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Inspection on 09/05/06 for Brindley Court Nursing and Residential Home

Also see our care home review for Brindley Court Nursing and Residential Home for more information

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents were generally happy with the care provided at the home and their comments have been included in the report. The standard of nursing care provided is good with evidence contained in individual plans of best clinical practice. Staff training is ongoing at the home and senior staff posses the necessary skills and experience to offer staff supervision, training and support. The provision of therapeutic activities was found to be good and residents were complimentary about the activity co-ordinator. She was seen to be well organised and attentive to the needs of the residents.

What has improved since the last inspection?

There have been no further complaints received by the CSCI since the last inspection. This has improved as previous to the last inspection there had been several complaints upheld. The management of concerns and complaints is more effective at the home. Staff stated that, although they wanted to see a permanent manager in place at the home, they were happy to see the temporary manager on a part time basis, as she had worked as Manager at the home previously. They felt that overall management of the home had improved.

What the care home could do better:

Attention to detail is required in relation to the delivery of personal care. Case tracking revealed that this is an area of weakness and it was difficult to ascertain whether this was a result of insufficient staff numbers to meet the dependency needs of residents or whether it is a result of low staff moral and demotivation of staff. Whatever the reason, this will need addressing. Individual plans also need reorganising, ensuring that they are completed as required and are consistent. The delivery of care also needs to be more individual and less task orientated. Attention to improving the environment is needed. Little had been done in relation to redecoration and refurbishment. The home was looking worn and tired. Attention to the cleanliness of the home is also required. There were mal odours noted and areas in need of carpet replacement. General maintenance of the home needs to be improved and monitored more efficiently. The CSCI has requested an action plan for improvement in relation to this area. Menus will need revising as comments from residents suggested that these are repetitive and that they cannot always have their food preferences. Autonomy and choice are not promoted well in this area. The numbers of staff on each shift will need to be closely monitored in order to ensure that there are sufficient staff provided to meet the needs of the residents. The long term management of the home will need to be addressed and it is now urgent that the home employs a Registered Manager and that the CSCI receive an application in respect of this.

