Inspection on 17/01/07 for Brewster House

This inspection was carried out on 17th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brewster House 05/11/08

Brewster House 27/02/06

Brewster House 21/11/05

Brewster House 04/03/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Brewster House Oak Road Heybridge Maldon Essex CM9 4AX Lead Inspector Jane Offord Key Unannounced Inspection 09:30 17th January 2007 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 Brewster House DS0000017780.V324496.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. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brewster House Address Oak Road Heybridge Maldon Essex CM9 4AX 01621 853960 01621 857847 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) runwoodhomes.co.uk Runwood Homes Plc Ms Allison Squires Care Home 64 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (64) of places Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 64 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 25 persons) The total number of service users accommodated in the home must not exceed 64 persons The registered person must not admit persons subject to the Mental Health Act 1983 or the Patients in the Community (Amendment) Act 1995 27th February 2006 Date of last inspection Brief Description of the Service: Brewster House is a large purpose built unit in the village of Heybridge near the town of Maldon in the county of Essex. The home accommodates 64 service users who are over the age of 65 years. All of the accommodation provided is on a single room basis spread over two floors with the exception of one shared or ‘premium’ room. A large majority of the rooms have en-suite facilities. There are five communal lounges throughout the home including a pleasant conservatory off the main dining room. Small seating areas can be found around the home for private and quiet visits. There is a choice of seven bathrooms and a shower room. The bathrooms are equipped with a variety of assisted baths and hoists. Outside the home there is a central courtyard and gardens. There is a car park to the front of the property with ample spaces. The home is situated near shops and is on a public transport route to Maldon, Witham and Colchester. Fees for the home range between £367.15 and £700.00 weekly. They do not include the purchase of newspapers, toiletries, hairdressing and chiropody service or the purchase of Sky television, which is left to the personal choice of any resident to install if they wish. Brewster House DS0000017780.V324496.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 unannounced inspection looking at the core standards for care of older people. It took place on a weekday between 9.30 and 16.00. This report has been compiled using information available and evidence found during the inspection. The registered manager was present on the day and assisted with the inspection process. Four residents’ files, care plans and daily records were seen as were four new staff files and training records. The complaints and compliments log, the policy folder, the duty rotas and a number of other documents and certificates were all inspected. A tour of the home was undertaken with a member of staff but all areas of the home were revisited again during the day. A number of staff, residents and a visiting community nurse were spoken with. Part of a medication administration round was observed and the medication administration records (MAR sheets) and the controlled drugs (CD) register were looked at. The atmosphere in the home was welcoming and friendly. Residents were being supported to move around the home or have their meals or spend time with visitors and friends. Residents were making use of all areas of the home and appeared comfortable and relaxed. Interactions between staff and residents were appropriate and professional. The lunchtime meal looked appetising and residents spoken with said they had enjoyed it. What the service does well: What has improved since the last inspection? Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 6 The home has employed an activities co-ordinator who has worked hard to establish a regular programme of meaningful activities for residents. The staff have received up to date training in protection of vulnerable adults (POVA) procedures and there was evidence that future sessions are planned to maintain knowledge. 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. Brewster House DS0000017780.V324496.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 Brewster House DS0000017780.V324496.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): 3, 6. Quality in this outcome area is good. People who use this service can expect to have their needs assessed and an assurance that they can be met by the service prior to moving into the home. The service does not offer intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four new residents’ files were seen and each one had evidence that the resident had been assessed by a senior member of staff prior to being offered a place in the home. The assessments covered personal details, next of kin, religion, allergies, care needs, social needs and any aids required to maintain independence. The statement of purpose offered a pre-admission assessment and a one-month trial to allow the resident to see if the service met their expectations. There was evidence in the files that reviews had taken place with the resident, their representative and health professionals involved. