Inspection on 30/10/08 for Briarwood

This inspection was carried out on 30th October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Briarwood 02/11/06

Briarwood 01/02/06

Briarwood 26/08/05

Briarwood 14/12/04

Briarwood 08/06/04

Briarwood 03/03/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Briarwood 12 Station Avenue Bridlington East Riding Of Yorks YO16 4LZ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anne Prankitt     Date: 3 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 31 Information about the care home Name of care home: Address: Briarwood 12 Station Avenue Bridlington East Riding Of Yorks YO16 4LZ 01262679233 F/P01262679233 jacquiblower@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Vera Blower Type of registration: Number of places registered: Mrs Jacqueline Vera Blower care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Briarwood is a detached three-storey property located in a residential area of Bridlington. It is conveniently situated for all of the main community facilities including the public transport network. The home provides accommodation and personal care for a maximum of seven (7) older people some of who may have dementia. Nursing care is not provided. Should such care be required on a short-term basis, the community health care team will provide it. The home also provides accommodation and personal care on a respite care basis. Peoples private accommodation is located on the ground and first floors. A stair lift provides access to the first floor. The registered providers private accommodation is on the upper floor. There are three double bedrooms and one single. All of the bedrooms except for one are currently used for single accommodation. The bedrooms have en suite facilities consisting of a toilet and a Care Homes for Older People Page 4 of 31 Over 65 7 7 0 0 Brief description of the care home wash-hand basin. People have the use of a lounge and dining room on the ground floor. There are some internal steps on the ground floor. The home has a large pleasant garden with an aviary. The garden is accessible to people. On the day of the site visit the registered provider told us that the current weekly fees are 325.20 pounds. People pay extra for hairdressing, chiropody and toiletries. If people want to see the Statement of Purpose, service user guide, or the report written by the Commission for Social Care Inspection, they should contact the registered provider direct. Care Homes for Older People Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection of Briarwood took place on 2 November 2006. This key inspection included a review of the following information to provide evidence for this report: Information that has been received about the service since the last key inspection. This includes an Annual Service Review which was carried out on 6 December 2007. A self assessment called an Annual Quality Assurance Assessment (AQAA). This assessment told us how the registered provider thinks outcomes are being met for people using the service. It also gave us some numerical information about the service. Care Homes for Older People Page 6 of 31 Surveys sent to everyone who lives at the service. Four out of five were returned. A site visit to the home carried out by one inspector on 30 October 2008. The visit began at 10am and lasted for approximately five and a half hours. During the visit, we met and spoke with everyone who lives there. We also spoke to the registered provider and a staff member. We asked to see two care plans, as well as the recruitment records of a new staff member. We looked at some health and safety records. Feedback was given to the registered provider at the close. What the care home does well: What has improved since the last inspection? What they could do better: The service user guide could be offered to anyone thinking of moving to the service in the future so they are able to see at their leisure whether the home will be right for them. This will help them to decide whether they want to live at Briarwood. Everyone could have a completed care plan which explains their physical, social and psychological needs. This could be reviewed regularly, preferably with the persons input. This would help to check that peoples needs are recognised and monitored, and that adjustments to care are made where needs change over time. Risk assessments could be completed and kept under review, with priority being given where people have already been identified as being at risk with regard to their health, such as the risk from pressure sores. This would help to provide a base line for staff to follow when reviewing peoples care, to make sure that the risk is appropriately Care Homes for Older People Page 8 of 31 managed. The registered provider could seek training in safeguarding adults, and a copy of the local authority guidelines in the protection of vulnerable adults could be obtained. This would help to make sure that the policy at the home considers current agreed policy and procedure, and would make sure that the right people are told at the right time should any allegation be made, so that people can be properly protected from abuse. Proper safe arrangements could be followed when new staff are being recruited to the care home, and before they are allowed to provide care. This would better protect people from staff who are found to be unsuitable to provide care. The fire officer could be contacted for advice about the most appropriate fire procedures for staff and people living at the home to follow in the event of a fire, and to decide what training staff should have so they know how to act if a fire breaks out. This would help to keep everyone safe in the event of a fire. The registered provider could consider completing a management qualification to link the knowledge and skills she already has achieved, with current management practice guidance in the running of a care service for people. As well as providing surveys to people and their families, they could also be given to health professionals who visit the service. This would give the registered provider a good overview about what everyone thinks the service does well, and where it could do better. The results could be published, so everyone can see that the home takes their comments seriously. