Inspection on 02/11/06 for Briarcroft

This inspection was carried out on 2nd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Briarcroft 07/01/09

Briarcroft 15/03/06

Briarcroft 20/09/05

Briarcroft 18/03/05

Briarcroft 05/10/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Briarcroft Dawlish Road Teignmouth Devon TQ14 8TG Lead Inspector Stella Lindsay Key Inspection (unannounced) 9:45 2nd November 2006 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 Briarcroft DS0000003663.V307407.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. Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Briarcroft Address Dawlish Road Teignmouth Devon TQ14 8TG 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) 01626 774681 F/P 01626 774681 Mr John Patrick Walsh Elaine Louisa Ann Walsh Care Home 20 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (20) of places Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ground Floor to be registered for Service Users with OP category only Date of last inspection 15th March 2006 Brief Description of the Service: Briarcroft is a detached house, situated close to Teignmouth town centre and set back from the main road. There are sea views from some windows. Briarcroft is registered to care for up to 20 people over the age of 65, who may have dementia. There are keypad locks on the main entrances, and an attractive level decked area in a garden that is secure. Accommodation is on two floors with a passenger lift to the first floor. There is a spacious lounge, separate dining area and a sun lounge. All but one room is for single occupation. There is a separate self-contained flat on the lower ground floor, which is registered for two residents who are frail elderly but who do not have dementia. The flat has two bedrooms, a lounge and dining area as well as its own kitchen and conservatory. Fees range from £363 to £430 per week. The Home owners will provide a copy of their inspection report to any serious enquirer who does not have access to the web site. Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Thursday in November 2006. It involved a tour of the premises, and discussion or observation with ten residents, one visiting relative, five staff on duty and the Home Owners. Care records, staff files, the medication system, and health and safety records were examined. Comment cards and surveys were received by post from staff, visiting professionals, and residents’ relatives, and their views are represented in the text. The Home owners provided supporting information prior to the inspection. All key standards were inspected. What the service does well: The excellent service at Briarcroft is provided with attention to detail. The management are open to suggestions from any quarter. People who have dementia are cared for with sensitivity and understanding. Staff have time to give individual attention. It is a bright and lively home, where there is always ‘something going on’. Good and clear information is made available to prospective residents in attractive forms, and care is taken to admit people who will benefit from the service. All residents have their needs assessed and the care they need written in a care plan. These include their emotional and social needs, and are reviewed regularly so that staff are aware of any changes. Personal and health care are very good, and carried out in a sensitive manner. Unless they choose to stay in their room, residents are not left alone during the day, as staff are constantly attending and encouraging them to engage in social activities. Musical entertainers are booked weekly, and staff have time for individual activities such as cookery, or taking a resident for a stroll or a coffee on the sea front. Meals are very good, with varied menus and lots of fresh vegetables and fruit. The Home owners deal with any concern that might be raised, and think of ways to stop any such thing recurring. The house is spacious, and cheerful, always well-maintained. Residents and their visitors can use the conservatory if they do not wish to join the main group in the lounge. The staff are kind, attentive, and competent. Residents frequently referred to individual staff, saying how kind they were. The management lead by example, being in attendance constantly, listening to what people have to say, and striving for continuous improvement. Briarcroft DS0000003663.V307407.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. The summary of this inspection report can be made available in other formats on request. Briarcroft DS0000003663.V307407.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 Briarcroft DS0000003663.V307407.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): Quality in this outcome area is good, as all information provided is clear and accurate, and careful assessment is carried out before offering a service. This judgement has been made using available evidence including a visit to this service. 1,2,3 (6 is not applicable) EVIDENCE: Briarcroft has produced information for prospective residents and their representatives which is clearly presented and includes all required information, including comments from residents. They have an attractive and informative web site. They describe how their service is designed to meet the needs of people with dementia. The home provides contracts to each resident, to be clear about their terms of residence. Four were seen on file, signed either by the resident or their representative. This specifies the date of admission, the room to be occupied, and clarifies what is included in the service. Prospective service users should be aware that Briarcroft does not currently offer accommodation to anyone who has a diagnosis of MRSA. Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 9 Information is gathered before a service is offered. Assessments were seen on residents’ files, supplied by hospitals and care managers. The Manager, Deputy or Assistant Manager always visit a resident before offering accommodation. The judgement that the person’s needs can be suitably met at Briarcroft are included in their contract with the home. Residents are welcome to visit prior to moving in, but relatives may do this on their behalf. Briarcroft DS0000003663.V307407.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): Quality in this outcome area is good, as care plans were completed and reviewed, personal and health care was good and the system for administering medication was sound. This judgement has been made using available evidence including a visit to this service. 7,8,9 EVIDENCE: Four care plans were examined. All residents have a care plan which addresses their emotional needs, and the approach to be taken in meeting these. Care needs, goals, action to be taken and on-going care are specified. In one, a relative had written their mother’s preferred daily routine, highlighting important aspects. The Deputy Manager has checked the care plans monthly, and there are signatures on files of relatives who have been consulted. The role of the keyworker is developing. They make sure that residents have all they need, and will speak to relatives, for instance, if a resident is in need of new underwear. One considered that the home might persevere with a resident when their care needs had progressed beyond the scope of a residential home, but was not aware that this had lead to any problem. A relative had written to the home following the death of their mother in the Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 11 home, paying tribute to the personal and gentle way that she had been treated. Doctors’ visits are recorded separately, for clarity. Dietary needs are recorded, and weight charts kept. A chiropodist visits regularly, and staff report any foot care problems to the Manager, who ensures that treatment is obtained. Health and social service professionals who returned comment cards to the CSCI found that communication with management was good, that staff demonstrated an understanding of the clients’ needs, and any specialist advice they gave was incorporated into the care plan. Briarcroft has a Medication Distribution policy, and it was seen to be administered with care. No residents are assessed as competent to manage their own medication. The Senior on duty always administers the medication, but a total of seven staff have received training in dealing with medication and are aware of the effects of the drugs, and possible side effects. No homely remedies are used, and no Controlled Drugs, though a suitable method for recording and storage of these is in place. Unwanted or out of date medications had been recorded and returned to the pharmacist. Briarcroft DS0000003663.V307407.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 excellent, as residents have the opportunity to say what they want, and staff have time to give individual attention, and a variety of freshly cooked meals are served with care. This judgement has been made using available evidence including a visit to this service. 12,13,14,15 EVIDENCE: The development of the keyworker system is resulting in more individual and small group outings, as staff have been given responsibility to consider the needs of particular residents. Care staff said that they can take a resident for a stroll if they wish, and if a resident wishes, or is restless in the lounge they can bring them to the conservatory to do cooking or another individual activity. Residents have been taken for coffee at the sea front. A professional entertainer is engaged every week, with forthcoming performances posted in the hallway. Staff lead games of bingo, or karaoke. Themed days have been arranged for the interest and enjoyment of the residents. These have included St.George’s Day, the World Cup, and the Queen’s Birthday. Meetings had been held with residents, to give another opportunity to air their views. Amongst the ideas raised were strawberries and cream, a picnic on Dartmoor, more sherry, and a trip to Paignton Zoo. This was arranged, and Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 13 was most successful, with every resident wishing to go. This was unexpected – although residents were encouraged to join the trip. Sherry is generally served on Friday evenings and Sunday lunchtime. Another suggestion coming from residents was that some would enjoy having make-up – face powder or lipstick, by choice, and this is now happening. The proprietor often takes photos of the residents, either involved in an activity they enjoy, or sometimes with a relative. Some relatives have been pleased to receive a copy. One resident has family photos in their room. This is one area that Briarcroft could move forward, with assistance from friends and families. The gathering of information, if possible with photos and press cuttings, about the residents’ former lives, can be an enjoyable activity. With the resident’s agreement, the keyworker could gather together a life story or album, for the resident’s interest, and also to help staff build a fuller understanding of the resident as a whole person. The dining room tables had been reorganised so that residents sit in small groups. This makes it a more sociable occasion for the more independent residents. Staff quietly fed those who needed help, and quickly got a sandwich for a resident who did not want the hot meal. Three staff were available throughout the meal to offer help. The new tablecloths and white lacy covers looked attractive. The cook said that she discusses menus and ingredients with the Home owner. Fresh vegetables were plentiful, and all pies home made. On the day of the inspection, lunch was mincemeat pie, cabbage, carrot and suede, mashed potato and gravy, all very tasty, and little was returned to the kitchen. The cook stated that three fresh vegetables are served every day, salad three times per week, and a hot tea is also served. One resident eats in the conservatory, so as not to disturb other diners, and two choose to eat in their own room. One resident’s relative regularly comes for tea. Night staff can make toast for any resident who wants a snack, or can use ham or cheese to make a sandwich. They can make tea for early risers. Briarcroft DS0000003663.V307407.