Inspection on 08/09/05 for Broomfield

This inspection was carried out on 8th September 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

Broomfield 05/06/07

Broomfield 22/02/06

Broomfield 24/03/05

Broomfield 03/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Broomfield 40 Gladstone Road Combe Down Bath BA2 2HL Lead Inspector Sarah Webb Unannounced 31 August & 8 September 2005 08.45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Broomfield Address 40 Gladstone Road Coombe Down Bath BA2 2HL 01225 830047 01225 830047 Mark.Pearson@newdimensions.org.uk New Era Housing Association Ltd. 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) Mark Ashley Pearson Care Home Only 3 Category(ies) of LD Learning disability, for 3 registration, with number of places Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 3 persons aged 22 - 50 years Date of last inspection 24 March 2005 Brief Description of the Service: Broomfield is registered with the Commission of Social Care inspection to provide accomodation and personal care to 3 people with profound learning and physical disabilities with varying degrees of sensory impairment. Broomfield is a large bungalow situated in a quiet cul-de-sac in Combe Down, on the outskirts of Bath. It has access to local amenities such as shops, pubs, local surgery and a post office. The city centre of Bath is approximately 3 miles away. The home has three single bedrooms; two comply with the spatial standards for wheelchair users, as set out in the national minimum standards. The third bedroom is a smaller room. Two of the bedrooms share en suite bathroom facilities. The third has easy access to a specialist shower for wheelchair users. There is also a spacious lounge, kitchen, utility, two staff sleep in rooms and a conservatory that has been recently replaced due to the previous unsatisfactory structure. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 1.5 days and 10.5 hours and was carried out as an unannounced inspection. The inspection methods used included record checks, case tracking, discussion with the manager and members of the staff team. All 3 tenants were at the home during differing periods of the inspection. Due to the level of disability presented by the tenants, families and staff continue to advocate on their behalf. Discussion was had with members of the staff team regarding individuals care. What the service does well: What has improved since the last inspection? The home is in the process of updating information in the statement of purpose. The home has made a start for staff to receive training in order to meet the communication needs of the tenants. An individual has been provided with specific equipment in order to support their mobility needs. Specific manual handling procedures have been reviewed and risk assessed for an individual. Advice has been sought from a specialist service in the safest methods of supporting an individual. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 6 What they could do better: Requirements A consistent care planning/reviewing system must be put in place to adequately provide staff with current information they need to satisfactorily meet tenants needs. The home needs to improve in the recording of the administration of medication to individuals to ensure that they are not put at risk. The home needs to risk assess staffing cover in the instance when a tenant is unwell at night taking into consideration that the home do not provide waking staff (this is carried through from the last inspection.) Brick work to internal front entrance of the property need to be repaired and decorated. Curtaining to the front entrance of the home needs to be replaced. The provider must keep a copy of each reference obtained in respect of 2 new staff employed at the home. The provider must also keep a record of the total fees paid by tenants (this is carried through from the last inspection.) Fire safety training must be provided for and attended by all staff (this is carried through from the last inspection as an immediate requirement). Weekly tests of fire equipment must be carried out in order to take adequate precautions against risk of fire (this was issued as an immediate requirement through this inspection.) Fire risk assessment and personal evacuation action for the tenants must be completed. Ensure staff receive training appropriate to the work they carry out in:1) related physical care issues 2) learning disability specific issues Recommendations The use of the conservatory and whether it will be used as a dining area for tenants [as stated in the home’s Statement of Purpose] should be reviewed. Bereavement training should be provided for staff. The organisation should set up account in service users name and pay in appropriate monies. Staff should be involved in the review of individuals care plans. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 7 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. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 3 Comprehensive information is in the process of being updated and is available for current and prospective tenants and their families. The home still needs to improve in the keeping of records pertaining to fee charges paid by, or on behalf of, tenants. Care needs are being met on a basic level but ways of working which would enhance this level are not being put into practice. Further staff training and committed participation by staff in such training are essential factors to bring this change about. EVIDENCE: Information relating to the statement of purpose is in the process of being updated. A requirement has been made through several inspections for the manager to be provided with a record of fee charges paid by, or on behalf of, service users. The manager said again that this in the process of being done by the organisation. There have been no new tenants admitted to the home since the last inspection. All tenants have lived at the home for many years. It was evident Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 10 through documentation that their care is reviewed by the placing authority on a regular basis. Due to the level of disability presented by the tenants, families and staff continue to advocate on their behalf. The staff team has worked with the 3 tenants for many years. Those staff spoken with indicated their knowledge of how individuals are supported with their care and that they have observed changes that have taken place regarding their physical needs. It was evident that tenants continue to be supported locally by specific specialist services. Staff indicated that regular contact was had with physiotherapist, speech and language therapist, occupational therapist and hearing therapist. Through discussion with the manager, it was evident that a further requirement made through the last inspection for the manager to set out how staff are to be trained in order to communicate effectively with the individuals has been partially met; two staff have recently attended communication training through the organisation as part of their induction. The manager and a specialist service continue to be involved in supporting 2 tenants through a specific form of communication. A planned session of Interactive Communication carried out was observed. Staff continue to be resistant in not taking part in the training process; the manager said that all staff are involved in the feedback of these planned communication sessions at team meetings and that staff will be involved to a fuller extent in this process in the future. Further relevant staff training and committed participation by staff are essential factors to bring this change about. The manager has said that staff have been actively and positively involved in future planning for staff training at a recent team meeting. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9 The home needs to ensure there is a consistent care planning/reviewing system in place to adequately provide staff with current information they need to satisfactorily meet tenants needs. The home has risk management procedures in place to ensure tenants are supported safely in taking risks. EVIDENCE: Care plans had been reviewed by the manager. This included records of individual personal profiles, communication needs, daily living routine including personal care, mobility, individual preferences and dietary needs. Although it was evident through observation of documentation with three staff members that there was sufficient up to date information in place, there was also some areas of that provided outdated and irrelevant information. This presents a conflicting picture of how staff are to support individuals with their needs and are is in need of being updated in order to present the new staff with current information. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 12 It was evident that the staff work with all 3 tenants and that there is no key working system that operates. The manager needs to involve staff in the review of individuals care plans; they are a key element in reflecting changing needs as they advocate for the tenants on a daily basis. Individualised risk assessments are in place and are kept in the case files and form part of individuals’ plans. Staff sign a signature sheet to indicate that they have read both new and reviewed risk assessments. All risk assessments had been reviewed including aspects of bathing and risk measures in place identified through a health and safety audit. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, & 17 Tenants have opportunities to visit areas in the local community. Staff support individuals with the participation of differing activities and interests. There is comprehensive information in place to support staff with meeting the dietary needs of individuals. EVIDENCE: The 3 tenants continue to attend a day service for a number of days during the week. The tenants are supported by staff in all activities and need a very high level of support to engage. It was evident through observation of records that staff continue to provide opportunities for individuals to visit places of interest both locally and at a Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 14 further distance; these include trips to the cinema, parks, and the Chew Valley Lakes. Through discussion with staff it was evident that tenants are supported with accessing shopping and lunch trips. An adapted minibus is available to take people on outings. This is a leased vehicle and individuals pay for the use of transport through their mobility allowance. Records continue to indicate that individuals make use of sensory equipment such as foot spa, fibre optics and hand held musical instruments. The manager said art and craft sessions are also devised in order to encourage additional interests for the tenants. The home continues to record both fluid and food intake monitoring charts. Individuals have received support through specialist services in relation to individual eating programmes and advice on portion sizes and good practice guidelines. Menus indicated that individuals are offered a varied diet. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, & 20 The home provides clear instruction for staff in order to support individuals with safe moving and handling techniques. The physical and emotional health needs of tenants are well met with evidence of multi disciplinary working taking place regularly. The home needs to improve in the recording of the administration of medication to individuals ensuring that they are not put at risk. EVIDENCE: All tenants have high level of support with their personal care needs. These are recorded in detail. There was also clear written instruction in care plans on the use of specific equipment for the safe moving and handling of individuals. It was evident that tenants are supported well by specialist services based in the local community. This was evidenced through individuals’ documentation and discussion with staff regarding referrals for specialist equipment. It was evident through up to date health records in place that staff continue to monitor any changes in individuals’ health. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 16 Staff continue to record visits to GP, hospital admissions, orthotic and podiatry clinics, dental and opticians services. A requirement is unmet for a risk assessment to be carried out in the instance when a tenant is unwell at night taking into consideration that the home do not provide waking staff. This is carried through this inspection again. The home has both a medication policy and consent to treatment policy. Documentation regarding the administration of medication was assessed. The home administers paracetamol to tenants from a central pack that is also used by staff. There was no record of the administration of paracetamol for either staff or tenants. The home needs to ensure that tenants are prescribed paracetamol individually and that a record is kept of both the administration and balances of this medication. The home also needs to implement a policy regarding the practice to be used by staff for their own use of paracetamol. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Arrangements are in place for protecting tenants from possible risk of harm or abuse. EVIDENCE: As at the previous inspection, New Era has a complaint policy and a procedure available in a pictorial format. There have been no complaints since the last inspection. As stated previously, there are no tenants who have verbal communication and due to the level of disability presented by the tenants, family and staff continue to advocate on their behalf. Staff gave examples of how they recognised when individuals were unhappy. Families have been given the complaints procedure. All staff have been policed checked through the Criminal Records Bureau and have attended Protection of Vulnerable Adults training. The Manager has completed Investigators training. The issue regarding the outcome of Criminal Records Bureau Disclosures to be available for inspection in the home was not fully assessed at this inspection. This will be looked at fully at the next inspection. The manager informed the inspector that an account is still in the process of being set up in a service users’ name. The home is still waiting for power of attorney. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 28, & 29 There has been no change to certain areas of décor in the past 12 months; although this does not create a risk to tenants it does not create a pleasant environment to live in. The home provides suitable specialist equipment in order to support the assessed physical needs of individuals. EVIDENCE: The home has access to local amenities such as shops, pubs, local surgery and a post office. The city centre of Bath is approximately 3 miles away. The home is in keeping with the local community. A requirement has been met regarding the construction of a new conservatory. The home now needs to decide as to whether this is to be used as a dining area as stated in the Statement of Purpose. Currently, part of the area is used as office space. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 19 There is a spacious lounge, kitchen, utility, and two staff sleep in rooms; there are spacious external grounds that are used during the summer months. A requirement from two previous inspections is still within the timescale to be met, for repairs to wall and door surfaces and provide protection against damage from wheelchairs and repairs to wallpaper peeling in two bedrooms. Communal areas are also still in need of decoration. The internal entrance lobby is looking neglected due to bare brickwork needing pointing and decorating. There is part curtaining on one side of the front door; the home needs to replace the curtaining on the other side of the entrance. The manager said an action plan to start shortly is in place to redecorate bedrooms. It has been identified through a health and safety audit that the home is in need of a new cooker. The manager said this has been discussed with his line manager. The home is appropriately adapted to meet the needs of the current service users. Ceiling track hoists have been fitted to areas within the home and changing facilities are available in the home’s bathroom and bedrooms. The home also has one mobile hoist and specialist equipment has been obtained for individuals relevant to their identified need. A replacement specialist bath has been ordered. Adjustable beds are made available for individuals’ as are pressure relieving mattresses, and cushions. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 & 35 The home needs to improve recruitment practice in the keeping of appropriate records. The home has ensured the staff team are up to date with statutory training in order that individuals’ health and safety is considered. Committed participation by staff to attend specific training relating to individuals is in need of being implemented in order to meet individual and joint needs. EVIDENCE: It was evident through discussion with the manager that the staff team has been supported well in obtaining a National Vocational Qualification resulting in 60 of the staff team having achieved a National Vocational Qualification. The home has recruited 2 new staff recently leaving 1 vacancy. The manager said although he was not involved in the short listing process he saw the references and applications and was part of the interview process. Staff files indicated that three staff had both references and application forms in place. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 21 Although there are no records available for 2 long term staff who were employed by the previous organisation it was also evident that the two newly appointed staff working at the home had no references in place. It is required through Schedule 4 that a copy of each reference is kept at the home. The new staff have started LDAF through the home’s induction process. The home’s training matrix demonstrated that staff are up to date with statutory training. Other areas of training staff have attended include person centred planning, risk assessment, and health and safety. The manager said staff are booked to attend epilepsy awareness training. Discussion was had with the manager concerning a requirement to ensure staff receive training appropriate to the work they carry out in related physical care issues and learning disability specific issues. Although the two new staff have been included in communication training through the organisation, it was unclear as to whether this training covered communicating with people with a profound learning disability. The manager said no training has been available through the organisation. He has been provided with a relevant contact through this inspection in order to support his investigation of this ongoing requirement Further relevant staff training for staff are essential factors to bring this change about. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41, 42 There are procedures in place for the safe keeping of records. The home needs to improve the monitoring of fire safety in order to protect tenants and staff. EVIDENCE: A requirement is unmet in relation to two staff requiring fire instruction; an immediate requirement was issued and included the maintenance and testing of fire equipment. The health and safety audit carried out by New Era has also identified the need for a Fire risk assessment and evacuation of individuals to be completed. Those records assessed that were up to date included: Visitors book. Refrigerator/ freezers temperatures Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 23 Water temperatures Menu Staff roster Gas Safety certificate and portable electric equipment. Maintenance of disability equipment. Financial records. Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 2 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 x 3 3 x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broomfield Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 1 x D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 25 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 1 Regulation 5(a) Requirement Keep a record of the total fees paid by service users and make this record available for inspection at all times.(Previous timescale of 31/8/05 not met) Update individuals care plans in order to provide staff with relevant and current information. Obtain individualised supply of paratecamol for tenants and keep a running balance. Risk assess in the instance when a tenant is unwell at night taking into consideration that the home do not provide waking staff. Repair and decorate bare brickwork to internal front entrance lobby and replace curtaining Keep a copy of each reference obtained in respect of 2 new staff employed at the home. Provide fire training for staff.(this was issued as an immediate requirement) Maintain and carry out weekly tests of fire equipment in order to take adequate precautions against risk of fire. Complete fire risk assessment Timescale for action 30/11/05 2. 3. 4. 6 20 19 15 13(2) 18(1) 30/11/05 As from 8/9/05 30/11/05 5. 24 23(2) 31/12/05 6. 35 Sch 4 30/11/05 7. 8. 42 42 23(4) 23(4) 14/9/05 4/9/05 9. 42 23(4) 31/10/05 Page 26 Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 10. 35 18(1) and personal evacuation action for the tenants Ensure staff receive training appropriate to the work they carry out in:1) related physical care issues 2) learning disability specific issues 31/1/06 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 24 Good Practice Recommendations Review the use of the conservatory and whether it will be used as a dining area for tenants as stated in the homes Statement of Purpose. Involve staff in the review of individuals care plans Provide bereavement training for staff Set up account in tenants name and pay in appropriate monies 2. 3. 4. 6 35 41 Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 27 Commission for Social Care Inspection 300 Aztec West Almondsbury Bristol BS32 4RG 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 Broomfield D56_D05_S8196_Broomfield_V246278_310805_Stage4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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