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are properly assessed to make sure their needs can be met before they move in. Evidence: At the last key inspection in November 2006, it was found that the registered provider had completed an assessment of peoples needs before they had been admitted. This helps to decide whether the home will be able to meet these needs successfully. Since then, there has been only one admission, which means there are now five people living at Briarwood. This person was already well known to the home, having had a number of short stays, so their needs were well known before they decided to move in for good. Based on this, the registered provider made the decision that the information received from the persons care manager, together with what the staff already knew about the person, was sufficient to know that the right care and support could be Care Homes for Older People Page 11 of 31 Evidence: offered to them. The registered provider said that she likes to meet people before they come in, to chat with them, and to tell them about what facilities and services they can expect from Briarwood. She used to have a brochure, and agreed that this would be given to people admitted in the future, so that in their own time they can reflect on what the home would offer them before deciding whether they want to move there. Three out of four people agreed they got enough information before they moved in. One said When we arrive we soon settle in and we are made very welcome and safe and secure and comfortable. They talked about the good company with the other guests. Another said I cant fault it. You should put your name down! The home does not provide intermediate care, Therefore standard 6 is not applicable. Care Homes for Older People Page 12 of 31 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are satisfied that their day to day care needs are met. However, peoples care is neither reflected in a care plan, nor risk to them formally assessed. This could result in important parts of peoples care being forgotten when it is formally reviewed. Evidence: We requested to look at two peoples care plans, to see how their care needs and any risks relating to their health were recorded and updated. Neither person had a care plan completed by the home. Instead, staff complete daily record which diarise how they have been, and what they have done, each day. In the absence of care plans written by the home, the registered provider said she has been using those plans provided by the persons care manager when looking at assessed needs. These plans did not reflect care in an individual way, and one was very out of date. Staff at the home know peoples needs very well. Using the information they have learnt about people since they arrived, and writing this down, could potentially produce very good person centered care plans. This is especially Care Homes for Older People Page 13 of 31 Evidence: important where people have been identified as being at risk. The paperwork the registered provider has obtained for this purpose, but has not completed, would cover all areas of care, which should then be reviewed, with the person concerned, periodically. Three of the people who returned their surveys said they aways get the care that they need. One said this was usually the case. And everyone agreed that staff always listen and act on what they say. One person said The care is good. We are warm and well fed and looked after by staff. The majority also agreed that they always get the medical support they need. One said have received good care while here and a doctor is on call if wanted. And a chiropodist, dentist, and optician for glasses. We have also had the flu jab. The district nurse provides equipment to help maintain peoples health, where it has been identified that this is needed. For instance, special mattresses, and chair cushions, to reduce the risk from pressure sores. People were satisfied that they are treated with respect, and that their privacy is observed. One person said Its just like being at home - except you get waited on here. We were told that nobody at the home looks after their own medication. This is done by staff, who have completed training so they know how to do this in a safe and competent way. Staff check peoples medication when it arrives from the chemist each week, and report back any errors. This acts as a double check and helps make sure people aways get what they are prescribed. The registered provider insists that people have the option of a regular health and medication check from their doctor, to make sure that no changes are needed to their treatment. The registered provider intends to discuss a query with the pharmacist about where peoples medication should stored at the home, and she arranged on the day for the pharmacist to provide her with better pre printed charts to show more clearly what people are prescribed, and when. This will save staff having to write charts out by hand, and will reduce the risk from errors happening. Care Homes for Older People Page 14 of 31 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can maintain social links with visitors who are important to them. Their social needs are met in an informal way, which