CARE HOMES FOR OLDER PEOPLE Brindley Court Nursing And Residential Home Station Street Longport Stoke-on-trent Staffordshire ST6 4ND Lead Inspector Mrs Yvonne Allen Key Unannounced Inspection 9 May 2006 10:30 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 Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brindley Court Nursing And Residential Home Address Station Street Longport Stoke-on-trent Staffordshire ST6 4ND 01782 828428 01782 828429 brindley.court@ashbourne.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) APTA Healthcare (UK) Limited Ashbourne Homes Limited, Ashbourne Consolidated Group Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability (13) of places Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 13 PD 35 to 65 years Date of last inspection 20th January 2006 Brief Description of the Service: Brindley Court Care Centre provides personal and nursing care for up to fiftytwo male and female persons. The home provides accommodation for mainly older people but can accommodate up to thirteen people, aged between 35 and 60 years on admission who have a physical disability. The home is a two-storey purpose built brick building. It has fifty-two single bedrooms and each of them has an en-suite comprising of a toilet and wash hand basin. The home has lounges and dining facilities on each floor. A passenger lift that is accessible to service users allows easy access around the home. There are appropriately adapted bathing facilities to each floor. There is a central kitchen and laundry. Externally, the home has pleasant secure gardens for service users to enjoy and there is ample parking space. The home is situated close to the A500 and is within easy access of local shops, bus service, a train station and road networks. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out by two inspectors and took 4 hours to complete. The visit was planned and organised so as to gather evidence across all the key standards. Comment cards were received from residents and relatives and their comments have been included in this report. No comments had been received from GPs or Placement Officers. Throughout the inspection evidence was obtained by the following methods – Direct observation. Case tracking. Tour of the premises. Examination of records and documentation. Discussions with staff and managers. Discussions with residents and visiting relatives. Discussions with a visiting healthcare professional. All of the key standards were assessed during this inspection. Not all standards were fully met and requirements have been included in this report. At the end of the inspection verbal and written feedback was given to the managers. Some urgent requirements were left with agreed timescales attached. The inspection commenced at around 10.30am and the inspectors were met by the acting manager. Following discussions in the manager’s office inspectors went on to examine different areas of the home and services provided. Both inspectors met with staff, residents and relatives as well as directly observing the delivery of care and inspecting records. The Regional Manager arrived later that morning and discussions were also held with her. A visiting professional was also present at the time of the inspection and inspectors were able to chat to her. Staff were busy delivering care to the residents at the time. There was a manager present on each unit and they were supported by the deputy manager. Although staff appeared professional and respectful toward residents it was evident that some appeared tired and demotivated and these included some senior staff members. The lack of a permanent full time manager was becoming evident. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 6 Inspectors were made to feel welcome by all the staff, residents and the managers. This busy home meets the needs of the residents in respect of the categories of care for which it is registered. Social and therapeutic needs are met well. However, attention to detail is sometimes missing and the small things, which make a difference to, a resident are not always attended to as they should be. Inspectors felt that more effective management would help to improve this. Management on each unit needs to improve and managers of units need to take more responsibility for the staff whom they supervise and manage, and consequently for the delivery of care. The employment of a permanent Registered Manager who is both assertive and an effective leader will help to improve standards and bring consistency to the home. The home caters for residents with diverse needs. There was evidence of aids and adaptations to help individuals with mobility problems and residents are assessed as to their individual needs. Spiritual needs are catered for including different denominations and this is outlined in the Pre-Inspection questionnaire. Elderly residents both male and female are welcome at this home and, although the home has a registration to accommodate Young Physically Disabled residents (from the age of 18 years), this registration is not currently used by the home. The home is not registered to accommodate residents with mental health needs. What the service does well: What has improved since the last inspection? There have been no further complaints received by the CSCI since the last inspection. This has improved as previous to the last inspection there had been several complaints upheld. The management of concerns and complaints is more effective at the home. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 7 Staff stated that, although they wanted to see a permanent manager in place at the home, they were happy to see the temporary manager on a part time basis, as she had worked as Manager at the home previously. They felt that overall management of the home had improved. 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. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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 Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are given sufficient information about the home and are able to make an informed decision on whether the home can meet their assessed needs. EVIDENCE: A random selection of care plans were examined and case tracking commenced. Of the four care plans examined; all of them contained a pre admission assessment tool, which had been completed before the resident had entered the home. On two of the plans there was evidence of other healthcare professionals being involved in admission. Residents and visiting relatives spoken to at the time of the inspection confirmed that they were given the opportunity to look around and the information they needed before deciding if the home could meet their needs. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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 this outcome area is average. This judgement has been made using available evidence including a visit to this service. Although there were examples of the delivery of good nursing care, the personal needs of individuals are not always fully met. Improvements will need to be made in these areas, including attention to detail, in order to ensure that individuals receive personal care as planned. EVIDENCE: Case tracking of a resident identified that, although she thought that the home was good and that her care needs were met, there was evidence of failings in this area. She had been helped that morning with her personal care needs by the staff but no one had cleaned her magnifying glass for her so that she could read her books. This lady also commented that she is not always given her call bell whilst she is sitting in her chair. Some other residents were observed sitting in rooms without access to a nurse call button. Other comments included “I have a bath once a week but I would love this more than once a week as I really enjoy having a bath.” It was also identified through case tracking, that residents feel that they wait too long for call bells to be answered, especially mornings and evenings. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 11 Another resident was found sitting in a wheelchair in his bedroom with the tyre completely flat on one wheel. When the inspector asked about this she was informed that the wheel “would not pump up”. As this posed a danger to the resident the inspector asked for this gentlemen to be transferred to another wheelchair without delay – which the staff did. The inspector visited another resident who had suffered a ‘stoke’ and needed enteral feeding via a tube to the stomach. This resident was being nursed in bed on a specialised mattress. Personal and nursing care had been delivered as per plan and records maintained. There was also evidence throughout the plans, of visits to outpatients’ clinics and advice from healthcare professionals. There was evidence contained in individual plans of best clinical practice in respect of nursing care. Care plans were in a transitional stage, with some documentation present from the previous company and some from the new company. This was somewhat confusing to follow and needs to be sorted as soon as possible. One of the care plans identified that a resident had sustained a fall out of bed very shortly after moving into the home. The use of bedrails had not been considered appropriate on entering the home. Bedrails were attached after the fall with family consultation. However, there was no evidence of a risk assessment for use of bedrails having been completed. Nor was the “Accident/Falls observation” chart completed. The care plan for this resident was also incomplete as there was only three identified needs documented and there were clearly more identified at the time of the inspection. Date of admission was 15/4/06 so this plan should have been complete. The documentation in place directed staff to deliver care in a task orientated way rather than a person centred and individual approach. Individual care charts were stored together with others and separated from care plans. Plans were not kept in individual rooms and not easily accessible to residents or their families. Comments received from relatives included – “Carers are sometimes very untidy leaving pads about in clients rooms which is not acceptable and can cause embarrassment.” Another read – “The staff are very kind and considerate to both my wife and myself.” Comments from residents included – “I think it is important to keep care staff to a minimum for personal care and feel uncomfortable should a young member of the care staff offer to support me for bathing etc.” Another read – “Staff could be more social at times.” Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 12 The medication procedure was examined and tracking of care included examination of relevant MAR charts and administration of medication. The procedure was found to be satisfactory and in keeping with the medication policy. Procedures for ordering and disposal of medication were satisfactory. Staff responsible for administration of medication had received the required training. All of the comment cards, with one exception, received by the CSCI from residents indicated that they felt that their privacy was respected. Observation at the time of the inspection identified that staff were respectful and polite to residents and that dignity was promoted. Observation at the time of the inspection and comment cards received also indicated that there are not always enough staff on duty to ensure that personal care is delivered efficiently. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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 this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provision of therapeutic activities is good but improvements are needed in respect of meals provided and promotion of autonomy. EVIDENCE: The activity coordinator worked daily 9am till 3 pm. She has a set weekly plan and entertainers are booked in advance. Silverdale and Longport Church visit the home monthly for those service users who wish to attend a service. A variety of activities are arranged such as a keyboard player, makeovers, Bingo and Quiz’s. Some service users also enjoy flower arranging and seasonal crafts. Individual activities also take place for those not wishing to socialise such as library books, board games and chats. The hairdresser also attends the home weekly. When possible the service users are encouraged to sit outside and enjoy the fresh air. Some of the service users spoken to had enjoyed the morning’s entertainers who sang Old Music Hall songs to sing along to. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 14 One lady said she was happy in her room and did not like going into the lounges, she enjoyed the television and the radio. Case tracking revealed that another lady enjoyed reading books in her room and commented that the activity co-ordinator was “very good and looks after me with my books”. The kitchens were evidenced as being clean and tidy. Meal choice was repetitive and service users did comment that they were not that happy with the food offered. One lady said her daughter brought in fruit and she would like it cut up for her, she also said she missed her boiled or fried egg. It was noted that some service users were still eating breakfast at 11.15/11.30. When lunch is served around 12.30 this is not acceptable. Service users must be assisted and encouraged to eat their meal and leave a more appropriate gap between meals. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is average. This judgement has been made using available evidence including a visit to this service. The acting managers at the home are addressing concerns and complaints effectively. The complaint procedure displayed requires amending. EVIDENCE: The CSCI had not received any complaints directly since the last inspection. This had improved as prior to this there had been several complaints upheld at this home. The acting manager stated that she records complaints and concerns in a log and addresses them according to the complaints procedure. The complaints procedure displayed in the reception area requires amending as the details are those of the previous company. This was highlighted to the acting manager and regional manager at the time of the inspection. Residents who were case tracked throughout the inspection commented that they knew who to raise concerns with should they have any. Comment cards received from residents and relatives confirmed the above. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Some previous requirements relating to the improvement of the environment have not yet been addressed and the maintenance of the home does not fully meet the minimum standards in this area. EVIDENCE: As at the last Inspection the home appeared to still require further attention to decoration. Some bedrooms had been repainted and had new furniture but still had the original curtains. More emphasis on comfort needs to be considered when the rooms are decorated and furnished. Bed valances were not evident exposing worn divan bases and some bedrooms were in need of a deep clean as identified to the managers. Some relatives spoken to at the visit all commented that the rooms looked worn and in need of refurbishment. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 17 General maintenance issues do not appear to be treated with any urgency and this must be addressed as soon as possible. The inspector was informed that the lighting is to be replaced along the corridor shortly. Comments received from a visiting professional identified that there are often mal odours present at the home. The mid lounge on the ground floor was still in a poor condition as it was in January on the previous visit. This room requires a deep clean and carpet replacement. Cleaning schedules must be reviewed and quality checks made to ensure the work is completed to a high standard. Room 37 was malodorous with a stained carpet and dirty drinks table The corridor lighting was very dark throughout the home. General paintwork was poor in bedrooms. The Mid lounge carpet was very dirty and stained. The window closers in the smoking room were missing. The up lighter was broken outside Room 11and the drawer fronts were broken. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected 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 this outcome area is average. This judgement has been made using available evidence including a visit to this service. Staff supplied had the necessary skills and experience to care for the residents and minimum staff were provided but there was evidence to suggest that staffing levels are not always sufficient to meet the needs of the residents and close monitoring is required in this area. EVIDENCE: Staff files identified at the inspection were found to be complete. Some archiving is required for training files, only current information should be retained in the file. Recruitment had continued and less agency staff were being used due to a Bank of staff being organised. The mangers post is still vacant and the home is showing signs of lack of leadership. Staffing levels were to the minimum numbers required however the dependency levels of the service users sometimes requires more staff on duty. Management must continue to review the dependency of the service users to ensure individual care needs are being met. There were 46 service users in the home, 13 were residential. Two trained staff were in the home for each shift over 24hrs, seven carers were on duty on the morning shift, six carers were on duty on the afternoon shift and 4 carers were on duty on the night shift. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 19 Some staff generally appeared demotivated and tired. Some staff was seen interacting with the service users and others were going about their daily tasks. Visitors said the staff did inform them of changes to their relatives and always made them feel welcome. Some individual reviews identified at the last visit had not been carried out and this was possibly due to staff change over. Archiving is required for staff files. Staffing levels require close monitoring in relation to dependencies of residents. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is average. This judgement has been made using available evidence including a visit to this service. The home is showing signs of the absence of a full time permanent manager and the employment of a suitable individual for this post is urgently required. EVIDENCE: There is currently no registered manager in place at this home and no application had been received by the CSCI in respect of this. There was an acting manager who worked one day per week, who had previously worked as manager at the home. The Regional Manager who was working one day per week at the home also supported her. A deputy manager also worked full time at the home and each unit had a manager. The Regional Manager had kept the CSCI updated with information about the manager situation and she stated that the position had been widely advertised. The home had recently offered the position to an applicant but this had fell through at the last minute. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 21 Although the company was overseeing the overall management of the home, staff spoken to stated that they would like to see a permanent manager in place and staff moral was quite low at the time of the visit. Staff commented, however, that they were happy to see the current manager on a part time basis as she had previously worked as manager of the home. They said that this had lifted their spirits somewhat. Staff supervision, once commenced, should help to steer the staff in the right direction and enable them to become better motivated and enthusiastic. There were no supervision records available. The acting manager stated that she had just started with these. Quality auditing does take place at the home. The Acting Manager and Regional Manager carry this out on a regular basis and monitor all the services provided. There was evidence seen to support this. The Regional Manager also completes a Regulation 26 report each month, which she sends through to the CSCI. Her reports for this home are very detailed and informative. There have been areas of weaknesses highlighted in this report, especially in relation to personal care and the environment, which require special attention and attention to detail and which would benefit and improve from closer monitoring. Records were examined in relation to the administration of residents’ individual pocket monies and valuables. These were found to be satisfactory and had been well managed. Maintenance records were also examined in respect of maintaining a safe environment. Staff had received mandatory update training sessions in moving and handling, fire safety, infection control and food safety. Records were seen in relation to these and staff spoken to confirmed this. The maintenance and servicing of equipment had taken place as required with records maintained. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 2 2 2 2 2 2 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 1 1 3 x 3 3 x 3 Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? yes Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 24 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 2 3 Standard OP15 OP15 OP19 Regulation 16(2)(g) 16(2)(i) 23(2)(b) Requirement The broken Food Heater (Bay Marie), which had been broken for 2 weeks, must be repaired. Menus must be made more flexible and varied. The internal premises must be kept in good order and an action plan must be provided. PREVIOUS REQUIREMENT The premises must be kept in a hygienic state and free from offensive odours. PREVIOUS REQUIREMENT A registered manager must be provided at the home. PREVIOUS REQUIREMENT All residents must have access to a call bell when left unspervised A risk assessment must be undertaken before the use of bedrails or any other form of equipment. Care plans must be consistent, complete and accessible to residents/representatives. Personal care must be planned and delivered so as to take into account individual wishes and promote autonomy. Menus must be revised and food presentated must be made more flexible and varied Complaint prodedure must be ammended Timescale for action 20/06/06 20/06/06 20/06/06 4 OP26 16(2)(j)(k ) 8 and 9 13(4)(c) 13(4)(c) 20/06/06 5 6 7 OP31 OP7Op OP8OP 20/07/06 20/05/06 20/05/06 8 9 OP7 OP7 15(1)(2) 12(2) 20/06/06 20/06/06 10 11 OP15 OP16 16(2)(i) 22(1-4) 20/06/06 20/06/06 Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 25 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 OP15 OP7 OP33 Good Practice Recommendations Service users must be assisted and encouraged to eat their meal when it is served and leave a more appropriate gap between meals. Care should be planned, delivered and recorded in a way, which is individualised, and not task orientated. Quality auditing should concentrate on improving standards in relation to the delivery of personal care and the presentation of the environment. Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Brindley Court Nursing And Residential Home DS0000026941.V293844.R01.S.doc Version 5.1 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!