Inspection on 10/08/05 for Broomhills

This inspection was carried out on 10th August 2005.

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

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

Other inspections for this house

Broomhills 02/04/09

Broomhills 07/04/08

Broomhills 25/04/07

Broomhills 26/09/06

Broomhills 05/01/06

Broomhills 18/03/05

Broomhills 12/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Broomhills Stambridge Road Rochford Essex SS7 2QL Lead Inspector Vicky Dutton Ann Davey Unannounced 10 August 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. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Broomhills Address Stambridge Road Rochford Essex SS4 2AQ 01702 542630 01702 542553 broomhills@runwoodhomes.co.uk Runwood Homes Plc 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) Mrs Sharon McGuire OP, DE 47 Category(ies) of OP Old Age (47) registration, with number DE Dementia (23) of places Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 47 persons of either sex to be accommodated who are over 65 years of age. 2. Up to 23 persons of either sex to be accommodated who are 65 years of age and who are known to the National Standards Commission. 3. No more than 47 persons to be accommodated at any one time. Date of last inspection 18/03/05 Brief Description of the Service: Broomhills provides personal care and accommodation for 47 elderly people, included in this number the home can provide accommodation for up to 23 service users who have dementia. The original house is a 100-year-old building of character. There are 37 single and 5 double rooms, most with ensuite facilities. There is a choice of lounges and a separate dining room. There is an entertainments room in part of the basement. Accommodation is provided on 3 floors and all areas can be accessed by the way of 2 passenger lifts. Broomhills is set in 3 acres of grounds. Local facilities are a mile and a half away in the town of Rochford. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of nine hours. As there were two inspectors, this equated to eighteen hours input. The inspection focused mainly on the progress the home had made since the last inspection, although a number of other standards were also considered. The registered manager of Broomhills was available throughout the day. The inspectors were also assisted by the deputy manager, care team managers (CTM’s) and other staff at the home. On the day of inspection 36 residents were being accommodated at the home. A partial tour of the premises took place. Staff, residents and visitors were spoken with. Care, staff, medication and other records were selected at random and inspected. A notice was displayed in the main entrance area advising all visitors to the home that an inspection was taking place with an open invitation to speak with an inspector. The inspectors gave a full and detailed ‘feedback’ to the registered manager and deputy manager with opportunity for clarification and/or further discussion. What the service does well: What has improved since the last inspection? All bedroom doors are now fitted with locks so that residents can choose to keep their rooms locked. Some new staff have been recruited and this has reduced slightly the use of agency staff at the home. Bathrooms have been given homely touches to improve the environment for residents. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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 Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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) 3, 4, 5, 6. Prospective residents have their needs assessed before moving into the home. Wherever possible they or their families are encouraged to visit the home before moving in. Staff are well trained but would benefit from some further awareness training. EVIDENCE: During the inspection the inspector was provided with updated copies of the homes statement of purpose and service users guide. These documents were not examined as part of the inspection process. They were however noted to be clearly on display for residents and visitors to provide them with detailed information about the home. An admission to the home was being planned. Documentation was seen that showed that staff from Broomhills had visited the resident and completed an assessment. Information had been received from the funding authority. Family members had visited the home and equipment to meet the resident’s needs was awaited before the admission took place. Staff at the home receive a good induction into meeting residents needs and ongoing training in core areas and dementia care. Their ability to meet Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 9 resident’s needs would be enhanced by awareness training in specific conditions such as diabetes, Parkinson’s disease and epilepsy. The registered manager has been seeking ways to provide this. Intermediate care is not provided at Broomhills, and the home no longer provides ‘step down’ beds. There are however plans to provide ‘interim placement’ beds. These beds will be funded by the local authority and provide a service to residents who need care for a period of time while more permanent arrangements for their ongoing care are made. This will normally be following a stay in hospital. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 10 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. In general residents health and care needs are well identified and planed for. However, development work is needed to ensure that care plans always reflect resident’s current needs. Medication practices at the home are well managed and ensure that residents are kept safe. EVIDENCE: During the course of the inspection several care plans were viewed. In general they provided detailed information and guidance for staff providing care. Records showed that residents, where possible, and their families are involved in the care planning process and are encouraged to take part in three monthly reviews of care. Although care plans had also been regularly reviewed by staff at the home the changing needs of residents were not always reflected on the care plans. An example of this was a resident whose care plan spoke of mobilising with a zimmer frame while the reviews of the care plan showed that the resident was no longer mobile. This could put both staff