Inspection on 12/11/05 for Brookvale Care Home

This inspection was carried out on 12th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 Care Home 10/07/09

Brookvale Care Home 09/06/08

Brookvale Care Home 24/09/07

Brookvale Care Home 31/05/06

Brookvale Care Home 13/07/05

Brookvale Care Home 17/12/04

Brookvale Care Home 05/04/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE Brookvale Care Home 111 Warwick Road Olton Solihull West Midlands B92 7HP Lead Inspector Sean Devine Unannounced Inspection 12th November 2005 08:15 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 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 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. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brookvale Care Home Address 111 Warwick Road Olton Solihull West Midlands B92 7HP 0121 706 9097 0121 706 0467 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) Heart Of England Care Miss Venora Watson Care Home 61 Category(ies) of Dementia - over 65 years of age (61), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (61) Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The registered manager must be supported to further increase her knowledge and understanding of the management of a specialist Dementia Care Service. The registered manager must be supported to achieve NVQ level 4, or equivalent in management by 2005. That the home can provide care and accommodation for older people, over 65 years of age who have dementia, mental disorder, excluding learning disabilities. That the home can accommodate one named person, under 65 years of age with dementia. 13/07/05 4. Date of last inspection Brief Description of the Service: Brookvale Care Home was built approximately 30 years ago and accommodates up to 61 service users with mild to moderate cognitive deficits and dementia. The home does not offer nursing care. The home is over three floors, each comprising two lounges, dining room and activity areas. There are no ramps as these have been assessed as not required, the home has a passenger lift, and flat access to the garden areas, which are mature with some raised flower beds, there is also an aviary. The home has a full-time activity organiser. The home has a snoozlem installed in the smaller lounge on the ground floor. The home is situated in Olton, Solihull and is close to local amenities, and the local bus services. The home receives visits from the local church, and service users may participate in religious services if they desire. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted as an unannounced visit. The inspector was able to meet with residents, relatives and staff. Records pertaining to care, services and health and safety were seen, however staff records including supervision and training, complaint details and records of money management for residents were not accessible. Some communal areas and four residents’ rooms were viewed. The kitchen and laundry areas were also inspected. A pharmacist inspector visited the home on the 17/10/05 the findings and subsequent improvements from the visit are included within this report. It is recommended that this report be read in conjunction with the previous inspection report dated the 13th July 2005. Since the inspection the care manager has produced a response to the report detailing what improvements have been made and also future plans to continue with improvements. What the service does well: What has improved since the last inspection? The home have ensured that records required to be available for inspection are accissible, this included fire drill records. Information regarding the social and recreational activity of residents is now recorded. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 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 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 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): Standards in respect of Choice of Home were not assessed. No judgement. EVIDENCE: Nil. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 9 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): Standards 7, 8, 9 and 10. Residents are not fully supported through consultation, planning and practice to have their personal and healthcare needs met effectively and safely. It could not be demonstrated that the medicines had been administered as prescribed in all instances placing residents health at risk. EVIDENCE: Sampled residents files all had written care plans and risk assessments. Those sampled did not contain a care plan specifically to support the effects of the dementia on individual residents; they did not detail communication, wellbeing or fulfilling individual activities. Residents’ files did include a weekly programme of activity, however it was not evident that a detailed assessment to identify needs in respect of dementia had been completed. The care plans sampled were well written and provide staff with guidance and direction in how to support individual residents with their needs. The oral healthcare needs of residents had been assessed but sampled residents’ files did not include a care plan for this area of their care. The care plans and risk assessments had been signed by staff but it was not clear that they had been developed in consultation with residents or their representatives. Risk assessments were in place and some clearly indicated the risks to residents, however some were less specific and did not include appropriate management plans. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 10 Sampled resident files did include health assessments including: moving and handling, pressure sore prevention, falls, oral care and a dietary needs assessment. A full nutritional assessment was not available and staff reported that the seated weighing scales were broken. The falls risk assessment for one resident who has been prone to falls as recorded on relevant accident forms had not been referred to a falls clinic as advised under the National Service Framework for Older Adults. The inspector was informed by staff that one resident was being cared for at times in bed, that this resident had previously needed to be in bed to have healthcare needs met by the district nurses. It was evident from records that district nurses will only attend to this resident when requested to do so by the staff. It was unclear why the resident was being cared for in bed as there were no current care plans or risk assessments to reflect this practice. Staff raised concerns in respect of the moving and handling needs of this resident and indicated that transfers were undertaken manually and not with an appropriate hoist, it was evident from records that the full moving and handling needs of this resident had not been assessed. Staff advised that there are four residents who require discreet and frequent observation to ensure they are safe, sampled residents’ files contained no risk management plans to reflect this practice. Daily health and social care records are not maintained, the current practice is to review care plans frequently. The following findings are from the visit by the Pharmacy Inspector from the CSCI, conducted on the 17/10/05: Medicines had been recorded as administered when they had not been. Conversely medicines were unaccounted for at the time of the inspection. Records for administration of medicines were incomplete. The manager did not undertake routine staff drug audits to assess staff competence in medicine management. Not all the prescriptions were seen prior to dispensing and therefore not all medicines were robustly checked into the home. At the time of inspection one resident was seen to be walking up and down the ground floor corridor in need of assistance from staff, on two occasion staff observed this residents condition and did not respond appropriately. During a period after lunch on Elmdon Unit the inspector had opportunity to speak with several residents and relatives, both were very positive that staff are caring and help with personal needs, relatives quoted that “the staff are a dedicated team”. The inspector had concerns that all female residents in the lounge had no appropriate clothing on their legs such as tights. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 11 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): Standard 12 and 15. Residents are supported to maintain social activity, contact and have their recreational needs met. Meals and the mealtimes meet the basic needs of residents. Improvements are needed to ensure that the arrangements for meals including the setting, communication and service meets all residents needs. EVIDENCE: Resident’s files contained an assessment of their social care and hobbies and interests, important information had been developed into an activity programme. Activities within the sampled programmes included reminiscence club, arts and crafts club, men’s hygiene club and a dominoes club. One relative commented that his wife is able to go home overnight and both he and his wife are positively supported by the staff. The inspector was able to observe the lunchtime on one unit. Many residents were assisted into Garden Views dining room from the two lounge areas. All residents were escorted by staff, however this proved difficult for some residents as the radio playing in the background hindered their hearing. In the dining room four tables had crumpled tablecloths upon them and certain areas of the dining room were dull, as some light bulbs were not working. Staff wore blue aprons and served residents their meals; meals served reflected the menu, which was available on the notice board. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 12 Certain residents were provided with special diets specifically a softer option and staff were observed to positively assist residents to eat where this was needed. Condiments were available on one table, residents on other tables were not seen to be offered these condiments. Orange squash was offered with the main meal to all residents, where this was declined an alternative was not offered. Residents were heard to compliment the meal and one resident informed the inspector the meal was very nice. One resident asked the staff to put the meal aside until later and staff obliged, providing this resident with tea and biscuits. The dining area was large and staff were safely able move walking frames aside, the dining room was not well signposted to direct residents. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 13 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): Standards in respect of complaints and protection were not assessed. No judgement. EVIDENCE: Nil. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 14 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): Standards 19, 24, 26 Environmental improvements need to be considered and implemented to assist residents in all aspects of their daily lives and compliment some of the current good practices. Residents’ bedrooms are individually decorated and cosy; however space is a concern. EVIDENCE: The internal and exterior premises appeared to be tidy and mainly safe. It was evident that the décor including furniture and fittings in communal areas and within residents’ bedrooms were of an adequate standard. One ground floor bathroom had a lock that is intended to allow staff access in an emergency, this was found to be faulty. Areas of the home are not appropriately signposted to guide residents around their units, most residents have a dementia type illness and a review and subsequent improvements of how the environment impacts on these residents needs to be undertaken. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 15 The residents’ rooms seen by the inspector were small and did not meet with the space requirements as identified in the National Minimum Standards. The rooms were decorated in a warm and cosy fashion, it was clear that in some bedrooms bedding and curtains had been improved upon since the last inspection. The sluicing facilities available on all three floors of the home were locked and found to be clean and tidy, the doors are fitted with keypad locks for safety reasons. Odour control in the home is good in all areas. There are two laundry areas and there appears to be a system for ensuring dirty laundry and clean laundry are kept separate. There are appropriate hand washing facilities. The second laundry area had stained walls and the extraction unit appeared not to be in working order. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 16 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): Standard 27. Staffing levels are not at all times adequate to meet the needs of residents. At night staff are not directly supervised and some records (rota) of who has worked are not accurately completed. Residents may be at some risk if staff are fatigued due to working excessive hours. EVIDENCE: All three units Aspen, Elmdon and Garden Views are staffed separately. As reported upon at the last inspection nine care assistants and two senior care assistants are planned on the four week rota for all day shifts, at this inspection there were two care assistants on the afternoon shift on two of the units and on the third unit all the care staff were agency workers. All staff were to be supported by the deputy manager and a senior care assistant. The rota seen by the inspector did not identify who was in charge of the home at night, it was evident that all the staff were care assistants, no senior care assistants were rota’d on duty at night, it is thus unclear who makes decisions and how night staff are supervised. The rota for one night care assistant who is an agency worker reflected working seven nights consecutively and thus working ten nights out of eleven. The staff rotas did not at all times record the full name of staff, some were referred to by their first name. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 17 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): Standards 35, 37 and 38. Residents are generally well protected from health and safety issues. There is a concern that the residents are sometimes at risk of not being supported to access their money and from staff completing unsafe handling and moving practices. EVIDENCE: The senior care assistants on duty were unable to access records and or the safe for the money that belongs to residents. It is not clear how residents are supported to spend their money. Daily health and social care records are not maintained, the current practice is to review care plans frequently. Records in respect of accidents and incidents are fully recorded and the management team completes frequent audits. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 18 Records of service, tests and maintenance in respect of health and safety for utilities, appliances and equipment such as electricity, fire and hoists are well maintained. Most are completed in a timely fashion to promote health and safety, however as identified at the last inspection, the gas landlords / safety certificate was not available for inspection. Staff training in respect of fire including fire drills is incomplete, as the records do not reflect that all staff attend at least two drills annually. It is evident that as reported on in standard eight that staff do not in all situations practice safe handling and moving techniques. Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 19 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X 2 X 2 STAFFING Standard No Score 27 1 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 x 2 2 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement The manager must ensure that the services for people with dementia are demonstrably based on current good practice and reflect relevant specialist and clinical guidance. Previous timescale of 01/09/05 not met this requirement is carried forward. The homes’ management must be able to demonstrate that the service users, their family or representative are involved in 15(1)(2)a, the care planning process and subsequent evaluations. c,d Previous timescale of 30/4/05 not met, this requirement is carried forward. The registered manager must ensure that where a risk has been identified, the relevant management is documented in the care plan. Previous timescale of Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 21 Timescale for action 1 OP4 12(1)(a)( b) 31/01/06 2 OP7 31/01/06 3 OP7 15(1), 13(4) 31/01/06 05/08/05 not met, this requirement is carried forward. 