Inspection on 11/11/05 for Brandley Residential Home (Sunflower House)

This inspection was carried out on 11th November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brandley Residential Home... 09/05/06

Brandley Residential Home... 01/06/05

Brandley Residential Home... 06/10/04

Brandley Residential Home... 03/06/04

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

CARE HOME ADULTS 18-65 Brandley Residential Home (Sunflower House) Sunflower House 102 Durham Road Manor Park London E12 5AX Lead Inspector Anne Chamberlain Unannounced Inspection 11th November 2005 10:00 Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 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 Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 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 Adults 18-65. 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. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brandley Residential Home (Sunflower House) Address Sunflower House 102 Durham Road Manor Park London E12 5AX 020 8478 6233 020 8478 6367 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) Mr Andrew Garner Ms Beverley Beaupierre Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Can include one named service user with MH needs. To allow the home to provide continuous care for a named service user, who is now over the age of 65 years. 1st June 2005 Date of last inspection Brief Description of the Service: Sunflower house is run by Brandley Residential Homes. It is a four bedroomed property in a residential road in the borough of Newham. The home is registered for three adults between the ages of 18 and 65. However variations have been obtained for service users who are now over 65 years. Service users have learning disability and related mental health issues. The home aims to offer quality care services in a well-kept homely, non institutionalised establishment. The ground floor has a good sized kitchen diner, reception room, toilet and shower room and laundry room. The office is located downstairs. There is also a small courtyard garden and a small garden beyond the laundry room. There are currently three service uers living at Sunflower house and they are supported by a total of six staff including the manager. There is a sleep in member of staff. Service users have access to day services and they are enabled to participate in community leisure activities. Service uers are supported and encouraged to be as independent as possible. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and lasted five and a half hours. The inspector interviewed the manager and deputy manager and spoke with two service users. She saw part of home including two bedrooms. The inspector viewed documentation and there was brief checking of some service users files. Personnel files were not available. The manager was given opportunity to collect them from her head office but declined. The inspector would like to thank the service users, manager and deputy manager for their co-operation and assistance with the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the home has achieved two important tasks for the benefit of service users. They have located and contacted the next of kin of one service user. For another service user they have worked with others to change inappropriate appointee arrangements and have made proper arrangements for the finances of the service user. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 6 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. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 5. The home has produced information to help prospective service users make a decision about whether they would like to live there. The manager is clear about what can be offered to service users and prospective service users could be confident that their needs would be met if a placement were offered. Service users have individual contracts. EVIDENCE: The previous inspection resulted in a restated requirement that the manager ensure that the statement of purpose includes the information of her qualification. The manager said that this had been done but she did not have a copy of the updated statement of purpose available to show the inspector, and the requirement will therefore be restated. The manager must ensure that the statement of purpose includes the information of her qualifications. This is a restated requirement. The manager stated that the home is small and intimate and she hopes to preempt inappropriate placement by thorough assessment. The manager said she felt she is clear about the limitations of the home. She feels they could accommodate service users with sensory impairments but not significant physical impairment. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 9 The manager was able to demonstrate that the home is able to meet a range of needs, including some challenging behaviours. She feels staff work through issues with service users. Appropriate referrals are made to specialist professionals like speech therapist and psychologist. The home is working with the day centre to secure increased staffing there for one service user. One service user likes to use a computer and she is being supported to purchase one for herself. The staff group is racially diverse and includes a male worker, which is appropriate with a male service user in the home. Cultural and dietary needs are met. One service user was on low cholesterol diet for a time. That is now finished but staff feel this service user would benefit from losing a little weight and they are planning to suggest some dietary changes after Christmas and even joining a slimming club. The manager stated that service users have a contract signed and dated by both parties. This was evidenced on file. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10. Service users are supported to take decisions about their lives. Service users are consulted about the running of the home but documentary evidence of this is not available. Confidentiality is respected in the home and information is handled appropriately. EVIDENCE: The inspector was told that service users had enjoyed a recent holiday together in Clacton. Two of the service users are now saying they would like to go to Spain. If a service user is able to finance such a trip, even taking into account contributing appropriately to staffing costs, then the manager should try to provide the opportunity. Where possible the manager should support and enable the service users in their choice of holidays. This is a recommendation. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 11 The manager and inspector discussed how service users participate in aspects of life in the home. The last record for a residents meeting was dated April 2005. The manager stated that the next meeting is due on 18th December 2005. The manager explained that the home does not find residents meetings helpful for gathering their views. One service user has a short attention span. She said that rather than formal meetings staff meet with service users over tea and cakes and that the views expressed at these meetings are relayed verbally at staff handovers. Consultation with service users is verbal and their views are communicated verbally between the staff. The manager said that in addition to this the two houses (in the Brandley group) meet up. The inspector chatted with two service users. One said I like it here and that the home was very nice. The other service user said that it was O.K. here The inspector feels fairly confident that service users views are taken into account in the running of the home but was shown no documentary evidence to support this. The manager must ensure that in whatever way the views of service users are collected regarding the running of the home, they are recorded and there is some documentary evidence available for inspection purposes. This is a requirement. The home has a confidentiality policy which is based on the Caldecott principles. The manager stated that staff induction includes confidentiality. She felt that the Freedom of Information Act 2000 was not an issue to the service as staff are already conscious of good practice when recording. The manager stated that staff are encouraged to read policies and procedures. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 and 15. Service users have opportunities for personal development and this is actively supported by the home. Appropriate family relationships are supported. EVIDENCE: The manager stated that everything we do is geared to encouraging independence and choice in service users. She said that two of the service users had few opportunities for practicing daily living skills before coming to the home. One is now making tea every day (the inspector heard her doing this with the deputy manager in the kitchen). The service user used to find this challenging but is now enjoying it. Another service user has improved very much in her personal appearance (the inspector also observed this) and has a better appetite and is more comfortable with new people than previously. This service user reacted negatively to people of colour but is now more comfortable with the diversity in the staff group. Two service users are talking in longer sentences. In conversation a service user told the inspector that there was not much to do here, just sit down and that the service user goes out now and again but does not want to go out more and prefers to stay in. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 13 The other service user said that she goes out shopping in the the care and helps put the shopping away at home. The last inspection resulted in a recommendation that efforts were made to trace a next of kin for a service user who had lost touch with family. This has been successfully undertaken and a name and address of a sibling was located in October. The sibling when located said that she had been trying to find the service user as her signature is needed for family business, no other contact is desired by the sibling. The home are concerned that the service user is vulnerable and should not asked to sign paperwork without understanding it. The deputy manager has noted the contact made in the log book for the service user, and stated that she has verbally alerted staff that the service user could receive an unexpected visit when she might need them to stay with her. Unfortunately none of this, not even the siblings name and address has yet been recorded on the service users file, and the care plan has not been amended. A requirement has therefore been made regarding this under standard 41. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Service users are supported in ways which suit them individually but care plans do not fully reflect this. EVIDENCE: The previous inspection report commented that service users receive support in a flexible way which meets their needs, but that this seemed to depend on staff knowledge and was not recorded on file. It was recommended that the overall care plans be supplemented with more detailed plans. The manager was working on some new forms. The manager has undertaken a person centred planning course and the deputy has started it. They are both undertaking the registered managers award. The manager stated that three care plans will have been completed by December for the service users, reflecting the increased skills in care planning which the managers now have. The inspector felt that the improvement in care plans has been quite delayed and hopes to see improved care plans at the next inspection. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Service users are protected from abuse, neglect and harm. Staff however need a simple adult protection procedure to follow. EVIDENCE: The previous inspection resulted in a requirement regarding appropriate appointee arrangements. The inspector was pleased to hear that the home has successfully undertaken this piece of work with a service user, his social worker and family. This was evidenced in documentation and the inspector was satisfied that the issue is resolved and the requirement has been met. The inspector viewed the adult protection policy which was dated and appeared comprehensive. The inspector asked to view the procedure used by staff and was given the POVA practical guide. This is a book and gives detailed guidance. The inspector and manager agreed that staff need a simple step by step guide to follow in the event of an adult protection incident. The manager must develop a simple step by step procedure for staff to follow. She must familiarise staff with this and make it available to them. This is a requirement. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 28 and 29. Service users bedrooms suit their needs and lifestyles but a recommendation has been made about the beds. Shared spaces provide comfortable space in addition to service users individual rooms. Service users needs and the maximisation of their independence are taken into account when any domestic equipment is purchased, so that they may use it safely. EVIDENCE: In conversation one service user had said that she does not sleep well but that this had been the case before she came to the home. The other service user interviewed said that she found her room comfortable and she slept alright. As part of the inspection the inspector viewed two bedrooms. Both had pine frame beds which the inspector felt were, small and low with rather thin mattresses. The inspector wondered if the service users would be more comfortable on divan beds with deeper mattresses. She was told that both service users had been asked if they wanted to replace their beds with better beds purchased by themselves. Both had declined. The inspector felt that the provision of comfortable beds is the responsibility of the home and all the service users should be asked if they would like the home to purchase better beds for them. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 17 The manager should ask the service users if they would like the home to purchase better beds for them. This is a recommendation. The deputy manager stated that the smoking policy is now fully implemented and adhered to. Staff will only smoke in the back garden (beyond the laundry room). The service user who is a smoker (and who has an obsession with cigarettes) smokes is the laundry room with the door open to the garden. The deputy manager stated that the day centre and the home are working together to support this service user with a programme to manage his smoking. The home is not adapted in any way and no specialist equipment is needed or provided at present. However the manager stated that service user needs are always borne in mind when domestic equipment is purchased, for example a new kettle. Equipment is as safe and service user friendly as possible. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36. Staff are well supported in this very small home but this was not evidenced in documentation and a requirement has been restated. EVIDENCE: The last inspection resulted in a requirement that annual appraisal be implemented, training profiles be created for staff, staff absences and leave be recorded, notes taken at supervision and relevant documents, like signed code of conduct be added to the files of staff who entered the service before this was routine recruitment procedure. The manager stated that the staff personnel records were at the companys headquarters. This is local and the inspector suggested the manager go and collect them. The manager preferred not to do this. She said that signed code of conduct documents had been added to files and were now on all files. She said she plans to add a page to the supervision note to record staff sickness and annual leave and timekekeping. Four supervision sessions have been planned for this month and four for December. She said that supervision notes are still held separate to the files. There have not been any staff appraisals since the last inspection and trainng profiles for staff are not done although pro forma documents have been collected to assist in the production of a profile and the inspector viewed one of these. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 19 In the absence of documentary evidence to meet the requirement it is restated. In order to improve the management of staff the manager must do the following: Implement annual appraisal Create training profiles for staff Record staff absences and leave Supervision notes Add code of conduct and any other relevant documents This is a restated requirement. ) ) ) all to be placed on individual personnel ) files ) Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39, 40 , 41 and 43. Service users benefit from a basically well run home. The ethos of the home is excellent and there is strong leadership. The management approach is linked to difficulties in evidencing the good work the home is doing. Quality assurance systems are informal and underdeveloped. The policies and procedures of the home safeguard the best interests of service users. Record keeping is not a particular strength in this home and two requirements have been made. The management of the service is generally adequate but a requirement has been made regarding insurance. EVIDENCE: The registered manager has relevant qualifications and experience to run the home. She is building upon her existing expertise by undertaking the registered managers award. The manager stated that she feels it hard to evidence compliance with standards whilst running a small intimate home. She further stated that Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 21 service users have a hand in everything and are encouraged to make choices and challenge things. The home had run out of coffee on the day of the inspection. The deputy manager explained that no-one in the house drinks coffee. The inspector felt that coffee is a basic commodity which visitors might request (the inspector did) and which should be available. The manager must ensure that the home does not run out of basic commodities. This is a requirement. The manager and deputy manager are both undertaking the registered managers award. They acknowledged that this has been their priority and has taken a great deal of their time. They