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 9 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 good. People who use this service can expect to have their health needs met and a care plan to assist staff meeting all their care needs. They can expect that medication administration practice is safe and will protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents’ care plans were seen and they each contained individual interventions to help the staff meet the resident’s needs. Areas that were covered included orientation, mobility, night needs, meals and nutrition, personal hygiene, continence and social interests. There were risk assessments for moving and handling, managing falls, nutrition and pressure areas. If the scores for the assessments indicated that the resident was at risk an appropriate care plan intervention was generated. There was evidence that all the care plans were reviewed with the resident and their representative every three months. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 10 Interventions were personal for the resident. One resident who had had a stroke had a care plan specifically for making transfers from chairs or bed safely. Another had reminders in the personal care plan that, ‘XXXX likes to wear warm clothes’, and ‘would like the hairdresser to do their hair on a regular basis’. The charts for recording food and fluid intake were very well completed and showed evidence that residents were offered drinks frequently and any refusal was recorded. The residents’ files contained details of health professionals involved in their care including the GP, physiotherapist, community nurse and any hospital consultant they were seeing. A community nurse who was visiting on the day of inspection was spoken with and said they felt the staff were alert to health care needs of residents and made appropriate referrals for assessment to the health professionals needed. The nurses worked with the care staff to manage pressure area care and the community nurses would supply specialised equipment if the assessment indicated that was what was required for any resident. Although the care plans covered areas of social need and a resident’s memory, orientation and interests these were not reflected in the daily records. The daily records were brief and mainly confined to physical care. It was difficult to know from the daily records whether the resident had had a happy day, enjoyed any activities or had any concerns about their care. The medication policy and procedures were seen and offered comprehensive guidance on ordering, storing, administering and disposing of medicines. It included advice about covert administration of medication and had an assessment procedure for residents who wished to self-medicate. Part of a medication administration round was followed and the medication administration records (MAR sheets) were inspected. The home uses a monitored dose system (MDS) in which medication is dispensed into blister packs by a local pharmacy for individual residents. All the MAR sheets had an identification photograph of the resident attached to them. The signature boxes were correctly completed with codes used to explain why a medication had not been given if that occurred. Records were made of reasons for ‘as required’ (PRN) medication being taken. Residents were offered painkillers and helped sensitively to take tablets and liquids. The carer giving out the medication was able to explain the training they had received for the task and was clear about the procedure to follow in the event of a medication error being made. The controlled drug (CD) register was seen and the CDs checked tallied with the records. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. People who use this service can expect to be encouraged to maintain contact with family and friends, to be offered meaningful activities and have a healthy, appetising diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ files that were seen contained contact details of the next of kin and details of emergency contacts too. There was a family tree showing relationships to the resident and the life history of the resident including their interests and hobbies. The final wishes of the resident were recorded with the exception of one file. There it was recorded, ‘XXXX does not want to discuss final wishes at the time of this assessment’. A number of visitors were seen coming and going during the day. Staff made them welcome and helped residents meet them in private if that was what they wanted. Visitors spoken with said staff were always welcoming and polite and kept them informed about their relative. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 12 The home employs an activities co-ordinator who has built up a personal file of interests for each resident. They keep records of activities undertaken with individual residents and make a point of visiting residents who prefer to remain in their own rooms. Activities offered include quiz games, skittles, card games, music and sing songs, dominoes, reading magazines with residents and spending time in the garden in good weather. The activities co-ordinator was concerned that the compact disc player in the conservatory that was used for sing-along was not functioning and they had to borrow from another lounge if they wanted to organise some music. One resident had a background in farming and the activities co-ordinator ensures they receive a copy of ‘Farmers’ Weekly’ regularly. Other activities in the home include a book club, visits from ‘pat dogs’, weekly visits from church representatives and nail painting and therapeutic hand massage. Local shops are within walking distance from the home and there is a bus or taxi service available for longer distances. Entertainers are booked regularly and the home arranges outings to the seaside and other places of interest during the year. The menus were seen and showed that a cooked breakfast, such