satisfies them. Evidence: Activities are not planned for in advance. Instead, people do what they want to do at the time. This includes activities such as knitting, games, chatting and television. People were entirely happy with this informal arrangement. One person said There is always something to do. Dominoes, and the TV is sometimes on as well. We have bingo even. At the time of the site visit, people said they were looking forward to helping the registered provider prepare the cake for Christmas. The registered provider knows people well, including their spiritual needs. She supports these, and has, in the past, supported people to go to church to worship where this has been their wish. People said that they are happy with the choices they can make in their daily lives. They said that the routine at the home is quite flexible. One said There are very few rules and regulations here. Just like being at home really, except we get waited on as well!. Care Homes for Older People Page 15 of 31 Evidence: Everyone went up for a rest to their room after lunch, and came back to the communal area at 3pm. They said that they had enjoyed the rest, which they take each day. However, they knew that they could stay downstairs instead if they wanted to. People say their visitors can come and go as they please. They were happy with this arrangement. They can enjoy their visitors company in their room if they wish. This means that they have the opportunity to talk privately, away from others. People are happy with the food provided. They said they get plenty to eat, and lots of variety. The registered provider showed us a menu, but added that this is often changed, based on what is available at the shops, and what people fancy on the day, although people said that they do not normally know what they will be having to eat until they arrive at the table. On the day of the site visit, one person made a point of thanking the registered provider for the nice meal once they had finished. Another commented in their survey The meals are very good and changeable each day. Very eatable, never wasted. Morning and evening drinks also. Whichever care staff is on duty cooks the meal, and provides assistance to people if this is needed. People are normally served their breakfast in their room. One person said this gave them a good choice, and fresh fruit is included in the meal. People said that they would happily ask for a drink at any time of the day or night, and they were confident that this would be provided. Care Homes for Older People Page 16 of 31 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence that the staff take their complaints seriously, and act properly to get them resolved. Lack of up to date information about how to deal with allegations about abuse may cause a delay in reporting to the right people straight away. Evidence: There have been no complaints made to either the registered provider, or to the commission, in the last twelve months. People said that they know how to complain, and who to complain to. One said We can always talk about anything and all is OK afterwards. I can always speak to staff and it will be sorted. The registered provider must get a copy of the local authority policy and procedure about safeguarding, and the protection of vulnerable adults. This tells providers how to report any allegations, and who is responsible for what area of any investigation that might take place. The abuse policy at the home then needs to be amended, because it does not support the role that the local authority now has in leading such investigations, or the responsibilities of the registered provider in reporting to them any allegations or concerns about people living at the home. This will ensure that, should an allegation ever be made, the right action is taken, and the right people informed without delay. The staff member spoken with was clear about what to do if they thought someone at Care Homes for Older People Page 17 of 31 Evidence: the home had been abused, and they knew they must report this information quickly, so it could be dealt with by the right people. The registered provider also knew their responsibilities to pass on such information, but thought that the body to whom they should report was the Commission for Social Care Inspection. Further training would help to clarify the role of the local authority as the lead investigators in such matters, and to whom she has the responsibility to report. She agreed to source training so that an update in current practice could be organised. This will help to keep people protected. Care Homes for Older People Page 18 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable homely environment which meets their needs. Evidence: The home is situated on a main road close to the centre of Bridlington, which has many shops and facilities. Parking outside the property is not allowed. However, off street parking is available near by, which visitors can use. The accommodation is provided on two floors. The registered provider lives on the second floor of the property. There is a stair lift for people who have problems reaching their private accommodation on the first floor. There is a communal sitting room, and a separate dining room on the ground floor where people can eat together if they wish. The shared bath has a hoist fitted. This makes it easier for people who find it difficult to get in and out without help. People like the environment in which they live. Most people have their own room. Two people choose to share their private accommodation, and they said they have everything that they need to make their room comfortable. One person said that being able to bring in their own belongings had made their room much more like home. Everyone has en suite