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): Quality in this outcome area is excellent, as any concern brought to the attention of the Manager is recorded, dealt with, and action taken to improve systems, and any allegations of misconduct by staff have been dealt with effectively. This judgement has been made using available evidence including a visit to this service. 16,18 EVIDENCE: The Home has a complaints procedure that contains all relevant details as outlined in this standard. It is distributed to new residents and their representatives in the Statement of Purpose, and is displayed in the entrance hall. An example was given that a relative had found a hearing aid tube was blocked. The Manager found this was so and added the task of checking tubes to the list of care tasks that the Senior staff check daily. This was recorded, and an apology made to the family. This is good practice, and demonstrates that a thoughtful response can result in continued improvement. The Home has a policy on Abuse, Whistle Blowing and physical restraint. This is covered as part of the staff induction process. A Policy on Protection of Vulnerable Adults has been produced. The Devon County Council Alerters’ Guidance has been available to staff, who have signed to say they have read it. The Policies on Abuse and Whistle Blowing both include directions to staff on who they should speak to if they have any concerns. The management have demonstrated that they act robustly in accordance with their policy if the need arises, and staff also know what they must do if any Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 15 allegation of abusive behaviour is reported. The Manager has consistently raised awareness of abuse within the home, to encourage residents and staff to speak up if anything bothers them. A training session was being held in the home on the day of this inspection. Briarcroft DS0000003663.V307407.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): Quality in this outcome area is excellent, as the Home Owners constantly refurbish and upgrade the property, maintaining a high standard indoors and in the grounds. This judgement has been made using available evidence including a visit to this service. 19,20,26 EVIDENCE: Briarcroft is an attractive house, set on the hillside above Teignmouth, with fine sea views from some rooms. There is a programme of maintenance and improvement. The grounds are kept in good order and there is a secure garden area for residents to enjoy without risk if they wander. All exits have a security keypad, which is linked to the fire alarm system. A new kitchen had been installed since the last inspection, and was almost complete. The walls had been lined with a washable surface, a non-slip floor was laid. There are stainless steel shelves, sinks, worktops, a new cooker and hood, and the fitted cupboard had been relined. This is a very hygienic and Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 17 efficient work area, with good ventilation, beneficial to staff and residents’ good health. A laminated floor has been laid in the hall, where residents are constantly walking back and forth. It looks smart, is easily cleanable, and will wear better than a carpet. Current residents are very mobile, and are encouraged to keep mobile. The lounge is bright and airy with windows overlooking the garden and the view across the estuary. The dining room has good furniture, with some dining chairs having arms for those who need support. The conservatory has comfortable sofas and a table and chairs for activities or dining. This leads on to the decked area of the garden, which had colour even at this late season. Five bedrooms were visited, and all were found to be in good order, well decorated and with attractive soft furnishings. Sluicing facilities are suitable for purpose. Hot water for bathing is plentiful, and staff have access to a booster button for heating and hot water if it is ever required. The ‘Safer Food, Better Business’ system has been introduced to kitchen management, and a tutorial visit had been arranged. Liquid soap and paper towels were available in communal toilets. The system used to deal with laundry ensures no cross contamination between clean and dirty clothes, as closed boxes are used to bring down the dirty laundry. Briarcroft DS0000003663.V307407.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 excellent, as staff are competent, well trained and have a good attitude, and are available to provide individual attention to residents. This judgement has been made using available evidence including a visit to this service. 27,28,29,30 EVIDENCE: Enough staff were employed to meet the residents needs. The inspector observed the staff carrying out their work with kindness, commitment and understanding. Comments from residents and also by relatives in comment cards returned to the CSCI show how much this is appreciated. ‘…always tells us how kind the staff are, and how nicely they speak to her’…’Mum feels secure and welcome’. A written rota is kept, which showed that there are generally four care staff on duty in the mornings (including one Senior), and three in the afternoons, plus a cook from 7.30am – 1.30pm every day, and a cleaner from 8 – 2pm. This is seen to be sufficient in terms of the residents’ personal care and time available for individual attention and social activities. At night there are two waking night staff, to provide care for the highly dependent residents. No agency staff are used. A new team of Senior Carers has been appointed. Their leadership qualities are good, and their example in relating positively with residents, and communicating well, enhances the work