Inspection on 03/01/07 for Brockshill Woodlands

This inspection was carried out on 3rd 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

Brockshill Woodlands 04/03/10

Brockshill Woodlands 01/03/10

Brockshill Woodlands 29/12/09

Brockshill Woodlands 19/08/08

Brockshill Woodlands 22/11/07

Brockshill Woodlands 23/11/05

Brockshill Woodlands 20/06/05

Brockshill Woodlands 26/11/04

Brockshill Woodlands 09/09/04

Brockshill Woodlands 25/03/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Brockshill Woodlands Briar Walk Oadby Leicestershire LE2 5UF Lead Inspector Joanna Carrington Key Unannounced Inspection 3rd January 2007 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 Brockshill Woodlands DS0000001814.V323857.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. Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brockshill Woodlands Address Briar Walk Oadby Leicestershire LE2 5UF 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) 0116 2716014 0116 2716014 Prime Life Ltd Jacqueline Payne Care Home 30 Category(ies) of Dementia - over 65 years of age (27), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (30) Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Brockshill Woodlands care home is registered to provide personal care to male and female service users who fall within the following categories: Old age, not falling within any other category (OP) 30. Only persons falling within the category OP should be accommodated in the two single bedroom bungalows situated in the grounds of Brockshill Woodlands. No one falling within the category of DE(E) should be accommodated in Brockshill Woodlands when there are already 27 persons accommodated under the category of DE(E). Persons should only be accommodated in the double-bedded bungalow situated in the grounds of Brockshill Woodlands under categories OP, and DE(E). A maximum of one person falling within the category DE(E) should be accommodated at any one time. No one falling within category MD(E) should be accommodated at Brockshill Woodlands when there are already five persons of the category MD(E) accommodated in the home. No persons should be accommodated in the double-bedded bungalow situated in the grounds of Brockshill Woodlands unless they are an established co-habiting couple, or have an established friendship/relationship, prior to being accommodated in the bungalow. The maximum number of persons to be accommodated at Brockshill Woodlands is 30. 23rd November 2005 5. 6. 7. Date of last inspection Brief Description of the Service: Brockshill Woodlands is a residential care complex for up to 30 older persons, some of whom have physical disabilities or mental health needs. The registration includes a large detached house and three self-contained bungalows. The house has communal areas on the ground floor, including two large lounges, a through lounge and a dining room. Bedrooms are on the ground and first floor. To the rear of the home is a secluded garden, which is wheelchair accessible. The bungalows are for older people who are semiindependent. The complex is situated near the centre of Oadby in Leicestershire. Off-road parking is available for visitors. The weekly fees for care and accommodation are dependent on which banding of need ranging from £262 to £470 per week. Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over seven and a half hours on 3rd January 2007. The main method of inspection was called ‘case tracking’ which meant selecting three residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. Altogether, two residents, two relatives and two staff members were spoken with during the course of the inspection. Staff records were looked at and a partial tour of the premises also took place in order to assess environmental standards. Information gathered prior to the inspection has also been used to reach judgements about the quality of care. Feedback questionnaires from two residents, two GPs and two health or social care professionals were received prior to the inspection. The registered manager was available throughout the inspection for discussion and feedback. What the service does well: The service does well at ensuring the healthcare and social care needs of residents are met. Residents have access to primary healthcare when needed and the staff team are good in working in partnership with district nurses and following their advice. Activities go on in the home on a daily basis. Residents can choose if they wish to participate in sing-a-longs and board games. The staff team spend meaningful time with residents whenever they can. There are three trips out a month. This month there has been a walk in the countryside, visit to museum and shopping at the local shopping mall. Visitors are always made welcome at the home and the staff team will help residents keep in contact with their family and friends. Good hearty meals are provided to residents, in pleasant surroundings. A relative reported that he was able to have Christmas dinner in the home, with his wife, which meant a lot to him. Residents benefit from staff team that gets good support from the manager and receive training that is essential for them to be able to meet the needs of residents. The service does well at monitoring its quality and identifying ways to improve the service. An important element of monitoring is seeking the views of residents, relatives and professionals. There is a complaints procedure in place to ensure that concerns are listened to and acted on. The staff team have training in adult abuse as part of their National Vocational Qualification (NVQ) and induction, and are made aware of their responsibilities to disclose all forms of abuse, for the protection of residents. Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 6 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. Brockshill Woodlands DS0000001814.V323857.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 Brockshill Woodlands DS0000001814.V323857.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): 1 and 3 Quality in this outcome area is adequate. There is an adequate admissions procedure, which helps ensure the home is suitable in meeting individuals’ needs and that people are able to make an informed choice about moving to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the three residents case tracked had the placing authority’s community care assessment on their file and the assessment carried out by the registered manager of the home. Both other residents are self-funding, which means that they did not have community care assessments from a placing authority. They both had assessments carried out by the registered manager on their file. In order for the admissions procedure to be good then further more personalised information needs to be gathered. The assessment tool used only comprises of questions and yes or no answers. There is an up to date Statement of Purpose for the home, which is included in a brochure and given to prospective residents and their relatives / Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 9 representatives. A relative spoken with confirmed that he had been given one. It is recommended that more specific information about the home be added to this document, which will be of interest to prospective residents. For example, the home has two cats and there are organised trips out three times per month. A resident spoken with confirmed they visited the home with their daughter, which helped them make the choice to move there. Brockshill Woodlands DS0000001814.V323857.