facilities. This means they can receive, or carry out their personal care, with more privacy, and without having to leave their room. Everyone Care Homes for Older People Page 19 of 31 Evidence: spoken with said that they were warm enough. They can adjust their radiator in their room so that it is at a comfortable temperature for them. The care staff carry out domestic duties. The home was clean, and free from unpleasant smells. People made comments like The home is very clean and tidy and our washing is done and baths are always in use every week, Everything is nice and clean. No complaints at all. The last visit from the fire officer resulted in a satisfactory report. A risk assessment was left with the registered provider, which she said the fire officer had advised was not necessary for her to complete. She has therefore decided to rely on the other checks she carries out to make sure that people are kept safe from the risk from fire. The environmental health officer has not visited for some time. The registered provider gave assurance that the recommendations made following the last visit have been addressed. The laundry facilities are situated away from areas where food preparation takes place. These were satisfactory, and peoples clothes looked well laundered. The washing machine has a sluice facility which allows staff to wash soiled linen at a hotter temperature on the correct cycle. This reduces the risk from cross infection. Care Homes for Older People Page 20 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff who receive a range of training to help them provide good care. However, the recruitment procedure is not sufficiently robust to make sure that people are protected from unsuitable workers. Evidence: Two care staff are available at busy times of day. On the morning of the site visit, a care staff and the registered provider were available. At quieter times, such as the afternoon and evening, one care staff is available. At night, there are no waking staff. The registered provider lives on the premises, and people can call for her assistance at any time if this is needed. They have a call bell to alert her. People said that this arrangement met their needs. One person gave an example whereby they had called the registered provider during the night. They said they had received attention and reassurance from her, and had not felt uncomfortable in asking for help. One person said Staff are always on duty and always helpful at all times, even at night. The registered provider has recently recruited a new member of staff. There was not enough information gathered about the person before they started to provide care, to check that they were fit to do so. The registered provider explained why she had take the action she had, based on the advice she had been provided with, which was that she could accept a police check completed by the persons previous employer. This is Care Homes for Older People Page 21 of 31 Evidence: incorrect. The registered provider agreed to ask for a new check to be carried out straight away following our site visit. She also explained that staff never work alone when first recruited, and that this arrangement would continue until all the necessary checks were returned. The registered provider has obtained induction booklets which she intends to complete with staff. These have not been started yet, but once finished, will help to make sure that staff work to current minimum standards, and in line with the ethos of the service. Staff get a range of training, and the long standing care staff member has completed a National Vocational Qualification in Care at level 3. This helps to make sure that the care people get is in line with current good practice. Other training recently completed includes continence care, funeral care, and understanding problems with vision. Care Homes for Older People Page 22 of 31 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the arrangements are mainly informal, people are satisfied that the home is run in their best interests. Improvements could be made so people can be assured that the right action would be taken in the case of fire. Evidence: The registered provider also manages the service. She has many years experience of running the home, and was once registered as a nurse, although she made a decision to let her registration lapse. She has also decided that she will not complete a management qualification. It would be good practice to consider this when deciding upon future training to underpin the skills that she already has. However, she has done other training to keep her up to date. This includes training to become a continence assessor. She is also completing a course so that she understands the needs of people with Parkinsons Disease better, and has already completed a course about understanding dementia. Care Homes for Older People Page 23 of 31 Evidence: The registered provider told us that people at the home and their families get a survey periodically to assess how satisfied they are with the service. The arrangement for this is fairly informal, and collective feedback about their views was not available to see. However, the registered provider said that the results are discussed with people. It would be good practice to formalise this by publishing the collective results, so that people can see what she has done with the comments they have made, where the home does well, and where it could improve. This will show that peoples views are considered formally when deciding how the home should be run taking these into account. The registered provider does not deal with anyones money, but would support people to do so if ever they wanted to manage their own. Families deal with this aspect of their lives, on their behalf. The