Inspection on 31/03/09 for Brooklands

This inspection was carried out on 31st March 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brooklands 31/01/07

Brooklands 31/12/05

Brooklands 31/05/05

Brooklands 10/03/05

Brooklands 03/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brooklands 25 Lambeth Road Eastwood Leigh On Sea Essex SS9 5XR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ann Davey     Date: 3 1 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Brooklands 25 Lambeth Road Eastwood Leigh On Sea Essex SS9 5XR 01702525375 01702421121 brooklandscarehome@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Dr Ram Kishore Tandon Name of registered manager (if applicable) Bindu Jibi Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Nursing and personal care may be provided to no more than 44 older people over the age of 65. Nursing care may be provided to no more than one service user with a physical disability who may be over the age of 50 years. The home may provide care for 5 older people with dementia. Date of last inspection Brief description of the care home Brooklands is a large detached establishment set within its own well maintained grounds in the Eastwood area of Leigh on Sea. The home is close in proximity to all community amenities and services. Brooklands is decorated, furnished and maintained Care Homes for Older People Page 4 of 29 care home 45 Over 65 5 44 0 0 0 1 Brief description of the care home to a generally good standard throughout. The home has car-parking facilities to the front and rear of the property. Residents are accommodated on two floors that are serviced by a passenger shaft lift. The homes Service User Guide and the Statement of Purpose are available. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection that took place over six hours. The visit started at 9.45am and finished at 3.45pm. The owner of the home (provider) and the manager helped us throughout the inspection. The homes Annual Quality Assurance Assessment (AQQA) had been completed and returned to us. This document provided the home with the opportunity of recording what it did well, what it could do better, what had improved in the previous twelve months and its future plans for improving the service. We carried out an Annual Service Review on this home on 5th December 2007. The last key inspection took place on 17th February 2007. Care Homes for Older People Page 6 of 29 We sent surveys to the home asking that they be distributed and returned to us so that we could have an understanding of how residents, staff, relatives and health/social care professionals felt about the provision. We received five completed surveys from staff and six completed surveys from relatives. We were able to use some of the comments we received within this report. We displayed a notice in the home advising any visitors that an inspection was in progress. The notice invited anybody who wished to speak with us to make themselves known. We spoke to staff, residents, relatives and viewed aspects of various records which were selected at random. The day spent in the home was very pleasant and everybody was helpful. The inspection process was undertaken without any difficulty. All matters relating to the outcome of the inspection were discussed with the manager and provider who took notes so that development work could be started immediately where appropriate. The weekly fee for the home ranged from 388.01 - 756.04 pounds. The actual fee depends on the bedroom facility (single/double) available, assessed care needs and the source of funding (local/health authority or private). There are additional costs for items of a personal nature such as newspapers and hairdressing costs. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Older People Page 8 of 29 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are fully assessed before admission to make sure they can be met by the home. Evidence: The homes Statement of Purpose and Service Users Guide were displayed in the reception area. There was also a copy of the last inspection report.This means that prospective residents and all interested parties are able to read and understand what the home can offer and provide. One relative told us that they found the information in the reception area very helpful. The pre-admission documentation of two residents admitted since the last inspection was viewed. Both had a clear pre-admission assessment documents in place.The manager had carried out assessments by visiting the residents whilst they were in hospital. Care plans for both residents had been put in place. Residents and their Care Homes for Older People Page 11 of 29 Evidence: respective relatives had been involved in the process as one document clearly stated what the respective residents views about food were and also their preferred name had been documented. On the files we viewed, contracts or terms and conditions of residence were in place. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health and personal care needs are met and practice is underpinned by a robust recording system. Evidence: Five care plans and associated documentation such as risk assessments and incidents records were viewed. There was evidence to show that residents and their relatives (if appropriate) had been consulted about the care they wished to received. Residents wishes, preferences and views had been recorded. There were personal risk assessments in place and we could see that individual care plans had been reviewed and updated where necessary. There was a daily record of care and events in place for each resident.The home had an established key worker system in place. There was an established system in place whereby staff had allocated areas of the home to work in. This meant that residents were cared for by staff who had current information about them and were aware of the care they required. The manager told us that the home had a good working relationship with all health Care Homes for Older People Page 13 of 29 Evidence: care professionals.They also reported that there had been no difficulties in the professional relations with the various local authorities social care provision.We saw health and medical records in place on various files and the information on them