as, poached egg on toast or sausages and tomatoes, was available every day and there were two choices of main meal and two of dessert at lunchtime each day, for example, Irish stew or pasta, roast chicken or savoury mince, apricot cobbler or semolina. There was a full roast dinner each Sunday. The menus are planned by Runwood PLC and used by all the homes they own. These are new menus and some residents and staff said they were not so varied or interesting as the previous menus. The kitchen was visited and the cook was spoken with. They explained they had some special diets to cater for such as diabetic or gluten free but were able to obtain any special ingredients they required for them. Dry goods were delivered weekly and fresh fruit and vegetables from local suppliers were delivered daily. The lunchtime meal was seen served and looked hot and appetising. Residents spoken with later said they had enjoyed their meal. All the storage of food was tidy and refrigerators and freezers were well stocked. One freezer was malfunctioning on the day and the maintenance person had contacted the manufacturers as it was still under guarantee. The cook was keeping a check on the contents but they remained frozen in spite of the fault. Records of the temperatures of all other refrigerators and freezers showed they were functioning within safe limits for food storage. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 13 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. People who use this service can expect to have any concerns taken seriously and to be protected from abuse by staff training and knowledge. This judgement has been made using available evidence including a visit to this service. EVIDENCE: CSCI has not received a complaint about this service since the last inspection. The complaints and compliments folder was seen and showed there had been four complaints in the last year and a large number of complimentary letters and cards. The complaints were about poor television reception in parts of the home, an agency worker who had made a resident feel afraid, one resident who shouted a lot due to their medical condition and some money that had gone missing from a resident’s room. There was documentary evidence that all the complaints had been properly investigated and the complainants responded to, with the outcome of the investigation and action to be taken, within the time limit set in the complaints policy. The compliments file contained a letter from a relative that said, ‘to all staff at Brewster House, thank you for all your hard work throughout the year’. Another from a resident after a respite visit said, ‘grateful thanks for making my stay here so comfortable. I feel greatly cared for and cannot thank everyone enough’. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 14 The protection of vulnerable adults (POVA) policy was seen and contained guidance given by the Essex POVA committee. The policy folder also had a whistle blowing policy to protect staff who exercised their duty of care. Staff spoken with were clear about their responsibilities towards protecting residents and said they had had recent POVA training. The training schedule showed further POVA training was planned in the coming year. Brewster House DS0000017780.V324496.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is excellent. People who use this service can expect to live in an attractive, well-maintained home that is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of inspection the weather was very wet and cold but the home felt warm and welcoming. Everywhere was clean and tidy and there were no unpleasant odours. A tour of the home was undertaken with a member of staff but all parts of the home were revisited later in the day. Residents were using all areas of the building and appeared relaxed and looked comfortable. Staff encouraged residents to choose which area they wished to spend time in and a number of residents were using a seating area in the entrance hall to have a tea party in the afternoon. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 16 Furnishings and décor throughout the home were bright and attractive. Two corridors upstairs had recently had wallpaper removed and been repainted. The manager said that wallpaper throughout the home is gradually being replaced with paint, which is easier to maintain. As residents’ rooms fall empty the decorators will move in before the next resident arrives. The central courtyard looked drab in the January rain but residents and staff said it was used a great deal in the better weather. Fund raising had meant the home had been able to purchase a selection of outdoor furniture and umbrellas for the residents to use. The laundry was visited and the laundry worker explained how laundry was managed. The machines that had automated product feed also had sluicing programmes for soiled linen. Soiled linen was brought to the laundry in red alginate bags that were placed directly in the machines to prevent cross infection risks. Carers spoken with were able to explain the practice to prevent cross infection and the use of protective clothing and hand washing as measures in the policy. Brewster House DS0000017780.V324496.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. People who use this service can expect to be supported by adequate numbers of correctly recruited, well-trained staff but cannot be assured that all staff files contain a recent photograph as required by regulation. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of four newly recruited staff were seen and contained documentary evidence, such as passports or birth certificates, that the person’s identity had been verified. POVA 1st checks and criminal record bureau (CRB) checks had been undertaken and each file had two references for the person. There was a full work history, interview questions and responses and for overseas staff evidence of police checks done in the country of origin. Not all the files seen contained a recent photograph of the member of staff. Initial induction over the first month of work covered fire awareness, personal care, moving and handling, infection control, control of substances hazardous to health (COSHH) regulations, communication, food hygiene and laundry work. Building on that base further training included 1st aid, health and safety, dementia care and POVA. Staff spoken with confirmed they had had these training sessions. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 18 Of thirty-six care staff in the home thirteen have achieved an NVQ level 2 award with over ten more due to commence studying in January 2007. When they have completed the course this will give the home a workforce with more than the 50 of staff having the award as recommended in the National Minimum Standards. The duty rotas were seen and showed that there is a care team manager rostered for each shift during the twenty-four hours supported by eight carers on an early and late shift and three to cover night duty. The home has some vacancies and has been using agency staff to cover but the agency staff are people who are familiar with the home. There is a full team of ancillary staff covering domestic work, the kitchen, laundry and maintenance work. The manager is supernumerary and the deputy manager’s post is vacant at present due to a recent promotion of the previous person. The manager said interviews for the post would be taking place within the next week. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 19 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, 38. Quality in this outcome area is good. People who use this service can expect to have their welfare and finances protected and have their opinions about the service sought. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a trained nurse and has been in post at Brewster House since 2000. They have achieved a qualification in care management. Staff spoken with said the manager was approachable and fair. They were given clear leadership and guidance to do their work. Residents’ personal money is kept in a safe in the office and the key is held by the care team manager on shift. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 20 Two signatures are required to receive or take out cash. Receipts are kept and individual transactions recorded. Some wallets were checked at random and they all tallied with the records. On the notice board in the office there were notices of planned staff meetings for care staff, domestic staff and kitchen staff. Minutes of some previous meetings showed a wide range of subjects were discussed ranging from care practice and teamwork to CSCI inspections and future entertainment for residents. The results of the last quality assurance questionnaire that took place in July 2005 showed that relatives and residents were upset because their regular meetings had been stopped at that time. The manager said meetings have been re-instated and happen on a monthly basis. The minutes of a meeting held in November 2006 showed that the variety of food, some missing laundry and buzzers not being answered quickly were all issues that were raised. The manager said the home was overdue for another quality assurance audit and showed the questionnaire already prepared. There were questions on the amount and quality of information received prior to a resident deciding to come to the home, the environment and décor in the home, the level of cleanliness, staff attitudes and professionalism and the resident’s overall perception of the service. There is a system in place for staff to report ongoing repairs and replacements to the maintenance person and the maintenance person has a schedule for regular checks to be made on water temperatures, fire alarms, nurse call bells and the safety of the external grounds. The pre-inspection questionnaire listed all the maintenance checks undertaken on fire equipment, central heating, the lift, equipment such as hoists, the gas installation and Legionella checks and they were all done within the last year. Good infection control practice was observed and staff questioned were able to explain precautions taken if any resident had an infection such as MRSA. Generally moving and handling techniques observed were safe however one carer was seen wheeling a resident in a wheelchair with only one foot rest in place. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 21 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 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NONE 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 OP29 Regulation 19 (1) (b) Sch 2 13 (5) 13 (4) (c) Requirement The registered person must keep a recent photograph of each member of staff in their personnel file. The registered person must ensure safe practice is observed when residents are being transported by wheelchair. Timescale for action 28/02/07 2. OP38 17/01/07 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. Refer to Standard OP7 OP12 Good Practice Recommendations The daily records should be expanded to give more detail of the residents’ activities and mood. The compact disc player in the conservatory should be repaired or replaced to allow residents the choice of enjoying music there. Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Brewster House DS0000017780.V324496.R01.S.doc Version 5.2 Page 24 - 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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