Inspection on 23/05/05 for Brookvale

This inspection was carried out on 23rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Brookvale 03/08/06

Brookvale 21/01/06

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 Address 2 Prestwich M25 2SF Lead Inspector Lucy Burgess Unannounced 23rd May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 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 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 CRH PC Care Home Only 74 Category(ies) of LD Learning Disability - 74 registration, with number of places BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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: 3 Southview Terrace, Simister Lane, is used to accommodate no more than 3 service users. 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. 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. That the service employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 1st February 2005 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. The home’s 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 F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 5 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 14 hours. The home is registered to provide accommodation for 74 people with learning disabilities. The inspectors arrived early taking the opportunity to look round the home, look at morning routines, view records as well as talk with a number of residents, staff and managers. Discussion and feedback was also held with the staff and training managers. Not all of the standards were looked at during the inspection. Areas covered included the care provided, activities and daytime routines, staff cover and training and the protection of the service users. What the service does well: What has improved since the last inspection? A number of residents have now moved into the new building, Atrium, moving from shared rooms within the main building. Ceiling tracking hoists and assisted baths have been provided so that full support can be given to those residents who have greater levels of need. A safer system has been put in place when giving out medication. A lockable trolley is being used when carrying medication around the home. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 6 Training for new staff has been put into place and looks at the needs of people with a learning disability. Staff are also having support sessions with senior staff, giving them help and support in carrying out their work properly. Checks needed on new staff have been carried out making sure that residents are protected. 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 F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The key standards will be addressed at the next inspection. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 to 10 Care plans are in place for each of the residents. Residents are involved in the assessment and reviewing process so plans reflect their own needs and wants. Risk assessments need to be developed. Specifically for those service users with limited on no mobility or display specific behaviours, ensuring safe practices are followed when providing the care and support required. EVIDENCE: Individuals are assessed prior to moving into the home. Information is gathered from the residents, where possible, as well as from other relevant parties with regards to their preferred choice of activities and interests. This includes the development of a structured weekly programme of activities based on their capabilities and interests. Residents are also involved in the reviewing of plans and their changing needs. Some individuals who choose not to take part in some of the more structured activities are able to follow different interests, whilst other have small jobs assisting staff within the home. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 10 Plans are held within the day centre office and are reviewed formally each year, or more frequently if needs change. Information regarding service users including care plans continue to be held securely, whilst being accessible to staff. Copies of all care plans are also kept in each of the resident’s bedrooms. Action previously identified has in the main been addressed. One resident who has been attending full-time education spends little time during the day at the home. Information held in her file reflected the daytime structure and supports needs whilst at school and did not include details of the staff support required during the evenings and weekends. This information still needs to be up dated to include the support needs and routine when at home. Risk assessments should also be developed with regards to personal care support and epilepsy. Risk assessments still need to be developed, particularly in relation to moving and handling and challenging behaviour. Moving and handling assessment should 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. The assessments should give clear instruction to the staff members and indicate were this might infringe on resident’s rights in terms of their physical liberty to maintain safety. Systems are in place for recording and passing information between the team during shift changes. However the use of ‘wipe boards’ were still being used, detailing information regarding the residents. This practice should stop. Information relevant to individual residents should be recorded within the handover diaries and not openly displayed for others to read, ensuring confidentiality. The day services manager produces a weekly report for the Registered Manager ensuring she is fully informed of the events from that week, any queries or issues that need her attention. These had been found to be very effective in addressing any issues. Feedback received found that communication had improved between staff and managers within the home, identified staff had been given specific responsibilities and roles were more clearly defined assisting with the smooth running of the home. Although resident’s finances were not inspected, the Registered Manager continues to be the appointee for the majority of residents. Records are said to be made of all transactions. Information continues to be shared within the residents meetings that are held. Contact details of the ‘Care Aware’ helpline are made available to residents. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 to 17 A wide range of daily activities are offered within the home enabling residents to learn new skills. Residents are 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. Family and friends are also made welcome when visiting. Nutritional meals are provided in line with kashrut, Jewish dietary laws. The preparation and serving of food respects residents users cultural and religious needs. EVIDENCE: 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. Service user have a structured weekly timetable, which includes the activities provided within the home. Consideration is being given to the introduction of new activities increasing the range of opportunities available giving residents the chance to experience new things. This is to be encouraged. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 12 The home is to hold an ‘Olympics Day’ again during the summer. This was first held last year and involved both staff and residents taking part in sports activities. The event had been a success and enjoyed by all those who took part. The home has a reviewing officer who is involved in speaking with residents and gathering information about individual hobbies and interests. A number of the more independent residents have a ‘job’ within the home. These include working in the kitchen or helping the maintenance staff. Previously several individuals were involved with a supported employment placements. These had been positive experiences and enjoyed by those involved. It is suggested that a local supported employment agency ‘BEST’ is contacted for advice when reviewing the daily routines and structure, offering further opportunities for residents to develop independent living skills as well as developing new relationships/friendships. Those residents who live at Heywood Road were said to enjoy accessing the local shops independently making small purchases as well as travelling to the local town centre. Each of the residents have a bus pass. The home also has several vehicles, which are available to the residents for both appointments as well as accessing the community. A small group were taking one of the vehicles to Wales for a short break at the home’s holiday home. Another group have recently returned from a holiday in Tenerife. This had been thoroughly enjoyed and had been a positive experience for those who went. Individuals continue to accesses local synagogues, theatres and cinemas. All Jewish festivals and holy days are celebrated, as the majority of residents are Jewish. Residents are encouraged to maintain relationships with family and friends who provide emotional support and social opportunities away from the home. Staff support is provided where necessary. Visits to the home also take place on a regular basis and family/friends are made welcome when visiting Brookvale. Individuals are able to see their visitors in one of the quieter sitting areas or in their bedroom, allowing for a relaxed private environment for people to meet. A number of residents where spoken with throughout the day. Individuals appeared relaxed and very welcoming. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 to 20 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. Improvements have been made to the medication system. A safer system of storing and administering of medication has been introduced ensuring residents are protected. EVIDENCE: Residents are registered with a local GP who visits the home regularly. Access to community health care provisions such as chiropody, dentist, opticians etc are also arranged when necessary, appointments take place within the home. Additional specialist service such as the incontinence advisor, physiotherapist and an occupational therapist are accessed when required. Staff will provide personal care support for those residents who require assistance, this is provided in private and where possible same gender support is offered. A separate primary healthcare room is provided, where appointments are held and records are maintained with regards to health appointments, weight, medication and individuals general well-being. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 14 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. Residents are able to take part in activities, which look at maintaining their well being, these include aerobics and keep fit, aromatherapy, massage, self help and care skills and the Jacuzzi. The home also has its own hairdressing salon. The training manager had also been exploring further training in epilepsy, health and diet, incontinence care and others specific to the needs of the residents. These have yet to be implemented. Medication is held securely within the primary care room. Senior staff are responsible for the administration of medication and have received relevant training. The medication policy has yet to be reviewed and updated to reflect practices areas undertaken by staff. Those residents who self-administer have had a risk assessment completed outlining that they are aware of the aware of the prescription to follow. Information from the district nurse team has yet to be sought, outlining that staff administering insulin are competent with such practice. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Satisfactory arrangements are in place in relation to the protection of 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’. Some of the care staff have also undertaken training in adult abuse. Further training is still outstanding 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 F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 to 30 Brookvale provides spacious well-maintained accommodation to meet the needs of the residents. Aids and adaptations are provided throughout enabling service residents to be fully met. The home employs a number of ancillary and maintenance staff that ensures a safe, clean, comfortable environment for those that live there. EVIDENCE: Each of the buildings are extremely well maintained, as are the gardens, and offer a variety of safe settings. There are now 62 single rooms and 3 double rooms. The majority of rooms have en-suite facilities with a further 7 bathrooms and communal toilets available. Several rooms within the new building have been identified for respite/short term placements. 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 movement around the home. Appropriate checks are also carried out ensuring the health and safety of residents and staff. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 17 Furnishings and fittings are of good quality. The local fire service and environmental health department have previously inspected the premises. The new building, Atrium, which was opened earlier this year, offers spacious accommodation for up to 14 residents, each with single en-suite rooms. The building has been decorated and furnished to a high standard, offering spacious and comfortable accommodation for the residents. Four of the bedrooms have been adapted with ceiling hoists to offer additional support to those individuals who have greater needs. Further redecoration and refurbishment is taking place within the main building, this includes new assisted bathing facilities within the communal bathrooms and new furniture has also been bought for some of the lounge areas. Consideration is being given for additional toilet facilities to be built near to the day centre rooms, which will be easily accessible to the residents. The home has a large laundry facility and team who take responsibility for all general and personal items. There are also designated domestic staff that are employed to ensure that the home is kept clean and tidy. It was apparent that the domestic staff employed continue to maintain the home to a high standard of cleanliness and hygiene. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 to 36 The rota needs to be amended to clearly identify that sufficient staffing are available to meet the identified care and support needs of the residents. Employment and criminal records checks are in place for each staff member ensuring that residents are protected. Training opportunities are being developed for staff, which will provide then with the knowledge and understanding of supporting people with learning disabilities. Systems have been developed with regards to supervisions, offering support and direction for staff in carrying out their duties. EVIDENCE: Private accommodation is provided in 5 separate buildings, however daytime activities are provided within the main building and are attended by each of the residents. Day cover is concentrated within the main lounge areas and day care rooms where service users can be found throughout the day. Night cover is then dispersed across the main part of Brookvale (North and West View), South View Cottages, Heywood Road and the Atrium to private areas where residents sleep. The rota’s evidenced sufficient staff however these need to be developed records clearly demonstrate where staff are working within the home or if they are supporting the children’s service. Records of shifts should be clearly recorded detailing staff full names, hours worked and unit, accurately reflecting BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 19 the number of staff on duty at any time who are available to meet the needs of the residents. Where agency cover is needed, the home has utilised a local employment agency, staff known to the home are requested. The home has a policy and procedure in place with regards to Recruitment and Selection. Information includes all relevant employment and Criminal Record Checks ensuring the safety and protection of residents. Clarification of documents for the new overseas staff had been followed up. The manager is aware of the employment checks needed to address both Adult and Children’s Regulations. The home continues to provide training in NVQ level 2 to members of the team. A number of staff have undertaken the training and a further group have enrolled. Staff have received training in the new ceiling hoists and fire training is planned for July. Previous training needs identified have yet to be implemented, these include epilepsy, diet and incontinence care. Evidence of training is to be collated and placed on staff personnel files. Further training is still needed in relation to 1st aid. Appropriate courses are being sought. The home has recently accessed an Induction and Foundation programme from a reputable training company, ‘Bild’, for people with learning disabilities. which complies with the TOPSS specification. Information includes; starting work with people with learning disabilities, positive communication, understanding abuse and foundations in care. A previous discussion was held with the training manager in relation to his role. As the training manager is responsible for arranging all relevant training for the staff it is felt that he should be receive good quality training to ensure that he is able to carry out his role and responsibilities fully. Through discussion with the training manager the inspectors were informed that the process of supervision has been reviewed. Due to the number of staff needing management support arrangements have been made were some responsibilities have been delegated to senior members of the team. The training manager will then supervise the senior staff. This was felt to be a more practical way of conducting the supervision sessions ensuring staff receive the right support and assistance. A supervision programme has been developed. Sessions are carried out by senior care staff, who in turn are supervised by the training manager. Sessions are planned in the diary, information is recorded and held within staff files. Staff facilitating supervision have all recently undertaken a two-day training course in this area. Feedback from the management team was positive about the delegation of responsibilities and open communication between the team. Individuals felt things were ‘more balanced and better informed’. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 20 BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The key standards will be addressed at the next inspection. BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 2 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 2 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 BROOKVALE Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement That individual care plans are developed to reflect activities, support, routines within the home (previous timescale of 31st May 2005) That risk assessments are completed by a suitably qualified person on those service users who require assistance with moving and handling. That individual risk assessments are completed on all identified areas of risk (previous timescale of 31st May 2005) That the medication policy is reviewed and updated (previous timescale of 31st May 2005) That information is held on file evidencing that staff have met the competence required in assisting service users with insulin (previous timescale of 31st May 2005) That all staff complete training in relation to Vulnerable Adults That the rota is developed to accurately reflect the hours worked and with either the children or adults, this should F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Timescale for action 31st August 2005 2. 9 13 31st August 2005 3. 4. 20 20 13 13 31st August 2005 31st August 2005 5. 6. 23 33 18 17 31st September 2005 31st August 2005 BROOKVALE Version 1.30 Page 24 7. 35 18 8. 42 13 include in which area of the home this is provided (previous timescale of 31st April 2005) That the training manager receives good quality external training from suitably qualified people in respect of all health and safety training. (previous timescale of 31st June 2005) That 1st aid training is provided to staff (previous timescale of 31st June 2005) 31st Spetember 2005 31st September 2005 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. 2. 3. Refer to Standard 7 11 35 Good Practice Recommendations That information regarding service users is not displayed on the wipe boards but within individual files That staff consult with a supported employment scheme when reviewing and developing service users daily activities That training specific to the needs of the service users is considered within the homes training programme BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton, BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI BROOKVALE F56 F06 S8451 Brookvale V212699 230505 Stage 4.doc Version 1.30 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!