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Inspection on 02/06/06 for Brockfield House Nursing Home

Also see our care home review for Brockfield House Nursing Home for more information

This inspection was carried out on 2nd June 2006.

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

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

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

Many of the residents met were unable to verbally state what they liked about the home however they appeared very happy and settled with positive interactions observed between staff and them with choices being offered and explained. One resident spoken to said, "its alright here" and "I really like the staff" another said "they [staff] look after me and I like them very much". The pre admission assessment is very good and residents are encouraged to visit the home and spend time depending on their needs getting to know the staff and the residents before moving in. There is a core of consistent and stable staff who demonstrated a good understanding of the individual needs of the residents and it was evident they use a variety of methods to aid communication. Care plans are completed to a high standard with good levels of information to ensure a consistent approach and they work well with other care professionals to ensure needs are identified and addressed.Healthcare assessments, for example pressure ulcer and nutritional assessments along with risk assessments are excellent with good clear directions and links to the care plans to ensure needs are fully identified and met. Social, cultural and religious needs are fully assessed with plans in place to meet those needs, this includes access to church, attendance of community groups, specialised diets and language training. The manager has set up good procedures to assess if the home is meeting needs with regular audits of processes and questionnaires being sent to regularly to assess others views of the home, this along with regular meetings for residents, staff and relatives and a clear complaints process is helping to ensure the home is constantly looking to make improvements and address any issues raised.

What has improved since the last inspection?

There were 5 requirements made at the last inspection in June 2005 and all have been addressed. These included the completion of falls risk assessments, an audit trail for residents monies, medication policies to include the use of `covert` medication, when a resident is given medication hidden in food or drink with specific medical agreement and a full audit of all medication that is received and removed from the home.

What the care home could do better:

The medication procedures were overall very good but there was one resident whose tablets in the monitored dosage system did not correspond to the administration records. The manager agreed to investigate this further, to inform the CSCI of the outcome and to identify any training or other action needed to prevent this re occurring as its is important residents get their medication as prescribed.

