Inspection on 26/09/06 for Brookside

This inspection was carried out on 26th September 2006.

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

Brookside 04/11/08

Brookside 13/11/07

Brookside 19/01/06

Brookside 27/09/05

Brookside 02/02/05

Brookside 14/05/04

Brookside 24/03/04

Brookside 16/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brookside Sinderland Rd Broadheath Altrincham WA14 5JA Lead Inspector Joe Kenny Key Unannounced Inspection 26 September 2006 12:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside Address Sinderland Rd Broadheath Altrincham WA14 5JA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 912 3632 0161 941 5586 Trafford Metropolitan Borough Council Mrs Joan Ann Massey Care Home 45 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home provides accommodation for a maximum of 45 service users, 26 of whom require care by reason of old age (OP) and 19 of whom are older people who require care by reason of dementia (DE(E)). Separate lounge and dining space must be provided to meet the needs of the service users who require care by reason of dementia (DE(E)). There are currently 6 named older service users who require care by reason of mental ill health (MD(E)) and 1 additional named service user who requires care by reason of dementia DE(E)). Should any of these service users no longer require accommodation at the home, these places will revert to the service user category (OP). The Statement of Purpose must be maintained in line with the requirements of Schedule 1, of Regulation 4(1) of the Care Homes Regulations. The Statement must be kept under review and updated. Any changes to the home’s purpose must be agreed with the Commission for Social Care Inspection prior to implementation. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum `Care Staffing in Care Homes for Older People`. This must be reflected in the Statement of Purpose. The home must be managed at all times in accordance with the guidance and regulations issued in respect of older peoples` homes by the Secretary of State for Health under Sections 22 and 23(1) of the Care Standards Act 2000. The authority must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 19th January 2006 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Brookside is a residential care home providing accommodation and personal care. The number of bedrooms decreased from 45 to 36 since the last inspection. A new certificate will be issued to reflect this change in registered bed numbers. The home is owned and managed by Trafford Metropolitan Borough Council. The home is located in a residential area of Broadheath, Altrincham, close to public transport routes and local green belt. There is ample parking space for visitors to the home. The fees charged by the home are £380. 29 per week. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out unannounced on the 26 September 2006. The report has been written using information held on the Commission for Social Care Inspection (CSCI) files on the home and from information provided by the home in the form of a pre inspection questionnaire. Further information was provided by a number of residents and relatives in the form of home survey questionnaires entitled ‘Have your say about Brookside’ sent to people before the visit took place. This visit took place on 26 September 2006 without any being told about the visit before hand. During this visit a tour of the home was undertaken and informal discussions were held with residents and staff about their experiences of living and working in the home. The inspection also included examination of records and administration procedures for the day-to-day management and safe running of the home. Records relating to complaints, care planning, medication and staffing formed the basis of paperwork examined on this visit. The findings from the survey questionnaires returned to the CSCI have been incorporated into this report. The telephone number for the service had changed since the last inspection. The new telephone number for the service is 0161 912 3632 or 912 3608 What the service does well: Information on the date of the inspection indicated that appropriate procedures were in place to ensure health and safety of both residents and staff. Information about the home and services offered is detailed in the home’s Statement of Purpose. This information is provided to anyone considering going to live in the home and they were also offered the opportunity to visit the home before making a decision about moving in. Care plans continue to be developed in consultation with residents and relatives to ensure a person centred approach is achieved to meet assessed needs. Relatives visiting the home at the time of the inspection stated they were happy with the care and support provided at the home. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home that was provided to relatives and residents enables them to make decisions about moving to the home. The needs of residents were assessed prior to moving to the home. EVIDENCE: The home is able to provide care for up to 36 residents and on the day of the visit 34 residents were accommodated. Relatives spoken to commented that they received or were aware of information about the home in documents such as the Statement of Purpose and contracts/statement of terms and conditions. Appropriate information relating to the number of residents that are now accommodated under each category of registration should also be included. This had recently changed from 45 to 36 and an application to vary the Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 9 conditions of registration (from 45 to 36) must be made to the Commission for Social Care Inspection. On examination of the homes Service User Guide the home is advised to include additional information in the statement of terms and conditions of the placement/contract as to who is responsible for payment of fees and how they are to be paid. Evidence was seen that care managers provided the home with an assessment of the care needs of the person being referred to the home for care. The manager and a member of the care team would also visit the person in their own environment. During this visit a ‘personal profile’ would be completed which enabled the home to gather additional information to assist in the development of suitable programmes of care and support specific to the individual being referred. A selection of files was examined and was found to contain appropriate details of assessed needs and how individuals would be supported. Risk assessments were also in place and information about the residents and how their care needs were being met was recorded on a daily basis. The file of one of the most recently admitted residents to the home confirmed that the home was in receipt of the necessary paper work relating to the individual to assist the home in developing suitable programmes of support. Evidence was also available to show that a visit had been made to the home by a friend of this resident to assess the service being offered before moving in. Similar procedures had been put in place for those residents who had recently moved into the home from another local authority home that has since closed. The home does not provide intermediate care. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal, social and health care needs of residents appeared to be met and procedures in place safeguarded residents when medication is administered. EVIDENCE: Residents had an individual care plan profile and a named support worker who would be available to them as their key worker. The information in the profile is drawn up in consultation with the resident to ensure that support plans meet their needs and wishes. All care staff had the responsibility for recording information on the daily progress sheets to reflect the support and care given to the individual resident and plans of care were reviewed on a monthly basis by the key worker in consultation with the individual resident. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 11 Information on residents’ files detailed support offered by health care professionals and also enabled staff to record any specific cultural issues relevant to the individual. Records detailed the name of their general practitioner and appropriate records were maintained of weight and bathing arrangements. Evidence was seen that the District Nurse visited a number of residents to provide specific support with dressings and pressure sores treatment. The nurse attended regularly and senior staff said that all staff had been informed of support plans that needed to be in place and maintained in between the district nurses visiting the home. Medication administration records were examined and practice was observed. Medication was administered by managers and named senior staff. Medication was stored in secure designated areas and the records examined demonstrated that staff signed appropriately and used appropriate ‘abbreviation’ codes where prescribed medication had not been administered. The supplying pharmacist would visit the home to offer advice and conduct random audits of the medication system. Appropriate procedures were in place for the receipt and disposal of medication and it was confirmed that all prescriptions were checked by the home before being sent to the pharmacy. Prescribed creams were held in the residents’ bedroom. Staff administered such creams maintained a ‘treatment plan’. On some medication administration records, changes to medication that had been made by the Community Psychiatric Nurse or the general practitioner were hand written. The home is advised to have such written information signed and dated by the person approving the change. A second ‘responsible’ person should also countersign the written entry. The relatives who returned comment cards indicated they were happy with the care and support offered by the home. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily living arrangements ensured residents could choose to plan their day and have unrestricted access to communal and personal private space. EVIDENCE: A number of small lounge/dining areas were located throughout the home and were close to bedrooms. A member of staff was assigned to each area to support residents on daily living and social care programmes. Residents were free to access their own bedrooms without any restriction and staff were present to assist and support individuals with personal and group activities. Staff were observed to interact positively with residents and it was evident from discussion with residents and from observations that staff adopted a professional and caring approach. A number of residents held keys to their rooms and visitors could be received in the privacy of bedrooms or in the lounge areas. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 13 Since the last inspection the larger lounge has been allocated for use as a ‘day resource unit’. People from the local community used the facility on a daily basis and this facility was staffed and managed separately to the home. It was clear from discussions with staff that residents living in the home were free to access the lounge during the day and at weekends. However, some residents did comment that they felt reluctant to go into the area because of its change of use and felt that this area was no longer “part of their home”. During discussions with staff it was evident that time was set aside for them to proactively interact with residents in informal discussions about topics of choice, issues from daily news papers and organising activities of interest to individual residents. Trafford Local Authority homes have planned programmes of activity organised by students from a local college. The students would be resuming these activity and craft sessions following their summer break. Relatives commented on the homes need to sustain activity programmes in the home even when students were not available to carry out ‘activity sessions’. Relatives and visitors commented that they were happy with the personal and social care arrangements in the home. The home continues to hold focus group meetings as a means to consult with residents’ relatives on daily living and social arrangements. Meals are transferred from the kitchen to the small lounge/dining areas. Meal arrangements ensured residents were offered alternative choices of food available. The cook confirmed that she is informed about specific dietary requirements and the likes/dislikes of individual residents. The meal and dining arrangements appeared homely. Residents stated they were happy with the meal arrangements. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures were in place to ensure concerns or complaints about the service were acted upon. Systems, procedures and policies were in place that ensured residents were protected from abuse. EVIDENCE: There were appropriate procedures in place to inform residents and relatives of whom to contact if they had a concern about any aspect of the service or care they received. The home had a register in which to record any compliments, concerns or complaints. The home had received a number of complementary cards from relatives. One complaint had been received by the home since the last inspection and related to the laundry service. The records indicated that the issue had been resolved by needed ‘signing off’ to confirm that the complainant was happy with the outcome. Some complaints may be referred to the Local Authority directly for investigation. The home is advised to retain an ‘on site’ record of such complaints and the investigation and outcome of this process. The Commission had received no complaints about the home since the last inspection. Training information on staff files and the training plan for the home contained information to confirm that staff had attended courses on abuse awareness. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 15 The records viewed during the inspection indicated that 31 of 39 staff had attended this training course. Staff had also been given the opportunity to read and ‘sign up’ to guidelines developed by Trafford Local Authority. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The interior and exterior areas provided residents with a range of communal and private areas to access. The standard of decorating was poor. EVIDENCE: The home provided residential care to 36 older people. Since the last inspection the large main lounge on the West wing had been used to provide a day care service. Home care services were also managed from this site. Programmes of development, rewiring and upgrading of fire safety arrangements in the home had been completed. A tour of the home highlighted the need to develop and maintain appropriate programmes of redecoration and refurbishment. Comments about the poor standard of decoration were also made during discussion with a number of residents and relatives on the day of the inspection. