Inspection on 01/07/09 for Brockley Court Home

This inspection was carried out on 1st July 2009.

CQC found this care home to be providing an Excellent service.

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

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

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Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Brockley Court Home St Nicholas Way Brockley Backwell North Somerset BS48 3AX Lead Inspector Juanita Glass Unannounced Inspection 1st July 2009 10:00 DS0000072414.V376367.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brockley Court Home Address St Nicholas Way Brockley Backwell North Somerset BS48 3AX 01275 462180 01275 462180 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) Brockley Court Home Ltd Christine Talbot Care Home 23 Category(ies) of Dementia (23), Old age, not falling within any registration, with number other category (23) of places Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) The maximum number of service users who can be accommodated is 23 6th, 11th and 26th September 2007 2. Date of last inspection Brief Description of the Service: Brockley Court is a residential home registered with the Care Quality Commission for 23 male or female service users with dementia who do not require nursing care. The home is situated in a quiet rural area near the village of Brockley, beside the local church. The gardens are secure for service users to walk in. There is a homely atmosphere and the rural setting provides a peaceful and relaxing environment. Current fees are available on request from the manager. Additional costs are charged for toiletries, hairdressing, newspapers and chiropody. Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience Excellent quality outcomes. This inspection took place over one day and a total of six hours were spent in the home. To gather enough evidence to support our judgements for this inspection, We The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. Once we had received this information we carried out a visit to the home and spoke to people living there, the staff and relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, the service records and health and safety. What the service does well: Brockley Court Continued to provide a person centred approach to care for people with Dementia. They recognised the diverse needs of people in their care responding to people’s daily needs rather than tasks that needed to be done. Staff had a clear understanding of the intrinsic needs of people with Dementia respecting their individuality and personal dignity at all times. They also had a clear respect for people’s cultural and religious differences, and supporting people in the home to maintain personal relationships. People in the home benefit from an organised activities programme which identifies peoples preferences and hobbies so that they can continue to follow interests they had before entering the home. This included a snooker table, football table and various activities to attend both within the home and the local community. People also had access to secure garden areas which meant they felt free to come and go as they wished. The management showed a commitment to training which meant staff had a clear understanding of the needs of people with dementia, and also received Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 6 training specific to their role in the home. This commitment had resulted in 90 of the staff in the home having qualified to an NVQ level 2 In Social Care, this is good practice. Management also showed that they consulted both the people living in the home , their relatives and advocates about the way they would prefer it was run, with a monthly relatives meeting and a Quality Assurance process that would allow people to voice their views. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Brockley Court Home DS0000072414.V376367.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 Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. 6 does not apply in this instance. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with sufficient information to enable them to make an informed choice about which home to move into. They are offered a chance to visit the home and a full assessment of their needs is carried out before a place is offered. EVIDENCE: We asked for a copy of the Statement of Purpose, which showed us that all people wanting to move into the home could see what the service could or could not provide. The Statement of Purpose was very clearly written and included all the details people needed to know about to help them make an informed choice. The Statement of Purpose also informed people that the home respected all peoples personal choices, this included enabling people to Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 9 continue to follow their chosen religion or supporting their cultural needs. Staff had also received training in supporting and respecting people’s personal relationships within the home. People living in Brockley Court all had Service Users Guides, which would provide them with information in a more appropriate format such as large print. The manager confirmed they had looked at providing the information in an easy read format incorporating words and pictures to help people with a cognitive impairment. We looked at the pre-admission assessments for people recently moved to the home. They showed us that a full and comprehensive assessment was carried out before a place was offered to the person or their advocate. These included their personal likes and dislikes and a social history so that they could form the basis of a care plan that would be in place from the first day of moving in. We spoke to people about their experiences of moving into Brockley Court but they were unable to comment, one person said her daughter had done the arranging and she was happy. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Brockley Court benefit from personal and specialist health care support, which is provided in a person centred way. This includes respecting their personal likes and dislikes, privacy and dignity. They benefit from an efficient medication policy and procedure, including guidance, which all staff had access to. EVIDENCE: We looked at four care plans, they were all written in a person centred way, this meant they respected peoples personal likes and dislikes. We saw references to the way people preferred to dress, when they preferred to get up in the morning or go to bed. We also looked at social histories that could tell staff why a person might act in a certain way. Staff showed that they understood the care plans and the importance of respecting people’s Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 11 individuality in a respectful and dignified manner. We observed staff helping people throughout our visit. They were all respectful and caring but not in a way that would make a person feel belittled or childlike, everybody was treated as an adult and this was seen as good practice. People were helped to make a choice about the way they wanted to dress or what they wanted to do. One person we spoke to said they had lived at Brockley Court for a long time, they said they had always been happy but things were a lot different, with them being able to make decisions about the way their care was provided. The people we spoke to were not able to comment in detail about their care but they all said they were happy. One person said they had moved into the home to give a relative a rest and was very well cared for, another said they were very happy and liked all the staff. Staff spoken to were aware of peoples diverse needs and managed the day on a personal rather that task orientated basis. The records we looked at also confirmed that people living at Brockley Court were actively assisted to attend the GP surgery, hospital outpatients, appointments at clinics as well as input from health care professionals from specialist areas such as district nurse, Community Psychiatric Team, dentist and chiropodist. The manager had forged a good relationship with the local mental health team enabling people to experience some consistency in their care and support. All staff handling medication had received training and the manager reviewed their competency regularly. An audit of medication held in the home showed that the policies and procedures in place were being followed appropriately by staff. We found that stock in the home was appropriately managed and that an audit trail of medication being received and returned was maintained. The manager had also arranged for regular medication reviews to be carried out by a pharmacist so that people in their care did not continue on a medication for longer than necessary. This was considered good practice. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Brockley Court benefit from the development of meaningful activities, which take into account their diverse needs, likes and dislikes. This enables them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the local community. A wellbalanced menu means people benefit from a healthy nutritional diet. EVIDENCE: The staff at Brockley Court had continued since the last inspection to build on the activities being made available both in the home and the local community. Both the manager and staff confirmed that they had introduced an area in the home where people could go to use a snooker table and football table. They had introduced a musical workshop as an experiment and had been pleasantly surprised to find that people enjoyed the sessions and wanted to continue with them so they had become a regular event. During the summer month’s people also had the use of a golf putting game in the garden. During our visit people spent time in the garden, whilst others chose to watch the tennis, two people Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 13 listened to music in the quiet lounge and a gentleman went to feed the birds in the aviary. Wee looked at records kept by staff and they showed us that people were offered the chance to join in activities which included a regular monthly visit be an Hawaiian dancer, reminiscence music, musical exercise, tea dances, board games, bingo, painting and table tennis. Other activities could be made available to meet people’s hobbies and interests. People spoken to said they had plenty to do, one person said they were happy watching the tennis whilst another person said they always watched the ‘soaps’ after lunch. The manager confirmed that the home, with the support of the local community could enable people to maintain their religious preferences. This would be by helping them attend at their place of worship or by welcoming religious leaders into the home. One person spoken to said that they would be going to the vicar’s visit and hymn singing later that day and was looking forward to the occasion. There were no restrictions on visiting and people were seen to come and go throughout the day, one person said they always felt welcomed when they visited and that staff tried very hard to make them feel at home. A monthly relative support meeting had been put in place with relatives helping to organise activities for people in the home. The home had a four weekly menu, which included traditional meals recognised by the residents and also reflected personal preferences. The cook was aware of personal and dietary requirements and although the choice was not printed on the menu one was always made available. A record maintained of daily meals showed evidence of residents making a choice on a day-to-day basis. The meals were prepared from fresh meat and vegetables with fresh fruit available daily. Following a recent visit from North Somerset Food Hygiene team the home was award 5 stars for ‘Food and Food Hygiene.’ Since the last inspection the cook had completed the NVQ level 2 in Catering and was discussing moving on to the next level. People spoken to said they had enjoyed a good roast dinner. The mealtime was unhurried and treated as a social occasion. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse EVIDENCE: Brockley Court had a very clear complaints policy and procedure, which was easy to read. It showed a clear timeline and action to be taken if someone wished to raise a concern or complaint. A copy was clearly displayed in the hall, and could be provided in large print if necessary. The procedure included the contact details for the CQC. The manager also had details of local advocacy services people could use as well as information about obtaining an IMCA (Independent Mental Capacity Advocate). People living in the home indicated that they knew who to talk to and said that they always felt they could talk to staff, most people did not comment in detail about how they would make a complaint. One relative spoken to said they knew how to raise a concern and who to talk to but had no concerns with anything in respect to their relatives care. Staff spoken to confirmed that they had attended training in safeguarding adults, they were aware of the organisations whistle blowing policy and who to Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 15 contact if they felt that a resident was at risk of abuse. Training records also showed that staff had received training in the correct procedures to follow if they suspected a resident was at risk. The manager also kept a very clear record of any concerns, complaints and compliments received, it was noted that when a concern was raised it was treated as a training issue to enable staff to recognise and learn from comments raised by people living in the home or their relative/advocate. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from a comfortable homely environment. All areas are well maintained and they continue follow a planned redecoration programme. People have access to well maintained and secure garden areas. People are protected by staff awareness of appropriate infection guidelines. EVIDENCE: Brockley Court was spacious and homely. The furnishings and lighting were domestic in style whilst providing adequate light to read by. The furniture and fittings were of good standard and communal areas were pleasantly decorated whilst in keeping with the older character of the home. Residents were able to access all areas of the home including the garden. Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 17 Those residents who could express an opinion said that they liked their rooms, since the last inspection it was noted that all rooms were unlocked unless specifically requested by the resident to enable people to come and go from their rooms at will. Resident’s rooms were observed to be personalised with photographs, pictures and ornaments. A maintenance person was employed and the home showed evidence of ongoing refurbishment. A redecoration programme was planned with specific reference to the needs of people with dementia. To further enable people to find their way around the home unaided large signage was in use. The home showed a good standard of housekeeping and no offensive odours were apparent. The manager and staff showed a clear awareness of infection control policy and guidelines. The manager could obtain guidance from outside agencies if required. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect people from the possibility of abuse EVIDENCE: The staffing rota showed that there was always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing was flexible so that extra staff could be bought in to cover extra busy times such as activities or trips out. People spoken to did not comment on the staffing levels but said that their was always someone about. The manager confirmed that staff were encouraged to obtain an NVQ Qualification in Health and Social Care, 90 of their staff had attained an NVQ level 2 or above, this reflected the commitment to training, and obtaining a clear understanding of how best to meet the needs of the people in their care. Non care staff had also been encouraged to obtain NVQ Qualifications, as previously stated the cook had obtained a catering qualification as well as a Health and Social Care NVQ. Staff spoken to said they felt well supported in Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 19 attending training relevant to the needs of the people in their care. Records showed that staff had all attended mandatory training as well as training that was necessary to provide a good level of care to the people living in the home. Staff also felt they had received support in understanding peoples personal needs with especial reference to supporting people to maintain personal relationships in the home. Brockley Court had strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed showed that the manager followed these guidelines as all the relevant checks such as references and a CRB (Criminal Record Bureau) check had been completed before the person started work. These checks protect people from possible harm and abuse. All new staff then followed a concise induction programme which followed the Skills for Care guidelines. Brockley Court Home DS0000072414.V376367.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. The home does not manage residents finances but they do safeguard money for some people who have requested it. Both people working and living in the home are protected by robust health and safety procedures. EVIDENCE: We spoke to the manager and looked at the records kept in the home. Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 21 The manager had the required qualifications and experience and was competent to run the home. Mrs Talbot has 30 years experience in health and residential/community settings, and had held a management position for the last 10 years. She had completed the NVQ 4 In Care and The Registered Managers Award. She had also attended Training in Dementia Care, which enabled her to cascade the knowledge down to care staff in the home raising awareness of the needs of those with dementia. Mrs Talbot continued to show a commitment to training, maintaining a clear understanding of the needs of the residents both for her and for staff. We discussed interest from outside organisations and Mrs Talbot confirmed that the home was undergoing the Investors In People assessment and had been approached by Care and Support to assess them for membership. She encouraged an open and inclusive ethos. Staff were adequately supervised with emphasis being placed on personal development and training, which would be relevant to their role in the home. Staff spoken to said they felt well supported and enabled when providing care for the people in the home. Efficient systems were in place to monitor the quality of the service provided. The manager confirmed that as well as the monthly relative support meetings questionnaires were also sent to all people involved with the home. This meant they could obtain their opinions so that they would underpin any changes adopted in the following twelve months. The home works to a clear Health and Safety policy, which all staff are fully aware of. The implementation of health and safety within the home was satisfactory. All residents had personal risk assessments and an independent body had carried out the generic risk assessment of the home. The manager had put in place an emergency contingency plan; she had arranged a predetermined place of safety for residents in the event of evacuation being required. Accommodation and transportation had been agreed, this reflected good practice. A review of the fire log showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 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 4 3 X 3 3 X 3 Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 Brockley Court Home DS0000072414.V376367.R01.S.doc Version 5.2 Page 24 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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