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Inspection on 14/11/06 for Brendon House

Also see our care home review for Brendon House for more information

This inspection was carried out on 14th November 2006.

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 but made no statutory requirements on the home.

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

Brendon House provides a comfortable, homely, and relaxed environment for both long term and short term care residents. Residents spoken with made positive comments about the home and the staff and said they were provided with good care, `the staff do a great job`; and they were happy with their bedrooms which had been personalised. Relatives are welcomed at the home and said that staff always communicate well with them. Staff and managers were seen to be supportive and approachable.

What has improved since the last inspection?

A registered manager has been appointed. It is understood that there are plans to replace the building in due course, although there is no timescale for this. In the meantime there is an on going programme of investment to improve the environment and decoration was taking place on the day of inspection. The outside of the building has already been repainted, and the main corridors and some bedrooms have also been redecorated. Decoration of the main lounge was taking place. One downstairs toilet has been refurbished. The splashback in the visitors kitchen has been replaced as required at the last inspection. Four staff have recently been appointed and should be available to start work in the near future.

What the care home could do better:

It is understood that the home will be developing a plan to carry out further improvements. Areas for improvement noted during the inspection were the internal repainting of some windows, refurbishment of bathrooms and upstairs toilets, replacement of some carpets, replacement of some furniture, the cleaning of lights, and the upgrading of the laundry. In addition, on the day of inspection, some areas of the home had various items stored in communal areas when there is adequate storage available in the home. Some care planning documentation for case tracked residents was not consistent or up to date. Some risk assessments, including for residents to administer their own medication, had not been done or were not up to date. Staff supervision is taking place, but not on a consistent basis. Not all staff training records were up to date. These matters were made subject to requirements and recommendations at this inspection. Records of staff files did not have copies of the appropriate documentation, although this has been a requirement at the last two inspections. The home had not carried out a quality assurance exercise during 2006. The development of a comprehensive development plan would help the newly registered manager and her team plan a co-ordinated and prioritised approach to the improvements necessary.