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 17 Senior staff indicated that programmes of re-decoration and refurbishment had been approved. However, a date to commence any work had not been set by the Local Authority. Once this has been done the Local Authority should inform the Commission of the timescales and schedules planned for the refurbishment. Senior staff said that no new admissions were being admitted into the home in order to assist in the management of the planned refurbishment. Some work was in progress and related to the fitting of new fire doors to bedrooms and on corridors. The doors to bedrooms were being replaced with a fire door with a narrow glazed panel section running down the door near the door handle. The glass gave a clear view into the bedroom. This would compromise the privacy and dignity of individual residents and was fully discussed with the management of the home. Star locks were used on bathroom doors when they were not in use. These must be removed and replaces with a more appropriate locking system. In some areas of the home there was noticeable unpleasant odours and relatives, through their feedback on comment cards also made comments about this. The staff sleep in facility required attention in terms of rendering some damp damage to the wall and ceiling area. Some work was required on the guttering and roof soffits. It is recommended that the planned redecorating and refurbishment of the home include the kitchen areas. The home offered secure accessible external grounds for residents to use. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures used by the home, together with training and supervision procedures protected residents. EVIDENCE: On the day of the inspection the service was managed by Sylvia Blacley, a peripatetic manager covering three of the Local Authority homes. Procedures relating to recruitment and selection of staff ensured that the registered manager of the service was actively involved in this process. Systems were in place to ensure that the manager had access to employment checks conducted during the recruitment process, which were previously managed through the organisations personnel department. The deployment of staff ensured a member of staff is available throughout the day on each lounge area and that one senior is available to support staff and works across each of the lounges. In addition, a manager was also available to staff and residents. The day care hours provided were appropriate to meeting the needs of residents. During the night hours there were two staff on waking duty and one person sleeping in on the premises “on call”. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 19 The records relating to staff were held securely and contained the information to demonstrate the process used to recruit and induct staff. Ongoing development was monitored through one to one supervision and planned training programmes, which provided staff with the necessary skills and knowledge to support them in meeting the needs of all residents. Information received prior to the inspection indicated that 51 of the staff team had achieved NVQ level II or above. The manager indicated that there had been a significant reduction in the number of hours covered by agency staff. In addition the recent cessation on recruitment of staff had been lifted and interviews to vacant posts (5 evening posts) would commence shortly. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements ensured that the home was run in the best interest of residents. Procedures were in place to promote and protect residents’ health, safety and well being. EVIDENCE: The home had developed a questionnaire to be given to residents in order to get their opinion about the services offered at the home. The home is advised to develop a report of the findings of the questionnaire and insert it into the home homes statement of purpose. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 21 A senior manager visited the home on a monthly basis and produced a report on how the service was being managed and on the standard of service being delivered. Information provided in the pre inspection documents forwarded to the Commission indicated that appropriate policies and procedure were in place for the effective running of the service. However, some policies were last reviewed in October 2004. The home is advised to ensure that all policies and procedures are regularly reviewed and that the information being provided is current. Appropriate procedures were in place for the safe handling and management of residents’ finances. Procedures were in place that ensured any health and safety issues for residents, staff and visitors would be addressed. Records were examined relating to health and safety arrangements such as tests and checks on the fire prevention system and these were found to be in order. Staff supervision was being provided regularly in response to a requirement made at the previous inspection. New standardised supervision plans would be introduced. Staff confirmed that management through the supervision and training programmes that were in place supported them. It is however recommended that staff meetings should be held on a more regular basis. Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X 3 3 X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation Care Standards Act 2000 15 (1) (a) 13 (4) (a) Requirement An application must be made to the Commission to vary the number of residents that can be accommodated in the home. Timescale for action 23/11/06 2 OP19 ‘Star locks’ must be removed 23/11/06 from bathroom doors and be replaced with a more appropriate type of locking system. A method of maintaining the privacy and dignity of residents in relation to the use of glass panels in bedroom doors must be found. Cleaning routines must be put into place that appropriately manages those areas of the home that were noted to have unpleasant odours apparent. 23/11/06 3 OP19 23 4 OP26 13 (4) (a) (c) 23/11/06 Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the home include additional information in the statement of terms and conditions of the placement/contract relating to fees payable and by whom. The home is advised to ensure hand written information on the medication administration records are signed/dated by the person recording the alteration and countersigned by a second member of staff. It is recommended that the home retain a record of complaints referred to the local authority, including a record of the investigation and outcome of this process. It is recommend that the Local Authority produce a programme of routine maintenance and refurbishment of the premises including dates and timescales. It is recommended that any refurbishment of the premises include the kitchen areas. It is recommended that appropriate repairs are carried out where identified in this report. It is recommended that the home develop a report of the findings of any quality audit questionnaires and insert it into the home homes statement of purpose as part of its quality monitoring process. It is recommended that all policies and procedures are regularly reviewed to ensure information is up to date. 2 OP9 3 OP16 4 OP19 5 6 7 OP19 OP19 OP33 8 OP38 Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Brookside DS0000032585.V301667.R01.S.doc Version 5.2 Page 26 - 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!