CARE HOMES FOR OLDER PEOPLE
Brookvale House 4 Brookvale Road Portswood Southampton Hampshire SO17 1QL Lead Inspector
Christine Hemmens Unannounced Inspection 2nd February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 House DS0000011775.V253255.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Brookvale House Address 4 Brookvale Road Portswood Southampton Hampshire SO17 1QL 023 8032 2541 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Brookvale Homes Limited Mrs H Ward Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (31), Old age, not falling within any other category (31), Physical disability over 65 years of age (8) Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Persons in MD and PD categories not to be admitted under 55 years of age Not more than 8 residents to be accommodated in PD(E) categories Date of last inspection 21st June 2005 Brief Description of the Service: Brookvale House is one of a number of care homes owned by the same proprietors. This home aims to provide residential care service predominantly to older persons who have some degree of mild age related mental frailty. Accommodation is organised over two floors and the majority of bedrooms are single. A number of bedrooms have en suite facilities. Staffing is provided 24 hours a day, including the provision of two waking night staff. In addition to care and management staff the home provides domestic, kitchen and laundry staff. Brookvale House is sited in a residential area of Southampton, close to local amenities and facilities, there is a garden area to the rear of the home that is both enclosed and private, with plans to develop this area further and enlarge the conservatory. A number of entertainments and activities are provided on a frequent basis from both outside sources and in-house activities provided by the staff team. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second visit to the home in twelve months. Two inspectors attended the home on this occasion and were assisted by the manager Mrs Ward and her deputy. The inspectors spoke with some residents and staff and undertook a tour of the building. What the service does well:
The home demonstrates that it provides a good standard of care, where there is evidence that the residents are respected, provided with choices, encouraged to maintain their independence and assisted to maintain an active and stimulating life with a range of activities. The staff are enabled to provide a consistency of care by following clear and regularly reviewed care plans. The residents are supported by skilled staff in numbers appropriate to the dependency levels and daily needs of the residents, the staff demonstrate a caring and respectful approach to the residents. One member of staff quoted “it’s important to treat people the way you would want to be treated if you were living in a home and dependent on others for help”. Another member of staff was quoted as saying “I feel the home provides a good standard of care, however this can always be improved upon”. The health and welfare needs of the residents are appropriately met with access to primary and specialist health care professionals, the home can support residents with mobility difficulties and can access specific aids such as pressure relieving mattresses if required. One resident stated, “the staff are very good, they make sure I am well and help me to get the special equipment I need for my medical condition”. The residents are provided with a room of their own that is comfortable, clean and personalised. The home is spacious, clean, nicely decorated and furnished to a high standard. Residents with whom the inspectors spoke with said they found the home to be comfortable and clean and the food was good, although one resident was quoted as saying “the food is good, however we are currently breaking in a new chef”. The home provides regular training for staff, a member of staff with whom the inspectors met with confirmed that she had received regular training and updates to assist her to carry out her job confidently.
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 6 The manager ensures as far as feasibly possible that the residents live within a safe environment where regular checks on fire safety equipment and utilities in the home are serviced. The residents are supported to manage their own financial affairs and are provided with lockable storage for safe keeping of valuables. What has improved since the last inspection? What they could do better:
The home could do better to ensure they meet all requirements issued following inspections. The manager must ensure residents are risked assessed exiting and accessing the garden through the patio doors. This requirement has been repeated, a further six requirements and recommendations have been made. The registered manager must ensure that when undertaking an assessment on a prospective residents that she checks assessment documentation from the placing authority to ensure the residents placement requirements match those of the homes admission criteria and reflects the residents actual needs. The home provides a good standard of care and attempts to maintain residents’ independence, however the manager must consider how this can be further improved, the home provides support and care to residents with cognitive and sensory difficulties and therefore should consider providing an environment where residents can easily find their way around and know where their bedrooms are. The home does well to train its staff in moving and handling however the manager must ensure where residents are identified as needing assistance to mobilise that moving and handling assessments have been carried out. The home provides a very nice environment for residents to live, however the manager must consider the appearance of the bathroom identified at the time of the visit ensuring the bath coating is repaired or replaced, kept at a constant room temperature and is aesthetically pleasing for residents to relax in.
