Inspection on 18/06/07 for Brook Care Home

This inspection was carried out on 18th June 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

Brook Care Home 06/06/06

Brook Care Home 23/11/05

Brook Care Home 02/06/05

Brook Care Home 07/02/05

Brook Care Home 16/04/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Brook Care Home 17 Brook Close Rochford Essex SS4 1HN Lead Inspector Nicola Dowling Unannounced Inspection 18th June 2007 10:00 X10029.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 Brook Care Home DS0000018074.V343637.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 and Care Homes for Adults 18 – 65*. 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. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brook Care Home Address 17 Brook Close Rochford Essex SS4 1HN 01702 549499 01702 549499 Telephone number Fax number Email address Provider Web address Name of registered provider Name of registered manager Type of registration No. of places registered (if applicable) Mrs Vijay Luxmi Rattan Mandy Jane Lee Care Home 20 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (20), Mental disorder, excluding learning of places disability or dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20) Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Personal care to be provided to no more than 20 service users with a mental disorder, excluding learning disability, over the age of 55 years. Personal care to be provided to no more than 20 service users with a mental disorder, excluding learning disability, over the age of 65 years. Personal care to be provided to no more than 20 service users with dementia over the age of 65 years. Personal care to be provided to no more than 20 service users with dementia over the age of 55 years. Total number of service users accommodated not to exceed 20. (Total number 20). 6th June 2006 Date of last inspection Brief Description of the Service: Charges at the home range from £319 to £625 per week. There are additional charges for hairdressing, chiropody, reflexology, personal transport and toiletries. The provider informed the Commission for Social Care Inspection about the charges on 31/05/06. Brook Care Home is registered to provide care and accommodation for up to twenty people over the age of 55 years who have dementia or a mental health disorder. The premises were purpose built and have been extended in recent years. Accommodation is provided on two floors and access is provided to all areas via stairs and passenger lift. There are ten single and two double rooms with en-suite facilities; there are an additional three double rooms without ensuite facilities. There are separate lounge and dining room. A new conservatory has been added on so that there is a separate visitors area. There is also a spacious conservatory, which is used by residents and staff who wish to smoke and there is a large garden. Brook Care Home is situated on a bus route near to the centre of Rochford and it is half a mile from the railway station. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection site visit took place over a seven-hour period on one day. The manager was present and assisted with the inspection. Information that is presented in this report has been gained from the staff and residents of the home. The home’s Annual Quality Assurance Assessment (AQAA) and questionnaires from relatives, professionals and residents also contributed to the report. The inspector would like to thank residents’ and staff for their help and hospitality on the day of inspection. What the service does well: What has improved since the last inspection? What they could do better: Systems for storage of medication are not secure enough and do not follow guidelines set out by the Royal Pharmaceutical Guidelines for care homes. The training needs of staff are monitored however not all staff are up to date with their basic training. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 6 Some parts of the premises require upgrading and monitoring to maintain a comfortable environment for the residents. 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. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1. 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good needs assessment is carried out prior to admission and residents have the opportunity to see the home before they decide to move in. EVIDENCE: The statement of purpose and service user guide are well presented. The service user guide provides information using text and pictures making it easy to follow. A new resident to the home confirmed that they had a copy of both of these documents. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 9 There was evidence that residents have their needs assessed by the manager prior to their admission to the home. The manager arranges to see prospective residents after a copy of their care needs have been received. A new resident confirmed this saying that they were seen in hospital before visiting the home. They also remembered viewing the home before moving in. Commenting that the room they saw was the room that they moved into. The manager reports that if the resident is unable to visit the family are encouraged to view the home and meet the staff. This facilitates discussion enabling staff to gain an initial understanding of the residents needs, likes and dislikes from the families point of view. Standard 6, intermediate care is not provided at this home. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8. 9. 10. 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Psychiatric and physical health care is monitored well at this home. EVIDENCE: Three residents care documentation was inspected. The care plan is used as a working document and is supported by risk assessments. There was evidence that the plans are updated when needs change and there was appropriate Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 11 recording in the daily care notes. Relatives confirmed that they are kept informed of residents changing needs. Their comments ranged from “exemplary” to “could be better”. A new resident was aware of the care documentation and confirmed that staff involved them in their care plan. The care plan detailed physical and psychological care. The chiropodist was present in the home on the day of inspection. They commented that staff have a “good attitude” in the home and that staff promote residents independence. When personal care is undertaken the home take into account the gender of the staff and what the resident is most comfortable with. The residents at the home have access to all local NHS clinics and staff. For example during the year McMillan Nurses, GP’s and District Nurses have all had input into the management of care for residents that suffered a terminal illness. For residents psychological care there is input from a Community Psychiatric Nurse and their team. Also there are referrals to psychiatrists and regular reviews of care. Medication is generally stored properly however, medication that is due to be returned to the pharmacy should be held in a dedicated place and not with other general office stationary. The medicine key is held on the same bunch as other master keys. This does not follow recommended guidelines. Following permission from the GP, Psychiatrist and social worker one resident is able to self medicate. There is risk documentation for this practice and staff check on a weekly basis to ensure compliance. There was evidence that staff had received training in medication. Staff were observed addressing residents by their preferred name and interacting with them. For example one resident was playing pool and chatting with a staff member. Staff ensured that they knocked before entering a resident’s room and gained permission to enter. Telephone facilities have also been improved making it more accessible. Staff were observed to be considerate to residents and relatives also commented this on. The conservatory has been made the dedicated smoking area for residents. Information from the AQAA form detailed how care was provided for two long term residents with terminal illnesses. The home engaged the support of district and McMillan nurses to manage the residents’ care. The home have also learned from this experience providing them with greater knowledge on managing end of life issues. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can choose a variety of activities at the home with nutritional food. EVIDENCE: Residents have their social preferences written in the care documentation. The home also keep a book of activities that is recorded on a daily basis. Every afternoon there are two extra staff members on shift to undertake activities with residents. On the day of inspection residents were playing pool and Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 13 dominoes. Residents spoken to say that they go out locally. For example down to the pub and out shopping for clothes. Staff also reported that they are able to use their time flexibly, for example going out to car boot sales early with residents. There are planned trips one was to Clacton for the day. However the manager is undertaking a change in the use of staff hours so that spontaneous outings can occur. This is because there has been a degree of non-participation in planned trips. For example residents are keen to out on a trip however on the day of the trip they don’t want to go. There are a range of activities that the residents can enjoy including going out in the local area, gardening, painting, bingo and others. Feedback from questionnaires and from residents indicates that the home has an open visitors policy and that visitors are made welcome in the home. There are visitor areas at the home so privacy can be maintained if wanted. Money is held securely and where possible residents manage their own finances. Currently two residents at the home do this. Also residents have their own personal allowances. The manager ensures that records are kept and that there is an audit trail to ensure no financial irregularities. Information from the AQAA form reported that mealtimes are more flexible. A resident said that the cook has daily contact with them about their meal choices. The cook was aware of a resident’s special dietary needs and knows the resident’s likes and dislikes. There was a mixed reaction to the food. Some residents said that the food was excellent while others reported that the standard “could be better”. Meals are cooked on the premises, there is fresh fruit available along with drinks and snacks between meals. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. 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. There are satisfactory policies and procedures in place to protect residents. A pro-active attitude to complaints ensures relatives and resident’s views are heard and acted on. EVIDENCE: Feed back from residents and from relatives concluded that they were aware of the complaints procedure however they had not had to use it. A new resident had the literature on this policy and knew whom to approach if they were unhappy about something. The complaints information is clearly displayed and is in a format that is easy to understand. Since the last inspection there has not been any recorded complaints. There have not been any safeguarding adult referrals from this home since the last inspection. The home have policies and procedures on this topic and these were accessible to staff. Staff spoken with were aware of what abuse is and of their duty to report it. From the training records there are some staff that require an update on this subject. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and homely environment that is continually improving. EVIDENCE: The environment for the residents is improving. Residents spoken to liked their rooms. Most rooms have been redecorated with residents choosing their Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 16 colour scheme. Communal areas downstairs are due to be refurbished. The home has been awarded a grant for these areas and has included residents in the plans for this redecoration. Generally the home is comfortable and clean with no odours however some furnishings need renewing. The home has complied with the environmental health inspector’s recommendations. Cleaning logs are kept and up to date. The home has a domestic and a handy man. The manager reported that some residents will approach the handyman directly if there is maintenance work needed in their room. The home also has a big, well-kept garden, which is secure. One resident helps the handyman with the garden and has assisted in producing a vegetable garden. The patio area is also due to be refurbished. Which will leave this a nice area to spend time in. The home’s bathroom areas are in need of upgrading. One bathroom is so uninviting that residents choose not to use it. This means that there are fewer bathrooms for the residents to share. Some of the equipment is also showing signs of wear and tear and will need replacing. The manager is aware of this and will identify it as an area to be upgraded. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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. Staff are fit to care for the residents and are employed in sufficient numbers. EVIDENCE: Of the eighteen members of staff eleven have either completed or are working towards their National Vocational Qualification (NVQ) in care. There are four staff that work on the morning shift and three staff that work on the afternoon shift. Between 1pm and 5pm there are two extra staff to undertake activities with the residents. Staff spoken to report that that they liked working at the home, communication between them was described as good and they felt well supported by their colleagues. The home does not use any agency workers as Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 18 staff at the home will work flexibly and cover gaps in the duty rota. This enables care to be consistent and enables staff to build a rapour with the residents. One comment from a relative is that staff at the home are “courteous and empathic”. Comments from residents were that staff are “friendly and helpful”. The home does have a thorough recruitment procedure. Three staff files were checked at random and all documentation was in place. There was evidence of induction training and staff spoken to remembered undertaking this before commencing work. These records evidence that staff receive the proper checks, ensuring that people fit to do so, care for residents. There is evidence that staff training is ongoing and the manager has a comprehensive training programme. However some staff need training updates in core areas for example adult protection. The manager also intends to expand training in mental health to increase staff knowledge and skills. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good management systems are in place to ensure that the safety and welfare of the residents is not overlooked. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 20 EVIDENCE: An experienced manager who has the relevant management qualifications runs the home. The manager also intends to do further certificated training in mental health to remain up to date with current practice. The home undertakes a quality assurance process and meetings are held for residents and staff so that they can put forward their views. These are recorded and acted on. A random sample of records was checked. Safety certificates are all up to date. The AQAA form provided by the home evidenced that records of maintenance are kept to ensure that required checks and work are carried out to keep the building safe. Brook Care Home DS0000018074.V343637.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 3 2 x 3 3 4 x 5 3 6 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 ENVIRONMENT Standard No Score 19 3 20 x 21 2 22 x 23 x 24 x 25 x 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 3 34 x 35 x 36 x 37 x 38 3 Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The registered person must ensure a safe system of storage for medication. This is in regard to • Storage of medication due to be returned to pharmacy. • Medicine keys to be held separately from other master keys. The registered person must ensure that bathroom facilities are upgraded for the benefit of the residents. The registered person must ensure that staff training in adult protection is up to date for all staff. Timescale for action 29/08/07 2 OP21 23(j) 29/08/07 3 OP30 13(6) 29/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 23 1 OP21 The registered person should monitor the condition of the hoisting equipment and shower tray for signs of wear and tear. Brook Care Home DS0000018074.V343637.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. Brook Care Home DS0000018074.V343637.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!