Inspection on 10/09/07 for Brierfield Residential Care Home

This inspection was carried out on 10th September 2007.

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

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

Other inspections for this house

Brierfield Residential Care Home 31/05/08

Brierfield Residential Care Home 14/09/06

Brierfield Residential Care Home 01/12/05

Brierfield Residential Care Home 11/08/05

Brierfield Residential Care Home 28/02/05

Brierfield Residential Care Home 23/04/04

Brierfield Residential Care Home 16/02/04

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 Brierfield Residential Care Home Brierley Avenue Failsworth Oldham Lancashire M35 9HB Lead Inspector Michelle Haller Key Inspection 09:15 10 September 2007 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 Brierfield Residential Care Home DS0000031867.V345102.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. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brierfield Residential Care Home Address Brierley Avenue Failsworth Oldham Lancashire M35 9HB 0161 681 5484 0161 682 7072 brierfieldshouse@masterpalm.co.uk 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) Masterpalm Properties Limited Nicole Thomas Care Home 37 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (12), Old age, not falling within any other of places category (37), Physical disability over 65 years of age (5) Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2006 Brief Description of the Service: Brierfields is a purpose built single storey care home for people aged 65 years and over. The owner is Masterpalm Properties who have three other homes in the area. The home is set on three wings, Acorn, Beech and Cedar. All service users are provided with single en-suite accommodation. Communal areas includes one, very large, main lounge and dining room, a smaller lounge and quiet corners around the home, there is also a large enclosed porch that over-looks a quadrant garden. All bedrooms are single with en-suite toilet and washbasin. Most rooms have freestanding furniture making it possible for service users to bring their own soft furnishing, accessories and other items. The fee charged by the home is £343.10 each week. The Commission for Social Care Inspection report is on display at the entrance of the home and made readily available. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection which included a site visit to the home. The manager was not informed beforehand that we were coming to inspect. Thisi is called an unannounced inspection. The inspection process involved interviews with five people individually and one small group discussion with 3 people, and two relatives individually. Three members of staff were also interviewed and in depth discussions with the manager and deputy manager took place. One relative commented ‘They are well looked after.’ Nine care files and other records and reports pertaining to these people were inspected. Other documents concerning the running of the home were also examined. The Commission for Social Care Inspection (CSCI) ‘Annual Quality Assurance Assessment’ which was completed by the manager also provided information that influenced the outcome of the inspection. Unfortunately, on this occasion, residents or relatives completed no CSCI surveys that were sent to the home. A tour of the communal areas of the home was also undertaken and during the course of the inspection the interactions between people in the home was observed. What the service does well: People involved with Brierfields express a high level of satisfaction and feel that all feel that the home has a warm, friendly welcoming atmosphere, and feel listened to. The atmosphere is calm and peaceful. The manager promotes a positive wellbeing by that time is spent supporting those who are moving in ensuring that the service is able to meet their needs. Access to health care is provided in a timely manner and staff follow the instructions given by health professional, accurate records of the actions they have taken is maintained, and they provide a good standard of personal care. People are supported in keeping their individuality and opportunity to make choices about the their daily life and activities. People experience a good Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 6 standard of living at Brierfields. One person commented ‘The food is very good, plenty to eat.’ The systems in place ensure that staff are able to promote and maintain the safety of service users. The environment of Brierfields allows service users to remain independent and provides pleasant and spacious communal and private living space. Staff are well trained and appear dedicated and hard working. The manager fosters good relationships with people, their relatives and professionals dealing with the home by listening to them and having honest dialogue. She understands the importance of continual training and appears open to suggestions and eager to continually improve the service provided. The range of community-based activities that are available is impressive and ensures that people continue to feel a part of the community at large. What has improved since the last inspection? What they could do better: The manager must make sure that references are genuine and as far as possible impartial. The manager must ensure that the monitoring of skin care is consistent and effective. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 7 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. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 8 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 Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 9 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 (standard 6 in not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wellbeing is promoted, as the manager makes sure that people are assessed prior to admission to the home. EVIDENCE: A cross section of care files were examined, and each contained assessments completed by social services, and there was evidence of additional assessment undertaken by the manager and deputy manager of Brierfields. This information included a history of previous health, social and psychological needs. The manager stated that whenever possible initial assessments take place in the person’s home or while they were in hospital. And completed preadmission assessments were noted in a number of files. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 10 The manager stated that the home continues to provide people with the opportunity to spend time in the home prior to their admission. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that for the most part good health and a positive feeling of wellbeing is promoted, and that people are treated with dignity and respect. EVIDENCE: The majority of files examined contained care plans, all of which provided clear information about the general needs of people and how these needs must be met by staff. The care plans included how to meet physical health needs, social interests and psychological needs. The exception was the information available for the person who was receiving respite care. Specialist risk assessments had also been completes such as moving and handling risk assessments, dietary needs, continence monitoring and fluid intake charts. These assessments provided written instructions about the actions to be taken that will reduce any risk and monitor progress of service users. Unfortunately a number of the risk assessments failed to provide Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 12 sufficient information about the potential risk and the action expected of staff. Furthermore in some cases the information in risk assessments had not been transferred into the written care plan. Discussion with the manager and staff indicated that information was passed on through the verbal handover system. However it was not always evident through the records or the comments of staff that this was always the case. Signatures and amendments demonstrated that care-plans were reviewed on a monthly basis. The signatures of people and their relatives also confirmed the homes assertion that those receiving support were involved in the process, however the issue of capacity was discussed as on occasion people had signed when it was unclear whether they fully understood the information. Records, reports and other correspondence confirmed that people received input from health care professionals and were supported in attending outpatient appointments, general practitioner consultations, routine and specialist examinations including eye-tests, dental checks, podiatry, district nurse, continence advisory team and falls prevention. The language used by staff when writing daily records and diary entries demonstrated that they related to people in a respectful manner and tried to meet their needs and respect their choices. The more recent daily records have been written in quite general terms and did not always relate the care plans, however, it was possible to track the progress of people through the information recorded in files as staff did recognise the need report and record in detail any changes noted. Staff were observed supporting people with sensitivity and treatment or personal care was carried out with discretion and in privacy. It was observed that staff interaction with people was quiet, polite and respectful. The main area for improvement relates to skin care in the home. A more consistent approach is required so that staff are fully aware of those who are at risk of developing pressure sores, the observations they must make and the actions they must take to reduce the risk of pressure areas breaking down. Daily records indicated that when tissue viability nurses become involved their instructions are followed. Comments concerning health care included: ‘They are well looked after.’ A local pharmacist has recently audited the medication policy and practice at Brierfields and the manager has agreed to implement any recommendations that have been highlighted as a result. No unsafe practices concerning medication were noted on the day of this inspection and certificates confirmed that those responsible for administering medication had received training. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 13 The manager needs to rationalise the records and filing system so that information is readily to hand, staff also need clear and consistent guidelines concerning how to record and report information about the events that involve people living in the home. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 14 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 and 14 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle and amenities provided at Brierfields meets the needs and expectations of people living there. EVIDENCE: An activities calendar has been developed and staff are employed with the skills needed to organise activities. A specialist activities co-ordinator has been employed. No formalised activities occurred on the day of the inspection, however the hairdresser was working in the home and most people had their hair cut or permed and positive social interaction was a part of this event. In addition it was observed that people were happy relating to each other, reading, watching television or listening to music. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 15 In the afternoon staff spent time completing manicures for people who wanted them. The activities record indicated that recent outings included regular church service, meals out pub lunches and trips to local shops and markets. People are able to continue with established hobbies such as visiting the betting shop or knitting. Artwork that has been completed during arts and crafts sessions is on display and included examples of decoupage, silk painting and model making. People said that the routines in the home were flexible and that they could decide for themselves whether to participate in activities. Files, as previously identified are disorganised and so it was not possible clearly identify all the activities that people had been involved, however there was clear evidence in sufficient cases to assess that activities provided continues to be varied and in keeping with the wishes and aspirations of people living in the home. Future activities in the coming months include a trip to local beauty spots, Blackpool illuminations, entertainers, film nights and arts and craft sessions. Comments concerning activities included: ‘I enjoy knitting and staff bring in the wool, also enjoy trips out such as pub lunches and trips to Southport and St Annes.’ Meetings continue to occur approximately four times a year and the manager stated that the next one would include discussion about redecorating and rearranging the large lounge. Many people chose to have keys to their bedrooms and people can choose to have a private telephone line connected in their room. Comments from people and night and evening reports confirm that people can choose what time to go to bed and get-up. And there is every indication that the routines in the home are flexible as people received guests throughout the day. The lunchtime meal on the day of inspection was a choice of either Irish stew vegetable to sausage and mashed potatoes. People were observed enjoying their meals. The menu was examined and this suggested that a good variety of traditional food was provided by the home. Fruit was readily available and also available on request. The cook stated that the kitchen was never locked and people could have what ever they wanted to eat and staff could provide additional snacks if desired. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 16 People commented that they were satisfied with the food provided in the home and documentation verified that those with poor appetites were referred to the dietician service and supplements provided. The cook was aware of meal preferences and a list of likes and dislikes was kept in the kitchen, she also stated that birthdays, anniversaries and other significant dates are always celebrated and appropriate food provided for example birthdays, Christmas, Easter or Halloween. Food charts for the frailest people were examined and provided good information about their nutritional intake. In addition certificates confirmed that staff had received training in how to assess and improve the nutritional status of older people Comments made by people about the food and diet included: ‘The food is very good, plenty to eat.’ Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that complaints are treated seriously and the home’s adult protection guidelines help to promote the safety of people. EVIDENCE: A copy of the complaints procedure was present in each persons file, these require updating, however they continue to provide sufficient information about the steps to take concerning complaints and a description of how complaints will be dealt with and the right to take a complaint further if dissatisfied with the outcome. The complaints record was examined and these records indicated that complaints were dealt with in a fair and open manner. Comments made by people and their relatives illustrated that they were clear about the actions they should take to make a complaint. They were also confident that any issues would be resolved. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 18 Comments included: ’I have no complaints but would talk to staff’, namely the manager. The home’s adult protection policy and guidelines are in keeping with the POVA policy introduced by Oldham Social Services. Staff have undertaken POVA training and investigations have been carried out in keeping with these guidelines and steps taken to further protect service users and reduce the risk of recurrence. There is a flow chart displayed in the staff room outlining the actions they must take if they suspect or witness abuse. Residents spoken to all said they “felt safe” at the home. This would be improved further if the guidelines were made more specific to the home, however staff who were interviewed were clear about the actions that could be considered abuse and the action they would take to protect vulnerable people. Protection of Vulnerable adult training is included in the induction training and staff have access to a rolling programme of training provided by the Oldham Training partnership. Reports and records demonstrate that staff continue to be diligent in their observations in this area and are confident that reports of any suspicions they may have will be given appropriate attention. People who were interviewed stated that they felt safe. Incident records also illustrated that the manager ensures that social workers, relatives and the adult protection team are alerted to incidents ensuring that they are dealt with openly. Furthermore steps are taken to safeguard and monitor people in accordance with the recommendation of case conferences. This area would be improved if the manager recorded the final outcome and resolution of these referrals. This would demonstrate that the concern was monitored to its resolution. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the main, the home provides a comfortable, clean and pleasant place to live. EVIDENCE: During this inspection all the communal areas were entered, bedrooms were not. In the past the bedrooms and en-suite areas were clean and comfortably furnished and the majority of people had brought with them their own belongings, there was no indication that this situation had changed. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 20 People were observed making use of the different lounge and sitting areas throughout the home. Particularly popular areas included a small lounge over looking the front of the home and an enclosed veranda style link-room overlooking the landscaped inner garden. There was also comfortable seating placed in different alcoves and areas of the home so that people could sit and rest, read or watch, but still be on their own without having to return to their bedroom. The carpet in one corridor requires cleaning, however one lounge has been redecorated and re-carpeted and the main dining room and large lounge are also due for refurbishment. The manager needs to carry out a risk assessment and develop a risk reduction plan in relation to this activity, as this will help to identify how to achieve the improvements. The manager has stated that the people living in the home and their relatives will also be involved in discussing how to best to achieve these improvements. Domestic staff stated that they were provided with sufficient equipment and time to keep the home clean and fresh. People were observed mobilising around the home independently using hand rails, walking frames or walking sticks and other aids and adaptations that had been provided. The laundry in the home is clean and well organised and the equipment, fixtures and fittings meets the required hygiene standards in that, all the surfaces were washable and there is a washing machine with a sluice and disinfection-washing programme. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 21 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that staff are provided in sufficient number and with appropriate skills to meet the needs of people living in the home. EVIDENCE: On the day of inspection there were 36 people living at Brierfields. The staffing compliment consisted the manager, deputy manager and four care assistants, four domestic staff, the laundry assistant, the cook and a kitchen assistant. There were four afternoon to evening staff and three night-staff on duty. This is the ratio of staff that the manager considers to be suitable for the home. Examination of the duty roster identified that were occasions when the numbers of staff fell below this due to unforeseeable problems such as sickness or holiday arrangements. People who were asked about the staffing felt that in the main there was usually sufficient staff on duty. Comments made included: ‘Staff are very good and there are enough of them.’; ‘I am satisfied with staff attention.’ Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 22 The home provides staff with ample opportunity to attend training courses that will improve the care and support they give. Courses since April 2007 has included Medication administration and management; Appointed First Aider; Fire safety; Moving and handling; Yesterday Today and Tomorrow; Infection control; Dementia care; National Vocational Qualification (NVQ) level 2 and 3 in care; nutritional support; Life story; in-house induction training in keeping with Skills for Care Common induction protocol and protection of vulnerable adults. Staff that were interviewed appeared knowledgeable about the work they did and how to apply new learning they had received. The staff files for the most recent recruits were examined and up-to date Criminal Record checks had been completed; the files also contained the original application forms, and additional proof of identity. The homes recruitment and selection process is needs to be improved because it is essential that the home makes sure that they are always able to trace people who have provided references and that these are genuine. This issue has been discussed with the manager on previous occasions and it is important that this aspect of their recruitment process is improved as this loophole could result in unsuitable people being employed in the home. Comments about the staff included: ’My staff are good. They look after us.’ Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager who has the skills, training and experience to provide leadership and who manages the home in the best interests of the people living there runs Brierfields. EVIDENCE: The manager is registered with Commission for Social Care Inspection CSCI and has commenced National Vocational Qualification training level four in care and management. Training records and certificates confirmed that she continues to attend training courses that will improve her managerial skills and enhance her knowledge about working with older people in a care home. The roster Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 24 confirmed that the manager is generally on duty for at least 37 hours each week. Discussion with staff and service users indicated that the manager does her utmost to promote positive and professional relations between those who are involved in the home. She appears to be fair and easy to approach, and comes across as keen to co-operate fully with the CSCI inspection process. Previous comments about her attitude and ethos included: ‘The manager is very easy to talk to’; ‘She makes a good atmosphere.’ And ‘Nicole is approachable, there is a very friendly atmosphere here.’ There was nothing to indicate; during this inspection that this had changed. Information provided by the manager in the CSCI annual assessment (AQAA) indicated that the quality assurance system that gives relatives and other the opportunity to comment and make suggestions about improvements and how the home is run. A monthly newsletter has also been introduced and this provides information about meeting, activities and changes that are proposed. The accounts of five service users were examined. The amount detailed in the accounts book tallied with the amount held on their behalf by the home. A receipt book is used to record all expenditures and funds passed over to relatives are signed for. Records and dated stickers confirmed that fire safety equipment in the home had been checked during June 2007 and hoists were serviced in September 2007. Staff have received training in health and safety and moving and handling practices in the home appear safe. Risk assessments are completed and is was observed that staff comply with moving and handling instructions that are detailed in individual care-plans. Staff need an updated infection control procedure and guidelines to ensure that information provided relates to the equipment provided in the home. Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 25 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 26 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 OP8 Regulation Requirement Timescale for action 01/11/07 2 OP29 13 (4) (c ) The registered person must ensure that pressure area and tissue viability monitoring and assessment are completed consistently. 17(2) The registered person must ensure that employment references can be verified and are authentic. 01/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: 0845 015 0120 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 Brierfield Residential Care Home DS0000031867.V345102.R01.S.doc Version 5.2 Page 28 - 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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