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 7 The manager undertakes good recruitment procedures, however must ensure she checks documents of staff who have transferred through the company and not assume that their records meet the requirements. It is considered best practice to keep records of responses made at interview by prospective staff. The home provides a very good training package for staff, however the manager must ensure all her staff regularly attend training sessions and appropriately manage those that don’t. The home could do better to improve how it obtains views from residents, as there is not a systematic or regular approach to this. 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 House DS0000011775.V253255.R01.S.doc Version 5.1 Page 8 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 House DS0000011775.V253255.R01.S.doc Version 5.1 Page 9 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): 3 and 6 The home undertakes a assessment process to establish if it can meet the needs of the prospective resident, however this must include ensuring the prospective resident meets the registration criteria of the home. The home does not provide intermediate care. EVIDENCE: The home demonstrates that it undertakes a assessment of the needs of prospective residents to the home. The home in addition to meeting the person and their family will gather information on their strengths and needs which goes onto form the residents personal plan. Where possible and applicable the home will obtain an assessment from the placing authority. The inspector viewed four residents’ personal plans and assessment documentation and found one resident’s assessment undertaken by their placing care manager to state they needed nursing care. A detailed discussion took place with the manager and her deputy as to why they has accepted the resident as they are not registered to provided nursing care. The manager
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 10 confirmed that she had been asked by the care manager to undertake an assessment and felt the home could adequately meet the resident’s needs. The inspectors were informed that the placement was for review shortly and the manager felt they could continue to meet the residents’ needs. The manager was required to notify the Commission for Social Care Inspection in writing that the placing care manager was in agreement and that the assessment document completed by her reflected that the resident was suitable for residential care. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 10 The home demonstrates good practice in meeting the health and welfare needs of the residents in a sensitive and dignified way. However the home must ensure areas of risk for individual residents are assessed and clearly recorded. EVIDENCE: The inspectors viewed four residents’ plan, which includes information on contact details such as NOK and GP and their placing authority. The residents’ personal plans provide detailed information on the residents’ strengths and needs and how their needs are to be met. A daily record of the residents’ health and wellbeing and activity is kept and assists the manager and deputy manager when reviewing their monthly personal plans. Staff are notified of any changes to residents’ needs through shift handovers and the daily communication book. Following the previous visit to the home the manager was required to ensure staff do not record personal information in the daily communication book about residents. The manager stated that staff had been advised of this and this was no longer happening, however on viewing the communication book the inspector found on a small number of occasions that staff had recorded personal information. The manager is advised to monitor this closely and speak with the individual staff concerned. This will be reviewed during the next visit to the home.
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 12 The inspectors identified for one resident that the emphasis of their care was placed highly on the need to assist with mobility, however there was no evidence of a risk assessment taking place for moving and handling. The manager confirmed that staff had received specific training in supporting the resident, however the manager must demonstrate that she and her staff have considered all risks to the residents and themselves. This includes the potential risk of residents harming themselves if they exit through the patio doors. The manager was required following the last visit to the home to risk assess all residents who exit the patio doors into the garden. The manager advised the inspector that this had not been done as the none of the residents use the exit without assistance and the residents had not used the garden through the winter months. This requirement will be repeated and the manager must ensure that she has considered all risks to the residents in her care. The inspectors saw evidence in residents’ personal plans that their health care needs are well supported. The home has access to primary and specialist health care teams, who regularly visit the home on request, undertake reviews and provide support to the home and in some cases training when required. The manager advised that they have very good relationships with health care professionals and access to specialist equipment such as pressure relieving mattresses and moving and handling equipment if required. On the whole the home demonstrates that it respects and values the residents, staff were observed to be kind, patient and respectful towards them. A member of staff with whom the inspectors met with clearly understood the importance of providing a valuing supportive environment to encourage the residents to maintain their independence. She also recognised the importance of being treated in a way that she would want to be treated if she were in care. The carer felt the service could improve in this area. However, a lengthy discussion took place with the manager regarding using certain terminology in the homes risk assessment document that was considered by the inspector to be inappropriate and less than valuing. The word “escape” in the risk assessment is used to identifying the resident/s who are at risk of harm if they leave the building unescorted. The public perception of an “escapee” and someone leaving a residential unit without the support they require is vastly different. The use of alternative terminology was discussed with the manager. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 13 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): 14 The home does very well to support residents to exercise a choice over their daily lives, however the home could do better to assist the residents by providing an environment that will assist them to maintain independence. EVIDENCE: The home provides a comfortable environment where the residents as far as feasibly possible are encouraged to maintain their independence and make choices regarding their daily routines, mealtimes, how they wish to be supported and the activities they wish to join in. Evidence of this was seen in the residents’ personal plans. Restrictions are not placed on residents other than based on risk assessment. The residents are offered a choice of wholesome meals and the residents with whom the inspectors spoke with stated the meals were very good on the whole, they could choose what they wanted and an alternative would be provided if they didn’t like or want what was on the menu. Staff were observed offering choices of meals, beverages and snacks and activities through out the day. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 14 However the home could do better to provide an environment where residents who have a cognitive or sensory disability such as dementia are enabled to for as long as possible to move around the home independently such as clearly identifying toilets and bathrooms and residents bedrooms with appropriate signs. Discussion with the manager took place on how this could be achieved. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 15 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 16 and 18 were fully reviewed during the previous visit to the home on 21 June 2005. EVIDENCE: The manager confirmed that the home has not received any complaints since 2003. This was evidenced in the complaints logbook that detailed the nature of the complaint and what action had been taken to resolve the complaint/concerns. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21,22 and 26 The home provides a comfortable, homely and clean environment for residents to live with suffient numbers of bathrooms and toilet facilities and equipment required to meet individuals physical and mobility needs. However the home could do better to ensure bathrooms aesthetically pleasing and warm. EVIDENCE: Standard 19 was fully reviewed during the previous visit to the home on the 21st June 2005, however the manager was required to eradicate unpleasant odours in the rooms identified at the time of the visit. The manager informed the inspector that the home does all it can to prevent and get rid of unpleasant odours. New carpets have been laid in rooms identified during the previous visit and the home has two cleaners who regularly deep clean the carpets. The home has suffient numbers of bathrooms and toilet facilities for the number of residents accommodated in the home. Each resident has an en suite toilet and wash hand basin and a commode if required at night.
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 17 En suite facilities were observed to be clean and nicely decorated. However the bathroom on the first floor seen by the inspectors was observed to be very cold and need of aesthetic improvements. The bath has a hoist attached and there is evidence that the hoist has not been fully raised as scuff and scratch marks are present where the hoist swings over the bath. This demonstrates poor practice by staff and results in a poor appearance of the bath. The manager informed the inspectors that she regularly reminds staff that they must fully raise the hoist. The manager is advised to repair or replace the coating on the bath. The home supports residents who have mobility difficulties due to their age, frailty and associated medical problems. The manager described the support the home receives from primary and specialist health care teams to meet these needs but also to obtain advice on training and obtaining specialist equipment when required. The home has access to moving and handling equipment, handrails and sloping floors where required and equipment to support residents to access their community such as wheelchairs and walking aids. The home can access pressure relieving mattresses and cushions if required. However as raised in standard 14 the home could do better to provide aids and equipment that will enable residents to maintain their independence such as signs and communication aids. The inspectors found the home to be very clean and tidy, the home has two cleaners who work throughout the week and another who covers the weekends. In addition the home has a laundry assistant. The inspectors were informed that cleaning and laundry staff had received training in infection control and health and safety, including MRSA and blood spillages. The home has an outside laundry with industrial washing machines and tumble dryers. The laundry was found to be in a poor state of repair and untidy. The inspectors were informed that the home was due to be refurbished soon, which will include a new laundry. The manager is advised to ensure the laundry is kept clean and tidy. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30 The home demonstrates a good recruitment procedure and ensures staff are suitably trained and competent to do their job, however the manager must ensure she thoroughly checks all recruitment documentation and ensures staff attend regular training. EVIDENCE: The inspectors viewed for staff recruitment and training records, and found that all required documentation was in place for staff including those newly appointed, however the inspectors found two references addressed “to whom it may concern” and one that referred to the member of staffs gender incorrectly. The manager stated that the member of staff had transferred from another home within the company and assumed all the records were correct. The manager must ensure when taking on staff from other services within the company that all checks have been undertaken and that there are two credible references. The manager is required to double check references for the member of staff identified at the time of the visit. The manager provides regular training for staff confirmed that they had recieved mandatory training such as moving and handling and fire training and service user specific training such as dementia care, skin care, abuse awareness and Parkinson’s to name but a few. In addition staff are supported to undertake an NVQ in care (National Vocational Qualification). A member of staff with whom the inspector spoke with confirmed that she felt competent and skilled enough to carry out her roles and responsibilities. However on
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 19 viewing staff training records the inspectors established that one member of staff had no recorded training despite working in the home for over a year. The manager said that the member of staff had been booked on training on several occasions but had not attended. It is the manager’s responsibility to ensure her staff receive regular and updated training therefore it is the responsibility of the manager to address this with the member of staff. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 The home is run in the best interest of the residents, where they can express their views, know their financial affairs are appropriately managed and the environment is as safe as feasibly possible. However the manager must take further steps to demonstrate how the service is quality audited. EVIDENCE: The manager informed the inspectors that the home listens to views of the residents and their families and has sent out quality questionnaires to families. However there the inspectors did not view any documentation that demonstrates that the views of the residents have been actioned. It is recommended that the manager devise a system whereby resident’s views are recorded and there is recorded evidence of actions and outcomes. The manager is therefore required to Brookevale House is part of a group of homes that are regularly visited by the provider and responsible individual. The manager informed the inspectors that the provider undertakes regulation 26
Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 21 visit and always spends time with residents. The inspector regularly receives regulation 26 reports, however the home must provide the Commission for Social Care Inspection with a quality audit report that states how the home will continue to improve its service. The home does not manage residents’ monies other than collect benefit books on behalf of some residents and invoice residents for hairdressing and when clothes parties held. There is evidence that the home follows appropriate invoicing procedures and receipts are kept. Residents who manage their own financial affairs and hold items of value on site are provided with lockable storage for safekeeping. The home undertakes regular checks on fire systems and equipment and regularly trains and drills staff in evacuation procedures. The inspector viewed service certificates, which demonstrated that the home regularly reviews all appliances used in the home such as hoists and the lift. The manager keeps very good records and has a good system in place for regularly monitoring the environment for health and safety risks. Staff are encouraged to report any areas of concern. Corrosive substances hazardous to health (COSHH) are safely stored away. Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 2 3 X X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 43 Requirement The registered manager must ensure she does not admit residents out of the homes registered criteria. The registered manager must ensure the assessment documentation reflects the correct type of care required for the residents discussed at the time of the inspection. The registered manager must ensure a moving and handling assessment is undertaken on all residents who require assistance to move. The registered manager must ensure residents are individually assessed accessing and exiting the garden through the patio doors. This requirement has been repeated. The registered manager is required to repair or replace the
DS0000011775.V253255.R01.S.doc Timescale for action 07/04/06 2 OP3 14 07/04/06 3 OP7 13(4) 30/04/06 4 OP7OP19O P38 13(4) 30/04/06 OP19OP21 5
Brookvale House 23(2) (c)(d) 07/04/06
Page 24 Version 5.1 coating on the bath in the bathroom identified at the time of the inspection. OP21OP25 6 23(2)(p) The registered manager must ensure the bathroom identified at the time of the inspection is maintained at a constant comfortable room temperature. The registered manager must ensure all recruitment documentation is correct including for staff transferring within the company. 07/04/06 OP29 7 19(1)(c) 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP10 Good Practice Recommendations The registered manager is advised to reconsider using the terminology “Escape” and replacing it with a more valuing statement. The registered manager is advised to consider improving the level of independence for residents by placing signs on specific rooms in the home, including the residents’ bedrooms. The registered manager is advised to consider aesthetically improving the upstairs bathroom. The registered manager is advised to carry out good recruitment practices and not accept references “to whom it may concern” 2 OP12 3 OP23 4 OP29 Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 25 5 OP29 As a matter of good practice the registered manger is advised to keep written notes of responses made by prospective staff at interview. The registered manager is advised to consider how the views of the residents are obtained. 6 OP33 Brookvale House DS0000011775.V253255.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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