Inspection on 21/01/06 for Brookvale

This inspection was carried out on 21st January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brookvale 03/08/06

Brookvale 23/05/05

Brookvale 01/02/05

Brookvale 01/09/04

Brookvale 22/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Brookvale 167 Simister Lane Prestwich Manchester M25 2SF Lead Inspector Lucy Burgess Unannounced Inspection 21st January 2006 09:30 Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 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 Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brookvale Address 167 Simister Lane Prestwich Manchester M25 2SF 0161 653 1767 0161 655 3635 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) Brookvale Mrs Lynne Richmond Care Home 74 Category(ies) of Learning disability (74) registration, with number of places Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the home is registered for a maximum of 74 service users who are in the category Learning Disability (LD) That within the overall number: 1 Southview Terrace, Simister Lane is used to accommodate no more than 3 service users. 2 Southview Terrace, Simister Lane is used to accommodate no more than 3 service users. 3 Southview Terrace, Simister Lane, is used to accommodate no more than 3 service users. 4 Southview Terrace, Simister Lane is used to accommodate no more than 3 service users. 357 Heywood Road, is used to accommodate no more than 4 service users. The Atrium, is used to accommodate no more than 14 service users. 3. That the service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 23rd May 2005 Date of last inspection Brief Description of the Service: Brookvale is a purpose built establishment registered to accommodate 74 younger adults with a Learning Disability. It is a Charitable Trust, which seeks to cater for Jewish people although non-Jewish service users are also accommodated. Permanent, and respite care is offered together with day care. The majority of the home is ground floor accommodation. One wing is on the first floor level. In addition to the main building, there is South View, four cottages each accommodating three of the more independent service users, a larger house approximately 1 mile from Brookvale, which accommodates 4 service users and the Atrium, a new building, which has recently opened. This comprises of spacious accommodation for up to 14 individuals each with single en-suite bathrooms. Only a few individuals who have requested to remain in shared rooms will do so. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 5 The homes facilities include an indoor hydrotherapy/swimming pool, fully equipped gymnasium, music therapy centre, computer room and a sensory light and sound room. The home has extensive, well-maintained gardens, which are easily accessible to all service users. Further work has been identified to the rear of the property, this is to include additional outside recreational facilities for the service users who reside at Brookvale. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by two inspectors over one day for a period of 6 hours. The home is registered to provide accommodation for 74 people with learning disabilities. The visit took place over Shabbat, a Saturday. The inspectors had the opportunity to look round the home, look at routines during the weekend, view records as well as talk with a number of residents, staff and managers. Discussion and feedback was also held with the Training Manager and Registered Manager. Not all of the standards were looked at during the inspection. Those key standards not looked at during this visit were addressed during the last visit on the 23 May 2005. What the service does well: What has improved since the last inspection? Staffing rota’s have been improved and show which staff are supporting the adults or children’s service, Beit Yehudit. Staff have been provided with on-going training covering moving and handling, 1st aid, adult protection and NVQ’s so that staff have the knowledge and skills needed in carrying out their duties. The home have also been sharing some of the training with other care providers, developing relationships outside of the home. Further work had taken place within the home. This had included bathrooms within the main building being fitted with assisted baths, providing suitable equipment to meet the needs of the residents. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 7 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. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 2 Detailed assessments and support plans had been gathered providing staff with the necessary information required in meeting the needs of individuals. EVIDENCE: Records are held for each of the residents. This is managed by the review coordinator who oversees the resettlement and review process for all placements. Records were examined for a new resident on short-term placement. The funding authority, full-time carers and speech and language therapist, had provided information. Documents provided staff with clear information about the individual’s disability, routine, likes and dislikes, behaviours, medication, personal care needs, diet and methods of communication. As the individual has no verbal communication skills emphasis was placed on gestures, use of objects and sign language. Information in relation to communication was very comprehensive. From discussion with staff it was found that information had been shared with staff providing them with the knowledge needed ensuring effective communication and support. This was also observed and good interaction noted. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 6 and 9 Care plans detail the needs, routines and preferences of residents providing staff with information regarding the support needs of individuals. Risk assessments still need to be developed specifically for those residents’ with limited on no mobility ensuring safe practices are followed when providing the care and support required. EVIDENCE: Detailed information is held for each of the residents. This includes assessments and review notes, which are held by the review co-ordinator. Further information is held with the day service staff and carers, this outlines the routines of individuals as well as residents particular care needs, behaviours etc. Daily records are also completed by senior staff on duty each shift. Information is shared by senior staff with carers during the handover period. Plans are reviewed annually or more frequently if needs change. Residents are encouraged to be involved in the review meetings to discuss their needs and choices. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 11 As previously identified risk assessments still need to be developed. Moving and handling assessment need to be undertaken with the advice and support of an Occupational Therapist who can assess individual needs appropriately. Other professional advice could be sought with regards to behaviours. It is noted that the home has tried to access the support of suitably trained personnel to assist in the development of assessment, however as yet this has been unsuccessful. This is to followed up. Once completed the assessments will provide staff with clear instructions and indicate were this might infringe on resident’s rights in terms of their physical liberty to maintain safety. Weekly up dates are provided by the day service manager to the Registered Manager identifying any issues that need addressing. This ensures issues are addressed at the earliest opportunity. From discussion with staff it was found that communication between managers and staff had improved. Staff felt there was more inclusion and that they were informed about events within the home. The practice of using wipe boards has now ceased. Information is recorded within the handover diaries and passed between staff during the staff changes. This ensures that confidential information is held appropriately. Current plans and diary notes are also held within the day centre office. Information is held securely, whilst being accessible to staff. Copies of all care plans are also kept in each of the resident’s bedrooms. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 11, 12, 13 and 14 A variety of activities are offered within the home enabling residents to learn new skills. Residents are also able to access the local and wider community, pursuing leisure activities, developing social skills, follow their culture/religion as well as maintaining relationships with family and friends. EVIDENCE: Each of the residents have a structured weekday routine, generally attending the day service provision provided within the home. Weekends are spent at leisure. Some individuals who choose not to take part in the more structured activities are able to follow different interests, whilst other have small jobs assisting staff within the home. The inspectors visited at weekend, over the Jewish Sabbath, Shabbat. This is a day of rest and residents were seen to do so. Some individuals were attending the synagogue, others were seen to be going home visiting family for the weekend, whilst others were relaxing in the communal areas or in their own rooms. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 13 Those individual who do not require the support of staff chose alternative activities. Some of the residents who live at Heywood Road are able to pursue activities without support. During the visit two of the residents contacted staff to inform that they were going out for the day. The home continues to provide excellent on site facilities, these include a kitchen for baking, arts and crafts, gymnasium, hydrotherapy/swimming pool, Jacuzzi, sensory awareness room, music room and a new massage room. Some of the staff are qualified in providing reflexology/massage, this provides an alternative activity/therapy particularly for those individuals with little or no mobility. Networks are also being developed within the community for residents to access sports facilities in the community. Consideration is being given to expanding the daytime activities so that other choices are made available including those within the wider community. This will provide a more individualised service based on the wishes and preferences of residents encouraging personal growth. The inspectors are keen to follow the progress in this area. As previously identified some residents are Brookvale have previously been involved with supported employment placements within the wider community. These had been positive experiences and enjoyed by those involved. The home has yet to pursue this avenue with regards to contacting the local supported employment agency ‘BEST’, so that further opportunities for those more independent residents can be explored enabling them to develop new relationships/friendships and skills. The home has also recently employed 2 gardeners. It was suggested that they too could assist in providing alternative activities for residents who may wish to take up gardening. Brookvale has vast grounds, which provide further recreational areas, this is to include the development of a ‘crazy golf’ area, which will be used by the residents. Although residents have bus passes and access public transport, the home also several vehicles, which are available to the residents for both appointments as well as accessing the community. This also enables those individuals with mobility difficulties to access the community more easily. Individuals continue to access local synagogues, theatres and cinemas. All Jewish festivals and holy days are celebrated, as the majority of residents are Jewish. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 18 and 20 Resident’s health and personal care needs are consistently met at the home, ensuring their health and well-being is maintained. Suitable aids and adaptations are provided throughout to assist residents with their care needs and movement around the home. A safer system of storing and administering of medication has been introduced ensuring residents are protected. EVIDENCE: The health care need of residents is monitored by the primary care staff. This includes monitoring individuals’ medication, weight and appointments with health professionals. One member of the team is currently being trained in carrying out additional duties undertaken by primary care, ensuring this is consistently managed. Support is also accessed from all community health care providers, this includes chiropodists, dentist, opticians etc. Residents are also registered with a local GP. Support is provided by staff to any appointment where necessary. Where additional needs have been identified support and advise would be accessed from specialist services. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 15 Staff continue to provide personal care support for those residents who require assistance, this is provided in private and where possible same gender support is offered. Appropriate aids/adaptations are utilised i.e. wheelchairs, chair for swimming pool, cushions, and pressure relieving aids as and when necessary. Ceiling hoists and assisted bathing are also provided throughout the home for those individuals requiring full assistance in meeting the personal care needs. In relation supporting residents with their physical and emotional well-being residents continue to access or take part in aerobics and keep fit, aromatherapy, massage, self help and care skills and the Jacuzzi. The home also has its own hairdressing salon. Further training opportunities are to explored by the training manager with regards to the particular health needs of residents, these include epilepsy, health and diet and incontinence care. Providing staff with the knowledge and skills in supporting residents fully. The medication system was not examined in full during this visit, however items continue to be held securely within the primary care room. Medication is only administered by senior staff that have completed the relevant training. Information from the district nurse team has yet to be sought, outlining that staff administering insulin are competent with such practice. Whilst this has been undertaken with the staff manager this is still needed for the remaining staff offering this support. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 16 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 the following standard(s): 22 and 23 Satisfactory arrangements are in place in relation to the protection of residents as well as responding to their concerns. Polices are in place outlining the appropriate response for allegations of abuse however some staff still require training in this area ensuring that residents are protected. EVIDENCE: Clear policies and procedures are in place covering these standards. The complaints procedure is contained within the home’s guide and available to residents and their relatives. Since the last inspection no complaints have been received by the home. A copy of the Local Authorities Vulnerable Adults procedure has been accessed. The team have some knowledge in relation to the procedure to follow. Management has completed training in relation to ‘No Secrets’. A programme of training is being undertaken in relation to the Protection of Vulnerable Adults. The training manager will ensure that this continues ensuring all staff complete the course so that all staff are fully aware of the action to take ensuring the safety and protection of residents. The home also has further written policies and procedures for adult protection these include resident’s finances, accidents and emergencies, confidentiality and missing persons. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 17 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 the following standard(s): 24 Brookvale provides spacious well-maintained and adapted accommodation to meet the needs of the residents. EVIDENCE: Brookvale provides accommodation for up to 74 people. Accommodation is available at 4 sites, this includes Heywood Road, Southview, Atrium and Brookvale (North and West View). Each of the buildings continue to be extremely well maintained, as are the gardens. Heywood Road is a detached property accommodating 4 residents who are independent and are able to spend without staff support. Southview consist of 4 cottages, each accommodating 11 residents who are also more independent and require less staff support. The Atrium provides accommodation for up to 14 people, with the remaining residents living in the main building, North and West View. Sufficient communal space is provided in each of the buildings. Brookvale also provides classrooms for the day service provision, a sensory room, reflexology room, swimming pool, music room and gym. Each of the buildings have ground floor level access and are easily accessible to residents in wheelchairs. Sufficient aids and adaptations are provided allowing residents ease of Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 18 movement around the home. Appropriate checks are also carried out ensuring the health and safety of residents and staff. As previously identified that home has a designated laundry team who take responsibility for all general and personal items. There are also designated domestic staff that ensure that the home is maintained to a high standard of cleanliness and hygiene. Additional staff include maintenance and gardening staff who ensure that the home is safe and well maintained. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 19 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 35 Sufficient staffing to meet the needs of residents was seen to rota’d identifying shifts and area of work. Employment and criminal records checks were in place for existing staff members ensuring that residents are protected. Training opportunities have been provided enabling staff to develop their knowledge and understanding of supporting people with learning disabilities. EVIDENCE: The staffing rota has been developed. This now identifies which staff on duty are supporting the children’s service and adult’s service. Shifts have been staggered with day staff providing support between 6am and 12 midnight to accommodate the routines of individuals living at the home. On examination of the rota, sufficient staffing was provided to support the accommodation within Brookvale as well as meet the needs of the residents. Support provided each weekday is based within the day service provision, however at weekends this is more relaxed and dispersed across all areas. Since the last inspection no new care staff have commenced employment although 3 new staff were due to start the week following the visit. The home has also employed two new gardeners. Information has been requested from the home confirming that all necessary checks have been undertaken by the home including the relevant Criminal Record Check. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 20 The home has a training manager who is responsible for the co-ordination of all staff training. In-house Induction training is facilitated by the manager, however all formal courses are then arranged by the manager and delivered by outside facilitators who have been trained in specific areas of development. Training recently undertaken by staff has included 1st aid, moving and handling, adult protection. Further training is planned for the remaining staff to complete the recent training. Course in relation to the specific needs of residents, i.e. epilepsy, behaviours etc should also be planned for ensuring staff have the knowledge and skills to meet specific needs. On-going NVQ training is taking place with a majority of the team having completed or commenced the course. Sessions take place at the home with attendance being made up of both Brookvale staff and 6 carers from Bury Crossroads. Staff spoken with expressed that improvements have been with regards to communication between management and staff. Positive working relationships had been developed. Staff felt more involved, relaxed and were enjoying their work. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 21 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The overall management of the home is consistent and reliable for the people living there. Systems are in place for the reviewing of the service provision. Satisfactory arrangements are in place with regards to providing a safe, well maintained home so that residents and staff are safe from harm. EVIDENCE: The Residential Manager is responsible for the day-to-day management of the home. She is supported by a number of managers who oversee specific areas of responsibility i.e. training manager, staff manager, day service manager, primary care manager and assessment and reviewing officer etc. Training with regards to the Registered Managers Award and NVQ level 4 have previously been completed. Information is gathered from various sources with regards to the overall service provided. Residents have regular contact with staff and members of the management team. Feedback is also sought from the staff during the Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 22 periodic team meetings and supervisions. Additional comments are also received during the residents review meetings, which involve health and social care professionals. A weekly feedback sheet is also used by managers to ensure that up to date information is feedback to the Registered Manager. Where any action has been identified this would be discussed and where necessary implemented. Feedback from staff in the main was that communication between the staffing team had improved. Up to date certificates were seen for the gas system, fire appliances and alarm, emergency lighting, hoist and bath hoist. Certificates were not seen in relation to small appliances and the 5 year electrical check. Regular in-house checks are also made with regards to sounding the fire alarms, drills and checking means of escape. The home also have maintenance staff who ensure that regular checks are carried out within the home ensuring the safety of these who live and work there. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X 3 X 3 X X 2 X Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? YES 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 YA9 Regulation 13 Requirement That risk assessments are completed by a suitably qualified person on those service users who require assistance with moving and handling. (previous timescale of 31 August 2005) That information is held on file evidencing that staff have met the competence required in assisting service users with insulin (previous timescale of 31 August 2005) That adult protection training along with courses specific to the needs of the service users are completed, including epilepsy, behaviours That the named staff team receive training in the positive care and control of children and young people. (Outstanding since 01.02.05 Beit Yehudit) That evidence is provided of an up to date 5-year electrical check and small appliances. Timescale for action 31/03/06 2. YA20 13 31/03/06 3. YA35 18 31/03/06 4. YA35 18 31/03/06 5. YA42 23 28/02/06 Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA11 Good Practice Recommendations That staff consult with a supported employment scheme when reviewing and developing service users daily activities. Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office 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 Brookvale DS0000008451.V265654.R01.S.doc Version 5.1 Page 27 - 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. 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