reflected the detail on the respective care plan.We saw health and social care records in place. Brooklands provides nursing care to residents who are admitted under that criteria. We also saw records evidencing that where residents who are admitted on a social care basis and require the services of a community nurse, arrangements were in place to provide that service. All medicines in the home are administered by one of the nurses. We looked at various aspects of the medicines administration record system and the medicines storage facilities on the ground floor. The deputy manager told us that there was an identical system on the second floor.There were no unexplained gaps in the medicines recording system. We noted that there were a number of handwritten entries within the medicine administration records. For example, the name of a medicine, the dosage and the administration instructions had been written by a nurse. To minimise any risk of error, handwritten entries or instructions should be checked by another person and there should be two signatures beside each entry. We saw documentation in place evidencing that a risk assessment had taken place the result of which meant that the home felt that named residents could safely keep and administer their own medications.The deputy manager told us that lockable storage facilities were in the bedrooms of residents who were able to do this. We did not ask to see any on this occasion.The storage of all medicines that we saw was orderly. There was no inappropriate stocking of medicines to note. The deputy manager told us that there were no controlled medicines or oxygen cylinders within the home at that time.The home holds a limited stock of homely remedies,for example, cough linctus, paracetamol and gaviscon. We saw a good audit trail in place. During the day we noted that staff spoke and engaged with residents in a polite, respectful and friendly manner.When aspects of care was being delivered or a residents was being attended to by a member of staff, their dignity and right of privacy was upheld. For example, modesty blankets had been provided for residents in the homes communal areas and bedroom doors had been closed whilst personal care was being undertaken. A relative told us Im very happy with the care here, any problem I did have I would go and speak to someone, they also remarked everyone is so pleasant.A resident told us Im very happy here, Ive got XXXX wrong with me, but they know how to look after me, nothing is too much trouble. Care Homes for Older People Page 14 of 29 Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a good nutritional diet and a developing activity, social and occupational programme. Evidence: The manager told us that the vast majority of current residents have regular contact with either family or friends. During the day we noted a steady stream of visitors to the home and we were able to speak to a number of them. A local church provides regular services within the home. Residents we spoke with told us that they like this input.The home employs a member of staff for eighteen hours a week to meet the social and recreational needs of residents. We spoke to this member of staff about their work. We saw records to demonstrate that there had been a variety of events and activities provided, for example, clothing party, cooking sessions, darts, bingo, raffles, local entertainment is provided to the home and there had been some outings. We saw records to support these events. We asked the designated member of staff about how the needs of the more dependent residents are met. For example, some residents are cared for in bed during the day. We were told that one to one sessions for these residents were in place but there were no records in place to support this. We were also told by the manager that the home provides care for residents who have Care Homes for Older People Page 16 of 29 Evidence: care needs associated with dementia. The member of staff had received no specialist training to meet any specific requirements of these residents. Residents told us about the activities they enjoy. On the day, we saw a group of residents making easter bonnets in preparation for the forthcoming best easter bonnet competition. There was a lot of activity around the table and the event was being enjoyed by those taking part. Brooklands is a large home and we saw no residents isolated either within their bedrooms or in one of the communal areas. As noted previously, staff are allocated to specific area within the home and this ensures that the risk of isolation is minimal. Two residents commented on the availability of staff and told us that someone is always around and no, I dont get lonely as theyre always popping in to see me. A visitor told us its friendly here when I visit and I always get offered a drink. On our tour of the home around 9.45am we saw that some residents were still enjoying and finishing off their breakfast. One resident told us were not rushed at breakfast.The main dining area is on the ground floor and there was a smaller dining area on the first floor. We saw the tables laid in the main dining area ready for lunch later in the morning. On each table there were condiments and an attractive silk flower display. We noted that each table had a washable tablecloth and asked why this was. The member of staff didnt know and agreed that a cloth table covering would create a more homely environment for residents. The home maintained a record of what each resident had ordered and had actually eaten at every meal.We could see that residents are provided with choice and variety at mealtimes. During the afternoon we noted that a member of staff went around asking individual residents what they would like for tea. One resident told us that this was common practice and not put on because youre here.Some residents are cared for in bed. We noted that there were current fluid intake charts in these bedrooms.The kitchen and food preparation areas were clean and orderly. The home had achieved a 4* score from Southend Borough Council following their recent Food Hygiene inspection visit. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that their concerns will be managed appropriately and that staff understand how to protect them. Evidence: The homes complaint procedure was displayed in the entrance area. We noted that the Commissions contact details were eighteen months out of date. There were also details on how to report an incident of suspect abuse to the local authority and details of how to contact the local independent advocacy system. One resident we spoke with said they would have confidence in raising any concern with staff. We asked two members of staff about their understanding of what to do if they received or knew about a residents complaint. Both told us that they would report it to the manager.We asked residents about how they felt about raising a concern and received the following comments, I speak up if Im not happy...happy to raise anyhthing,...dont think it would ever get to a complaint because I expect things would be sorted long before that point. In October 2008, the local authority investigated a suspected safeguarding adults from harm matter in connection with an alleged inappropriate verbal behaviour incident between a member of staff and a resident.The conclusion of the investigation was recorded as inconclusive. The home was dealing with a complaint made by a member of a health care agency who had visited over the Christmas period and was unhappy Care Homes for Older People Page 18 of 29 Evidence: about a number of issues. This was in the process of being investigated by the home.Within some of the completed surveys we received, we noted comments about communication being a problem between some staff and residents.We spoke to the manager about this and was told that there had been some difficulty around September and October 2008 when staff had been recruited and their first language was not English. The manager assured us that the matter had been addressed. No relative, visitor or resident raised this as an issue to us during the inspection. One resident told us that there had been a problem because we just couldnt understand what they (staff) were saying and they couldnt understand us, but its ok now. We spoke to five different members of a staff about their understanding of what the terms safeguarding vulnerable and whistle blowing meant to them and we asked what they would do should they be concerned about a residents wellbeing. All told us about the training they had received on these issues and were able to respond appropriately to our questions. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is clean, comfortable and pleasant but may find that some communal areas are used for storage. Evidence: We made a brief tour of the home and viewed some of the various rooms at random. Those bedrooms seen were clean and comfortable. All contained items of personal belongings and were tastefully decorated and furnished. The lounge area were comfortable, light and airy. The dining areas were clean and functional.The various office and administration areas within the home were orderly. The home had well kept lawn areas and two good size car parks.There were no unpleasant odours anywhere in the home. The manager confirmed that the provision of storage areas within the home were less that adequate. We noted that designated communal bathroom and toilet areas were used for storing various items such as wheelchairs and lifting apparatus. Wheelchairs were also stored in the main lounge area. The manager assured us that the arrangements were not detrimental to residents. We were told that the redecoration and refurbishment of bedrooms takes place when rooms become vacant. The laundry, kitchen and sluice areas were clean and tidy.The home accommodated Care Homes for Older People Page 20 of 29 Evidence: residents who have developed symptoms associated with dementia since being admitted to the home. It is important that the environment is suitable to meet any presenting needs.For example, there was no orientation or directional signage within the home to assist these residents. In a bathroom on the first floor we noted that there was no seat on the toilet and the tiling on the bath was broken. The manager told us that this facility is not used by residents. In the bathroom near to the dining area, the support column for the lifting hoist was not in good repair, the hoist seat was stained through wear and tear, the support rail next to the toilet had come away from the wall and the handle on the toilet was broken. We brought these matters immediately to the attention of the provider as this area was in constant use by residents. The provider arranged for repairs to be made. The provider told us about their plans to extend the home to accommodate a further twenty five residents. We advised the provider to contact our registration team without delay to discuss their proposals. Details of the contact were provided. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are cared for by a team of staff who have been recruited well, have attended training courses and are supervised. Evidence: The home is registered to provide care for forty five residents. On the day of inspection, thirty nine residents were accommodated. The outcome judgement for this section has been based on the staffing arrangements for thirty nine residents. The manager told us that there were no less than six or seven care staff plus a nurse on duty every morning, six care staff plus a nurse every afternoon and evening, and four carers plus a nurse on awake duty at night.In addition, the manager works in the home five days a week and the home has a team of cooking, kitchen assistants, maintenance staff, domestic staff, administration staff, housekeeping and social activity staff. The staff rota was clear and reflected the staff on duty. We noted that some staff were working double shifts. The manager explained that the home had two part time and four full time carer post vacancies and one full time nurse post vacancies. Existing staff were working extra hours to cover for the vacancies. The manager told us that there had been a good response to the advertisements for the vacancies and thought the home would be able to recruit from the response. Care Homes for Older People Page 22 of 29 Evidence: We were told that no staff had been recruited to the home over the past six months. We looked at three recruitment files belonging to staff who had started work