of the team. They also carry out the Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 19 daily checks of care tasks with attention to detail, to ensure that good standards of care are maintained. Extra staff have been appointed, and staff are prepared to work extra hours, and there is no difficulty in covering for absences. On the day of the inspection, staff were coming into Briarcroft for a training session. There were 19 care staff employed at the time of this inspection. Of these, five had achieved at least NVQ2 or equivalent, three more were booked to start NVQ2, and a further four were either engaged in NVQ3, or were expecting to start. This demonstrates a commendable level of commitment to becoming a qualified workforce. Briarcroft has a sound policy and procedure for recruitment of staff, has been found to implement this in a consistently thorough manner. Files of recently appointed staff were examined, and as at previous inspections, contained the documents required to assure residents’ safety – written references, CRB clearances, and application forms including employment histories. Candidates visit the Home to fill in their application form, so that they can meet the residents and find out about the nature of the service. Each staff member has their training achievement and needs recorded, defining priority needs and career development requirements. Staff were appreciative of the training provided. The home has its own induction pack for new staff, and also sends staff on accredited induction training. As well as mandatory training, sessions have been provided on Stroke Care, Dementia Care and Quality Assurance. Information about other conditions affecting individual residents, such as brain damage, is made available to staff. Briarcroft DS0000003663.V307407.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): Quality in this outcome area is excellent, as the Registered Providers have consistently lead their team in the provision of a well run, safe, caring service, providing continual improvements. This judgement has been made using available evidence including a visit to this service. 31,32,33,36,38 EVIDENCE: The Registered Providers have many years experience in the care of elderly people who have dementia. Mrs Elaine Walsh has CSS and a management development certificate as well as a City in Guilds in teacher training and is an NVQ assessor. Mr John Walsh has qualifications and experience in Quality Assurance and Health and Safety. Staff said that they feel well supported by the Home owners. Staff retention is very good at Briarcroft. This is most important to the well being of the Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 21 residents. Staff, residents, and visiting relatives appreciated the daily presence of the Home owners. They are available - apart from their annual holiday – to solve problems, listen to suggestions, and provide improvements. Some staff who returned surveys to the CSCI said that they thought it would improve communications to have staff meetings periodically. An annual plan has been supplied to the CSCI, which shows that all systems are kept under regular review and reassessment. They have provided a clear explanation for their staff of what they mean by Quality Assurance. They have introduced and maintained a system of regular checks, covering residents’ personal needs, household maintenance, and all records and documentation. Ten staff have received training in Quality Assurance, and all are expected to undertake this. The proprietors have applied for a professional quality assurance process, to implement in Briarcroft. Meanwhile, they have tried from various angles to gather feedback, from residents and their visitors, staff, GPs and Continence Nurse, their visiting chiropodist and hairdresser, and regular musician. All the replies seen were very positive. Staff who spoke to the inspector also were pleased to say they are listened to if they have ideas or difficulties. The Manager keeps records of individual supervision sessions with staff, which show that these are useful, and some were seen to include positive feedback. With so many staff, it was not obvious whether six sessions per year was being achieved. It might be useful for the Manager to keep an annual chart to show when sessions have been held. One carer who completed a survey said that they had not had a supervision session, and another that they had not for some time. However, all stated that they were well supported in their work. There is an excellent commitment to maintenance of health and safety training. Professional fire training was delivered on 31/08/06, when the fire precaution system also was serviced. The proprietor provides in-house Fire Awareness training up-dates and ensures that Night Care Staff achieve 3monthly up-dates. The water system had been checked again for Legionella on 11/10/06, and gas, electricity, lift and hoist safety checks were seen to be up-dated. Moving and Handling training took place on 02/10/06, and First Aid was booked for 23/11/06. The two cooks attended Food Hygiene training on 25/10/06. Briarcroft DS0000003663.V307407.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 x 4 Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? There were 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. 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 OP12 Good Practice Recommendations The development of life stories, with the agreement of residents and help from their friends and family, could be good for the residents’ interest, and also to help staff build a fuller understanding of the resident as a whole person. A chart to record supervision sessions would show whether six sessions per year is achieved for care staff. 2 OP36 Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Briarcroft DS0000003663.V307407.R01.S.doc Version 5.2 Page 25 - 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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