Inspection on 22/08/05 for Brookfield Residential Care Home Limited

This inspection was carried out on 22nd August 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brookfield Residential Care Home... 26/04/10

Brookfield Residential Care Home... 24/03/09

Brookfield Residential Care Home... 25/03/08

Brookfield Residential Care Home... 07/11/06

Brookfield Residential Care Home... 28/02/06

Brookfield Residential Care Home... 07/03/05

Brookfield Residential Care Home... 18/08/04

Brookfield Residential Care Home... 03/02/04

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

CARE HOME ADULTS 18-65 BROOKFIELD RESIDENTIAL CARE HOME LIMITED St Anns Road Prestwich Manchester M25 9QE Lead Inspector Lucy Burgess Announced 22 August 2005 nd 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brookfield Residential Care Home Limited Address St Anns Road Prestwich Manchester M25 9QE 0161 773 1165 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Brookfield Residential Care Home Limited Mr Barry Douglas CRH PC Care Home Only 14 Category(ies) of MD Mental Disorder - 14 registration, with number MD(E) Mental Disorder - over 65 - 3 of places BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Within the maximum registered number 14, there can be up to 14 Adults with Mental Disorder (MD); 3 Adults with Mental Disorder over 65. The service should employ a suitable qualified and experienced manager, who is registered with the Commission for Social Care Inspection. Date of last inspection 7th March 2005 Brief Description of the Service: Brookfield is a care home providing personal care and accommodation for 14 adults with a mental disorder. Three of the places are registered for people over the age of 65 years. The registered provider is Mrs Joan Rawlinson and Mr Barry Douglas manages the home. The home is situated in Prestwich, close to the shopping centre, local pubs and bus routes. Brookfield is an old Victorian house, which opened in 1991 and provides accommodation on 3 levels. It has 14 single bedrooms, a large lounge, dining room, kitchen and separate laundry. The home is set in its own grounds with a well-maintained garden and patio area to the rear of the property. There is a small car park area to the front of the building. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over one day for a period of 6 ½ hours. The inspector took the opportunity to look round the home, view records and policies as well as talk with a number of residents and staff. Discussion and feedback was also held with the Manager. The home is registered to provide accommodation for 14 people. There were 13 residents at the home at the time of the inspection. As the inspection was announced a completed pre-inspection questionnaire was received along with feedback surveys from the local mental health support team. What the service does well: What has improved since the last inspection? The home has employed two new staff, this has allowed for extra staff to be available during the day to offer more 1-2-1 support for the residents and assist in helping individuals to develop new skills both in and away from the home. Several areas within the home have recently been refurbish or redecorated. Work has been carried out in several bedrooms, these have been painted. The ground floor bathroom has been completely retiled and the home has had a new kitchen, appliances and flooring fitted. This has made a big improvement to the home. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 6 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. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The key standards will be assessed at the next inspection. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 to 10 Care plans and risk assessments were detailed, up to date and reflected the care needs of residents providing staff with clear information about how their needs should be met. Residents expressed they were well cared for and were clearly involved in making decisions about their lives. EVIDENCE: As the residents have lived at the home for a number of years individuals are settled and their mental health has been relatively stable. Care plans and risk assessments therefore focus on current needs, maintaining independence and developing new skills. Records are held with regards to the mental health needs of residents, previous assessments and minutes of formal reviews held with mental health professionals, ensuring their health is maintained and any changes noted can be monitored and additional support provided. The majority of residents are placed at the home under formal discharge programmes, which have been agreed by mental health professionals and the home office. Any serious concerns identified could result in residents being returned to hospital ensuring risks are minimised and individuals are protected. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 10 The home has a very good working relationship with the local mental health team based at the hospital. Feedback received stated, “our clients receive a high level of care at Brookfield and we are prepared to wait for beds in order for clients to benefit from the care provided by the team at the home.” Additional records are held in relation to daily reports, these outline what residents have done throughout the day. Records would also be used for monitoring purposes should changes in health or behaviour be noted. Information recorded in relation to one resident who has recently been admitted to hospital evidenced that staff had been monitoring his health, personal care and diet. The manager is aware that due to changes in the physical needs of the resident that a reassessment is required to determine a more suitable placement in order to meet needs, this is being explored. Residents are aware that information is held with regards to their assessed needs. Individuals are involved in the reviewing and updating of care plans and records had been signed to evidence their involvement. Information is held securely within the staff office and easily accessible to staff. Residents are able to make decisions about their lives enabling them to increase their independence. Each is able to come and go freely pursuing activities of their choosing and this was observed during the inspection. Some residents follow various activities, voluntary work and therapeutic employment opportunities, whilst others choose to follow a more relaxed routine. This is based on individual preferences, wishes and motivation levels. As the home is relatively small, informal day-to-day contact is made between residents and staff with the views and opinions of both parties being easily aired. This method is preferred rather than formal meetings. From feedback received and through observations made residents are happy with the support provided and interactions with staff were seen to be open and friendly. Residents felt they could speak to members of the team in confidence. Comments received included, “the staff are good” and “they know what they are doing”. Staff were found to have a good awareness of individual needs. The majority of residents take responsibility for their own finances. Money is held for 3 residents and appropriate support is provided. Clear and accurate records are maintained with regards to residents’ finances. A random sample was checked and found to be accurate. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 to 17 Routines vary depending on individual choices and preferences. Residents access the local and wider community enabling them to lead valued lives, develop skills and increase their independence. Support is offered where required. Residents maintain contact with family and friends and open visiting is encouraged. The meals are good and offer choice, providing residents with a varied diet. EVIDENCE: Although the home is a large property it is indistinguishable from those around it. The home is easily accessible to Prestwich town centre and a short distance from Manchester City Centre. Residents have bus passes and one individual has his own car. Support at the home is offered throughout the day over seven days a week. Sleep-in staff are also provided. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 12 Routines at Brookfield vary depending on individual wishes and motivational Residents pursue levels with individuals rising and retiring as they wish. activities both in and away from the home. Staff offer encouragement in maintaining their independent living skills. Individuals continue to have regular access to community facilities accessing local shops, pubs, college, post offices and local cafes. Residents also have a variety of items such as televisions, videos, stereos and computers, which they can relax and listen to. Several of the service users continue to be involved in carrying out work placements arranged by Community Training Services (CTS), whilst another works as a volunteer in a charity shop. None of the service users are in full time paid employment. Residents have recently enjoyed a day trip to Chester zoo and a further trip is planned to Blackpool Illuminations. One resident attends synagogue on a regular basis and takes part within religious festivals. Members of the clergy also visit the home on a weekly basis. Each resident is registered to vote and support is offered should they choose. Residents continue to maintain contact with family and friends. Visits take place both at the home or with residents visiting family members. Contact is made on a regular basis. Residents have the freedom of movement around the home as well as coming and going as they choose. Individuals were seen to go out during the visit to attend their voluntary work or visit family, whilst others preferred to stay at home. Residents are requested not to smoke in their bedrooms in the interest of fire safety, however this is not always adhered to. The lounge is the designated smoking area. Each of the residents have been given keys to their bedrooms however keys to the front door are not routinely given out, this is due to risk and the home is always occupied. One resident does have a key as he arrives home at various times depending on his activities or religious festivals. Staff continue to take responsibility for preparing meals, however service users can assist in the preparation of meals should they wish. Several of the residents have small jobs taking responsibility for certain tasks within the kitchen. Information is recorded in relation to meals served. Additional food storage is available in the basement. The home has a separate dining room however service users may choose where they wish to eat. Residents continue to themselves drinks and needs of one resident provided. Facilities are in line with his culture. have full access to the kitchen and may make snacks if they wish. The cultural/religious dietary continues to be catered for and kosher meals are made available for the storage and cooking of his food BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 to 20 Residents health and personal care needs are consistently met ensuring their