in the home since the last inspection. These records were in good order. We noted in some instances the staff induction records had not been fully completed. The manager told us that this would be addressed.Staff training records were available and we could see that staff are provided with good opportunities to learn more about the work they undertake. Records demonstrated that six staff have achieved their NVQ level 2, twelve staff have achieved their level 3 and other staff were undertaking their NVQ level 3 training. All nurses working in the home are Registered General Nurse trained. Corporate staff meetings and individual staff supervision records were in place. The deputy manager told us that sickness levels were low and there was an appropriate balance of age, experience and gender within the staffing establishment and morale was high.We received the following comments from members of staff theres a good team spirit here...nice people work here...we have handover between shifts and thats good...staff are willing...I have supervision and I find it helpful...nice atmosphere here to work in...I get training opportuinties...were supported well by the manager and provider. Residents told us they look after me so well...staff are lovely, I have my favourites of course, but no grumbles. A visitor told us I have nothing but praise for the staff here, always so pleasant and polite to me. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home where the day to day management is stable and effective. Evidence: The manager was a registered nurse and had managed the home since 2004. The manager hoped to finish their Leadership and Management for Care Services Award course in November 2009.The manager was supported by the deputy manager who was also a registered nurse. The home has generic environmental and a safe working risk assessment folder in place. Around the home we saw appropriate health and safety notices providing guidance and instruction for staff. We noted that staff working within the kitchen area were wearing appropriate protective clothing but the member of staff undertaking laundry duties was not wearing adequate protective covering. We spoke to the manager about this who assured us that plastic aprons were available. We also noted that yellow rubber gloves were used in the laundry area rather than disposable ones. Care Homes for Older People Page 24 of 29 Evidence: The manager agreed to review the infection control practices within this area. Within the office area we saw the homes policies and procedures. Staff we spoke with told us that they use them on a regular basis and were able to tell us about their role and function relative to their specific responsibilities. We sampled some of the service contracts and maintenance agreement documentation and noted that they were current. For example, the passenger lift was serviced on 29th January 2009 and there was a Gas Safety Inspection certificate dated 4th March 2009. Essex County Fire and Rescue Service had visited and we saw a letter dated 22nd August 2008 from them stating a satisfactory standard of fire safety was evident. We saw a record to demonstrate that the home had arranged for regular checks to be carried out on the emergency lighting system, fire alarm system, fire fighting equipment and the smoke detectors to ensure they were in good working order. There was a record of the fire drills that had taken place. The home maintained housekeeping records in which the dates of housekeeping purchases and replacements had been noted. For example, new curtains, lamp shade replacements and when the carpets had been cleaned. We saw records to support that staff and relatives meetings had taken place on a regular basis. This means that stakeholders have a forum by which to voice their views and opinions. The home safe keeps residents personal monies upon request. The financial accounting system used by the home had a good audit trail in place. The manager told us that questionnaires are sent to all stakeholders yearly. We were told that a quality assurance report had been complied in November 2008. We asked to see this, but it was not available. We asked two residents and a relative if they had seen the report. They said they had not. The provider told us that they visit the home most days. They said they do not undertake a role in the day to day management of the home and were not involved with any hands on care There is a statutory requirement for any provider in this position to compile a monthly Regulation 26 report. This report provides an overview of the running of a home and assures the provider that the provision meets statutory requirements. The last report undertaken by the provider was dated November 2008. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 33 26 Arrangements must be made for the provider to produce a monthly Regulation 26 report in accordance with regulation. This will ensure that the provider has a regular overview of the day to day management of the home and can be assured that the home is compliant with regulatory requirements for the benefit and well being of residents. 30/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Handwritten entries made within the medicine records should be checked and endorsed by two members of staff to minimise any risk of error. The programme of activities and social events should be developed to include the assessed needs of all residents and appropriate records maintained. Page 27 of 29 2 12 Care Homes for Older People 3 4 16 19 The complaints procedure should have the Commissions correct contact details noted. There should be a robust system whereby repairs to the environment are noted and arrangements are in place for them to be addressed promptly. This is with reference to the bathroom adjacent to the dining area. Consideration should be given to better storage facilities. It is not good practice to store wheelchairs and lifting hoists within communal bathrooms. Staff working within the laundry area should wear appropriate protective clothing (disposable aprons and gloves) to minimise the spread of infection. Arrangements should be made to ensure that the homes last quality assurance report is available. 5 20 6 30 7 33 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!