Inspection on 11/10/07 for Bronswick House

This inspection was carried out on 11th October 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

Bronswick House 04/08/09

Bronswick House 28/04/09

Bronswick House 08/04/08

Bronswick House 22/08/06

Bronswick House 27/09/05

Bronswick House 28/06/05

Bronswick House 19/10/04

Bronswick House 11/05/04

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

CARE HOMES FOR OLDER PEOPLE Bronswick House 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector Mrs Jackie Riley Unannounced Inspection 11th October 2007 09:00 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 Bronswick House DS0000009843.V347891.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. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bronswick House Address 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP 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) 01253 295669 Mrs Savitree Seedheeyan Ms Christine Allen Care Home 14 Category(ies) of Dementia (2), Mental disorder, excluding registration, with number learning disability or dementia (12) of places Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include up to 12 service users in the category of MD (Mental Disorder) up to 2 service users in the category of DE (Dementia) 22nd August 2006 Date of last inspection Brief Description of the Service: Bronswick House is registered to provide residential care for fourteen resident with a Mental health illness. The home is set on two floors with three residents rooms on the ground floor and ten on the first floor. There is one double room situated on the ground floor. There are no en-suite facilities. The first floor is accessed by three sets of stairs. There is assisted access to the first floor of the home, however most residents living on the first floor have good mobility. The home is situated in a residential area, and is close to the public transport network. There is a good transport network into town, and also local shops. At the time of the site visit the range of weekly fees were £279.00 to £360.00. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place on the 25/09/07, over a period of approximately 5.0 hours as part of the inspection process. We spoke to the registered manager, one staff member, five individual residents and a group of residents in the lounge. Comments received will be included throughout the report. Time was spent in various parts of the home where residents were residing. There were general observations made of interaction between residents, staff and management. We talked to people using the service, and asked staff about those peoples needs. We also looked at the care plans, records and daily notes for three people, this is called case tracking. We toured the home to look at the environment. There were no responses from surveys sent to people who use the service for their views on how the home is run. Comments received during the visit to the home were generally good about the standard of care and support provided by the staff and management of the home. The records of three members of staff were also looked at. What the service does well: “I’ve lived her for ages now and they’re a good bunch”. “ There a good crowd of girls here, cant do enough for you”, “If I don’t like something I tell the staff but they know what I like and don’t like”, “I’ve been here for over twelve months now, we all get along together”. These were the positive comments received during the time spent at the home from people who live and work at the home. The way the home is run is flexible for the needs of the people who live there. There are no rules, which may restrict residents in what they choose to do on a day to day basis. Comments included, “I get up when I want and go out when I want, its like being in your own home”. We found the manager and staff members are committed to make sure residents needs are met in a way which is not intrusive, so that residents feel they can live their lives in a way in which they choose, with restriction only being in place based upon their safety and well being. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There should be more evidence of risk assessments being put in place for all residents living at the care home. We saw evidence that some risk assessments did not always reflect a full assessment of risk for residents in the home, which should include the level of risk when they go out. In addition we say there must be evidence of risk being identified in respect of fire risk assessment in line with revised fire regulations, so that people are protected. There must be improvement in how medication is managed, in that there is a need for a designated medicine trolley on the ground floor. The current system of making up medication for residents in the first floor meds room is not satisfactory, as staff were seen to having to go up and down the stairs on a number of occasions to make changes to medication being administered. This has the potential to be unsafe and for mistakes to occur, therefore we say this must be reviewed and a suitable system be put in place. The home should update the current weighing scales being used to monitor resident’s weights so that they provide an accurate recording for the health and welfare of people who live at the home. We saw the staffing levels at the home are based upon meeting the needs of residents who live there, however we found there are some occasions when resident would like to go out into the community but must rely on staff to accompany them. We say that staffing levels should be reviewed so that there are enough staff available to assist residents when they want to go out, so they are not disadvantaged in any way. The manager has experienced delays in receiving ‘fitness’ checks for staff wishing to work in the home. We say the manager responsible for this process should follow up any application in a timely manner so that the applicant can work in the home for the benefit of all users of the service. We say the home should review how it records quality assurance, in that there are no records of meetings held with residents or staff. This would help the management team to identify any changes that may be necessary for a better outcome for people who live and work at the home. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 7 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. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission and assessment procedures are in place so the home can meet individual needs, however limited risk assessments have the potential to be detrimental to the needs of users of the service. EVIDENCE: We looked at the records of three residents. They had assessment details recorded, so that staff had a good insight into what the needs of residents are and how they will be met. We saw evidence on the records of social workers, community psychiatric nurses or psychiatrists being involved in the assessment procedures prior to residents being admitted to the home, so that there specialist needs are going to be met and the home knows the level of care which will be required. Staff spoken to said, “we get to know what residents needs are before they come into the home, they usually come for a short stay before anyway”. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 10 In most instances we found the assessment information includes a risk assessment. This information is included in the residents assessment file. We noted the risk assessment information is limited and does not take into account, environmental risk and risk beyond the home so that staff members are aware of any potential hazards and can take action to avoid or manage them in a way, which is beneficial for the resident. Individual residents spoken to confirmed they have been involved in the assessment and review process and able to give their views of the support they required. Comments included, “ the social worker brought me here and I liked it, so they arranged for me to stay”. Staff spoken to said,“ We always know what the needs of a resident is before they come here, so that we can provide the right care for them”. Standard 6 was not assessed, as Bronswick House does not provide intermediate care. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is monitored and health needs are identified and met. However the lack of appropriate medication dispensing equipment means it has the potential pose a hazard in the management of medication. EVIDENCE: We looked at the records of three resident’s, they were accurate and had good information about the health and social care needs of people who live at the home. We saw plans recording the care needs of people living at the home were up to date and reviews were taking place, so that there are changes made when necessary. One resident spoken to said “I’m always up at the hospital at the moment but the staff here are really helpful and take me up and down when my appointments come in”. Staff spoken to has a good knowledge of the various health care needs of people living at the home. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 12 Assessment information includes recording a residents weight as part of the monitoring programme. We found that the scales available are not accurate and require replacement so that a true record of weights can be maintained. We say this has the potential to be detrimental to a resident’s health, as weight management is an early indicator of a medical or nutritional problem. Comments included, “we find it really difficult to get the right weight measurements”. “ I can’t get on the scales without some help”. We say this should be reviewed so that people are not disadvantaged. Significant events had been recorded and daily entries made by carers demonstrate the care given. Residents spoken to say, “the hospital has been really good, and the staff here make sure I get what I need”, “ The staff are really helpful, and nothing is to much trouble”. Another said, “The staff are really helpful and know what I need”. Staff comments included, “we like to get to know the history of residents because this gives us a good picture of what they really like to do, and what they like and don’t like”. We looked at the way the home manages its medication procedures. We found there are areas of the system, which must be improved so that it is safe. We saw all medication is ‘made up’ in the first floor medication room; this is then brought down by the staff responsible to administer to residents. This system has the potential to be unsafe, in that staff were seen to have to go back to the first floor medication room on more than one occasion to make changes. Professional guidance from CSCI says; care workers should only give medicines to people from the container that the pharmacist or dispensing GP has provided. Re packaging medicines into another container with the intention that another care worker will give it to a resident at a later time is called ‘secondary dispensing’. Both the Royal Pharmaceutical Society and the Nursing and Midwifery Council sates this is unsafe and can potentially cause drug errors. We say it is necessary for a medication dispensing trolley to be made available so that staff can manage and dispense medication safely. Comments included, “it would be much better if we had a trolley we could work from”, “Its hard work going up and down the stairs for different medicines for people”. Resident’s rights to dignity and privacy were upheld by a workforce who are aware of the need to make sure the rights of residents are met with respect at all times. We confirmed this by observing staff members knocking on doors before entering rooms, and the way staff talked and responded to residents. This was carried out with sensitivity and patience on all occasions. Residents observed were seen to interact well with staff members, and appeared relaxed and receptive to things going on around them. Staff were seen to encourage participation with others in a way in which did not infringe their dignity. We spoke to members of staff who commented, “we always treat people in a way we would be expected to be treated”, “we get to know about residents lives before they came here as many of them has interesting things going on and some of them like to talk about them”. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. EVIDENCE: The home does not have a formal approach to how residents choose to live their daily lives. There are no rules in respect of getting up and going to bed. We saw three residents made their way down for breakfast at various times of the morning. Those spoken to said, “I like to get up late because I like to go to bed late”, “they always have my breakfast ready for me when I eventually get up”. We saw a number of residents going out independently throughout the time spent at the home. Two residents spoken to say, they like to go out every day. They said they like to go out on their own to do a bit of shopping or just going for a pint at the pub. Many of the residents have community links and friends beyond the home. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 14 One resident spoken to cannot go out as much as they used to do, and says that they would like to go out more but would need a member of staff to accompany them. We discussed this with the manager, who said that on occasion’s staff members use their own time to take residents out. It is recommended, the home makes time to allocate staff ratios which would make sure residents who would like to go out accompanied by staff on duty rather than them using their own time to carry out this task. We spoke to residents about the meals they receive on a day to day basis, comments included, “the food is always fresh and hot”, “if I’m out they will always keep it ready for me so I don’t miss out”, “the staff know what I like and don’t like”. All comments about food were good and they showed us that meals and mealtimes are flexible to meet individual needs and likes and dislikes. We spoke to staff members who knew the likes and dislikes of residents, and they said how flexible they are in delivering good quality food at the times residents choose. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service EVIDENCE: We looked at the homes complaints procedure, which is made available to the residents their relative or advocate during the admission process. We spoke to five individual residents who said they knew about the complaints procedure and knew who to make complaints or raise concerns to. They said they felt that if they are not happy about something they can tell somebody and it will get sorted out. There were no surveys received prior to the inspection therefore the evidence in this report was obtained on the day of the visit to the home. Comments included, “If I’m not happy with something I tell the staff and it gets sorted”, “I’ve had a few things to say but it’s always sorted out”. There have been no complaints made to the Commission for Social Care Inspection (CSCI), since the previous inspection. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 16 The home has a procedure in place for dealing with allegations of abuse. Staff spoken to are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Comments included, “all staff have had training for it, and it’s covered in NVQ training”. Most of the staff team have received training in this area, and we saw evidence that more recent staff are to attend this training as part of the homes on-going training programme. The information given to the inspector before going to the home showed there has been recent training put on for staff at the local council service, so that staff have the most recent information about current policies and procedures so that people living and working in the home are safeguarded. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,24,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is designed to be homely and comfortable, however the need for general decoration means this has the potential to have a negative impact on people living at the home. EVIDENCE: We found the home is clean and free from offensive odours. Residents spoken to said they were happy with the home in general, comments included, “I like to keep my room the way I like it”, ““it’s a cosy home”, “its Ok, could do with decorating”. We found the first floor lounge used b y many residents who choose to smoke was heavily stained and made the room dark and unpleasant to spend time in. Comments from residents included, “it needs a lick of paint in here”. “it’s getting a bit dark in here, with the walls and all that”. We say Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 18 this is an area, which requires attention so that the lounge is pleasant for people to use on a daily basis. We saw the exterior wall of the home have been rendered so that previous problems with damp in various parts of the home have been addressed, for the benefit of people who live and work in the home. In general the rear of the home has developed in that a resident has made various improvements in that plants have been introduced and a cover for bicycles has been made by one of the residents who said they enjoyed ‘pottering about and making things”. The first floor bath is old and stained and would benefit from replacement so that bathing is a positive experience for people living at the home. In general most resident spoken to use the ground floor shower room for bathing as they prefer the facility rather than having a bath. We spoke to a number of residents who said they like to use their own bedrooms as they choose, and this was seen by us when a number of residents chose to stay in their rooms during the day. We spoke to some of them and found they have a range of personal facilities including television, radio, hi if systems, as well as their own fridges and in some cases a toaster. We say the home must make sure there is a full risk assessment in place for residents who chose to have various pieces of equipment which may be a fire hazard or have the potential to be a general hazard so that people are protected. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are generally good for the safety and protection of the residents. Training for staff is good and enables staff to have the skills and competencies for their roles. Staffing levels meet the needs of residents living at the home, however there are occasions when residents may be restricted in the choice of their movements beyond the home. EVIDENCE: The home has in place policies and procedures to make sure staff who work in the home are ‘fit’ to do so, so that people are protected. However, we saw that in one instance, a ‘fitness’ check had taken a period of four months, and had still not been received. The manager is aware the applicant is not able to commence employment at the home until a satisfactory check is received. We spoke to the manager and person responsible for obtaining the protection of vulnerable adults check (POVA) as well as the criminal records bureau check (CRB). We say there should be a better system in following the check up so that potential staff members can work in the home in a timely manner for the benefit of the staff team. By looking at training records and talking to staff we confirmed there is a wide range of training opportunities for all levels of staff. Comments included “We Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 20 go on training when it’s available”. Discussion with the manager and examination of records confirmed that of the nine staff members working on a permanent contract at the home, eight have gained a National Vocational Qualification (NVQ) level 2, and others are working towards or have already achieved a higher level of the qualification in care so that the workforce is trained and competent in caring for users of the service. One member of staff said, “I’ve really enjoyed the NVQ training it was really useful”. We found the way the home is staffed is satisfactory as at the time of the visit to the home there was the registered manager on duty and one other staff member. The staffing rota shows that on other occasions there are two care staff and the registered manager. We discussed with the manager how the staffing levels are worked out. We found it is based upon the needs of the people living at the care home. The staffing levels should be looked at so that there are sufficient staff on duty for residents who may choose to go out as previously noted in the daily lives and social activities of this report, so they are not disadvantaged in any way. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed for the benefit of the people who live and work there, however the lack of fire risk assessment has the potential to put people at risk. EVIDENCE: The registered manager demonstrated the necessary skills and experience required to support the staff and residents who live at the home. We spoke to the one member of staff on duty and a number of residents throughout the inspection of the home and we found they are happy with the manger and the support they receive. Comments included, “the manager is always there for you”, “we regularly have a chat about how things are going”. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 22 There is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. We found there are regular informal staff and resident meetings. We recommend there is some form of record of these meetings so that there is a clear audit trail and the management team can use the information to make any necessary changes for the benefit of people who live and work at the home. We saw from the information provided by the manager and the observations we made at the time of the visit to the home that all appliances in the home are checked regularly for the health and safety of all users of the service. We checked the water temperature on the first floor bathroom and found it to meet health safety guidance. We saw there is no current fire risk assessment in place, which is a requirement of current fire regulations. As we saw some residents have small electrical appliances in their individual rooms it is essential that the level of risk be identified so that people are safe. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 2 X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Timescale for action 31/10/07 2. OP3 13(4)(a)( b)(c) 3. OP38 13(4) (c) In order to make sure the administration of drugs is safe and controlled there must be an appropriate medicines dispensing facility. There must be evidence that all 31/10/07 residents living at the home have their level of risk assessed for living in the home and for any external risk, which may be identified for people who go out independently for their safety and protection. In order to make sure people are 31/10/07 protected there must be in place a fire risk assessment, which takes into account the level of risk for residents who have individual electrical items including kettles and toasters in their rooms for their own personal use. Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 25 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. 2 3. 4. Refer to Standard OP8 OP27 OP29 Good Practice Recommendations The home should have in place suitable weighing scales for the recording and monitoring of residents weights. Staffing levels should be reviewed to take into account resident’s choices when they may wish to go out into the community and for those who require staff support. The way the home monitors its fitness checks should be improved so that applicants can commence work in a timely manner. The home should make their quality assurance procedures more formal so that meetings are recorded and the information can be used to make decisions about any necessary changes for the benefit of people who live and work there. OP35 Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Bronswick House DS0000009843.V347891.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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