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Inspection on 03/08/06 for Braunstone Firlands Care Centre

Also see our care home review for Braunstone Firlands Care Centre for more information

This inspection was carried out on 3rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All residents, staff and visitors spoken with were happy and positive about the home, the staff and the care given. The home had a warm and welcoming atmosphere and the staff appeared to be committed to the delivery of care to the residents. The communal areas are well decorated and comfortable and residents were observed choosing how they wish to spend their day. Visitors are welcomed at any time and are treated as guests of the residents. Staff were found to be knowledgeable about the protection of the residents, their individual care and health needs.

What has improved since the last inspection?

Since the last inspection an Acting Manager, who is a trained nurse has been recruited to the home to manage the day-to-day running of the home. The reception area at the entrance of the home has been decorated and a water dispenser has been placed for residents during the warmer days.

What the care home could do better:

This was a positive inspection of the service. The Acting Manager demonstrated enthusiasm and commitment towards improving quality home and lifestyle to meet the resident`s needs. The specific serious issues brought to the attention of the Acting Manager were acted upon promptly to ensure the environment was made safe for the residents. The findings of the inspection visit were shared with the Acting Manager who acknowledged: the need to review and update the assessments and care plans to reflect residents` current needs for those who were case tracked; ensure staff wear protective clothing to avoid the risk of spread of infection and the ensure the residents financial records are in place and auditable. The Acting Manager accepted the findings and gave assurance to address the issues to benefit the residents` and provide a safe home environment and lifestyle to suit.