well-being is maintained. Relationships with mental health professionals are effective and provide positive support networks for the residents ensuring their health needs are promoted. The medication system was found to be safe and staff have completed training ensuring residents are protected and practice is safe. EVIDENCE: Residents continue to have access with all health care professionals. Appointments are made when necessary and support is provided for those who request it. Each of the residents are registered with a local GP. The home continues to receive support and advice from mental health professionals who monitor residents’ well-being. Formal review meetings are held as part of the agreed discharge programmes and minutes are provided clearly showing any changes in medication etc. Additional contact would be made by staff if it was felt that there had been a change in the person’s health and appropriate action would be taken ensuring residents receive the support they need. Evidence of reviews with community psychiatric nurses (CPN’s), Consultants, Social Workers and Probation etc are held on file. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 14 Generally residents at Brookfield are able to manage their own personal care needs, however due to motivational levels staff will offer prompts and encouragement. Resident’s routines are flexible with individuals rising and retiring as they wish. Bedrooms, bathrooms and toilets have been fitted with locks to offer privacy. Permission is sought from the residents before entering their rooms. Three of the residents at the home are over the age of 65 years. Due to the changing needs of one resident staff were closely monitoring and recording support provided in relation to personal care and diet. As the resident has now been admitted to hospital, the manager is aware that a reassessment is necessary and an alternative placement sought in order for the needs of the residents to be fully met. The medication system was examined and found to be safe. No controlled drugs are held at the home. Medication is delivered monthly by the supplying pharmacist, BOOTS, and records are made of all medication received and returned to the pharmacy. MAR sheets had also been signed evidencing administration of medication. Training has been completed by staff that are responsible for the administration of medication. Medication is reviewed regular with health professionals. Where necessary several residents attend clinic to visit the nurse in order for blood tests to be taken and appropriate levels of medication prescribed, or so the effects of medication can be monitored ensuring residents received the appropriate care in maintaining their health. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Satisfactory arrangements are in place in relation to the protection of service users as well as responding to their concerns. Policies are in place outlining the appropriate response for allegations of abuse. However training is outstanding in this area, to ensure that staff are aware of what action to take, so that service users are protected. EVIDENCE: The home has in place a detailed complaints procedure outlining timescales for response and how to contact the CSCI. Copies of the documents have been included within the Residents handbook and copies have been handed out. A record book is in place for recording any concerns raised. No complaints have been raised at the home or with the CSCI. The home has now accessed a copy of the Local Authorities Adult Protection procedure. Outstanding training is still needed in this area for all members of the team, this is to be addressed ensuring the safety and protection of residents. As previously identified residents needing support with finances are assisted. Records are made of all transactions. The majority have their own bank accounts where money is deposited and managed independently. Individuals also have their own savings accounts. Other policies are in place for the protection of the service users, these include; accidents, emergencies, whistle blowing, management of service users finances, missing persons and risk management. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27 and 30 Brookfield provides a comfortable and homely environment for the residents living there, however would benefit from some refurbishment to the interior and exterior of the home further enhancing the property as well as addressing issues affecting the health and safety of residents and staff. EVIDENCE: Brookfield is an old Victorian house providing accommodation on 3 levels. There is a large lounge, which is the designated smoking area, a dining room, kitchen and separate laundry. The home has 3 full bathrooms including toilets and a separate toilet, which has been designated for the staff. Two further toilets have been provided on the ground and 1st floor. Each have been fitted with suitable locks to offer privacy. Bedrooms have the provision of a wash hand basin and are single occupancy. The home is set in its own grounds with a well-maintained garden and sitting area to the rear of the property. There is also a small seating area and car park area to the front of the home. Brookfield is situated close to local amenities and public transport between Bury, Prestwich and Manchester. The property is in keeping with other in the area. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 17 The home has recently carried out some redecoration and refurbishment. Several bedrooms have been repainted, the ground floor bathrooms have been re-tiled and the kitchen has been completely refitted, painted and new flooring laid. This has made an improvement to the overall appearance offering a clean and spacious environment. Residents felt happy and settled at the home and described it as being “home from home”. Several areas were still in need of attention including the redecoration of bedrooms, dining room, hall, stairs and furniture for the lounge. Further attention is needed to the exterior of the building. The home has been having on-going problems with pigeons, which have caused some areas to become heavily soiled. This need to be addressed for the health and safety of the residents and staff, as well as enhancing the appearance of the home. Consideration also needs to be given to replacing the facia boards, repairs to the guttering and leaks within the 1st floor bay windows. Several of the old window frames also need painting. As discussed with the manager it is suggested that a plan of work is written outlining timescales for completion. The home employs a designated worker who carries out all domestic tasks, however additional tasks are carried out by the support staff where necessary including support residents with their laundry. The environment was seen to be clean and generally odour free. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 to 36 Staff at the home are in sufficient numbers to meet the needs of service users. A programme of training has been identified to equip staff with the knowledge and skills needed in meeting the needs of service users. Recruitment and selection procedures are followed and checks have been carried out ensuring that the service users are protected. EVIDENCE: Recent recruitment has taken place, staffing levels were improved and sufficient to meet the needs of service users. Where possible additional cover is provided through the day to allow for more 1-2-1 sessions doing activities both in and away from the home. Staff personnel files were seen for the newest members of the team as well as Criminal Records Checks, which had also been carried out. Files were in the main found to contain information required under Regulation, however the manager must ensure that all references are checked and any verbal references taken are followed up with a formal written reference. Training needs have been identified and include food hygiene, fire safety and vulnerable adults. Further training is also being explored with regard to mental health needs. This will enable staff to develop further knowledge in BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 19 relation to the needs of the residents. The manager must ensure that all staff receive a minimum of 5 paid days training per year and that evidence is placed on file. One member of the team is planning to commence the NVQ assessor’s course, whilst two of the support staff have recently enrolled for the NVQ training. The Registered Manager is currently completing the NVQ Level 4 Registered Managers Award. Training in relation to the Topss induction had been completed by the new staff along with an in-house induction informing them of the home’s policies and procedures, introductions with service users and a shadowing session. One new staff member spoken to expressed that “the staff are very approachable”, “there are clear boundaries with regards to our roles” and “information is shared between the team, good team work”. The majority of staff have worked at the home for a number of years and have developed good working relationships with the service users, who in the main have also been resident at the home for long periods of time. Staffing levels are sufficient to meet the needs of the residents. A supervision system has also been introduced. Records are made of sessions held and include support issues as well as training and development. Periodic team meetings are also held to enable information to be shared between the team and offer further support and advise. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The key standards will be assessed at the next inspection. BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 BROOKFIELD RESIDENTIAL CARE HOME LIMITED Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 22 yes 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. 2. 3. Standard 23 24 34 Regulation 13/18 13/23 19 Requirement That all staff complete training in the Protection of Vulnerable Adults That action is taken to address the health and safety issues to the exterior the home That staff files contain all information required within schedule 2 and that written references are sought to confirm verbal discussion That all staff complete training ing fire safety and food hygiene. That all staff receive a minimum of 5 paid training days per year (previous timescale of 31.6.05 not met) That monthly reports are undertaken as outlined within the Regulation (previous timescale of 31.5.05 not met) Timescale for action 30.11.05 30.11.05 30.11.05 4. 5. 35 35 18 18 31.11.05 30.1.06 6. 37 26 30.10.05 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 F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 23 BROOKFIELD RESIDENTIAL CARE HOME LIMITED 1. 2. 3. 24 That a refurbishment plan is developed and a copy forwarded to the CSCI BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton, BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI BROOKFIELD RESIDENTIAL CARE HOME LIMITED F56 F06 S8454 Brookfield V212688 220805 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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