Inspection on 02/05/08 for Broadlands Care Home

This inspection was carried out on 2nd May 2008.

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

Broadlands Care Home 06/11/07

Broadlands Care Home 27/06/07

Broadlands Care Home 07/10/05

Broadlands Care Home 12/07/05

Broadlands Care Home 05/03/05

Broadlands Care Home 02/09/04

Broadlands Care Home 27/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Broadlands Care Home 28 Shelford Road Radcliffe on Trent Nottingham NG12 1AF Lead Inspector Lee West Unannounced Inspection 2nd May 2008 13:00 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 Broadlands Care Home DS0000050869.V363960.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. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadlands Care Home Address 28 Shelford Road Radcliffe on Trent Nottingham NG12 1AF 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) 0115 933 2727 0115 911 5027 Miss Soowantee Doma Mrs Premila Auchraje Miss Soowantee Doma Care Home 19 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (19) of places Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Miss Soowantee Doma and Mrs Premila Auchraje are registered to provide accommodation and personal care for persons of both sexes at Broadlands Care Home whose primary needs fall within the following categories:Old Age, not falling into any other category - OP (19) 2. 3. Dementia - DE (5) All service users within Broadlands Care Home must be over the age of 60 years The maximum number of persons to be accommodated at Broadlands Care Home is 19 6th November 2007 Date of last inspection Brief Description of the Service: Broadlands is a care home providing personal care and accommodation for 19 older people. It does not provide nursing care. It is owned by Miss Doma and Mrs Auchraje, with Miss Doma being the registered manager. The home is located in the village of Radcliffe on Trent and it is approximately a quarter of a mile from the village centre, which has shops, pubs, a library and all the amenities one would normally expect from a large village. The home was opened in 1970 and is an extended, detached property. Service users are accommodated on the ground and first floor, access to which is by 2 stair lifts. There is some seating outside and a small garden area. Current fees for the service range from £297 - £355 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide and a copy of the latest report is also available for viewing. The Certificate of Registration is displayed in the entrance area and is up to date. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and aspects of service provision that need further development. This inspection was unannounced and involved one inspector. The main method of inspection used is “case tracking”, which involves selecting four residents and looking at the quality of the care they receive by speaking with them, observation, reading their records, and asking staff about their needs. Members of staff, family and other visitors were also interviewed. Documents, including care plans, medication administration records, complaints records and quality reviews were inspected to help form an opinion about the health, safety and welfare of residents at the home Information supplied to the commission by the manager, on the Annual Quality Assessment, with information received by the Commission about the home, since the last inspection, were also considered, and helped the decision of which areas to focus on. The quality rating for this service is 1 star. This means people who use this service experience adequate quality outcomes. What the service does well: The home is clean and well maintained, with a homely atmosphere. Food is nutritious with well balanced menus and choices. Tea is served in individual teapots and china crockery, in a pleasant dining area. One resident commented, “I’ve not been here very long, but I like it here. My room is fine and the food is really good.” A relative said, “the home is very cosy and mum is much better now.” The home has their own link resident who voices the residents’ concerns at resident meetings. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Pre-admission assessments must contain information about the personal and medical history, individual diversity and mental capacity of prospective residents, to make sure the home is able to meet all the care needs of the prospective resident. Care Plans must have more information about the individuality of people using the service, their diversity, leisure interests, personal and medical histories to make sure all needs are identified and met in a way they prefer. Attention to privacy and dignity must be improved, particularly the downstairs toilets where the doors, which open onto the main corridor, sometimes remain open when in use. Also, bedroom doors should be closed, especially the three rooms on the ground floor, which open onto the main corridor. The downstairs bathroom, which is used to store equipment, as visitor toilet and place for staff to put their coats and bags, is cluttered and should be cleared to enable residents to use the bath in a safe and pleasant environment. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 7 Hand towels in the toilets should be removed and suitable replacements used, following advice from the infection control practitioners, to avoid cross infection with a number of people using the same towels. 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. Broadlands Care Home DS0000050869.V363960.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 Broadlands Care Home DS0000050869.V363960.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): 1, 3, 5, 6, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Information available for prospective residents has improved and they have opportunities to visit the home, which enables choices to be made about the suitability of the service. However, some of the assessments had no information on personal, or medical histories, to identify and support the person’s individuality. This could have a negative impact on the quality of the care planned. This service does not provide intermediate care at this time. EVIDENCE: The updated Statement of Purpose and Service User Guide were seen and changes had been made, to provide information about the service and its facilities, as well as identifying the complaints procedure, which also included details of how to contact the Commission, enabling people to make a more informed choice about the home and its suitability to meet their needs. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 10 One relative spoken with said, “The information from the guide and previous report was very helpful, as was the discussion with the manager about my relative’s support needs, to make the decision about my relative entering the home.” Pre-admission assessment records were seen in the records case tracked. These were completed by the adult services and identified the individual’s care needs and were used to develop the individual care plans. Some of the assessments case tracked did not contain any information on personal, or medical histories, social interests, hobbies, religious or cultural needs. A new resident said there had been an opportunity to visit the home and stay for a while before making the final decision to be admitted and that “being able to visit helped me to feel at home and meet the other residents before making my decision.” Intermediate care is not provided at this service. Broadlands Care Home DS0000050869.V363960.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, 10, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People receiving assistance are happy with the way staff deliver their care, but there are areas where more attention to privacy and dignity is needed. there were gaps in records, which could lead to dietary needs not being fulfilled and impact negatively on people. EVIDENCE: Four care plans were case tracked and those sampled were set out in a way which addressed individual care issues. The actions needed to provide support for people using the service were set out in the plans. However, there were some gaps. For example, one person had lost weight but there was no evidence in the documentation of any action taken to monitor this, to make sure the person was having dietary needs met, or reasons for weight loss investigated. People spoken with were generally very happy with the care they receive and also stated staff treated them with respect and dignity. Staff were observed Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 12 treating them and their families with respect and dignity, but privacy was not always maintained. In particular the doors on the two ground floor toilets, which face the corridor, were often left open and people using the service sometimes left them open when being used. Visitors who used the downstairs bathroom for toilet needs had to pass by the two toilets to reach it, exposing residents and visitors to potential embarrassment and loss of dignity. The care plans contained risk assessments of day to day living, as well as specific risks like leaving the building alone, and these were used to develop the actions needed to support care and take into consideration the risks identified to provide care in the most appropriate way for the person. One relative said, “I am very happy with the care provided at the home. My mother has improved tremendously since being at the home.” She also said the staff were very welcoming and treat her with respect and that they can’t do enough for her. Evidence was seen in the care plans, of medical appointments and involvement of other health professionals, showing people have their care needs met by other professionals when necessary. The plans also contained evidence of regular review and input from the resident, or their family, to demonstrate their involvement in the review of the plans. One resident said, “Staff are very caring and help me in all ways I need.” Afternoon medication was observed and the carer who had been trained to do this gave this out. The Medicines Administration Records (MAR sheets) were clear and accurately recorded with no gaps, but some of the records did not have photographs of the residents to help staff, who may be unfamiliar with people within the service, to safely identify individual people. Medicines were stored properly and during the visit the chemist arrived to take back unwanted medicines and brought supplies, which the carer put away in the proper places. No-one was administering their own medication at this time, but there were procedures in place to follow should anyone wish to do this. Broadlands Care Home DS0000050869.V363960.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Maintaining important family relationships is encouraged and activities within the home have improved, with choices for people to join in if they wish. Meals are nutritious and wholesome, with choices available, helping them to maintain control in their daily living. EVIDENCE: An Activities Co-ordinator had just been appointed and the residents enjoyed monthly exercise and activity provided by Motivation. There was an information pack which identified activities available and who had attended them. During the visit a group of 4 people were enjoying a painting and drawing activity, led by one of the residents, who had a talent for this work. They all said how much they enjoyed the activity and one said, “its really good to have something to concentrate on.” Daily newspapers were available and one resident said, “I love looking at the daily paper and its ordered for me every day.