CARE HOMES FOR OLDER PEOPLE Brendon House Brendon Avenue Loundsley Green Chesterfield Derbyshire S40 4NJ Lead Inspector Denise Bate Unannounced Inspection 14th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brendon House DS0000035785.V319036.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. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brendon House Address Brendon Avenue Loundsley Green Chesterfield Derbyshire S40 4NJ 01246 347610 01246 347612 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) www.derbyshire.gov.uk Derbyshire County Council Amanda Plumtree Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: Brendon House is situated in the Loundsley Green area of Chesterfield, close to local shops and public transport. The home provides accommodation on two floors and personal care for up to 31 older people. There is an extensive garden, part of which has been fenced to provide a secure area for residents to use. Brendon House is owned by Derbyshire County Council and the authority has plans to provide a replacement building within the next two years. Residents and their families have been made aware of these plans. The authority has undertaken a programme of refurbishment that reflects the proposed lifetime of the building. Fees are £364 per week for permanent service users, but a range of prices for short term care service users. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over seven hours. During the inspection five residents, two relatives, and three staff members were spoken with. The manager and two deputy managers were present during the inspection and provided assistance and information. Written information was provided by the deputy manager prior to the day of inspection. Eight surveys were received prior to the inspection giving feedback on the services provided. An assessment was made of the progress by the registered persons to address the requirements made at previous inspections. A number of records were examined, including care planning documentation, staff files, and medication records. Five residents were case tracked. A tour of the building took place. The inspection included a thematic enquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of the residents. The registered person was informed and the agreement of residents was sought before asking a set of questions about the care they received. What the service does well: What has improved since the last inspection? A registered manager has been appointed. It is understood that there are plans to replace the building in due course, although there is no timescale for this. In the meantime there is an on going programme of investment to improve the environment and decoration was taking place on the day of inspection. The outside of the building has already been repainted, and the main corridors and some bedrooms have also been Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 6 redecorated. Decoration of the main lounge was taking place. One downstairs toilet has been refurbished. The splashback in the visitors kitchen has been replaced as required at the last inspection. Four staff have recently been appointed and should be available to start work in the near future. 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. The summary of this inspection report can be made available in other formats on request. Brendon House DS0000035785.V319036.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 Brendon House DS0000035785.V319036.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are provided with the information to make an informed choice about where to live, including a written contract/statement of terms and conditions. EVIDENCE: Five case tracked residents filled in a questionnaire with the inspector which included matters relating to the home’s statement of purpose/service user guide and contracts. Most residents spoken with could not remember whether they had seen the statement of purpose or service user guide, now were they aware of whether or not they had a formal contract. However, some people could remember having ‘leaflets’ about the home made available, and could Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 9 remember getting letters about their fees. Everyone spoken to felt they had sufficient information to make an informed choice about moving to the home. The home have copies of the statement of purpose in the foyer and a copy of the service user guide is placed in each resident’s bedroom. The home’s policy is to ensure that residents and relatives are informed of these documents, together with a residents’ rights document, at various stages, e.g. when they visit the home prior to placement, when they move in, and at reviews. The Statement of Purpose needs updating as a registered manager has now been appointed, and this is planned when the home receives it’s up to date registration document from the Commission. Residents have their initial financial assessment done by community care managers or social workers before moving in to the home. Residents spoken with were satisfied with the arrangements for the payment of fees. Copies of contracts were seen on residents’ care planning documentation and these referred to the Statement of Purpose, Service User Guide, and Rights in Residential Homes. Financial assessments are dealt with centrally by a Central Assessments Team and contracts clearly state that letters are sent to residents or their representatives when there are any changes in fees. All residents spoken to remembered being assisted by a social worker or care manager which they found very helpful. However, initial assessments were only found on the care planning documentation of two of the five case tracked residents. Several residents discussed their relationship with their key worker and all were very complimentary about the quality of care their receive. The home does not provide intermediate care. Brendon House DS0000035785.V319036.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans and risk assessments relating to personal and social care needs of residents are sometimes not completed in sufficient detail to direct and inform staff on how individual needs should be met. Residents are encouraged and supported to be independent and are treated with dignity and respect. This contributes to the enhancement of residents’ everyday lives. EVIDENCE: Residents and relatives felt that staff worked very hard to provide a good standard of care, ‘it’s very good here’, ‘staff are very polite’, ‘staff do what Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 11 they can’. Relatives said they were consulted over care provided to their relative and that ‘communication is very good’, ‘nothing is too much trouble’. Staff were observed interacting with residents in a friendly and helpful manner. Several residents said they had a good relationship with their key worker. Care planning documentation was seen for the five residents case tracked. Care planning files were not consistently organised and documents were not always filed in the correct