further explained that because some of the coursework has been done around service users, for example the care planning module, there will be a direct benefit to individuals. The inspector felt that it had been difficult for the managers to put boundaries around their studies and that these had encroached on the time they spend managing the home. The inspector felt this was directly linked to the number of restated requirements. Notwithstanding the above the home has an ethos of empowerment and independence and the manager stated that this is their care philosophy. The inspector found this reflected in the statement of purpose where the core values of the home are outlined. . The manager stated that the registered managers award study has assisted her to differentiate between aims and objectives and she is sharing this better understanding with the staff. The manager said they are also working on a mission statement The deputy manager explained how she had acted as an advocate for a service user when she was treated disrespectfully and disempowered in an opticians shop. The inspector felt that this was a good example of the home putting their views into practice with the service user in the community. The last inspection resulted in a requirement to expand quality assurance. The manager and deputy manager advised that they are now undertaking spot checks of the home. The inspector saw a check list of tasks, but it had not been ticked or marked in any way. The managers advised that there is no spot checking record (although they are working on one), they simply take notes and send a memo to the staff advising what is needed. The inspector viewed such a memo but it was not possible to evidence that it was related to any spot check. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 22 The inspector was not able to evidence any other formal quality assurance in the shape of surveys from service users or relatives, although the manager stated that she has collected pro-formas to help them produce their own survey and she is working on a system. A listening book has been introduced to the front hall but had no entries. The manager must expand and implement the quality assurance system, actively seeking feedback from service users and the views of relatives, visitors and stakeholders. This is a restated requirement. The home has an indexed manual of policies. The inspector noted that many policies listed in appendix 2 of the standard were included. The inspector was told that the two staff currently undertaking NVQS are directed to look up policies and thus become more familiar with them. The manager advised that she uses staff meetings to run policy quizzes to stimulate staff interest. The inspector viewed two files and an individual log book for a service user. The log books record all day to day activity and appeared well kept up. It is essential however that information from the log book is used to update the service users file appropriately for example amendments to care plans and risk assessments. As previously stated the care plan of a service user had not been updated following the location of her sibling and the identification of a risk of her. The manager must ensure that care plans are updated regularly, and promptly following any significant change. This is a requirement. The manager must ensure that risk assessments are put in place promptly for identified risks. This is a requirement. The insurance certificate for the home had run out 11 days previously. The manager stated that the insurance had been renewed and understood that the certificate should be displayed. The manager must ensure that a current certificate of insurance is displayed in the home. This is a requirement. Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x 3 x 3 Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 2 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x 3 3 x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 2 x 2 Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 24 Yes 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 Regulation YA4 Requirement The manager must ensure that the statement of purpose includes the information of her qualifications (previous timescale of 10/9/04 and 01/08/05 not met). The manager must ensure that in whatever way the views of service users are collected regarding the running of the home, they are recorded and there is some documentary evidence available for inspection purposes. The manager must develop a simple step by step procedure for staff to follow. She must familiarise staff with this and make it available to them. In order to improve the management of staff the manager should undertake the actions detailed in the main body of the report (previous timescale 01/09/05). The manager must ensure that the home does not run out of DS0000022856.V266674.R01.S.doc Timescale for action 01/12/05 2 8 YA12 01/01/06 3. 23 YA13 01/02/06 4. 36 YA18 01/12/05 5. 37 YA16 01/12/05 Brandley Residential Home (Sunflower House) Version 5.0 Page 25 basic commodities. 6. 39 YA24 The manager must expand and implement the quality assurance system as detailed in the main body of the report (previous timescale of 01/09/05 not met). The manager must ensure that care plans are updated regularly, and promptly following any significant change. The manager must ensure that risk assessments are put in place promptly following any significant change. The manager must ensure that a current certificate of insurance is displayed in the home. 01/01/06 7. 41 YA17 01/01/06 8. 41 YA13 01/01/06 9. 43 YA12 01/12/06 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 YA7 Good Practice Recommendations Where possible the manager should support and enable the service users in their choice of holidays. The manager should ask the service users if they would like the home to purchase better beds for them. 2. YA25 Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Brandley Residential Home (Sunflower House) DS0000022856.V266674.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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