Inspection on 13/07/05 for Brookvale Care Home

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 12/11/05

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 B92 7HP Lead Inspector Jane Walton Announced 13 July 2005 th 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 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 E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brookvale Care Home Address 111 Warwick Road Olton Solihull B92 7HP 0121 706 9097 0121 706 0467 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) Heart Of England Care Veronica Watson Care Home 61 Category(ies) of Care Home registration, with number of places Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered manager must be supported to further increase her knowledge and understanding of the management of a specialist Dementia Care Service. 2. That the home can provide care and accommodation for older people, over 65 years of age who have dementia, mental disorder, excluding learning. 3. That the home can accommodate one named person, under 65 years of age with dementia. Date of last inspection 17 December 2004 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 of residents’ bedrooms, 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, and there is also a room designated as a library. 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 E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced inspection was undertaken by two inspectors over two days, and were assisted throughout the process by the Registered Manager. There were 61 residents in the home during the first day, and 60 with one in hospital, on the second day. The inspectors spoke with two visitors to the home, and ten residents. Information was also gathered by observing staff performing their duties, formal discussions with three, and informal discussions with four of the staff. Ongoing discussions throughout the inspection process took place with the manager. The inspector also met with the responsible individual for the home, from Heart of England Care. Care records were examined and a medication audit carried out. What the service does well: What has improved since the last inspection? Several areas of the home have been decorated including one of the corridors and several of the residents’ bedrooms. Residents’ preferences for colours were sought before decisions were made and items purchased. The quality of care plans provided for residents has improved, and a range of risk assessments are being carried out to identify needs. The range of activities provided for residents to participate in has improved, and people were observed participating as they chose. The complaints procedure and adult protection policy and procedure now follow local guidelines as required. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4,& 5 All the practices and procedures surrounding the admission of new residents were adequate and appropriate to ensure that the home is able to fully meet their needs. Prospective residents are enabled to make an informed choice as to whether they wish to live in the home or not. EVIDENCE: The home has a comprehensive statement of purpose and service users guide that provides all relevant information for the resident and their relatives. The registered manager undertakes a pre admission assessment for all prospective residents, to ensure that the home is able to meet their needs. Completed forms were evidenced in the care plans examined. The home currently provides a range of specialist equipment that includes specialist mattresses, cushions, hoists and assisted bathing facilities. Some provision has been made to provide suitable signage in the home for people who have dementia, and there are plans to extend this to all areas throughout the home. Prospective residents and their relatives are invited to visit the home before admission so they are able to make an informed choice as to whether they wish to live there or not. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 &10 Residents are generally well supported by the care staff and multidisciplinary team to ensure that their health and personal care needs are being met. The systems for the administration of medication are poor and potentially places residents at risk. Overall, residents are treated with respect, and their rights to privacy are upheld EVIDENCE: Individual care plans were available for residents, and five of these were examined. The quality of the information in the care plans was of a variable standard. Whilst risk assessments were evident as having been undertaken, the care management needed to address an identified risk was not always present. One resident who was diabetic, had no record of whether their blood sugar was stable, and the recording of weights was also inconsistent. There was evidence that some care plans are reviewed on a regular basis, however there was a large quantity of outdated information that was confusing. Residents have access to health professional services as required. All residents are registered with a GP and doctors visit the home on a regular basis. Evidence was seen that District nurses and community psychiatric nurses will visit the home as required, and input is provided by the psycho-geriatrician from the PCT. Records also indicated that opticians, dentists, and the chiropodist make visits to residents. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 10 The pharmacist inspector undertook an audit of the medicine management in the home, and the following are the findings... 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. Systems to order medicines and checking procedures of medicines and MAR charts were not robust. Discrepancies resulted between what had been recorded as received and that administered in addition to what had been prescribed and that received in some instances. The staff had a good understanding of the medicines they administered but regular medication reviews must be sought due to be in line with the National Service Framework for older people. Staff are receiving further accredited training in medicine management and in house training from the registered manager. All residents have a single occupancy bedroom that provides privacy for consultations with GPs and other health professionals. Staff were observed to address residents with respect and to knock on bedroom doors before entering. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 The dietary needs of residents are very well catered for with a balanced and varied selection of fresh food available that meet residents’ tastes and choices. The range of activities provided has improved, are varied and meet the expectations of the residents. The arrangements for residents to access the community and their relations were in place ensuring a good level of fulfilment and independence. EVIDENCE: The routines of the home appeared to be quite flexible, residents’ wishes being respected where at all possible. One resident said “I like to have a rest on my bed in the afternoon, after lunch.” A visitor stated “my relative comes home for one weekend a month, the home always provides transport for us. Hes really spoilt!” The home employs a full-time activities coordinator, who works with the residents in group sessions or individually as required. Residents were observed as they participated in a game of bingo, with assistance being supplied where required, by care staff. Small groups of between three and eight residents are accompanied on trips outside the home to the church and to the local library. Regular trips are made to the local British Legion, and visits have been made to the Nature Centre in Canon Hill Park, and for pub lunches. The activities undertaken by residents were not always documented in their care plans. Monthly residents meetings are held during which their preferences are noted as to which activities they enjoyed most. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 12 The home operates an open visiting policy, and one visitor stated, “I visit my relative at all different times of the day, but am always made welcome and have never had any problems.” There are three dining rooms in the home that are able to accommodate all residents in one sitting. All the meals are cooked on site in the large, wellequipped kitchen, and then transferred in heated trolleys to the first and second floor dining rooms. The ground floor dining room is situated adjacent to the kitchen, so meals are served directly from the serving hatch to residents at the tables. The ground floor dining room is currently being redecorated, and the facility for displaying the daily menu was missing. There is a four-week menu that demonstrates that a well-balanced nutritious diet is offered to all residents, and there are always two choices of main course at lunchtime plus the option of having soup. Alternatives to the daily menus are always available, including omelettes, jacket potatoes with fillings and salads. Fresh meat, fish, vegetables and fruit are delivered on a daily basis, and staff were observed preparing a meal using these fresh ingredients. The chef also cooks a range of homemade cakes, biscuits and puddings. The inspectors joined residents for lunch on both days of the inspection, and the food was of a consistently high quality, being hot, tasty, and well presented. It was observed that when one resident was unable to decide what they wished to eat for lunch, both alternatives were presented on plates, and the resident was able to see and then make a choice. The resident was seen to clear their plate and appeared to thoroughly enjoy the meal. The atmosphere in the dining room was seen to be very relaxed, nobody was rushed to finish a meal, and members of staff present assisted those residents who needed help in a courteous and relaxed manner. The staff were also able to demonstrate a very good understanding of the individual likes and dislikes of the residents. The standard of the catering arrangements at this home are very high and are commended. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 The home has a satisfactory complaints procedure that is accessible to residents and visitors so that they are aware of how to make a complaint ensuring the promotion of protection matters. EVIDENCE: The complaints policy and procedure is readily available for anyone wishing to make a complaint. The Adult Protection policy and procedure follow the local guidelines for Adult Protection, and staff spoken to demonstrate a good knowledge of the procedure to follow. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 23, 24, 25 & 26 Recent investment has overall, improved the standard of the environment within the home, providing the residents with a clean and homely place to live. EVIDENCE: Brookfield Care home provides accommodation and communal facilities for residents over three floors. The communal garden is fully accessible to the residents, with lawned areas, and patios with garden furniture. Some of the residents belong to a Gardening club and have been responsible for planting up raised flowerbeds for all to enjoy. One resident explained, “I helped plant these flowers, they are very pretty and they smell nice.” There was evidence that some of the bedrooms had recently been redecorated, and some new soft furnishings provided. There are still some bedrooms that fall below the required sizes, and the service providers need to make a decision as to whether these will be decommissioned as bedrooms. The programme of redecoration and refurbishment is ongoing, and orders have been placed for new curtaining and bedding, as the existing curtains in the majority of the bedrooms are very thin, ill fitting and not lined and so do not provide residents with adequate privacy. The ground floor dining room is Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 15 currently in the process of being decorated, and those on the first and second floors have recently had new flooring laid. The assisted bathroom on the ground floor has recently been redecorated with walls being fully tiled, and a flat floor shower provided. Most of the residents’ bedrooms contained personal items such as photographs and pictures. There are only three assisted bathrooms and two assisted showers and this is insufficient for the number of residents in the home. There is a passenger lift for access to the first and second floors of the home, and records indicated that it is regularly maintained however, a recommendation had been made that a low level alarm call button be provided in the lift and to date, this has not been actioned. The manager informed the inspector that there is a possibility that a new lift is going to be installed. There are sluicing facilities available on all three floors of the home and the doors are fitted with keypad locks for safety reasons. Odour control in the home is good, and there is a contract with a reputable company for the regular removal of clinical waste. The housekeeping staff maintain a good level of cleanliness within the home. A box of stockings for communal use was found in the laundry, this practice is unacceptable and the manager acted immediately to remove them. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 Overall the arrangements for staffing the home are sufficient to meet the needs of the residents, to ensure health and wellbeing, in most cases. Staff are receiving appropriate training to ensure that they are competent to perform within their role. EVIDENCE: There were sufficient members of staff on duty to meet the needs of the current residents. Examination of the four weeks staff rotas indicated that it was planned for nine carers, two senior carers, the manager and/or deputy manager to be on duty on any one day. When shortfalls occur it was evidenced that agency staff are employed. The home also employs ancillary staff, including a dedicated full-time cook, kitchen assistants, housekeeping staff, dedicated laundry workers, maintenance man and a gardener. The relative of a resident who was visiting the home said that, “The staff have time to spend with my relative. They care for him well, he always looks clean and tidy.” The home currently only has 38 of care staff who are qualified to NVQ level 2, but is working towards improving this, with currently, five care staff enrolled to undertake the course. An audit of staff files indicated that there is a need for better exploration of any employment gaps on application forms and more comprehensive interview notes. All of the staff whose files were examined, were found to have CRB and POVA checks in place. The files were very well laid out and information was easy to access. The file of one recently employed member of staff did not contain a record of any induction undertaken. Evidence was seen that staff undertake regular supervision sessions. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 17 Brookvale Care Home benefits from having a dedicated training officer. She works at all three of the Heart of England care homes in Birmingham, and is currently assessing the training needs of the staff at the home. There are plans to produce a training matrix identifying all training needs and actual training undertaken by all staff. Evidence was seen that staff had undertaken training in moving and handling, adult protection, health and safety and dementia. The staff spoken to confirmed that they had undertaken training in various areas including moving and handling and adult protection. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 37 & 38 Overall the management of the home was very good ensuring a good quality of service is offered to the residents. The systems for resident consultation, where possible, in the home, are generally good and evidence indicated that their views are acted upon if possible. EVIDENCE: The registered manager has experience in managing a care home and is a qualified mental health nurse with experience in teaching. She has been registered with the commission for social care inspection and has undertaken an NVQ level 4 in care management. Discussions with staff, residents and visitors indicated that the manager has a real commitment to implementing further improvements to the quality of care and service offered by the home. Regular meetings are held with staff and with residents to obtain feedback and views. The minutes of these meetings are recorded and evidence was seen that areas of concern were addressed. One resident said “I feel that they do listen to me here, to what I have to say.” Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 19 There are a range of policies and procedures available in the home, and most follow the local guidelines where applicable. The Heart of England Trust is currently in the process of updating all their policies and procedures across the group. Health and Safety checks in regard to equipment used at the home, and the environment generally, are carried out regularly and maintenance documentation and records were up to date. The gas maintenance certificate however, was not available for inspection. The manager explained that as the local council owns the building, and they undertake the gas safety checks, they had not yet forwarded the copy of the certificate to the home. The manager is aware that she needs to obtain a copy as soon as possible. The fire records were examined and indicated that regular fire alarm and emergency lighting checks are carried out and fire training provided to staff. However there were no records of fire drills and the manager is required to ensure that these are available for inspection. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 3 2 x 2 2 2 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x 2 2 Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 21 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 4 Regulation Requirement Timescale for action 01/09/05 2. 7 3. 7 4. 9 5. 9 12(1)(a,b) 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. 15(1) The registered manager must ensure that where a risk has been identified, the relevant management is documented in the care plan. 15(1)(2)( The registered manager must be a)(c)(d) able to demonstrate that the residents, their family or representative are involved in the care planning process and subsequent evaluations. 13(2) All staff must adhere to the policies and procedures for the safe administration and recoeding of medicines within the home. 13(2) The Medicine Administration Record (MAR) chart must accurately reflect practice. All transactions must be signed directly after the administration. All gaps on the MAR chart must be investigated and appropriate action taken against the member of staff responsible. E54 S4535 Brookvale V226830 130705 Stage 4.doc 05/08/05 05/08/05 14/7/05 14/7/05 Brookvale Care Home Version 1.30 Page 22 6. 9 7. 9 8. 9 9. 9 10. 12 11. 19 & 38 12. 21 13. 24 14. 29 The returns book must accurately reflect what medicines have been returned to the pharmacy for destruction and used by the senior staff as an audit tool to confirm medicines are administered as prescribed and items are not over-ordered or duplicated 13(2) All prescriptions must be seen prior to dispensing, checked for accuracy and to ensure there is enough supply to last the 28 day cycle. 13(2) The system installed to check the MAR chart and the dispensed item against the original prescription must be implemented for all prescriptions and enough time must be allowed to rectify any discrepancies before the 28 day cycle starts. 13(2) Staff drug audits before and after a drug round must be undertaken by senior staff to confirm staff competence in medicine management. 15(1) The registers manager must ensure that all activities undertaken by an individual resident of documented in their daily records. 13(4)(c) The registered manager must ensure that the passenger lift is fitted with a low level alarm call button. 23(2)(j) Registered manager must ensure that there are sufficient assisted bathing facilities for the current residents in the home. 23(2) Registered manager must ensure that all the thin, unlined curtains in residents bedrooms are replaced with lined curtains so as to ensure privacy. 19(1)(a)(c The registered manager must ) ensure that when recruiting new E54 S4535 Brookvale V226830 130705 Stage 4.doc 13(2) .13/08/05 13/08/05 13/08/05 20/08/05 20/08/05 13/10/05 13/12/05 13/11/05 13/08/05 Page 23 Brookvale Care Home Version 1.30 15. 38 23(4)(e) 16. 38 13(4)(a) staff any gaps in their employment history are explored and that comprehensive interview notes are made. Registered manager must ensure 13/08/05 that all records of fire drills carried out are available for inspection. The registered manager must 13/08/05 forward a copy of the latest gas certificate to the CSCI. 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. Refer to Standard 23 30 Good Practice Recommendations It is recommended that the homes management team considers the decommissioning of the rooms that fall below nine square metres It is recommended that the home compiles and maintains a matrix of staff training needs. Brookvale Care Home E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Birmingham and Solihull Local 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 E54 S4535 Brookvale V226830 130705 Stage 4.doc Version 1.30 Page 25 - 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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