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 and 10 Quality in this outcome area is adequate There are good arrangements in place for ensuring the health and personal care needs of residents are met but improvements to medicine management are necessary to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents that returned a questionnaire to the Commission have ticked that they always receive the care and support that they need. Both residents spoken with during the inspection also confirmed this, and both relatives spoken with also said they are happy with the care provided. An examination of three residents’ care plans indicates that all aspects of care needs are attended to, including continence, pressure area / skin care, eating and drinking and communication. These are reviewed on a monthly basis, to ensure changes in need are identified. One resident case tracked has diabetes and there was a thorough care plan in place covering dietary needs, district nurse advice and evidence that the Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 11 district nurse team assesses senior care assistants in their competence in giving insulin. As like with the assessments, it is recommended that more person-centred information be added to care plans. Stating that an individual requires full assistance with personal care and must have a bath at least once a week does not consider that individual’s personal preferences or routines. There are monthly weight charts in place and nutritional screening assessments carried out, for the promotion of good health. Daily records show that residents have access to healthcare professionals when appropriate. All professional surveys returned have stated that the home communicates clearly and works in partnership with them. All residents and relatives that were spoken with commented on the kindness of the staff and how residents are always treated with dignity and respect. Staff were observed interacting with residents in a meaningful and respectful manner. A senior care assistant was observed administering medication and this was done correctly following a safe procedure. The medication administration records (MAR) for seven drugs were audited, with errors found. There are a large number of gaps on the records and the registered manager explained that some of these gaps are when residents have refused their medication. This should be recorded on the record using the relevant code otherwise there is no way of knowing whether the medication was ever offered. Two medicines are being administered ‘as required’ but this is not their instruction on the medication administration record. Any amendments to instruction must be clearly stated on the MAR including the date implemented and who has instructed this. A medicine in the cabinet currently being supplied by a relative has not been recorded on their MAR. There is the potential that this medicine will get overlooked, and then not given to the resident. The quantities of boxed medicines received into the home are not being recorded on the MAR so there is no way of telling that medication is being administered as prescribed. Only one tablet had been taken out of a full box of medication but on the MAR it had been signed as being taken twice. Brockshill Woodlands DS0000001814.V323857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Meeting residents’ recreational needs and maintaining contact with family and friends is managed well in accordance with residents’ wishes. There are good arrangements in place for providing wholesome appealing meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the morning of the inspection residents were observed having a sing-a-long with staff and the registered manager then in the afternoon residents were observed enjoying a game of bingo with staff. Residents spoken with confirmed that there are always activities going on in the home, including playing cards, chair aerobics and dancing. There are also three trips out every month. Trips this month have been to the local shopping centre, a museum and a walk in the countryside. A relative spoken with explained that the registered manager now produces a leaflet saying when trips are on so that relatives know when not to visit, which has been very useful. Another comment made was “One of the problems in most places is boredom but there is no chance of that with Jacki (the registered manager) around” Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 13 During the course of the inspection, lots of visitors were seen. Both relatives spoken with confirmed they are always made to feel welcome and offered a drink. One relative reported that he was able to have Christmas dinner at the home with his wife. Residents that wish to exercise their religious beliefs have visits by the vicar arranged for them and one resident case tracked reported that she goes to church with her daughter every week. Residents were observed being given the choice as to whether they wanted to participate in activities. Care plans also stress the importance of giving residents’ choice. On a notice board is a poster for the local Age Concern advocacy group, which has been used for residents in the past so that individuals’ have an independent person acting in their best interests. Residents were observed enjoying their meal in peaceful and relaxed surroundings. On the day of the inspection the meal was chicken soup for starters, roast pork with boiled and roast potatoes with mixed vegetables then sponge and custard. All of the residents spoken with reported that the meals are nice. Brockshill Woodlands DS0000001814.V323857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. All concerns, complaints and allegations are taken seriously and acted on, which helps ensure residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents and relatives that were spoken with said they would speak with the manager if they had any concerns or complaints, and all are confident that their concerns would be addressed. The Complaints Procedure is included in the brochure pack. There have been no complaints made according to the Complaints Book since the last inspection. There have been two safeguarding adults issues, which were notified to the Commission since the last inspection. One of these issues was concerning an assault between two service users while the other concerned an allegation against a staff member. Both of these issues were followed up using the local Safeguarding Adults Policy and Procedures and the latter was investigated using the home’s disciplinary procedure. Social Services were involved in deciding how the incidents were investigated and the outcomes. Staff receive training on adult abuse in their induction and in their National Vocational Qualification. Both staff members spoken with demonstrated a good understanding of their responsibilities to alert the manager of all allegations of abuse and to whistle-blow. Brockshill Woodlands DS0000001814.V323857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24 and 26 Quality in this outcome area is good. Residents live in a clean, safe and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On a partial tour of the premises the environment appeared clean and hygienic throughout. There is a cleaner contracted with the organisation that cleans the home for twenty-two hours per week over six days. At all other times care staff carry out any necessary cleaning tasks. The laundry facilities are appropriate to the needs of residents and staff spoken with demonstrated an understanding of the importance of infection control. The bedrooms seen are personalised to suit individuals’ taste, with their own pictures, photographs and ornaments. One resident commented that having some of her own furniture in her room has made it feel more familiar and comfortable for her. Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 16 Since the registered manager has been in post there have been some improvements made to décor and furnishings of the home. A relative said that the visitors’ lounge is now much “more inviting” since it has been re-carpeted and refurnished. Some bedrooms have also been re-carpeted and have had new furniture. With the permission of residents and their relatives the carpets in the main hall and lounge have been lifted, leaving the original flooring, which has been restored. A new assisted bath has been installed in the ground floor bathroom, which gives residents more choice and with the available space in this bathroom this enables staff to help residents with their personal care more easily and safely. Brockshill Woodlands DS0000001814.V323857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. Residents’ benefit from a well trained and committed staff team. Recruitment practices do not protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with said they are happy with the staffing numbers and that a care assistant is always available when needed. There are twenty-four residents living in the home. Shifts run with one senior care assistant and three care assistants. The manager also acts as a senior care assistant as opposed to always being supernumerary (See Section on Management and Administration). The rotas seen indicate that shifts are always run with this number and staff spoken with confirmed that although they are very busy they are able to satisfactorily meet the needs of all residents. Three staff members were randomly selected and their staff files examined. There was evidence on the files that new staff have a full induction that meets with Skills for Care standards. Some mandatory training such as moving and handling and first aid are overdue but further evidence was seen to indicate that places have been booked on the necessary courses. The district nurse team have provided some training on specific needs of residents, including pressure care, hand and foot care and diabetes. More than fifty percent of the staff team either have their level 2 National Vocational Qualification (NVQ) or are working towards it. Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 18 All three staff files contained evidence of Criminal Record Bureau checks, prior to them commencing their employment. One of the three staff files did not contain two written references, which are also required before a staff member commences their employment. An immediate requirement was left in respect of this because having staff working at the home without the necessary checks places residents at risk. The registered manager responded to the immediate requirement in a timely manner, providing evidence that references have since been obtained for the staff member. Brockshill Woodlands DS0000001814.V323857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. Health and safety and the home in general are managed well and there are good systems in place for monitoring quality underpinned by the views of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was registered in June 2006. The Commission has received very positive feedback about the manager. A social care professional commented, “I have been very impressed by the way the manager has been when I have made a referral… and in her dealings with clients. She has a good understanding of the issues with people with dementia” Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 20 This inspection indicates the home is well run, with positive outcomes for service users, despite only eighteen hours being allocated for management duties per week. Nonetheless, it is recommended that the number of allocated hours be reviewed to ensure they are adequate for the effective management and running of the home. There are different ways that the quality of the service is monitored in the home. The views of residents are obtained from their house meetings where service users can say what they think and share ideas and any problems. The home had a full quality audit in August 2006, which included sending out comment cards to residents, relatives and professionals. Monthlyunannounced visits are also carried out, in line with Care Home Regulations. An inspection of the financial procedures in the home indicate that the procedures are robust in ensuring individuals’ money is held securely and safely. Residents spoken with confirmed that they have access to money and spend it when they wish. Residents have their own lockable facility in their bedrooms so they can keep valuables secure. It was observed on a tour of the premises that all substances hazardous to health are stored securely in accordance with COSHH regulations. The preinspection questionnaire indicates that the servicing of equipment and electrical and gas systems are all up to date. The fire log was seen and shows that all required fire safety testing is undertaken. Brockshill Woodlands DS0000001814.V323857.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 2 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 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 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Brockshill Woodlands DS0000001814.V323857.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 Requirement Ensure that there are adequate arrangements for the recording, handling, safekeeping and safe administration and disposal of medicines received into the care home. This refers to: 1. Using the relevant codes to explain why medication has not been administered as prescribed. 2. Ensuring any amendments to instructions are clearly specified on the MAR including when amendment was made and by whom. 3. Ensuring all quantities of medication is accounted for in the home. 4. Ensure all prescribed medication is included on the appropriate medication administration record. Ensure new staff members do not commence employment until the return of two written references. An immediate requirement was issued in respect of this. Timescale for action 31/01/07 2. OP29 19 08/01/07 Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations Revise the Statement of Purpose by explaining the abbreviated information e.g. NAPPI to enhance the reader’s understanding of the information and ensure all relevant and important information about the home is included. Ensure full person-centred information about prospective residents’ needs is obtained during the assessment process, before they are admitted to the home. Ensure that the care plan sets out in detail what action needs to be taken by care staff to ensure all aspects of needs of the resident are met. This includes individual preferences with routine. Review the allocated hours for management duties to ensure that they are adequate for the effective management and running of the home. 2. 3 OP3 OP7 4 OP31 Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Brockshill Woodlands DS0000001814.V323857.R01.S.doc Version 5.2 Page 25 - 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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