Inspection on 11/01/07 for Broadmead Rest Home

This inspection was carried out on 11th January 2007.

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

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

Other inspections for this house

Broadmead Rest Home 11/01/09

Broadmead Rest Home 31/10/05

Broadmead Rest Home 19/01/05

Broadmead Rest Home 09/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Broadmead Rest Home Broad Layings Woolton Hill Newbury Berkshire RG20 9TS Lead Inspector Tracey Box Unannounced Inspection 11th January 2007 08:30 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 Broadmead Rest Home DS0000061299.V320389.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. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadmead Rest Home Address Broad Layings Woolton Hill Newbury Berkshire RG20 9TS 01635 253517 01635 254489 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) Broadmead Rest Home Limited Mrs Jan Bunton Care Home 38 Category(ies) of Dementia (38), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (38), Old age, not falling within any other category (38) Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2005 Brief Description of the Service: Broadmead,is a privately owned and managed care home providing personal care and accommodation for up to thirty eight persons in the categories( OP) older persons,(DE) dementia and MD(E) mental disorder (over 65 years) in 22 single and 8 shared rooms two of which have en-suite facilities. The home which comprises a large old house and a newer single storey extension, is set in a large mature garden situated in a quiet, rural area on the Berkshire/ Hampshire border close to the town of Newbury. A small post office is within easy walking distance but other community amenities are some distance away requiring transport to access them. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The people living at Broadmead prefer to be referred to as residents therefore the rest of this report will reflect this. The opportunity was taken to look around the home, view records, procedures and talk with residents and staff. The inspector also had the opportunity to observe the interaction between residents and staff. The staff on duty during this visit felt they were supported to do their job. One relative spoke very highly of the care and support their relative receives, and they are made to feel very welcome at the home whenever they visit. The inspector received a pre inspection questionnaire from the manager prior to this visit, which provided further evidence of how the home is meeting the National Minimum Standards. The manager confirmed the fees for the home range between £407.00 per week for a shared room and £496.00 for a single room. What the service does well: The home is good at assessing if it can meet the needs of residents before they come to the home and one relative spoken with stated they had useful information about the home when they were looking for a home for their relative. The home offers various activities with external entertainers visiting regularly. two residents said they usually attend activities, they enjoy listening to a man who visits to play the accordion. The home has an open and efficient process in place for dealing with complaints, concerns and compliments. The staff team at the home are skilled and receive regular training to be able to care for the residents. One resident said the staff are very kind. Staff said that they were supported and encouraged to obtain qualifications. The majority of staff have been recruited from overseas and are trained nurses, resulting in 95 of staff having an equivalent to a National Vocational Qualification (NVQ) level 3. One resident said they feel safe and comfortable at the home and their opinions are sought. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 6 The registered manager has a good rapport with residents and runs the home in their best interests. 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. The summary of this inspection report can be made available in other formats on request. Broadmead Rest Home DS0000061299.V320389.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 Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full care assessment is undertaken for everyone wishing to live in the home to ensure the home can meet their care needs. The home have the provisions to provide intermediate care to residents who have been assessed as receiving short term residential care. EVIDENCE: The manager said she receives telephone calls from social services and relatives asking if the home has any vacancies for residential places available on a regular basis, they are sent literature about the home. The manager completes an assessment with the resident, their families/representatives to find out as much information as possible, to ensure the home can meet their needs, this usually co-insides with a care manager assessment. The assessments seen included information about general health, diagnosis, mobility, equipment needed, personal care, skin/pressure area care, Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 9 elimination, sensory aids, nutrition, past medical history, sleep, current medication, allergies, orientation, ability to make decisions, temperament, social care support and spiritual/cultural needs. If the home can meet the individual’s needs, they are invited, with their relatives or representative to visit the home. One resident recalled spending the day at the home prior to them moving in, which gave them an idea of a typical day, they were involved in activities, ate lunch and tea, met other residents and staff and had a tour of the home. One resident who had recently moved in said the staff are very friendly and she feels at home here. The manager confirmed the home does provide intermediate care to residents who require short tern stay, the manager completes the assessments and ensures staff receive training to meet the individual’s needs. The home has appropriate accommodation to enable this. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents need to be involved in the development and review of their care plans. The home have good practices to ensure that resident’s health care needs are fully met. Residents’ are protected by staff following the home’s clear procedures for handling medication. Residents feel that they are treated with respect at all times, and their independence is supported. EVIDENCE: The inspector looked at four care plans. The plans were satisfactory and contained the information gathered during the pre admission assessment, however not all had been signed to say that the individual or representative agrees with the plan of care. Records did not show that these had been reviewed regularly. Two care plans stated that medication is administered from a ‘dosset box’, when the home recently improved the system to administer medication from blister packs. A requirement was made for the Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 11 manager to ensure residents or their representatives are involved in the regular reviewing of their care plans. Staff said the care plans provide them with the information they need in order to provide the care and support the resident needs. The deputy manager said she reviews care plans on a regular basis, although does not always provide personal care to residents. This was discussed with the manager, as the care staff provide the personal care, the manager said this is an area she intends to address with care staff to ensure they receive training to enable them to complete care plans with residents. Three residents spoken with said that staff provide them with care and support as they would like. Records showed that residents received visits from GPs and other health professionals such as the district nurses and psycho-geriatrician. Records show residents were offered the choice of receiving an influenza vaccination. A resident said that she had received the vaccination, and this was recorded documented in her medical records. One weight record showed a resident had lost weight over a period of time, there was no record of a nutritional assessment, the district nurse told the inspector she visits the resident regularly and is not concerned, as the resident has a healthy appetite, records and the inspectors observations during lunch confirmed this. The manager said she would complete nutritional assessments if they were concerned about a resident’s nutrition. A trained nurse was observed administering medication appropriately and there is a good medication policy and procedure in place. The home administers from ‘single blister pack system’ provided by the local pharmacist and is stored appropriately, in sufficient quantities. At the time of the inspection no resident administered their own medicines. The manager and deputy manager order and check all medicine received at the home. The records were seen and found to be satisfactory. The home uses Medicine Administration Record Sheets (MARS) system for recording the administration of medication, these were found to be in order. Medication that is in need of disposal is returned to the local pharmacy and a record is kept by the home that is signed on receipt by the pharmacist. The inspector observed the staff interacting with the residents and found them attentive, caring and respectful. Staff induction records showed that privacy and dignity and the provision of personal care are covered during the induction process, and the response from residents indicated that the carers treat them with dignity and respect and that they are trustworthy. Two resident told the inspector that staff respected their Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 12 choice and privacy at all times, one relative spoken with was also of the same opinion. Throughout the visit, staff were seen to knock on doors and wait before entering rooms, spoke to residents in their preferred manner, as stated in their care plans, and were friendly but respectful. Broadmead Rest Home DS0000061299.V320389.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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise control over their lives, participate in social activities, receive visits from friends and relatives as they wish and enjoy a choice of meals served in a relaxed atmosphere. EVIDENCE: Residents are able to exercise choice by participating in social activities if they wish, one resident said ‘we have a person who comes and plays the accordion to us, and he brings his little dog which I really enjoy.’ All residents spoken with thought the activities matched their needs, and that staff respected their wishes to spend time on their own. A list of forthcoming activities was displayed on a notice board, and included ‘old time’ musicals, reminisance work, arm-chair aerobics, hairdresser and church communion every other week The manager said that there were no residents from an ethnic minority at present but that if a resident had cultural or religious interests every effort is made to accommodate this. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 14 The home has an open visiting policy. This was evidenced by records of visitors to the home and confirmed by one relative who was visiting the home, and said he is made to feel welcome, staff keep him informed of his relative’s welfare. The home employs one cook and one assistant cook who prepares and cooks meals, she said all of the meals are prepared freshly. The residents spoken with said they enjoyed the food, it is nicely presented and hot. Some residents choose to eat their meals in their bedrooms, others enjoy socialising in the dining room. The inspector read a sample of menus which reflected resident’s likes and provided a record of nutritious, varied meals. One resident requested custard for lunch, which was not on the menu, however the cook prepared fresh custard for the resident, and said the kitchen is well stocked to ensure alternatives are available. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff are confident that their complaints will be listened to, taken seriously and acted upon. Staff have a good understanding of Adult Protection issues that protects residents from potential abuse. EVIDENCE: Residents’ spoken with said that they were aware of the complaints procedure, even though they have not had to use it, they said they would go straight to the manager if they had a concern or complaint and were confident that the manager would take their concerns seriously. A copy of the home’s complaint procedure is included in each service users guide. One relative said that they are also aware of the procedure, and finds the manager very approachable. They have not had to complain and are confident the manager would deal with any concern they may have appropriately. Staff spoken with were aware of the home’s complaint procedure. The complaint log was available which included sufficient detail to monitor complaints successfully, the manager confirmed no complaints have been received since the date of the last inspection, records showed this. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 16 Two staff members spoken with said that they are aware of the correct procedures to follow if a disclosure of abuse was reported to them, and they had received formal training in abuse awareness, certificates confirmed this. The home has procedures for staff to follow should abuse be suspected, including Hampshire County Council’s Protection of Vulnerable Adults, the Department Of Health’s ‘No Secrets’ guidelines and Whistle Blowing. The manager confirmed that policies and procedures are reviewed and available for staff to access regarding complaints and protection, staff confirmed this. The pre inspection questionnaire stated that that the home had not had any adult protection issues, the manager confirmed this. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment provides residents with a warm and comfortable home. There is a good infection control procedure at the home to safeguard the welfare of residents. EVIDENCE: The home was warm, clean and welcoming, all parts of the home seen ware tastefully decorated. The home has an ongoing maintenance programme which has resulted in new furniture being bought, as referred to at the beginning of this report. Prior to this visit the home identified that the bathrooms are going to be upgraded during 2007, the manager confirmed this would be done. One relative said the home is always clean, the manager explained the home employs domestic staff who work every day. The inspector had a tour of the home and occasionally could smell an offensive odour, the manager said that Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 18 the majority of residents are in bed unwell with cold/flu like symptoms, and residents don’t want to get up to go to the toilet. The manager said air fresheners have been bought to alleviate the odour, the manager said this is unusual for the home, and that domestic staff are trying their best to eliminate the occasional odour. One relative said that the home usually smells very nice and clean, and was sure it was due to the increase in residents feeling unwell recently. Accommodation in one part of the home is provided over two floors. Access to the first floor is by one flight of stairs which has a stair lift. There is ample communal space; the home has three lounges, one ‘quiet’ room and a dining room. Resident’s bedrooms looked comfortable and contained many personal items such as pictures and ornaments. Two residents spoke of their satisfaction with their rooms with comments of ‘it’s comfy’. Residents have access to the garden which is well maintained and enclosed. The home has a well equipped laundry, the washing machine has a sluicing facility. Infection control procedures were in place. Staff were observed to follow the guidance, equipment such as gloves and aprons were available. Staff said they had received infection control training, certificates were in place to support this. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that a sufficient number of staff are on duty to meet their individual and group needs. There is sufficient skill mix within the team and to meet the residents needs. The homes comprehensive recruitment practices ensure resident’s safety. Staff receive mandatory and specialist training and are supported to obtain NVQ level 2 or above. EVIDENCE: Residents spoken with said there are always enough staff on duty who know how they like to be cared for, staff said they felt there are enough staff on duty on each shift. The inspector spoke with two staff who said there are ample staff on duty at all times, there is always at least one trained nurse, the manager and the deputy manager work during the day as well. It was evident from practices and interactions observed that staff had developed good relationship between themselves and residents. Comment from residents included that staff were very kind and always helpful and that Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 20 they were a “good team”. One resident praised the domestic staff for their hard work in keeping their bedrooms clean and tidy. Records seen indicated that 95 of staff have achieved an equivalent to an NVQ level 3, which exceeds the standard of 50 . The staff confirmed that they undertake training regularly and the inspector viewed copies of individual staff training