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 14 Other people were watching a classic film on a television, and relatives were visiting others. Relatives spoken with said staff were very welcoming and treated everyone with dignity. They also said they were offered food and drink and somewhere private to visit if they wanted it. One relative said, “Staff can’t do enough for me.” Although there were more activities, the care plans case tracked did not all contain any information about the personal histories, personal interests, preferences or wishes of people using the service, which could lead to their individual diversity, social and recreational needs being unmet. Religious interests were identified in some people’s records, and communion offered to those who wish it. People were able to move around freely if they were safe to do so alone, and assisted if they needed it, encouraging their independence and choice. The tea, served in a homely dining area at 5.00pm, was nutritious. There was salad quiche and sandwiches. Dessert was bananas and custard. There were stainless steel teapots, milk jugs and sugar bowls on the tables with residents pouring their own drinks into china teacups, with saucers, and those unable to do this alone were quietly assisted, with staff carrying this out in a dignified manner. Everyone said who much they enjoyed the meal. One person was seen to be choking whilst eating, and one of the care workers supported her during this bout and helped her recover. Residents said they enjoyed the food, there were choices and they could have their meals when they wanted. One said, “I like to have my breakfast about 9.00am and staff are happy to help me with that.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in place, and contained in the Service User Guide and people are aware of how to make a complaint. Policies and procedures are in place for safeguarding people, but some staff still require training in this area. EVIDENCE: The complaints procedure had been included in the home’s service user guide and there was a link resident in the home to feed back information to the management team and residents, which included any complaints. Staff were asked about their role in safeguarding adults, and all working during this shift were aware of their role. They said they would disclose any suspicions to the manager, to protect the people in their care. Local Safeguarding procedures were available, but some staff had not yet been trained in this. Evidence was seen though of dates of training and names of people booked on the training, to address this. Relatives spoken with said they would be happy to make any complaint to the manager. One said, “I find the manager very approachable and she tries to do her best for everyone. If I have a problem she tries her best to solve it.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25, 26, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained and homely environment, which encourages independence, but some areas are cluttered and have a negative impact on dignity. EVIDENCE: The home was well-maintained and clean. The hall carpet had been cleaned and all carpeting within the home was clean. The bedrooms were clean and people had their personal possessions around them. However, three bedrooms on the ground floor had been cleaned and the doors had been left wide open, leading to exposure of personal possessions to anyone who entered the home. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 17 Residents and visiting relatives were all happy with the rooms and facilities available. One resident said, “I am happy because I have my photos around me.” The toilets contained facilities to wash hands, however, all had hand towels in place, which were used by anyone using the toilets, leading to risks of cross infection. During discussions about this the manager stated there had been issues with paper towels blocking the toilets, but she agreed there was a risk of cross infection and was contacting the Infection Control Team to help address this. The ground floor bathroom, was also being used as the visitors’ toilet and storage room for staff coats, bags and spare equipment. The hoist was observed covered in clothing and bags, the bath chair, over the bath was also covered in clean, which suggested they had not been used. I spoke to residents and none of those case tracked had been assisted with a bath in the ground floor bath, but had used the shower, which was situated in the corner of the bathroom, even though some had said they preferred a bath. Maintenance was carried out regularly and the maintenance book clearly identified the work needed and the date it was carried out. New fuse boxes, for example, were fitted on the 1st April, because there had been some risk identified. The kitchen, dining and lounge areas were clean and decorated to create a homely environment. Residents said they particularly liked the way tea was served, which helped them to maintain their independence by pouring it themselves, as one said, “in lovely china cups, not horrible beakers.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix have improved, supporting people’s care needs and recruitment practices are followed to protect them and to ensure staff working in the home are eligible to work within the care sector. EVIDENCE: Staffing levels had been increased since the last inspection. The manager and deputy were working today, with two carers on each morning and evening shift and from 9.00pm one carer awake and one asleep on the premises, on call for assistance. This helped provide sufficient staffing numbers to meet the care needs of people during the night, as well as the day. The duty rota was seen and confirmed the quoted levels. Residents spoken with said they felt there were enough carers working to help them, and one said, “staff are very kind. I go to bed around 7.00pm in the evening, but like to do that and get up when I want to.” Records of four staff members were checked and contained evidence of good recruitment practices, which supported their protection. Each had completed application forms, with two professional references, copies of Criminal Records Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 19 Bureau and Protection of Vulnerable Adults list checks, as well as dates of employment and evidence of identification. Training records were also seen. They contained evidence of induction and training in Moving and Handling, Health and Safety, Introduction to Dementia and an Introduction to Infection Control. Certificates for National Vocational Qualifications