Inspection on 14/09/06 for Brierfield Residential Care Home

This inspection was carried out on 14th September 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

Brierfield Residential Care Home 31/05/08

Brierfield Residential Care Home 10/09/07

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 Unannounced Inspection 14th September 2006 09:30 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.V308627.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.V308627.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 678 2158 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.V308627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 37 service users to include: *up to 5 service users in the category PD(E) (Physical disability over 65 years of age). *up to 12 service users in the category DE(E) (Dementia over 65 years of age). *up to 5 service users in the category DE (Dementia under 65 years of age). *up to 37 service users in the category OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 1st December 2005 2. Date of last inspection 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. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken over a period totalling 7 hours. The inspection process involved interviews with five service users individually and three small groups, and three relatives. Two members of staff were also interviewed and in depth discussions with the manager and deputy manager took place. Six care files and other records and reports pertaining to these service users were inspected. Other documents concerning the running of the home were also examined. A tour of the bedrooms and communal areas of the home was also undertaken and during the course of the inspection the interactions between staff and service users was observed. The amount charged by the home is £325 each week. The Commission for Social Care Inspection report is on display at the entrance of the home and made readily available. What the service does well: Service users, relatives and staff all feel that the home has a warm, friendly welcoming atmosphere, and those involved with the home feel listened to. The home makes sure that there is information available and time is spent supporting those who are moving in, they also make sure that they are able to meet the needs of those who are moving in. The home provides access to health care in a timely manner and staff follow the instructions given by health professional, they also make sure that they keep accurate records of the actions they have taken, and they provide a good standard of personal care. The home makes sure that service users keep their individuality and have the opportunity to make choices about the their daily life and activities. Service users experience a good standard of living at Brierfields. The home makes sure 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. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 6 Staff are well trained and appear dedicated and hard working, making sure that low numbers do not affect the care provided to service users. The manager fosters good relationships with service users, 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 home is, in the main, well maintained. General comments from service users included: ‘It’s very very nice they’re very nice to us. And ‘Generally speaking it’s very good here.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brierfield Residential Care Home DS0000031867.V308627.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 Brierfield Residential Care Home DS0000031867.V308627.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. The home ensures that service users are provided with information and opportunities to find out whether the home can meet their needs. The home makes sure that they gain enough information about service users so that they can determine whether their needs can be met in the home. EVIDENCE: The home provides a service users guide that is kept at the entrance of the building. This guide gives information about the staff, activities in the home, visiting arrangements and information about the expected conduct of staff, the rights of service users and how they can make a complaint. Service users stated that they or their relatives had been encouraged to visit the home before deciding whether to move in. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 9 Six service user files were examined, some contained assessments completed by social services and all continued detailed assessments that had been completed by the manager of the home. The information gained included health, social and psychological needs and preferences. The manager also stated that whenever possible she would carry out an initial assessment in the person’s home or while they were in hospital and talk to them about the home and what it could offer. One service user spoken with confirmed she had visited the home prior to moving in, and had stayed for lunch as part of this introductory visit. Brierfield Residential Care Home DS0000031867.V308627.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. Care plans are comprehensive and clearly written so that staff know what to do in order to meet needs of service users. The home takes positive steps to promote the health and wellbeing of service users. The manner in which staff behave and the actions they take ensures that, service users feel that they are treated with dignity and respect. The medication policy and guidelines are adequate, however, additional monitoring and changes in practice is required in order to fully safeguard service users in this area. EVIDENCE: All the files examined contained detailed care plans, all of which provided clear information about the needs of service users and how these needs must be met by staff. The care plans included how to meet physical health needs, any special social interests and psychological needs. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 11 Specialist and detailed assessments had also been put in place when required, these included moving and handling risk assessments, dietary needs, tissue viability assessments, 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. Signatures and amendments demonstrated that care-plans were reviewed on a monthly basis. The signatures of service users and their relatives also confirmed the homes assertion that those receiving support were involved in the process. Records, reports and other correspondence confirmed that service users received input from health care professionals including, hospital visits, general practitioner consultations, routine and specialist examinations including eyetests, 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 staff related to service users in a respectful manner and tried to meet their needs and respect their choices. These records also confirmed that staff worked in accordance to the instructions in care plans and guidance provided by doctors, nurses and other specialists. Staff were observed supporting service users with sensitivity and any treatment or personal care was carried out with discretion and in privacy. Comments by service users and their relatives about the health and personal care provided by the home included: ‘……is always taken to her room for dressings or when changing in order to go out on Sundays’; ‘Nicole will sort out health needs and accompany her to hospital to help with giving information for treatment.’ And ‘…has had a few visits to hospital for the specialist and staff will accompany.’ ’We are quite happy really with everything in the home and …..is looked after.’’ It’s very very nice, they’re very kind to us.’ While inspecting the medication policies, guidelines and procedures it was noted that medication record sheets had been completed accurately and medication had been administered as directed. The home works closely with a local pharmacist and certificates indicated that staff that administer medication had received training. Unsafe practice was noted on at least one occasion as medication was left on the table beside a service user and staff administering the medication did not watch the medication been taken. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 12 This issue was discussed with the manager and the need for re-training and additional supervision highlighted. In addition the medication file needs contain the name and a sample initials of those who are responsible for administering medication so that it is possible to tell who has been responsible for drug administration at any one time. This was discussed with the manager. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14 and 15 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. The home provides a varied selection of stimulating activities that are enjoyed by service users and prevent boredom. The home takes active steps to make sure that service users maintain and develop meaningful relationships with their families, each other, staff and the local community. The home promotes independence so that service users can have a choice and keep control of their lives. The home provides meals and snacks that make sure that service users enjoy their food and remain well nourished. EVIDENCE: The home has developed an activities calendar and staff have the time and skills needed to organise activities in the home. They also employ an activities co-ordinator who attends for three days each week. During the morning of the inspection service users could chose to join in with armchair aerobic and following morning drinks a game a musical bingo was organised. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 14 It was clear from the laughter and conversations that service users and staff enjoyed these activities. The activities coordinator also chatted with a group of service users, the conversation was open to all who could participate and she encouraged less spontaneous service users by asking them questions directly. Service users discussed outings and activities that they had enjoyed over the summer, these included a trips to local museums, a visit to Wales, pub lunches and a week of activities organised by a local church. This group of five service users were very enthusiastic about activities and felt that they were well catered for. They were keen to display the art work they had completed during arts and crafts sessions, stating that they were pleased to be able to try new art techniques such as, decoupage, silk painting and model making. This group also stated that not everyone wanted to join in with all activities but there was usually something going on at least once a week that someone would enjoy. They also stated that they had entertainers and sing-a-longs which in general were well attended. The activities organiser appeared flexible in that she provided art materials and supported service users to participate if they did not want to join others in the main lounge. A written record of the activities that service users have enjoyed is also kept on individual care files. An act of Christian Worship also takes place on a regular basis and the dates and times displayed outside the office. Newspapers and magazines were also delivered to the home. Comments concerning activities included: ‘I really enjoy dancing.’ ‘Activities keep your mind going.’ One person stated that the level of activities provided in the home was an important factor in recommending the home to his relative. Service users were enthusiastic about their involvement in deciding activities, stating that they had an official meeting abut four times a year but could make suggestions at any time. Many service users have chosen to have keys to their bedrooms and a number also have a telephone connected in their rooms. Night and evening reports indicated that service users could choose what time to go to bed and get-up. The lunchtime meal on the day of inspection was a choice of either meat and potato casserole or cheese pie and chips and beans. The soft diet was sampled and this was nicely presented and tasty. Service users were observed enjoying their meals. The menu was examined and this suggested that a good variety of traditional food was provided by the home. It was difficult to identify, however, how service users were being encouraged to have sufficient fruit and vegetables in their diet. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 15 Service users comments suggested that in the main they were satisfied with the food provided in the home and documentation verified that service users who had poor appetites were referred to the dietician service and supplements provided. The home would improve in this area if they were able to demonstrate how they provide service users with the opportunity to have 5 portions of fruit or vegetables each day and what action is taken to fortify and enrich the diet of service users who have poor appetites. Food charts for the most frail service users were examined and suggestions made about how to improve the information provided to include the persons response when nourishment is being offered. Comments made by service users concerned with food and diet included: ‘Good quantity and there’s enough choice’; ‘All the food is very nice.’; and ‘When the cook is on the food is always good.’ Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. The home ensures that complaints are treated seriously and that service users are listened to. The home’s adult protection policy and the actions they take promote the safety of service users. EVIDENCE: A copy of the complaints procedure was present in each service users file. The manager stated that she had not received any complaints since the last inspection but tended to deal with any issues as they occurred. Comments made by service users and their relatives illustrated that they were clear about the actions they should take to make a complaint. They were also clear about the timescale by which they would expect issues to be resolved. Comments included: ’I have no complaints but would talk to staff’. And ‘I would go to manager and eventually owners if I had to but cannot see it getting to that stage.’. 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. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 17 Reports and records demonstrate that staff are diligent in their observations in this area and report any suspicions they may have. Staff who were interviewed were clear about the actions and omission that could be seen as abuse and the actions they would take in different scenarios. Adult protection training is provided through a rolling program. Supervision records also indicated that this topic is routinely discussed on an individual basis. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. In the main, the home is comfortable and maintained to a standard that provides service users with a pleasant place to live. Generally, the home is clean, hygienic and promotes the health and wellbeing of service users. EVIDENCE: A tour of all the communal areas and some of the bedrooms was completed. All the bedrooms and en-suite areas were clean and comfortably furnished and the majority of service users had brought with them their own belongings and so rooms had been personalised. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 19 Service users 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 service users could sit and rest, read or watch, but still be on their own without having to return to their bedroom. The carpet and chairs in two areas were stained and required cleaning. The majority of the home including all the bedrooms that were entered was clean and free from unpleasant odours. Service users 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 the washing machines have a sluice and disinfection-washing programme. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. Staffing levels are (in the main) sufficient to meet services users needs. Staff have the skills, experience and attitude to meet the needs of service users. The homes recruitment policies and practices promote the safety of service users. The training provided by the home is comprehensive and staff are given ample opportunity to gain the skills and information needed to provide a high quality of care and support. EVIDENCE: On the day of inspection there were 36 service users living at Brierfields. The staffing compliment consisted the manager, deputy manager and six care assistants, two domestic staff and the cook for the morning until the middle of the afternoon. 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. Thorough examination of the duty roster identified that there were frequent occasions when the numbers of staff fell below this due to unforeseeable problems such as sickness or unreliable staff, but also due to holiday arrangements. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 21 This issue was discussed at length with the manager, who agreed to make every effort to ensure that there are always three members of staff on duty at night and at least four during the afternoon to evening shift as this was the minimum ratio of staff originally agreed with Oldham MBC. Furthermore the needs of service users are such that under staffing could result in a poor service and unsafe practice as staff are forced to take short cuts. During the day it was noted telephone calls received by the managers went some way to demonstrate that efforts, such as job adverts in the job centre had been placed in an effort to employ additional staff. The manager stated that they were reluctant to use agencies because these carers would not know the service user, however, she accepted that if agency staff worked alongside established staff this problem could be reduced. Service users, relatives and care assistants were asked about the staffing and no major concerns were raised about the staffing in the home. Comments made by service users and relatives included: ‘Never noticed a problem.’ ‘There seems to be enough staff.’ and ‘Staff are around and they’re as quick as that- it seems as though they are waiting by the door!’ Comments by staff included ‘Yes there are enough, sometimes people don’t turn in but we just get on and do the extra.’ It is evident from these statements that the staff seem to cope when they are low on numbers, however, this is not acceptable for the medium to long term as it allows for bad practice to develop, particularly in relation to moving and handling and makes no allowances for an emergency situation, particularly during the night. The home provides staff with ample opportunity to attend training courses that will improve the care and support they give. Courses since April 2006 has included Medication administration and management; Appointed First Aider; Fire safety; Moving and handling; Yesterday Today and tomorrow; Infection control; Dementia care; Wound Care; National Vocational Qualification (NVQ) level 2 in care; nutritional support; Life story; in-house induction training and protection of vulnerable adults. The staff that were interviewed appeared knowledgeable about the work they did and how to apply new learning they had received. The homes recruitment and selection process is adequate and the information kept about staff is correct, however it is essential that the home makes sure that they are always able to trace people who have provided references. This issue was discussed with the manager. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 22 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 the outcome area is good. This judgment has been made using available evidence including a visit to this service. The home has employed a manager who has the skills, qualifications, and experience to manage the home and service users and staff are confident that the home is managed safely and professionally. The quality assurance system has been developed and service users and others are able to comment on the quality of the service and suggest improvements and changes will be benefit the service users. The finances of service users are safeguarded by actions taken by the home. The home takes sufficient action is taken to fully promote the health, safety and welfare of service users and staff. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager is registered with Commission for Social Care Inspection CSCI. 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 confirmed that the manager is generally on duty for at least 37 hours each week. It was noted that on occasion both the manager and the deputy manager were absent from the home when they were working the same shift, leaving the numbers of staff in the home depleted by two. This was discussed with the manager who stated that it was generally for training purposes. She conceded that this situation was not to occur frequently unless additional staff were on duty. The manager also stated, however, that she and the deputy were not on duty then the most experienced care assistant acted as a senior care worker and took on the responsibility of the manager and was paid accordingly. This assertion was acknowledged through duty roster accounts sheet. The manager also stated she and the deputy also took turns to be on call during the weekend, evenings and night. 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. 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.’ The homes quality assurance system is a questionnaire asking for the opinion of service users, their relatives and others involved in the home. Topics covered were, staff attitude and efficiency, food, satisfaction with bedrooms, the lounge areas, activities and general care and support. Changes as a result of quality assurance process has included making sure that service users know who their key worker is, further landscaping of the central garden and more effort put into ensuring that all clothes are properly labelled. 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 concerning money belonging to service users, and funds passed over to relatives is signed for. Brierfield Residential Care Home DS0000031867.V308627.R01.S.doc Version 5.2 Page 24 Records and dated stickers confirmed that maintenance and servicing of fire safety equipment in the home was up to date and completed in August 2006. The fire logbook demonstrated that fire alarm and emergency lighting was checked on a weekly basis. Brierfield Residential Care Home DS0000031867.V308627.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 3 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 4 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 3 Brierfield Residential Care Home DS0000031867.V308627.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 OP9 Regulation 16 Requirement The registered person must make sure that all medication is administered in a manner that makes sure only the correct person can take it. Timescale for action 01/11/06 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.V308627.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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.V308627.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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