15(1,2) 4 OP7 12(1) 13(4) Written care plans following an adequate assessment to describe to staff how they care and 31/01/06 support residents with dementia must be in place. Care plans and risk assessments must be completed for residents who require bed rest, these must be kept under frequent review 31/12/06 and must only be implemented in the best interests of residents following assessment. The immediate care needs of residents must be met, including ensuring residents are able to sit out of bed and not remain in bed unnecessarily. All service users must have oral care plans and the home must be able to demonstrate that all service users have dental care if required. A full nutritional assessment must be completed for all residents. Appropriate weighing scales must be available to ensure the weights of residents can be monitored accurately. Residents with prevalent risk to falls must be discussed with the GP and a referral to a falls clinic considered. Records must be maintained. The moving and handling needs of residents must be fully assessed to ensure it is completed safely at all times. DS0000004535.V265974.R03.S.doc 5 OP7 12(1) 13(4)c 15(1) 6 OP8 12(1)(2)( 3)(4) 12/11/05 7 OP8 12(1) 28/02/06 8 OP8 12(1), 13(4) 28/02/06 9 OP8 12(1) 13(4) 28/02/06 10 OP8 13(5), 12(1) 31/01/06 Brookvale Care Home Version 5.0 Page 22 11 OP9 13(2) 17(1)a Sch3 All staff must adhere to the policies and procedures for the safe administration and recording of medicines within the home. The Medicine Administration Record (MAR) chart must accurately reflect practice. All transactions must be signed directly after the administration. Appropriate action must be taken against the member of staff responsible. All prescriptions must be seen prior to dispensing, checked for accuracy and a system installed to check all the medicines received into the home. 23/10/05 12 OP9 13(2) 17(1)a Sch3 23/10/05 13 OP9 17/11/05 14 OP9 13(2) 17(1)a Sch3 Staff drug audits before and after a drug round must be undertaken by senior staff to confirm staff competence in medicine management. The purchase of a controlled drug cabinet that complies with the Misuse of Drugs (safe custody) Regulations 1973 is required. All residents must have their individual care needs met in a timely fashion that does not at any anytime impact upon their privacy and dignity. Residents must be provided with an appropriate setting and facilities to have their meals, including laundered tablecloths and condiments. Residents must be offered alternative drinks, which are varied hot and cold drinks at 23/10/05 15 OP9 17/11/05 16 OP10 12(4)(a) 31/01/06 17 OP15 16(2)d,g,i 31/01/06 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 23 mealtimes. In preparation for the mealtime staff must be aware of effective communication with residents and how this is hindered by a loud radio, appropriate actions must be taken to positively promote good communication with residents at all times. The registered manager must ensure that the passenger lift is fitted with a low level alarm call button. Not assessed and is carried forward. 20 OP19 13(4) The ground floor bathroom must have a lock fitted that enables staff to access in an emergency. 28/02/06 18 OP15 12(1), 18(1)(a) 31/01/06 19 OP19 13(4)(c) 28/02/06 21 OP21 23(2)(j) Registered manager must ensure that there are sufficient assisted bathing facilities for the current 31/03/06 residents in the home. Not assessed and is carried forward. Registered manager must ensure that all the thin, unlined curtains in residents bedrooms are replaced with lined curtains so as 31/03/06 to ensure privacy. Not fully assessed and is carried forward. The laundry areas must be kept clean, including walls and ensuring where needed the extraction fan unit is in working condition. The registered manager must ensure that adequate staffing levels are maintained at all times. (A minimum of three care staff on each unit between 8am DS0000004535.V265974.R03.S.doc 22 OP24 23(2) 23 OP26 16(2)(j) 28/02/06 24 OP27 18(1)(a) 13/11/05 Brookvale Care Home Version 5.0 Page 24 and 10pm.) There must be an adequate system for appraising and supervising the performance of staff who work night duty, it must be clear which member of staff is in charge. All staff must have their full name recorded of the staff rotas. The residents must be supported by a team of staff that are aware of their needs and aware of the organisational policies and procedures. Staff must not work excessive hours, and must have an appropriate period of time off duty. Sch 4 (6)f 25 OP27 18(1)(a) 31/01/06 26 OP27 18(1)a,b 13(4)(c) 31/01/06 27 OP29 The registered manager must ensure that when recruiting new staff any gaps in their 19(1)(a)(c employment history are explored and that comprehensive ) interview notes are made. Not assessed and is carried forward. 31/01/06 28 OP37 17(1)(3) Daily records in respect of residents must maintained upto date. All staff must attend a minimum of two fire drills each year. The registered manager must forward a copy of the latest gas certificate to the CSCI. 31/01/06 29 OP38 23(4)(e) 30/06/06 30 OP38 13(4)(a) Previous timescale of 13/08/05 not met this requirement is carried forward. 28/02/06 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 25 31 OP38 18(1)(a)4 All staff must ensure that they fully implement safe handling and moving techniques. 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations It is recommended that the internal and external areas of the home be appropriately signposted, decorated and developed to aid guide and positively stimulate residents who have a dementia. OP23 2 It is recommended that the home’s management team consider the decommissioning of the rooms that fall below 9 square meters. Not completed and is carried forward. It is recommended that the home compiles and maintains a matrix of staff training needs. Not assessed at this inspection. 1 3 OP30 Brookvale Care Home DS0000004535.V265974.R03.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Care Home DS0000004535.V265974.R03.S.doc Version 5.0 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. 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