ and ‘my daughter chose this room because it overlooks the garden. I love it’. Well-designed garden areas with wide walkways and flowerbeds to provide safe access to fresh air and light for residents surround the home. However one resident told us ‘the garden needs weeding’, which indeed it did. The home was clean and free from unpleasant smells when we visited. Bramley Court DS0000071225.V369368.R03.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): 27,28,28,30 Quality in this outcome area is adequate. Residents do not always receive their care from staff who have been adequately trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We received concerns from some residents, staff and relatives about the level of staffing at the home. Comments included: ‘all the carers are very friendly and helpful, but staff shortages restrict what they can do for residents’; ‘in periods of quick resident intake there are some occasions when there aren’t quite enough staff’ and ‘the girls are overworked’. However other residents told us that there were staff around when they needed and one reported ‘they came very quickly when I had my fall’. The home has had some problems recruiting staff and has been relying on heavily on agency staff to cover vacant shifts. Training records that we viewed showed that staff had received a range of training including first aid, care planning, health and safety and bereavement. However only three staff hold an NVQ level 2 or above in care which is well below the recommended standard. Staff’s knowledge about dementia, its different types, symptoms, common therapies and person centred care was very basic. One member of staff told us she had received training in dementia care but could remember little about it. One relative told us ‘they need more experienced staff for dealing with dementia patients’. Without this knowledge it is unlikely that staff will be able to fully understand and meet the needs of residents who have dementia. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 20 We checked the personnel files of three recently recruited members of staff. Although CRB (criminal records bureau) checks had been obtained for these staff, two of them had started their employment with only one satisfactory reference having been received by the home. Bramley Court DS0000071225.V369368.R03.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): 31,33,36,38,Quality in this outcome area is adequate. The home is currently without stable management to ensure its effective running. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has recently resigned and two interim managers have been appointed temporarily to run the home. One of these managers described it like ‘fire fighting’, with much to do improve standards there. It was not clear how long these interim arrangements would be in place. Relatives expressed concerns to us that they had not been informed of any of these changes. Comprehensive policies and procedures, guidelines and instructions on all aspects of the nursing, care and service provided at the home are available to guide staff. The home also has a good audit system in place to check standards and this audit identified many areas in need of improvement. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 22 Supervision for staff is poor. One staff member told us she had never received formal supervision with her line manager, despite working at the home since March, and personnel files we viewed showed that some night staff had never received any supervision. We noted that a fire door leading to the dining room on the first floor was pinned back by a chair. This puts residents at unnecessary risk as the chair would prevent the door closing in the event of a fire. Night staff had not practised fire drills so that they would know what do in the event of a fire. Bramley Court DS0000071225.V369368.R03.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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 3 x 3 x 3 x x 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x N/A 2 x 2 Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Not applicable 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 OP7 Regulation 15 Requirement Residents must be fully involved in the planning and reviewing of their care, and information in the plans must be much more detailed to ensure residents’ needs are monitored. The recording and storage of medication must improve so that residents receive their medication safely and there is a clear record of what they have taken. Residents must wear their clothes at all times to ensure their dignity is maintained Concerns and complaints raised by residents and relatives must be recorded properly and fully investigated in a timely manner. The home’s staffing levels must be reviewed to ensure there are enough staff available to meet residents’ needs Staff must receive good quality training in dementia care so that they have the knowledge and skills to support residents. Two references must be obtained before someone begins DS0000071225.V369368.R03.S.doc Timescale for action 01/10/08 2 OP9 13(2) 01/10/08 3 4 OP10 OP16 12 (4)(a) 22 01/09/08 01/09/08 5 OP27 18(1)(a) 01/09/08 6 OP28 18 (1) 01/11/08 7 OP29 7,9,19 01/09/08 Bramley Court Version 5.2 Page 25 8 OP36 18(2) 9 10 OP38 OP38 23(4)(e) 23 (4) employment at the home to ensure that only the right people are recruited. Staff must receive supervision so 01/10/08 they can discuss their concerns and so that their working practices can be monitored and their training needs identified. Night staff must receive training 01/10/08 in fire drills so they know what to do in the event of a fire Fire doors must not be pinned 01/09/08 back, so that they are able to close freely in the event of a fire 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 OP18 Good Practice Recommendations The home’s POVA (protecting vulnerable adults policy) should include details of local reporting procedures and guidelines and also who to contact in the event of an incident. This information should be displayed around the home so that it is accessible to residents and relatives. Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Bramley Court DS0000071225.V369368.R03.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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