and resident at risk. Several residents at the home use bed rails to keep them secure in bed. One care file viewed showed that a care plan for the safe use of bed rails was in place and a ‘permission’ from a next of kin. There was however no risk assessment or documentation to show the process the home had gone through to assess options, or consult with relevant professionals as to the need for Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 11 their use. As bed rails are potentially a hazard to residents the registered manager was advised to review the care files of all residents using these to ensure that they are necessary and their use well documented. Records showed that resident’s health care needs are well catered for and their wellbeing monitored. Referrals are made to other professionals as appropriate to meet individual needs. A chiropodist visits the home to provide residents with foot care. Residents are assisted to access local and hospital based health services. To monitor resident’s wellbeing their weight is regularly monitored. To complete this process and ensure that residents nutritional needs are being met an adequate nutrition record must be maintained. The one currently being kept shows what meals residents order but not what they actually eat or the quantity. Residents are kept safe and their medication well managed through the use of a monitored dosage system (blister packs.) Staff spoke of the training they have undertaken and of the regular monitoring of their competence by management of the home. Throughout the day the homes staff were noted to treat residents with courtesy and respect. Many residents have their own telephones installed in their rooms so that they can make calls in comfort and privacy. Broomhills has a number of shared rooms. These are provided with dividing curtains to ensure residents privacy. Some aspects of the premises do not support a valuing people ethos, these are detailed elsewhere in this report. To ensure residents dignity the practice of having notices identifying what incontinence aids residents use should be reviewed. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 12 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, 14, 15. Residents at the home are not currently being provided with sufficient stimulation and occupation. Visiting at the home is open. Food at the home is generally good but teatime menus need to be reviewed. EVIDENCE: The home have recently lost an enthusiastic activities co-ordinator. The home has tried to recruit to this role but so far without success. Residents are feeling this loss keenly. Many spoken with commented that they missed her input, and that the level of activities at the home had gone down. The home has tried to address this by some staff doing extra hours to provide activities. This occurred during the inspection when bingo and a painting session took place in the afternoon. Both residents and staff spoken with recognised that, although staff do their best to fill the gap, it is not sufficient. On the day of inspection the hairdresser was visiting the home. Residents clearly enjoyed this as a social activity. Although residents are generally encouraged to make personal choices, one case was identified where a residents rights and choices were being limited as they were in conflict with staff routines. The situation was well documented and the home are working closely with the family on this matter. The registered manager was asked to keep CSCI informed as to the outcome of this situation. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 13 Visiting at the home is very open. Visitors spoken with said that they are always well received. Lunch on the day of inspection looked appetising and was well presented. Later in the day it was noted that home make cakes were available for tea/supper. At lunchtime the tables were nicely laid with ironed cloths but other aspects of the meal did not fully support residents dignity. The cutlery in use was mismatched. All the residents were given plastic beakers to drink from, although the registered manager agreed that this was not necessary for all residents. Some residents were given plastic aprons to wear, even though the registered manager confirmed that cloth tabards were available for those residents who need/wish for them. Apart from one instance, which was reported to the registered manager, staff were kind, caring and supportive when assisting residents with food and drink. Residents spoken with were mostly positive about the food provided by the home but had issues regarding the teatime menus. The home use a threeweek rotating menu but it seems that this is not adhered to strictly, particularly in relation to the teatime menus. The home do not currently have an afternoon cook and convenience foods such as chicken nuggets and fishcakes are often on the menu with an alternative of sandwiches. Residents do not like this. The registered manager agreed to discuss teatime menus with residents. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 14 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 an established complaints procedure in place, and residents are aware of how to raise concerns. Adult protection procedures are in place to ensure that residents are protected from abuse. EVIDENCE: The home has a complaints procedure in place. Records showed that when concerns are raised they are dealt with appropriately and promptly. One resident spoken with gave an example of when they had had raised an issue regarding care with the home. They felt that their concerns had been listened to, taken seriously and addressed. Information regarding adult protection was on display for staff at the home. All staff have received training in this area. A training session on ‘abuse’ was taking place in the home on the day of inspection. Staff spoken with showed a good understanding of adult protection and of the actions they should take if they had any concerns. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 15 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, 22, 24, 25, 26. Many aspects of the premises are unsatisfactory, and do not provide residents with a homely and safe place to live. EVIDENCE: Although some shortfalls were noted including pockets of odour, Broomhills was noted to be generally clean, tidy and odour free. The home is situated in a rural area and is some distance from the nearest main road. This could present difficulties for visiting friends or relatives who do not have transport available. As part of this inspection a tour of the premises was undertaken and full feedback given to the registered manager. Some issues identified were addressed by the homes general hand during the inspection visit. Previous inspection reports have raised concerns about the condition and maintenance of the building. This inspection demonstrated that the situation has deteriorated further. Wallpaper and paintwork is in poor condition in many areas. Water damage caused to the ceiling in one area has not been repaired. Staff confirmed that the ceiling had been in the same condition for some time. Flooring in some areas is poor. In one en suite area the floor was unpleasantly stained. The registered manager said that this had been from a previous Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 16 occupant of the room, and that re-flooring had been requested via the registered provider some time previously. At the previous inspection a requirement was made for the registered provider to produce and provide to CSCI a programme of repair and redecoration. This was not received by CSCI. Management at the home reported feeling frustrated at the lack of action to improve the fabric of the premises. The home has extensive grounds, and overlooks a tidal river. Fencing to protect residents from accidentally wandering into this area is in place, but the adequacy of this needs to be monitored, as it is quite low. Broomhills provides sufficient communal space and there are several lounges available. A separate visitors room is available. The basement area of the home provides a hairdresser’s room and a recreational/activities area for residents, as well as providing staff facilities. The size of the resident’s activity area was recently reduced by the building of a partition wall and used for another purpose. Although this is no longer the case, the area has not been restored for residents use. The home provides sufficient bathroom and toilet facilities. Staff at the home have been adding colourful touches to bathrooms to make them more homely. Some bathrooms contained items such as disposable gloves and pad bags. As the home is registered to provide a service to residents with dementia this could pose a hazard. The registered manager said that she has ordered cupboards to address this but that registered provider had not yet supplied these. The extractor fans in bathroom/toilet areas were seen to be coated with dust and in need of cleaning. Hoists and moving and handling equipment is available to assist residents. Wheelchairs are also available for use. Some of those seen were not being maintained in a clean and hygienic condition. As the home is registered to provide dementia care signage must be improved to assist these residents with orientation. During the inspection a resident asked inspectors ’which was to go’. Grab rails have been fitted in the homes corridors, but these need ‘finishing off’ and painting. A call bell system is provided throughout the home. However in some in some areas it was not clear if these would be able to be reached or used by residents. The registered manager undertook to review this. All bedroom doors at the home have now been fitted with locks so that residents can choose to hold their own keys. Many residents have personalised their rooms and made them homely. However, physically, bedroom areas at the home were generally in a poor condition. Walls were marked and often still had picture hooks in place from previous occupants. Furnishings were inadequate, with no bedside tables or lockable storage being provided in many rooms. Some beds were not fitted with headboards. It was noted that many beds were not supplied with any form of mattress cover, and Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 17 the bed made with the bottom sheet directly on to the plastic mattress. This could be uncomfortable for residents, especially in the hot weather. On the day of inspection the home was warm and generally well ventilated. Water temperatures tested at random were satisfactory, though some initially ran hot. In some instances this was severe enough to have potential to cause harm. Water temperatures are regularly monitored at the home and records showed that temperatures within the recommended range, below 43 degrees Celsius were recorded. To ensure that residents are kept safe the registered manager was advised to monitor initial flow temperatures. The homes laundry area is situated in the basement area of the home. Only domestic washing machines are provided. These do not have a sluicing cycle. An environmental health officer visited the home shortly after the last inspection of the home and raised this as an area of concern, as the current arrangement do not provide for adequate infection control. The registered provider responded to these concerns and said that the situation would be reviewed. However no action to resolve this has yet been taken. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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 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. Established staffing levels are maintained, but the home are heavily reliant on the use of agency staff. Staff are recruited safely and receive training to carry out their roles. EVIDENCE: Broomhills maintain staffing levels of six care staff plus one senior during the day and three care staff and one senior night. Although these levels are maintained, this requires the use of many agency staff. Residents and visitors commented on this. they would like to have more permanent staff in order that they are cared for by people that they know. Some recruitment has taken place since the previous inspection. The registered manager said that currently there are vacancies for four day care staff and four night care staff, in addition to other vacancies such as activities co-ordinator and afternoon cook. At the previous inspection a requirement was made for the registered provider to demonstrate that a full review of staffing levels had taken place. This does not appeared to have happened and the registered manager was not aware of any such review. On the day of inspection the home had eleven resident vacancies. The registered manager felt that dependency levels were generally ‘medium’. Even so some residents still felt they still had to wait too long for care staff attention. Staff did not have time within their general duties to provide activity and stimulation for residents. The records of two recently recruited staff were viewed. These showed that residents are protected by staff being properly recruited, with all checks and procedures being carried out before staff commences their duties. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 19 Staff spoken with and records viewed showed that staff receives a good induction programme to nationally agreed standards. The home have developed their own format for ensuring that new staff are fully supported by a ‘mentor,’ and have a good understanding of their role and responsibilities. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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 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, 32, 38. Some issues raised in this report, particularly in relation to the premises are beyond the registered managers control, and have been outstanding for some time. The registered provider has a responsibility to manage the home effectively by addressing these issues. Communication in the home is good. Some health and safety issues have been raised through the report. EVIDENCE: The registered manager at the home is well qualified and experienced. She is currently completing her Registered Managers Award. Broomhills has a strong management team. Residents, staff and visitors to the home generally felt that communication and teamwork were good. During the inspection a staff handover was observed. Residents care needs, and tasks to be undertaken were clearly explained to staff. Notices on display showed that regular staff, resident, and relatives meetings are planned. The minutes of these were not viewed at this inspection. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 21 During the inspection some health and safety issues were identified. Some doors were noted to be wedged open. ‘Keep locked’ doors were left open and an area where oxygen was stored was left open. In spite of it being raised in the previous inspection report, no action has yet been taken to ensure that the access to the basement area is kept secure, and prevent residents accessing a staircase area. Records viewed and staff spoken with confirmed that training in core areas such as moving and handling is ongoing. Fire records showed that regular drills take place and that all equipment is inspected, tested and kept serviced. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 3 2 x 2 3 2 STAFFING Standard No Score 27 2 28 x 29 3 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 3 x x x x x 2 Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 4 Regulation 14 Requirement The registered person must not offer a placement to a service user until it is confirmed that staff have the ability through training to meet all assessed needs. This is with reference to Diabetes and Parkinson’s disease awareness training. Previous requirement of 30/04/05 not met. 2. 7 15 Residnets care plans must reflect reflect their current needs and show how these are to be met. The registered person must maintain a record of all foods eaten by service users to demonstrate that they are in adequate quantities, it is suitable, wholesome and nutritious and is also varied and properly prepared. Previous requirement of 30/04/05 not met. 4. 12 16 Arrangements must be made to consult with residents and provide social occupation and I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Timescale for action 30/10/05 01/09/05 3. 15 16 14/09/05 01/11/05 Broomhills Version 1.40 Page 24 5. 19 23 activities suitable to their individually assessed needs. The registered person must keep the home in a good state or repair internally. A programme of repair and redecoration must be sent to the Commission for Social Care Inspection. Previous requirement of 30/04/05 not met. 01/10/05 6. 21 12 7. 24 23 8. 26 12 9. 27 17 To keep resident safe proper storage falitities must be provided for equipment such as disposable gloves and aprons. Suitable private accommodation must be provided for residents. This refers to the issues and shortfalls raised in the body of the report. The registered person must take appropriate action to promote effective infection control measures. This refers to the need for action to be taken to provide washing facilities that are effective in supporting infection control. The registered person must demonstrate that a full review of staffing levels has taken place. This must also included a review of the seniors’ role at weekends and the consistent use of agency staff to maintain minimum staffing levels. The home must able to demonstrate that sufficient levels of staff are on duty at all times to meet the needs of service users. It is not sufficient for the home to state that a review ‘has taken place’; it must demonstrate how outcomes are achieved. Previous requirement date of 30/04/05 not met. 01/10/05 01/12.05 01/01/06 01/11/05 Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 25 10. 38 23 The home should consult with the fire authority about the practice of wedging open doors and find a suitable alternative to this. 01/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. Refer to Standard 7 15 15 20 22 22 22 38 Good Practice Recommendations Best practice in relation to the provsion and use of bed rails should be followed. Issues in relation to equipment used in the dining room should be addressed. Tea time menus should be reviewed in consultation with residents. The previous area available for residents activities should be restored to their use. Wheelchairs should be kept in a clean and hygenic condition. Corridor grab rails should be finished off and properly painted. The location of call bells/layout of rooms should be reviewed to ensure that they are useable by residents. Oxygen should be stored securely in line with fire department and other guidance. Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex, SS2 6BG 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 Broomhills I56 I06 S18040 Broomhills V243856 100805 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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