Inspection on 07/11/06 for Briarwood Rest Home

This inspection was carried out on 7th November 2006.

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

Briarwood Rest Home 26/09/05

Briarwood Rest Home 02/06/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Briarwood Rest Home 1-3 Todd Lane South Lostock Hall Preston Lancashire PR5 5XD Lead Inspector Denise Upton Unannounced Inspection 9:00 7 November 2006 th 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 Briarwood Rest Home DS0000063007.V311882.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. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Briarwood Rest Home Address 1-3 Todd Lane South Lostock Hall Preston Lancashire PR5 5XD 01772 626177 01772 312130 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) Briarwood Rest Home Ltd Mrs Indrannee Pumbien Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 24 service users to include up to 24 service users in the category OP (Old Age not falling within any other category). Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 26th September 2005 Date of last inspection Brief Description of the Service: Briarwood Rest Home is currently registered to accommodate up to 24 older people who do not require nursing care. The home is located in a quiet residential area but in close proximity to the main shopping area of Lostock Hall and community facilities and resources. The accommodation is arranged over two floors with all current service users accommodated in single bedroom accommodation, however shared rooms are available if required. Communal areas of the home consist of a main lounge area, a dining room that leads onto a conservatory and a smaller lounge that is the designated smoking area. Although bedroom accommodation does not provide an en-suite facility, bathing and toilet facilities are sufficient in number, conveniently situated and provided with appropriate aids to promote independence. A passenger lift and stair lift are provided. The grounds to the house are limited in size but carefully laid out and provided with tables and seating for service users to enjoy. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a midweek day and in total spanned a period of approximately seven and a half hours. The inspector spoke with the registered homeowner/manager, deputy manager, cook and two members of the care staff team. In addition, individual discussion took place with three service users and two relatives who were visiting. Informal general discussion also took place with several other service users in a communal area of the home. A number of records were examined and a partial tour of the building took place. Prior to the inspection, 19 service users completed the Commission For Social Care Inspection comment cards, some with the assistance of staff. This provided further information on how service users and relatives felt that Briarwood House was meeting the needs and requirements of people who live at the home. Information was also gained from a pre inspection questionnaire completed by the registered homeowner/manager. What the service does well: What has improved since the last inspection? Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 6 Since the last inspection a further number of staff have achieved a national vocational qualification (NVQ) in care, some at a more advanced level. The homeowner/manager has also now successfully completed the NVQ Level 4 in care and management to supplement her nursing qualification. This qualification is recognised as being appropriate for managers of care homes. Improvements have been made to the way service user financial records are recorded especially when the service user cannot sign the financial record themselves. 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. Briarwood Rest Home DS0000063007.V311882.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 Briarwood Rest Home DS0000063007.V311882.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 Quality in this outcome area is good. The pre admission assessment information to identify what the prospective service user can do well and what help may be required is detailed in order to establish if current needs, wants and wishes could be met at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service Users are only admitted to the home if their individual needs and requirements can be addressed. It is routine policy at Briarwood House that all prospective service users are visited in their current environment in order to conduct an initial assessment of current strengths and needs and to provide further information in respect of the home and facilities and services provided. This is coupled with an invitation to undertake an introductory visit to the home to assess the accommodation for themselves, meet staff and existing service users in order to make informed choice. The pre admission assessment Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 9 carried out by the homeowner/manager, is in some instances, further supplemented by information made available from professional assessments undertaken by Care Managers or through hospital discharge information. This combined information is then collated and provides a basis for the initial care plan. One of the service users spoken with individually, confirmed that this process had been undertaken in respect of their admission to Briarwood House and stated that the staff had been ‘very kind’ through admission period. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is excellent. There is a clear and consistent care planning system in place that gives specific guidance to staff in order for them to satisfactorily meet service users needs and requirements. The health care needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The medication in this home is well managed promoting good health. Personal support is provided in such a way as to promote and protect service users’ privacy, dignity and independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans evidenced at the time of inspection, were very good at providing a holistic account of the individual service users health, personal and social care needs that incorporated outcomes of detailed risk assessments. The majority of care plans identify social interests and religious needs and Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 11 requirements and it is understood that this information will be incorporated in to the care plans of the most recently admitted service users to provide a full account of the strengths, needs, wants and wishes of the individual service user. The care plans give staff a very clear account of the level of assistance required for each service user and how this assistance is to be provided. This ensures continuity of care. Discussion with two care staff confirmed that they were very aware of the content of the care plans and felt well equipped to carry out the tasks required. A service user and a relative of another service user both stated that they had seen the individual care plan that had been explained to them and that they agreed with the content before signing the document. There was clear evidence of the individual care plan being reviewed on at least a monthly basis and amended as required. All service users spoken with were full of praise for the help and support received from the staff team with one service user saying that “the staff are great, everything is done just right to make me feel comfortable”. Through discussion with service users and staff and observation of documentation, it was confirmed that service user’s health care needs are fully met. There is a good relationship with health and social care professionals in order to maintain health and social well-being. Comments on the Commission for Social Care Inspection, comment cards confirmed that service users felt that they always receive the medical support that they needed. Service users also confirmed that they felt that their privacy and dignity was well respected and that “staff are very good, I have never been embarrassed in any way when staff are helping me” All staff receive training in respect of maintaining privacy and dignity during induction training, National Vocational Qualification (NVQ) training and through regular supervision. All service users who wish to and have capacity to do so are enabled to selfadminister their own prescribed medication. Medication administered by staff, is stored in a locked cupboard and medicine trolley that is secured to the wall in a dedicated medication room that is also kept locked when not in use. All staff with responsibility for medication administration are expected to adhere to the procedures for the receipt, recording, storage, handling, administration and disposal of medication and have received training to ensure the safe administration and recording of medication. There are good links with the local pharmacist used by the home for the supply of prescribed medication, who visits on a regular basis to conduct a pharmacy inspection and also provides advise to the home on medication matters. Briarwood Rest Home DS0000063007.V311882.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): 12,13,14 & 15 Quality in this outcome area is good. Service users are encouraged to keep in regular contact with family and friends in order to maintain family and friendship links. The routines of daily living are kept flexible to enable service users to live the lifestyle of their choice. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As observed at the time of inspection, it was clearly evident that service users can entertain visitors of their choice at a time to suit them either in a communal area of the home or individual bedroom accommodation. A relative spoken with during the course of the inspection who visits on a regular basis, stated that she is always made welcome and confirmed her satisfaction with the level of care provided and that she was kept informed about her mother’s well being. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 13 Several service users spoken with confirmed they are enabled to exercise choice in all aspects of their daily life and choose to do what they want to do. ‘In house’ activities take place on a daily basis. From the activities record maintained by the home, it was noted that the range of activities include, a recent Halloween party, monthly trips out in a minibus, a recent trip out to Blackpool Illuminations that included a fish and chip supper, musical movement, baking, board games, bingo, cards, listening to music, general knowledge quiz’s and reminiscence sessions. Service users spoken with had all enjoyed the trip to Blackpool Illuminations and stated that the activities provided were varied and “there is something for everyone” to enjoy. All service users at Briarwood House are encouraged to maintain control of their own financial affairs for as long as they wish to and have capacity to do so. However in reality, a member of their family assists the majority of service users in this task. Details of advocacy services are made available for service users to access if and when they choose. From observation and discussion, it was evident that service users are encouraged to bring some of their own possessions with them into the home to make their individual bedroom feel homely and more familiar and an inventory of these possessions is maintained. Meals and mealtimes at Briarwood House are given high priority with a varied and balanced menu provided that is designed around the known likes and dislikes of service users living at the home. Service users spoke positively about the variety and quality of the meals served with one service user describing the food as “very good”. Another service user stated that ‘you can have what you want, the meals here are very good, the only complaint is that sometimes there is too much food”. During the course of the inspection the midday meal was observed. There was comfortable and lighthearted discussion between service users and staff and staff were seen to be encouraging, sensitive and discrete when assisting a service user to eat her meal. Discussion with the cook confirmed that although there is a rotating menu, this is flexible to take into account what service users feel like eating on any particular day. Service users can in effect, eat what they want, and snacks and drinks are available at all times. There are structured systems in place to ensure that the needs and requirements of service users with specific dietary demands can be adequately addressed. This can include medical, religious or cultural dietary needs in addition to specific preferences. The midday meal served was well cooked and presented. One service user was overheard to say, “the pudding is good, it’s very moorish, and I might have Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 14 some more”. Service users spoken with after the meal all said that they had enjoyed the food served and that the “meals are always good”. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 15 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. The home has a satisfactory complaints system with evidence that service users feel their views are listened to and acted upon. The majority of Staff have received training in respect of adult protection issues that helps protect service users from potential abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaint has been received in respect of Briarwood House since the last inspection in September 2005. The home has a comprehensive complaint policy and procedures, which outlines the home’s commitment to resolving complaints within 28 days. The complaints procedure is incorporated in the Statement of Purpose and Service Users Guide to inform service users and their relatives how to make a complaint should the need arise. Several service users and the two relatives spoken with stated they were aware of how to make a complaint. All confirmed that they would have no hesitation about speaking with the homeowner/manager if they had a concern and felt confident that any concern would be taken seriously and acted upon. One service user stated that he felt very safe living at the home and that he knew what to do if he did have a concern “but I don’t have any”. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 16 The home also has a policy in place, which contains robust procedures for responding to an allegation of abuse. Since the last inspection an issue was raised under the adult abuse procedures regarding a service user living at the home. This was thoroughly investigated and found to be unsubstantiated. The home had good evidence to prove this. The majority of staff have now undertaken adult abuse training and discussion with two carers confirmed that they were aware of what they must and must not do if there was an allegation of abuse. It is understood that the remaining staff that have not done so will receive this training shortly. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 17 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 good. The standard of the environment within this home is very good providing service users with a safe, comfortable, attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users at Briarwood Care Home continue to live in well-maintained accommodation that is domestic in character that is designed to meet the individual and collective needs of service users accommodated. The home is situated in the village of Lostock Hall with local shops and community facilities close by. There is a large lawned area to the front of the home and a landscaped patio area with tables and seating to the rear of the building that resident’s can Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 18 enjoy in the summer months. The layout of the home gives residents opportunity to move freely round the building and access all areas with ease. The home is well maintained, tastefully decorated and offers alternative lounges including a conservatory to the rear of the building and designated smoking lounge. There is a passenger lift and alternative stair lift available to access first floor accommodation. Bedrooms are bright, airy and comfortably furnished to suit the needs and requirements of the individual occupant. For some time now one of the bathrooms has not been in use. However the manager stated that a new assisted bath has now been ordered and alternative flooring is currently being selected. Once this is completed that new bath will be fitted. Service users and relatives spoken with were all pleased with the accommodation provided and remarked that the home was always clean and smelt pleasant. Policies are in place with regard to infection control and staff are provided with protective clothing. The home had a separate laundry area that does not intrude on service users and the washing machine has the specific programming ability to meet disinfection standards. Separate hand-washing facilities are also available in the laundry area. A maintenance certificate observed during the course of the inspection confirmed that the home complied with the water supply Regulations. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 19 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. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. The arrangements for staff training are very good with staff demonstrating a clear understanding of their roles. There is a structured and robust recruitment process applied in order to protect service users This judgement has been made using available evidence including a visit to this service. EVIDENCE: Briarwood House staffing levels are determined in accordance with the assessed needs of service users accommodated. Additional staff are on duty at peak times of activity and all night staff have ‘waking watch’ responsibility. There are sufficient ancillary staff employed to ensure standards in respect of domestic and catering arrangements are maintained. Service users and staff spoken with all felt that there were sufficient staff on duty at any one time to ensure that the needs and requirements of service users could be adequately met. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 20 There is a clear commitment to the training and development of all staff at Briarwood House. NVQ training is encouraged and currently two members of the care staff team have successfully achieved a nationally recognised NVQ Level 3 qualification in care. In addition, six further members of the care staff team have achieved Level 2 of this award and two more members of staff are persuing this qualification. Two further members of staff have commenced a National Vocational Qualification (NVQ) Level 3 in care. Briarwood House has in place a structured recruitment policy and procedure that helps to protect service users. Since the last inspection, some new members of staff have been appointed. From observation of three recently appointed staff member’s personnel file, it was evident that the recruitment policy and procedures had been followed. This included an application form, health questionnaire, formal interview, references and a Criminal Records Bureau (CRB) clearance had been obtained prior to the applicant actually taking up post at the home. A newly appointed member of staff confirmed that procedures had been followed and she was not allowed to take up post at the home until satisfactory references and a CRB clearance had been received. The same member of staff confirmed that she was currently undertaking the induction-training programme from Mulberry House that is compliant with ‘Skills for Care’ nationally recognised induction-training standards for care staff. Service users spoken with without exception felt that the staff group were “very good”. One service user said that “the staff are good and kind and you can have a laugh with them. I feel safe here and I am being well looked after, I enjoy the company and get on well with the other people”. Another service user commented that, “ the staff are very good they never do or say anything wrong”. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 21 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. The homeowner/manager is well qualified and well supported by the senior staff in providing clear leadership throughout the home. The systems for service user consultation are good with a variety of evidence that indicates service users’ views are sought and acted upon. Financial procedures in respect of service users monies and the safekeeping of valuables is robust to protect the interests of service users accommodated. Systems are in place to ensure as far as possible the health and safety of service users, staff and visitors however care staff that have not done so must receive training with regard to moving and handling and first aid. This judgement has been made using available evidence including a visit to this service. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered homeowner/manager is a registered mental health nurse with extensive experience of working with older people and is therefore qualified, competent and experienced to run the home and meet its stated purpose. Recently the homeowner/manager has successfully completed an NVQ Level 4 qualification in care and management and also undertakes a variety of short course training to increase her skill and knowledge. Effective quality assurance systems are in place and the home has achieved the ‘Investors In People’ award that has recently being renewed. The home regularly reviews aspects of its performance through a good programme of self-review and consultation, which includes seeking the views of service users, staff and relatives. This is achieved through questionnaires, regular service user meetings and staff meetings, staff supervision and daily dialogue between service users and staff. Service users financial interests are safeguarded by the financial procedures adopted by the home. All service users, wherever possible, are encouraged to remain financially independent or assisted in this task by a family member or independent advocate. When the home does retains monies or valuables in respect of a service user, this is appropriately recorded and secure facilities are provided for the safe keeping of monies and valuables held on behalf of the service user. However in order to ensure confidently, it is recommended that individual financial records are maintained on an individual sheet rather than a collective bound book as at present. The manager ensures as far as is reasonable practicable the health, safety and welfare of service users, staff and visitors. The majority of the staff team have undertaken moving and handling training and first aid training however arrangement must be made to ensure that all care staff undertakes this training. From discussion with the homeowner/manager it was evident that this training had been arranged in the past but a number of staff failed to attend. A solution is trying to be secured that would enable staff to attend on two half days rather than a one full day. A policy is in place that addresses the issue of infection control and the home has a clinical waste contract. A number of staff have undertaken some health and safety training. However it is recommended that all care staff undertake fire safety training and infection control training. In addition, all staff that prepare, cook or serve food should have a food hygiene certificate. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 23 It was noted that the staff-training matrix was not up to date. It is recommended that the staff-training matrix be updated on a regular basis to include training provided both ‘in-house’ and through an external training organisation. Equipment in the home is inspected and serviced on a regular basis and measures are in place in respect of Legionalla. Water temperatures are tested every four weeks to ensure the maximum temperature delivered from hot water outlets remains constant. A policy is in place that deals with issues of safe working practices and environmental risk assessments were in place. Health and safety issues are also addressed through the induction training standards and NVQ training. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 24 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 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation Requirement Timescale for action 31/03/07 13 (4)© & Arrangements must be made to 13 (5) ensure that care staff that have not done so receive first aid and moving and handling training. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2. 3. Refer to Standard OP18 OP21 OP38 Good Practice Recommendations Newly appointed staff that have not done so should receive adult abuse training. The registered manager should continue with installing an assisted bath or shower on the ground floor. Care staff that have not done so should be provided with appropriate fire safety, infection control and food hygiene training either ‘in house’ or via a training organisation. The staff-training matrix should be brought up to date at regular intervals to provide an accurate record. Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Briarwood Rest Home DS0000063007.V311882.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!