CARE HOMES FOR OLDER PEOPLE Brockfield House Nursing Home Villa Lane Stanwick Wellingborough Northants NN9 6QQ Lead Inspector Mrs Moira Mosley Unannounced Inspection 2nd June 2006 10:00 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 Brockfield House Nursing Home DS0000012603.V297721.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. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brockfield House Nursing Home Address Villa Lane Stanwick Wellingborough Northants NN9 6QQ 01933 625555 01933 622468 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) A.G.E. Nursing Homes Limited Mrs Lesley Denise Turner Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (40) Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of the service users is 50 and over. Date of last inspection 1st June 2005 Brief Description of the Service: Brockfield Nursing Home is located in the small village of Stanwick, close to the larger towns of Rushden and Wellingborough. The home offers care for up to 40 people over the age of 50 years with dementia or a mental illness. The home provides nursing care and has a registered nurse on duty 24 hours a day. The home is over three floors with a passenger lift and staircase for access to all areas. Communal areas including 2 lounges and a dining room are on the ground floor along with some bedrooms, further bedrooms are on the first floor and the basement level contains laundry and staff facilities. The home sits within its own grounds and gardens and residents have level access to the gardens for their enjoyment. At the front of the home there is a car park area and access to the home is either via the front door which has a flight of wide stairs with handrails or level access via a side entrance. The home currently charges £670.34 per week. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced inspection by one inspector. The inspection process included the collation of information and pre-inspection planning to gather information and then three and a half hours were spent in the home. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for residents and their views of the service provided. This is achieved primarily through the process of ‘case tracking’ which involves reviewing the care of specific residents including looking at their records, talking to them and their families or representatives where possible and talking with the care staff who provide the personal care to those selected residents. The care of three residents was reviewed on this inspection to include care plans, risk assessments, medication and other records. In addition two residents were spoken to and several others met, who although unable to communicate their views demonstrated their feelings about being in the home. Discussions were also held with two staff members and a period of observation undertaken. In addition one questionnaire was received from a resident’s relative. What the service does well: Many of the residents met were unable to verbally state what they liked about the home however they appeared very happy and settled with positive interactions observed between staff and them with choices being offered and explained. One resident spoken to said, “its alright here” and “I really like the staff” another said “they [staff] look after me and I like them very much”. The pre admission assessment is very good and residents are encouraged to visit the home and spend time depending on their needs getting to know the staff and the residents before moving in. There is a core of consistent and stable staff who demonstrated a good understanding of the individual needs of the residents and it was evident they use a variety of methods to aid communication. Care plans are completed to a high standard with good levels of information to ensure a consistent approach and they work well with other care professionals to ensure needs are identified and addressed. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 6 Healthcare assessments, for example pressure ulcer and nutritional assessments along with risk assessments are excellent with good clear directions and links to the care plans to ensure needs are fully identified and met. Social, cultural and religious needs are fully assessed with plans in place to meet those needs, this includes access to church, attendance of community groups, specialised diets and language training. The manager has set up good procedures to assess if the home is meeting needs with regular audits of processes and questionnaires being sent to regularly to assess others views of the home, this along with regular meetings for residents, staff and relatives and a clear complaints process is helping to ensure the home is constantly looking to make improvements and address any issues raised. 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. Brockfield House Nursing Home DS0000012603.V297721.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 Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s are being fully assessed to ensure their needs can be fully met prior to moving in to this home. EVIDENCE: Two residents whose care was tracked have moved in to the home over the past few months. Their pre admission assessment was very detailed with good evidence of a thorough assessment by the manger of the home including a visit to the prospective person, liaison with the resident, their families and professionals involved in their care to ensure needs could be met. One of the residents was moving from another care home and had several visits to the home over a period of time including an overnight stay and at various times of the day to asses their suitability and to let them see if they would like to move in. Areas of need were highlighted and for this resident that included particular dietary needs and the chef of the home met with this resident to discuss their requirements and to ensure a suitable diet could be provided. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 9 This resident was spoken to and confirmed the process and said they felt very happy with the level of information given and were settling into the home. A current referral being looked at was for a resident who originated from another country, the manager and staff were working on preparing information in her mother language and were seeking information to ensure they could meet her cultural needs prior to admission being agreed. All residents have a detailed assessment profile that includes their past history, likes, dislikes, personal, social, religious and cultural needs. NMS 6 is not applicable for this home, as they don’t provide intermediate care. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system ensures residents’ needs are met and overall medication procedures were good. EVIDENCE: The care plans for the three residents whose care was tracked were viewed; these contained comprehensive information and gave clear directions for staff to meet most needs. There is a useful ‘my needs at a glance’ document that gives an overview of key areas of need and directed staff on where to find further information. Care plans are regularly reviewed and updated and staff spoken to confirmed they use the plans as a working tool and are involved in their development and updating. The care plans for personal care gave clear directions for staff as to the level of input needed. One of the residents had a behavioural plan in place with detailed information on how to deal with behaviours and so support a consistent approach by staff. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 11 A keyworker system is in place to ensure consistency of care and the keyworkers meet regularly with their residents to ensure needs are being met and they document their discussions. One resident had a care plan and risk assessment for smoking and although it identified the needs for restrictions it did not fully identify what they were, the manager agreed to review this and seek agreement from the resident to the restrictions in place. The cultural and religious needs of residents are met through the care planning process. This included providing access to church services, provision of specific diets and information being available about different languages. Healthcare needs are fully assessed including pressure ulcer and nutritional assessments. These are cross-referenced to care plans where needs are identified. There were also falls, fracture and manual handling assessments in place again with reference to care plans when indicated. There is evidence of input from a range of healthcare professionals including the GP, dietetics, dental, optical and chiropody services. There are medication procedures in place for the safe ordering, storage, administration and disposal of medication. The medication administration records were cross-referenced to the medication stored for three residents and a spot check of all tablets in the monitored dosage system was undertaken. Overall there was a good system in place and the audit of medication demonstrated that residents are receiving their medication as prescribed. However there was one resident identified who had a discrepancy in the number of tablets in the monitored dosage system, the medication administration record (MAR) indicated that they had not been required for most days, but other days had gaps with no indication whether the tablets had been administered, there were only 11 tablets of the 28 received remaining in the MDS with no indication of where they had gone. The manager agreed to investigate this further and inform the CSCI of the outcome. Observations showed staff interacting positively with residents and showing care to maintain their privacy and dignity especially when involved in providing personal care needs. The residents spoken to stated that they liked living in this home and felt the staff were very nice to them and that they were able to make choices. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be as independent as possible with a good range of leisure activities available that enable them to lead full and active lives. EVIDENCE: At present there is a vacancy for an activity organiser, which is being recruited for. The staff are currently undertaking the organisation of activities and these include games, arts, outings and one to one interactions to engage all of the residents at some time. One of the residents spoken to said, “There are plenty of things to do” and another spoke of her particular enjoyment of spending time in the gardens with staff. Within the care plans residents have an activity care plan and records of their past history, interests and likes along with what activities they have done in the home are recorded. The staff confirmed they have received some training in specific activities for dementia care and further training is planned in conjunction with Age Concern. Most of the residents are unable to communicate more than basic needs however they were observed to be settled and staff were seen to be spending time interacting positively and encouraging residents to engage. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 13 Information about activities, outings, events and meals are all displayed in colourful formats on the walls in the dining room. Staff spoke about the regular ‘high tea’ event where residents are invited to enjoy an afternoon of old fashioned afternoon tea, which they seem to really enjoy. They also had a local operatic group visit a few weeks ago and put on a production for the residents and their families which they said was really good fun. One service user attends an afro caribbean group within the community to met cultural needs and staff confirmed they try to accommodate different backgrounds within their daily plans. This has included staff learning key words in other languages and taking residents to purchase goods from specialised shops. Residents spoken to confirmed they have regular visits from family and friends and enjoyed outings into the local community. They said they were able to make choices about how they spend their time. Meals are an important feature with the chef working closely with the residents and staff to provide interesting meals and they have ‘themed days’ with food from specific areas, times or cultures. Residents were observed to go to the kitchen staff and choose alternatives from the daily menus, which were fully accommodated. There is a planned training event in conjunction with the Alzheimer’s Society on nutrition specifically for people with dementia, which both the care staff and the chef will be attending. The kitchen was seen and was well organised although advice was given to ensure any foods kept in the refrigerators should be labelled and dated. Fresh food is delivered regularly and menus are developed to meet individual needs and likes. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. There is an effective system for the home to respond appropriately to complaints made and residents are protected from abuse with their views listened to. EVIDENCE: The complaints procedure was available on the notice board and both staff spoken to and the relative’s questionnaire indicated they knew how to make a complaint. The residents spoken to stated they would speak to the staff or to the manager if they had concerns. There have been eight complaints since the last inspection and all are fully documented and investigated with the outcomes clearly fed back to the complainant and all have been fully resolved. Staff demonstrated a good understanding of abuse and training records demonstrated they have received training on how to recognise and report any concerns. There have been no allegations made since the last inspection. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing service users with a homely and safe place to live. EVIDENCE: The communal areas were seen on this inspection, the home was clean and welcoming and the residents spoken to said they were happy with the facilities. The programme of redecoration and refurbishment is ongoing with new windows fitted and a new central heating system and lift planned over the next few months, in addition future plans include an independent kitchen area where residents can develop independence skills and prepare their own meals as well as its use for social functions including the popular ‘high tea’ that the home currently offers on a regular basis in the main lounge areas. The cleanliness in the dining room was commented on by the relative’s questionnaire and although following mealtimes the floors and tables were Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 16 very messy, this was due to the encouragement of independent eating and was quickly cleaned up by staff. The relative also commented on the smell of urine in lounge areas at times, there were no smells evident at the time of this unannounced inspection and the manager agreed to monitor the area for any unpleasant odours. The general maintenance and cleanliness of the building, its facilities and equipment is being maintained. The laundry is clean and hygienic with systems to ensure the safe handling of soiled laundry. There have been satisfactory fire and environmental health reports to confirm it is a safe environment. The grounds are well maintained and give accessible space for the residents to use at any time. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Suitably qualified and trained staff are provided in adequate numbers to ensure resident needs can be met. EVIDENCE: Staff training records demonstrate that staff have received the training needed in order to perform effectively within their roles. All staff are currently up to date with statutory training. A training matrix and training plan is in place to ensure staff are aware of training available and this includes a very comprehensive training package both in house and with external trainers. Five staff have achieved their National Vocational Qualification (NVQ) at level 2 with a further 7 currently undertaking this training. The manager confirmed she is working with the college to secure further places and is working towards the required 50 of staff with NVQ awards. Discussion with a new member of staff confirmed there is a detailed induction process in place to ensure new staff receive sufficient information before fully undertaking their role unsupervised. Staff spoken to confirmed that they felt there were sufficient numbers of staff on duty to meet the residents’ needs and the rotas confirmed this. The Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 18 dependency levels of residents is regularly calculated by the manager to ensure staffing levels are suitable to meet the level of needs. There is core staff team who have worked in the home for some time and an ongoing recruitment programme to employ new staff. The manager acknowledged there has been a high turnover of new staff and feels this is due to the very demanding and difficult client group which is not suited to everyone, she is trying to address this through the information given to prospective new employees. Staff spoken to confirmed that morale is high and they are happy in their jobs and they also feel that a number of people start work in this area without fully realising the type of behaviours that residents’ with mental disorder and dementia display and they find they are not suited to this work. The recruitment procedures are good with evidence in staff files of a comprehensive system including references and Criminal record Bureau (CRB) checks prior to commencement of employment to ensure they are suitable to work in care. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a proactive management approach to address issues identified and residents’ views are being sought with working practices in place to ensure that the health and safety of residents is promoted and protected. EVIDENCE: The registered manager has worked in this home for several years and demonstrates a good understanding of the role and has the necessary experience and training to meet the needs of the residents and the home. She is currently completing the registered managers award at NVQ level 4 and has worked extremely hard to improve and maintain standards within the home. The staff spoke highly of the management of the home and it was evident through observations of the positive relationship between the residents and the staff team including the manager. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 20 There is an effective system in place for the management of residents’ money with clear audit trails and balances available. There are regular meetings with residents, staff and relatives with the residents being supported and encouraged to be involved in the running of the home as far as possible. There is a Quality Assurance system including a monthly audit of all areas of the home with action plan identified for any shortcomings noted. There are questionnaires sent out to families and friends of the home including some stakeholders, these are then be collated and a development plan developed for any issues identified. Policies and procedures are regularly updated and staff confirmed they have received copies of key procedures. Manual handling plans were available in care handling procedures showed appropriate use required. Staff confirmed they have received including manual handling, food hygiene and plans and observations of manual of equipment and aids as statutory training in all areas fire. Fire records showed regular checks and maintenance of the systems and regular fire drills. A first aid qualified staff member is available on all shifts. A maintenance person oversees all regular maintenance and compliance with health and safety legislation. Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 21 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 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 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 Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The discrepancy between the number of tablets in the monitored dosage system and the administration records for the one resident identified must be fully investigated and the CSCI informed of the outcome and any action identified to prevent reoccurrence. Timescale for action 10/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Brockfield House Nursing Home DS0000012603.V297721.R01.S.doc Version 5.2 Page 24 - 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!