information provided before the site visit by the registered provider showed that she arranges for regular maintenance of equipment to help keep the premises safe for the people who live there. For instance, she has had the hot water supplies accessible to people fitted with an anti scald device. She and her staff check that the temperature is safe after they have run a bath for people, although this is not recorded. The registered provider also carried out regular in house checks to make sure that the fire alarm in in full working order. There was a fault on the system on the day, which had resulted in false alarms during the previous night and morning. The registered provider was expecting the contractor to call to fix this, because she had already alerted him about the problem. However, she was satisfied that, in the meantime, the system would still alert people if a fire was to break out. The registered provider and the current staff member told us they have up to date training in infection control and food hygiene. Assurance was given that manual handling training has been provided in the last two years, and that updates are organised whenever the opportunity arises. Staff said that they do not currently assist people with moving and handling. It was not clear when care staff had an update about the fire procedure, and on discussion, the action that people living at the service have been told to follow did not entirely correspond with what the staff member said they would do if a fire was to break out. This needs to be discussed with the fire officer, as often there is only one staff member available on the premises. The procedures for both staff and people living at the home must be agreed with them, and advice sought about what staff training would be appropriate for those working at Briarwood, so that everyone is clear about what to do should a fire ever break out at the home. The registered provider has Care Homes for Older People Page 24 of 31 Evidence: agreed to do this straight away. We were told that there is always a first aid qualified person on duty. This will help to make sure that the right action is taken should an emergency requiring first aid attention happen. Care Homes for Older People Page 25 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 People must have a completed care plan which explains their physical, social and psychological needs. This must be reviewed regularly, preferably with the persons input. This will help to check that peoples needs are recognised and monitored, and adjustments to care made where needs change over time. 31/12/2008 2 8 13 Risk assessments must be 30/12/2008 completed and kept under review, with priority being given where people have already been identified as being at risk with regard to their health, such as the risk from pressure sores. This will help to provide a base line for staff to follow when reviewing peoples care, to make sure that the Care Homes for Older People Page 27 of 31 risk is appropriately managed. 3 18 13 Training must be sought by the registered provider in safeguarding adults, and a copy of the local authority guidelines in the protection of vulnerable adults obtained. This will help to make sure that the policy at the home is amended in line with current agreed policy and procedure, and will ensure that the right people are told at the right time should any allegation be made, so that people can be properly protected from abuse. 4 29 19 Proper safe arrangements 18/11/2008 must be followed when new staff are being recruited to the care home, and before they are allowed to provide care. This includes a completed application form, so that any gaps in their previous employment history can be explored, and receipt of a satisfactory POVAFirst check, to check the prospective staff member has not previously been barred from providing care. Only in exceptional circumstances can someone be employed prior to a Criminal Records Bureau check being received. 30/11/2008 Care Homes for Older People Page 28 of 31 This process protects people from staff who are deemed unsuitable to provide care. 5 38 13 The fire officer must be contacted for advice about the most appropriate fire procedures for staff and people living at the home to follow in the event of a fire, and to decide what training staff should have to underpin their knowledge about what they must do in the event of a fire breaking out. This will help to make sure that staff and people living at the service have been given the right instructions about what action to take to keep safe in the event of a fire. 18/11/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 The service user guide should be offered to anyone thinking of moving to the service in the future so they are able to see at their leisure whether the home will be right for them. This will help them to decide whether they want to live at Briarwood. Consideration should be given to the completion of a management qualification by the registered provider to link the knowledge and practice she already has achieved, with current management practice guidance in the running of a care service for people. As well as providing surveys to people and their families, they should also be given to health professionals who visit the service. This would give the registered provider a good overview about what everyone thinks the service does well, 2 31 3 33 Care Homes for Older People Page 29 of 31 and where it could do better. The results, and subsequent action taken by the registered provider in response to peoples comments should be published, so everyone can see that the home takes their comments seriously. Care Homes for Older People Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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