sections. Personal service plans were brief, not up to date, and had not been signed by residents. Risk assessments were not always up to date, or had not been completed. Two files had copies of assessments prior to the resident moving in. There were daily logs and records of the visits of health professionals. Residents preferred name was not recorded. There was one record of preferred daily routine on file for one resident. It is understood that the manager will be undertaking an audit of care planning documentation in the near future. All residents spoken to said that they had access to a doctor when necessary, and relatives said they were always told of any changes in circumstances, e.g. health issues, relating to their resident. The home have a separate medication room and used a monitored dosage system. Several residents interviewed administered their own medication, which was kept in a locked drawer. They had signed to take responsibility for their medication. However, none had had a risk assessment carried out as required by the Royal Pharmaceutical Society and Derbyshire County County Guidance on the administration of medication in care homes. There was a record of staff signatures, but one set of initials did not correspond with the record. The visiting pharmacist had removed some medication from the home, but had not signed for it, and this was recognised as an administrative error but an outstanding requirement relating to signing for medication coming into and leaving the home remains. Eye drops had their date of opening recorded. The manager indicated that she would be reviewing matters relating to medication to ensure that the home’s practices are in line with up to date guidance. The inspector was informed that all staff administering medication had received appropriate training. Residents spoken to indicated that they were able to follow their own routines and that they were treated with dignity and respect. Staff were observed providing care in an appropriate and caring manner. Brendon House DS0000035785.V319036.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are provided that suit the expressed preferences of residents. Regular outside contacts are encouraged and supported. This assists in contributing to a pleasant atmosphere and the level of satisfaction for service users. Dietary needs of residents are catered for with a selection of food available that meets most residents’ tastes and choices. EVIDENCE: There is a designated member of staff who organises activities, and a craft morning was taking place on the day of inspection. A variety of activities take place in the home, including craft sessions, coffee mornings, some trips out, and bingo. The questionnaires returned by residents indicated that some residents would like to do more activities. This could be explored further by the Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 13 home’s participation in a quality assurance exercise and by discussion at the residents’ meeting. Relatives and visitors are made welcome at the home and also feel supported by the staff. Relatives appreciate the time taken to ensure they are kept up to date with any changes in circumstances of residents. Residents spoken to felt they were encouraged to remain as independent as possible by following their own routines and thus exercise control over their own lives. Examples of this were some residents who do some of their own washing, making their beds, controlling their own medication, and being helped and encouraged to keep up with interests and hobbies. There were a variety of responses to questions about the quality of food both on the day of inspection and in the returned questionnaires. Some residents felt the standard of catering was excellent, while other residents were not so enthusiastic. It was reported that there has been a change of supplier and that recently there have been problems with the timing and content of deliveries, which has meant that there have been some changes to menus. Again, this could be explored further by the home’s participation in a quality assurance exercise and by discussion at the residents’ meeting. Copies of the menus were supplied and indicate a traditional menu is followed. There is a display board which indicates the choice of food for the day, which is also displayed on individual tables. Brendon House DS0000035785.V319036.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place which promote the Safeguarding of Adults from abuse. Together with procedures to ensure complaints are acted on effectively and promptly. EVIDENCE: There is a corporate complaints procedure in place, although most relatives and residents prefer to raise issues on a more informal basis. The manager is viewed by residents and relatives as approachable and responsive. Some formal complaints have been recorded and investigated. One complaints was discussed in detail with the inspector and had been found to be partially upheld. It is the home’s policy to keep a record of minor complaints. Residents spoken to were not all aware of the formal complaints procedure, which is displayed in the foyer. Some relatives spoken to were aware of the formal procedure. All residents spoken to felt they had enough information to raise any concerns although one resident felt his concerns regarding catering had not been dealt with adequately, although action taken by staff was Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 15 explained to the inspector. The Commission has not received any complaints about the home. Derbyshire County Council has clear procedures for dealing with the safety of residents and safeguarding them from harm. Staff spoken to showed an awareness of safeguarding adults issues and would pass any concerns on to their line manager. Training in safeguarding adults has been provided for staff, although because the training records were not up to date it was not possible to verify that all staff had received this training. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. The home is generally adequately maintained and provides residents with a homely place to live. EVIDENCE: A tour of the building took place. The exterior of the home has been decorated. Further decoration has been carried out inside the building, and the corridors and some bedrooms have been painted. On the day of inspection the main lounge was being decorated. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 17 A downstairs toilet has been refurbished. The upstairs toilets and all bathrooms need upgrading. Some parts of the carpets in the downstairs corridor are worn. Some internal decoration of woodwork is flaking and worn, e.g. in the activity lounge. The lights in the corridors need cleaning. The handle on one upstairs toilet door was broken. There is a leak from the roof in one of the store rooms. The laundry is small and needs upgrading. Some furniture in lounges does not match. It is understood that a meeting will take place in the near future to plan and prioritise the upgrading of the building to ensure residents safety and comfort. The activities lounge and one of the bathrooms were untidy and had items stored inappropriately. Other areas of the home were clean. There was some disruption because of the redecoration, but staff were working to minimise the impact on residents. Three residents bedrooms were seen. All had been personalised and were comfortable. Residents spoken to were happy with their rooms, and several had brought their own furniture. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A competent workforce is in place which meet the dependency needs of residents currently accommodated within the home. However, deficiencies in training and supervision mean residents comfort and safety may be compromised. EVIDENCE: Residents and their relatives spoken with stated that there were adequate numbers of staff in order to meet their support needs, and stated that the staff were helpful and ‘did their best’. Staff feel that they are able to meet the needs of current residents. Managers told the inspector that some staff had been working very long shifts to cover vacancies. There had been difficulties in covering all the domestic hours, but these problems had now been resolved. Four new staff have been appointed and are expected to start within the next few weeks. Two staff files were looked at and neither had the full range of documentation necessary to ensure that evidence of a robust recruitment and selection Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 19 procedure is in force. Although it is understood that such documentation is available centrally, the home has not met the requirement made at the last inspection in relation to this matter. Managers and staff discussed their training opportunities and staff spoken to had had induction training and mandatory training. The training records of staff were seen and some were not up to date. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 20 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, 35, 36, 37, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is suitably experienced and qualified but has only just taken up post. Further work is necessary to put systems in place for staff supervision, accurate record keeping and quality assurance to demonstrate that the home is run in the best interests of residents. EVIDENCE: Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 21 The manager has the registered managers award and is suitably qualified, but has only taken up her post in the last few weeks. There are a number of deputies who take responsibility for particular aspects of the running of the home including medication, hotel services, and care plans. As the management team has been understaffed in recent months, there are several aspects of the management of the home, highlighted in this report, which need addressing. The manager and deputies indicated that they would be working together in the coming weeks to draw a plan of action together to address outstanding issues. Staff spoken with have undertaken some formal supervision but this has not taken place on a regular or consistent basis. Residents meetings are sometimes held. A quality assurance exercise took place in 2005, but one has not taken place for 2006, so the home has had no formal feedback from residents, relatives and staff on overall performance. Such feedback would enable to home to plan to meet any shortfalls identified. The home is visited regularly by a representative of the registered person and copies of regulation 26 visits were seen. The inspector was informed that at present residents’ personal finance records are kept through Derbyshire County Council’s electronic scheme which appears to work satisfactorily. There is a communication book which assists at staff handovers. As already indicated, some aspects of record keeping need to be improved, e.g. care planning documentation, staff files, staff training and supervision records. Information provided by the deputy manager prior to inspection, and on the day of inspection, indicated that matters relating to regular maintenance of equipment were satisfactory. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 X X x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 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 2 X 2 X 3 X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 2 3 Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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 OP9 Regulation 13(2) Requirement All medication received into and leaving the home must be recorded. Original timescale 30/11/05 Care planning documentation must be reviewed to ensure that there is evidence of up to date personal service plans which have been discussed with residents; that care plans are consistently reviewed on a regular basis, that all relevant risk assessments are completed fully, and that files are organised efficiently to allow ease of access to information. Risk assessments must be carried out for all residents who self medicate to comply with advice issued by the Royal Pharmaceutical Society and Derbyshire County County Guidance on the administration of medication in care homes. The staff signature sheet must be updated to ensure that all initials on MARS sheets are DS0000035785.V319036.R01.S.doc Timescale for action 30/12/06 2 OP7 15 30/05/07 3 OP9 13 (4) (b) 30/12/06 4 OP9 13 (2) 30/12/06 Brendon House Version 5.2 Page 24 5 OP29 19(1)(b) clearly identified. Staff records must contain all the 30/12/06 information required in Schedule 2 (Care Homes Regulations 2001) Original timescale 31/01/06 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 2 3 4 5 6 7 8 9 10 11 12 13 Refer to Standard OP15 OP20 OP20 OP20 OP20 OP21 OP21 OP30 OP30 OP33 OP33 OP33 OP36 Good Practice Recommendations Deliveries of food supplies to the home should be reliable, regular, and take account of the published menu and residents’ expressed preferences. The lights in the corridors should be cleaned. Internal painting of some woodwork on window sills should take place. New furniture should be obtained to provide matching sets in the various lounge areas. All areas of the home should be kept tidy to ensure residents’ comfort and safety. The laundry should be upgraded. Toilets and bathrooms on the first floor should be upgraded. Records of staff training should be updated The manager should attend training on issues relating to dementia. An internal quality assurance exercise should be carried out. Residents meetings should take place on a regular basis, and minutes should be clearly recorded and available to residents. A development plan should be produced to prioritise improvements within the home, including work planned to improve the building and surrounding environment. A programme of formal staff supervision should be implemented to ensure that routine supervision takes place within recommended timescales. Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Brendon House DS0000035785.V319036.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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