at Level 2 were also seen, which supported carers in their competence to carry out their role. 3 care workers the deputy and the manager were spoken with about training and their roles. Some care workers were trained nurses from abroad and their skills were apparent when dealing with people, as evidenced in an incident which took place during the inspection visit. At teatime one of the residents had a mishap. The person was seen to be choking on some food and one of the care workers was observed to carry out the correct first aid procedure to deal with this and then comforted the person when recovering. Staff spoken with confirmed they had achieved the National Vocational Qualification in Care and when discussing safeguarding adults, they were able to inform me of the process and their role in it, to protect the residents from harm. They said they had not yet received training in this, but were aware they had been booked onto a training session. One carer said she had had training in caring for people with dementia and that, “it helps me to be more patient and understanding about the effect it has on people and how they are not aware of what is happening to them.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The service has carried out a number of improvements within its management team and procedures, which support the best interests of residents. EVIDENCE: The manager, also one of the providers and registered with the commission since February 2004, runs the service. She had the D32 workplace assessor award and was undergoing the Registered Managers Award. The deputy was working on the National Vocational Qualification Level 3. The service held monthly staff and resident meetings, where concerns, suggestions and improvements were discussed. The residents had a link resident who puts their points to the management. However, information from Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 21 these was not being used to formulate a quality review and future business plan for the service. The link resident confirmed the meetings were of value and that suggestions were listened to and any concerns dealt with and other residents and relatives said they were confident the manager was open and approachable. One relative said, “This is a quiet home and the manager is always available if I feel I need to speak to her. I have no concerns about my relative being here.” Records of visits by the provider were seen for the past three months in accordance with Regulation 26 and issues covered, records showed, were then discussed with the management team and used to help improve standards of care within the home. People were responsible for their own money, but there was a safe for any valuables, and each person had a lockable area in their room to keep their personal possessions. Residents said their families helped them keep their financial affairs in order and they only needed a small amount of money each week to use for things like hairdressing and chiropody. One resident said, “I look after my own money. I wouldn’t like anyone else to do that for me.” The manager and deputy carried out supervision and appraisal of care staff and records of regular supervision were seen, which included areas of personal development for the individual carers, as well as an appraisal of the work role. Staff spoken with said they had regular supervision and if they had any problems they felt they could discuss them with the manager. The maintenance records were seen and the Annual Quality Assurance Assessment (AQAA), completed by the manager, provided dates when equipment and safety checks and servicing were carried out. The AQAA also provided dates when policies and procedures were updated and this was supported by records kept in the home. An example of this was the Fire Safety procedures updated in January 2008 and the Whistle blowing procedure, updated in November 2007, supporting the welfare of residents and staff. Residents and relatives spoken with said they felt the home was run in a way that supported them and helped them to be as independent as possible. Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 22 One relative said, “my mother is much better now she is getting regular meals and her medication on time, with people of her own age around her to talk to, and with caring staff taking care of her.” Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 23 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 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 2 2 x 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 24 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 OP3 Regulation 14(1) Requirement Timescale for action 04/08/08 2. OP10 12(4)a 3. OP12 16(2)m 4. OP21 23(2)1 Pre-admission assessments must contain information about the prospective person’s personal and medical histories, social interests, hobbies, religious and cultural needs, to make sure their individual needs can be met in the way they prefer. The doors on the ground floor 04/08/08 toilets facing the corridors must be closed when in use, to provide dignity and privacy for residents using them and to reduce possibilities of embarrassment to visitors who pass them to use the visitors’ toilet. Care plans must set out actions 04/08/08 to enable people living at the home to maintain their religious, social, cultural and leisure interests in a way they prefer. The stored clothing, bags, towels 21/07/08 and other equipment must be cleared from the bathroom , to enable the ground floor bathroom to be used safely and enable people to choose whether to have a bath or shower. DS0000050869.V363960.R01.S.doc Version 5.2 Broadlands Care Home Page 25 5. OP25 23(5) Seek advice from Environment Health officer regarding use of hand towels to protect people accommodated from cross infection issues. 23/07/08 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 Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broadlands Care Home DS0000050869.V363960.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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