CARE HOMES FOR OLDER PEOPLE Braunstone Firlands Care Centre Gooding Avenue Braunstone Leicester Leicestershire LE3 1JS Lead Inspector Rajshree Mistry Unannounced Inspection 09:45 3 August 2006 rd 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 Braunstone Firlands Care Centre DS0000001893.V304833.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. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Braunstone Firlands Care Centre Address Gooding Avenue Braunstone Leicester Leicestershire LE3 1JS 0116 2558809 0116 2558809 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Vacant Care Home 24 Category(ies) of Dementia (14), Dementia - over 65 years of age registration, with number (24), Mental disorder, excluding learning of places disability or dementia (14), Mental Disorder, excluding learning disability or dementia - over 65 years of age (24) Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person under 55 years of age falling within categories MD or DE may be admitted into the Home. No person falling within category MD or DE may be admitted into the Home when there are 14 persons in total of these category/combined category acc. 31st August 2006 Date of last inspection Brief Description of the Service: Braunstone Firlands Care Centre is a care home providing nursing and personal care to up to twenty-four residents with mental health conditions including dementia. Braunstone Firlands had twenty single rooms and two shared rooms, without en-suite facilities. The home has a rear courtyard garden, which is accessible to residents. Braunstone Firlands is part of the Prime Life Group and is situated in Braunstone, Leicester. The entrance to the home is opposite Braunstone Park and has easy access to the City Centre. The home is easily accessible by private or public transport. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Communal areas are provided on both floors of the home. The home’s brochure provides information about the service to prospective and current residents and includes the terms and conditions of the contractual agreement. The fees range from a £270 to £543 and may vary in accordance with the assessment of care needs carried out. People that live at the home are responsible for any additional charges such as hairdressing personal toiletries, private chiropody and contribute towards trips. The CSCI published inspection report would be available at the home and referred to in the home’s brochure. The people who live there and their relatives would be informed through individually or through the planned meetings at the home. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that was concluded with an unannounced visit to the home. Prior to the visit to the home the Inspector spent a day reviewing the previous two inspection reports, information relating to the home received since the last inspection on the 31st August 2005 and the completed pre-inspection questionnaire. Any comments received from GP’s or other healthcare professionals were noted and included into the pre-planning work. The Commission for Social Care Inspection is inspecting Braunstone Firlands against the Care Standards Act 2000. The visit took place on 3rd August 2006 from 9.45am and lasted over 8 hours. During the course of the inspection the Inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the Inspector looked at the care provided to four residents living at the home by talking to the residents themselves; talking with staff supporting their care; checking records relating to their health and welfare; viewing their personal accommodation (with their consent) as well as communal living areas. The Inspector also checked other issues relating to the running of the home including health and safety and management and staffing. During the visit the Inspector spoke with and observed other residents in the home, a visiting relative and staff. The Inspector observed care practices when staff assisted residents and had the opportunity to speak with the lead nurse from the Primary Care Trust who was reviewing the nursing needs of a resident. The findings from the inspection concluded with a discussion with the Acting Manager. What the service does well: All residents, staff and visitors spoken with were happy and positive about the home, the staff and the care given. The home had a warm and welcoming atmosphere and the staff appeared to be committed to the delivery of care to the residents. The communal areas are well decorated and comfortable and residents were observed choosing how they wish to spend their day. Visitors are welcomed at any time and are treated as guests of the residents. Staff were found to be knowledgeable about the protection of the residents, their individual care and health needs. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome group is good. This judgement has been made using the available evidence including a visit to the site. Residents’ care and nursing needs are well assessed before they move into the home to ensure the needs can be met. EVIDENCE: The Inspector checked the records of the four residents tracked, including a new resident. The records showed that pre-assessment of their care needs had been carried out prior to the resident moving into the home. Additionally, social worker’s assessments and care plans were in on file for residents placed by the social worker. The assessment carried out looked at all aspects of the care and the nursing needs of the individual resident such as physical and mobility, mental health, diet and the ability to eat, continence care, medication, communication and any special needs to support the residents culture and choice of lifestyle. All residents have a contract and a statement of terms and conditions present in their administration files, held at the head office of Prime Life Group. The evidence showed that people admitted to the home were in accordance with Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 9 the home’s registration. During the inspection the Inspector observed a relative viewing the home on behalf of their relative. A visiting relative of a new resident tracked shared some of his views, which included; “came to have a look around the home and liked the idea of the shared room” and “was involved in the assessment process to make sure the care was right for...” Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents nursing and social care needs continue to be met although care plans could be more thorough and up to date. EVIDENCE: The care files viewed for the four residents tracked contained individual care plans, with risk assessments for a resident at risk from hypertension, falls and diet. The Inspector spoke to carers including a newly appointed bank carer about understanding the residents’ individual needs. The carers said they get to know residents by watching them, sharing information and reading the daily notes, as the care plans and risk assessments remain in the office. The carers were generally aware of the residents specific needs, which was demonstrated by the examples quoted to the Inspector such as; how they support a resident to become less agitated and techniques used to encourage a resident to maintain good personal hygiene. Carers spoken with indicated they are not involved in devising and updating care plans for residents that they key-work but share any important information about the residents’ need with the Acting Manager. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 11 From the discussion with some residents, staff, observations made and checking the daily records, there was some evidence of care needs being met, although care plans and assessments needed to be updated. Daily records made by the carers are brief and often make reference to “all care given”. A review of records indicated that care plans have been reviewed although there is little evidence to show that the residents’ have been involved in the process and their views and wishes acknowledged. This was shared with the Acting Manager who confirmed she was aware and is looking to develop the care plans to be more person centred. Records showed good evidence of the involvement of GP’s, district nurses, chiropodists, opticians and dentists. Comment cards were received from two GP surgeries, and the comments were positive. The responses indicated that the GP’s were able to see the residents in private, a senior member of staff was always available, and management made appropriate decisions and were satisfied with the overall care provided to the residents. The Inspector had the opportunity to speak with the lead nurse from the Primary Care Trust (PCT), who was carrying out a nursing assessment with a relative of a resident. The lead nurse confirmed that there has been some attempt to improve the care planning and recording although they need to be developed further and be more up to date and reflective of the residents nursing needs. The lead nurse did confirm that she had shared her findings with the Acting Manager and was confident that this would be addressed. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents experience a homely lifestyle, receiving visitors, enjoying some activities of interest and having a good balanced diet. EVIDENCE: Residents, including some of those case tracked, were observed relaxing in the lounge talking to each other and occasionally the carer, watching television and reading the newspaper. Residents told the Inspector they had enjoyed their trip out to Stoney Cove the previous week in the home’s mini-bus. Visitors are made very welcome at the home and residents were seen to go out with their family. Some residents’ care files contained the ‘resident profile’, which had information about the resident’s life, preference towards religion and spiritual needs, family, employment and interests, which is useful information as part of the reminiscing. There is a church adjacent to the home and some residents were seen to enjoy the singing that could be heard at the home. At present the activities are arranged on an ad-hoc basis, primarily relying on carers taking the initiative. One carer spoken with described how he enjoys talking to the residents and recently taken residents for a walk in the park across the Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 13 road from the home. The Acting Manager stated that there are plans to have movie night, bingo and reminiscing and holistic therapy. One resident’s family visiting told the Inspector that they had volunteered to sort out the garden to the rear of the home in readiness for the birthday celebration for a resident. The resident chose to sit out in the garden, watching the garden being done. The resident was seen being offered a choice of meals: lamb chops or sausage casserole with new potatoes and cabbage and a choice of deserts, which she enjoyed eating outside. The Inspector saw residents enjoying their lunchtime meals, being offered meals including soft diets for residents with special diets. The meals looked appetising and nutritious. The main meals are brought to the home, whilst breakfast, tea, snacks and drinks are prepared in the kitchen on the premises. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents are protected by robust and accessible complaints and by staff in the adult protection procedures. EVIDENCE: The complaints procedure is included in the home’s brochure and displayed at the entrance of the home. The complaints log was viewed, which detailed six complaints had been received from residents and/or their relatives. All were investigated and concluded satisfactorily for the residents. The Commission received no complaints about the home. One relative spoken with felt the concerns raised with the Acting Manager had been addressed promptly and he had been consulted to ensure the resident’s wishes had been respected. One resident was not happy with the tea, which was too milky and a carer replaced this promptly. The home’s policy for ‘whistle blowing’ is in place along with the safeguarding adults. Carers spoken with were aware of the policies, the procedures and fully understood their responsibility. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents’ benefit from generally having a clean, well maintained, safe accommodation, which individually and collectively meets the residents’ needs. EVIDENCE: Braunstone Firlands is generally well maintained home and suited to the needs of the residents. Upon entering the home it is noticeably bright with ample natural light. The reception area has a fresh look, with two comfortable armchairs and water dispenser to encourage residents to drink water especially during the warmer days. The residents tracked felt comfortable in the lounge, as it was close to their bedrooms and the toilet facility. The garden to the rear is accessible via some steps or around the side of the home for people using a wheelchair or walking aids. The garden is being designed by relatives of a resident to make it safe, colourful for all the residents to enjoy on the warmer days. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 16 The Inspector viewed two bedrooms including one shared bedroom. Both were comfortably furnished and personalised. Resident’s bedrooms are close to toilet and bathrooms facilities that are equipped with equipment such as hoist to safely mobilise residents who have a degree of physical disability and pressure cushions to prevent pressure sores. The Acting Manager told the Inspector that there are plans to improve the décor and aesthetics throughout the home and residents views would be considered. Cleaners were seen cleaning resident’s bedrooms and communal areas. The carers spoken with described the laundry routine for the residents. The laundry person described the laundry procedure followed for soiled clothes for residents with any type of communicable disease such as MRSA. Carers confirmed they have ample supply of protective clothing to manage control of infection. During the inspection of the home, staff were observed not always to be wearing the protective clothing such as gloves and aprons when they were handling food or assisting with personal care. This was additionally supported from discussion with a relative who expressed concerns about carers not consistently wearing protective gloves when doing personal care with the resident. This was shared with the Acting Manager who gave assurances that staff have received training in the risk of cross infection although would address this individually and collectively with all the staff. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site The recruitment, training and deployment of staff ensure the needs of the residents are met safely and on time. EVIDENCE: On the day of the inspection the staff rota reflected the staff on duty, which consisted of a trained nurse, four carers with the support of domestic staff. There is a trained nurse on duty at all times to ensure the needs are met for those residents in need of nursing care. Braunstone Firlands employs ten care staff of which five have completed the level 2 National Vocational Qualification in Care. Three staff records including a newly recruited bank carer were viewed, all were found to contain the evidence of the relevant documentation that reflects the procedure being followed and the protection of the residents. On the day of the inspection, some staff were receiving training in COSHHE, (handling of hazardous materials) and theory part of the moving and handling. The training records showed evidence of staff in receipt of training in moving and handling, NAPPI (Non-Abusive Psychological and Physical Intervention), principles in care and infection control. Two staff were interviewed, one carer confirmed that they were currently doing the induction training and shadowing an experienced carer, whilst the other carer indicated that the training was up to date. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site Residents, relatives and staff have the opportunity to participate and comment of the how the home operates and good health and safety records promote the residents’ general wellbeing and safety in the home environment. EVIDENCE: An Acting Manager has recently been recruited, who is now in post, overseeing the day-to-day management and care of the residents living in the home. The Acting Manager indicated that she intends to undergo the CSCI process to become registered. A deputy supports the Acting Manager and both are trained nurses. There are clear lines of responsibility and accountability. The Acting Manager has demonstrated that a positive approach to ensuring the residents needs are being met safely by the staff. A representative from the head office for Prime Life Group of Homes conducts a quality assurance survey across all the homes and services within the group. The Acting Manager told Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 19 the Inspector that she speaks with the residents and their visitors on a daily basis, which was confirmed by the two visiting relatives of the residents. The Acting Manager stated that there are plans to start residents and relatives meetings, which will begin with the birthday celebrations for a resident planned for later in August. Residents spoken with confirmed that have keys to their bedrooms and also a lockable cabinet to store valuables and money. The residents confirmed they manage their own financial affairs with the support of their family. Money brought by relatives for the residents, these are kept locked in the office on behalf of the residents for chiropody and personal toiletries. The Acting Manager told the Inspector this was overseen by the Deputy although records of financial reconciliation were not available to view. The Acting Manager stated she was not fully aware of how resident’s finances have been managed, although paperwork is available from the head office felt she needed to address this as a matter of concern. Records relating to health and safety procedures such as regular fire drills and fire alarm tests are completed and were up to date. The accident book viewed was consisted with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. Residents care files contained copies of the risk assessments carried out for mobility, use of hoist, dietary needs and measure to control the spread of infection. There was evidence to suggest that the risk assessments needed updating, which the Acting Manager was aware of. Residents spoken with indicated that they felt safe both in the home and with the carers, which was confirmed by the visiting relatives and the lead nurse from the PCT. The Inspector brought to the attention of the Acting Manager and the visiting Managing Director the way a bedroom door was propped open by a wardrobe and an electrical fan placed on top of the television, both serious issues. The Acting Manager promptly made addressed the immediate issue of propping the door open and gave assurances that suitable arrangements would be made to safely place the fan in the bedroom. Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 21 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 OP7 Good Practice Recommendations It is recommended resident’s assessments of needs and care plans are updated and detailed to reflect their current needs and demonstrated how the needs are met in the daily notes. It is recommended that staff wear protective clothing such as gloves and aprons when carrying out personal care tasks, to prevent the risk of the spread of infection. It is recommended that the financial reconciliation of the residents money held at the home is in place and auditable to demonstrate transactions taken place. 2. 3. OP26 OP35 Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Braunstone Firlands Care Centre DS0000001893.V304833.R01.S.doc Version 5.2 Page 23 - 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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