certificates and other records of instructions. The staff have received training in the necessary health and safety subjects such as fire safety, first aid, moving and handling, health and safety, infection control and food hygiene. Other training courses attended by staff include abuse training, pressure area care, wound care, diabetes, behaviour changes in dementia and communication skills. The home employ a cook and domestic staff, both said they receive ample training to carry out their jobs effectively, certificates confirmed this. The manager said all of the care staff have been recruited from overseas via a recruitment agency. The inspector looked at four different staff records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at the home. Other records seen on file included criminal record bureau and protection of vulnerable adults register checks, registered nurse identification pin numbers, work permits and each staff member has a job description and contract of employment. The staff spoken with stated that the induction programme run by the home was useful and detailed. The files seen held records of the individual staff induction training covering the key areas with the signatures of the staff member and trainer. The manager confirmed that the home’s induction programme meets the recently amended Skill For Care standards for induction. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent to run the home. Management and administration of the home is based on openness and respect. An effective quality assurance system is in place. Safeguards are in place to protect the interests of the residents. Resident’s financial interests are safeguarded. The residents’ health, safety and welfare are protected by the home. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is registered with the Commission. She has the required experience and is competent to run the home. The manager is a level 4 Registered Nurse (RN4) and has started her Registered Mangers Award (RMA) and keeps up to date with her professional development by attending training in Dementia, abuse training for managers and receives various monthly publications such as care management, caring times and healthcare magazines. The manager is keen to maintain standards, and as mentioned earlier in the report, is keen to provide staff with additional responsibilities to value their skills, and to free her time to enable her to concentrate on the ‘paperwork’ side of managing the home. There is a strong ethos of being open and transparent in all areas of running of the home. Discussions with staff and observations showed there are clear lines of accountability within the home. Also the management approach of the home creates an open, positive and inclusive atmosphere. The staff said they attend regular staff meetings that are minuted. The minutes were available at the home for reference. Residents said that they felt able to give their views, which they feel are valued, on the quality of care provided at the home to the manager and feel involved in issues affecting the home. Residents spoken with commented that management and staff are very approachable, always make themselves available and readily help with any problems. They also had nothing but positive comments to say about staff which included – “They really care”, “They don’t rush you” and “Staff like a laugh”. A quality assurance and monitoring system based on seeking the views of residents, relatives and professional is in place and will be circulated later in the year. As well as completing questionnaires, residents told the inspector that management are always asking how things are and if they would like anything different. The manager said some residents prefer the home to safeguard small amounts of money for them, the inspector saw the money and records for two residents money, both were found to be correct. Each resident has lockable storage in their bedrooms to safeguard their valuables. No unsafe practices were observed during the inspection, risk assessments were in place for activities involving people who live and work in the home, for example, support required during bathing. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 23 Certificates were available for required checks of systems and equipment. Staff have received training in health and safety, first aid, fire safety, care of substances hazardous to health and moving and handling. The home has a satisfactory reference file for the Control of Substances Hazardous to Health (COSHH) information leaflets for each chemical being used within the home. All the residents and relatives spoken with stated that they felt safe at the home and some confirmed that the fire alarms are regularly tested. The manager explained the recording system for fires safety maintenance, training, evacuation and visual checks. The visual checks of all fire safety equipment has been recorded and undertaken at appropriate intervals to ensure the safety of the residents. The home has a policy, procedures and information on health and safety. A sample of policies and procedures was seen and it showed that these are reviewed regularly. The employer’s insurance liability certificate was displayed and current. Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 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 Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1,2) Requirement Care plans must be regularly reviewed, and reviews must involve residents and their relatives where possible. Timescale for action 11/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Broadmead Rest Home DS0000061299.V320389.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Broadmead Rest Home DS0000061299.V320389.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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