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Inspection on 30/01/07 for Broomhouse Nursing Home

Also see our care home review for Broomhouse Nursing Home for more information

This inspection was carried out on 30th January 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

As at previous inspections, there was good consistency of care and the staff team enhanced this, as the majority had worked at the home for many years and knew the residents very well. More recently employed staff felt supported by managers and the staff team and had received induction training. Residents were observed to be relaxed, and residents spoken with indicated they were happy living at the home. While some residents were not able to express their views directly, good relationships were observed between staff and residents. Prior to the inspection some residents had been assisted in completing questionnaires and the results showed that they were satisfied with the standard of care their received and felt they were given appropriate help: `I am happy here`, `they help me with bathing and going out`. The home was comfortable in appearance and was maintained to a good standard. Residents` care was individualised and promoted independence and choice within their daily lives. The training for staff was up to date, ensuring that residents are supported and cared for by competently trained staff. Medication practices of the home were of a good standard.

What has improved since the last inspection?

Records of regulation 26 visits are being completed and were seen by the inspector, providing evidence that the home is visited by the registered person and a variety of issues relating to the day to day running of the home are discussed. Residents care planning documentation includes what furniture is available in their bedrooms, and all information required by Schedule 3 of the Care Homes regulations is available on file. Some good practice recommendations have been met, and the sign at the end of the drive has been replaced.

What the care home could do better:

No requirements were made at this inspection. Some good practice recommendations were made including reviewing the system of organising the care planning files to ensure clarity and consistency, formally recording residents views as part of a quality assurance exercise, safeguarding adults training updates for senior staff, and reviewing some policies in the statement of purpose.

CARE HOME ADULTS 18-65 Broomhouse Nursing Home Broomhill Road Old Whittington Chesterfield Derbyshire S41 9EB Lead Inspector Denise Bate Key Unannounced Inspection 30th January 2007 09:00 Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 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 Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 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 Adults 18-65. 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. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broomhouse Nursing Home Address Broomhill Road Old Whittington Chesterfield Derbyshire S41 9EB 01246 260697 01246 268065 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) Intacare Limited Jill Askew Care Home 40 Category(ies) of Learning disability (40), Learning disability over registration, with number 65 years of age (0) of places Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Broomhouse home provides accommodation and personal care with nursing for up to 40 people with learning disabilities. The home is located in the village of Whittington close to the town of Chesterfield. There are shops, pubs and other amenities nearby. The home is divided into four named ‘houses’ on two floors. Service users are accommodated in each house in accordance with assessed needs and compatibilities. There are well-maintained grounds with mature trees overlooking fields to the rear of the home. Car parking space is provided. Charges are between £389.75 and £1,119.24. Extra charges are made for hairdressing, toiletries, and holidays. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place at the home over six hours. Additionally, time was spent in preparation for the inspection, looking at previous reports and other documents. Eleven resident questionnaires were received. Care planning documentation and other records were seen e.g. medication records and reports, CRB checks, care planning documentation, residents meeting minutes, staff meeting minutes, annual report and audit, statement of purpose and service user guides. A tour of the building was made and discussions took place with the manager. The inspector met residents while undertaking a tour of the home and visiting the activities area, and some of their comments about care at the home are reflected within this report. Four residents were case tracked and their care planning documentation looked at in detail. Five staff were interviewed, including the activities organiser and a nurse on duty. The manager had completed a pre inspection questionnaire prior to the visit which provided a wide range of information regarding the home. What the service does well: What has improved since the last inspection? Records of regulation 26 visits are being completed and were seen by the inspector, providing evidence that the home is visited by the registered person Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 6 and a variety of issues relating to the day to day running of the home are discussed. Residents care planning documentation includes what furniture is available in their bedrooms, and all information required by Schedule 3 of the Care Homes regulations is available on file. Some good practice recommendations have been met, and the sign at the end of the drive has been replaced. 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. The summary of this inspection report can be made available in other formats on request. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to ensure residents can make an informed choice about where they live. EVIDENCE: The home have a service user guide in two formats, including an ‘easy read’ format for prospective residents. This includes information on visits to the home, staffing, care planning, complaints, the key worker system, an equality statement, advocacy and confidentiality. There is also a statement of purpose that covers all areas in detail and includes a draft contract and financial details. The inspector was informed that the homes policy on the use of residents’ mobility allowance and policy on appointeeship had been changed and the statement of purpose needed updating. The documents above outline the home’s policy regarding admissions, visits to the home and trial periods. The home works closely with care managers and health professionals in ensuring that residents are assessed appropriately and their progress at the home monitored. There was evidence of pre admission assessments on care planning documentation of tracked residents. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans and risk assessments relating to personal and social care needs of residents are completed in sufficient detail to direct and inform staff on how individual needs should be met. EVIDENCE: Four service users were case tracked and documentation on the files included a contact list, information about daily routines, assessment documents, pre admission check lists, personal profiles, strengths and interventions, daily nursing records and life enhancing support needs. A ‘My Wish List’ document was seen within the residents files examined. This had been completed by the individual resident with staff assistance and included: how the resident wished to be treated, how they liked to look, the type of holidays they enjoyed and would like to try and the type of food they preferred. Similar documents such Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 10 as ‘My Nightmares’ and ‘What’s Important to Me’ where also seen and were detailed in content. Individual risk assessments have been complied up on each service user, such as the risk involved in the daily domestic activities, outings, and smoking. Risk assessments are reviewed and updated at regular intervals. Due to their level of disability some residents are unable to agree and sign their care plan, although they or their advocates are involved in compiling the care plan where possible. Copies of reviews were on file, although for one case tracked resident a review had taken place some months ago but the report had not yet come through from social services. As at the previous inspection, some information was duplicated and it was not always clear which was a current assessment/document and which had been superseded. Discussions took place on how the files might be more clearly organised. Most day to day issues are entered into a communications/records book which is used by staff to ensure that everyone is aware of any issues relating to residents and to ensure that all external appointments are attended. The home is organised into four ‘houses’ and there is a key worker system. Several of the residents have lived at the home for some time and it is evident that the staff know them well. From observations, examination of records and discussions with the care staff and the activities organiser it is evident that residents are encouraged to make choices and decisions about their lives wherever possible. All service users have access to the advocacy service should this be required and an independent advocate organises the residents meeting which are held without staff being present. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides outings, activities and individual and group support which enhance the quality of life of residents. EVIDENCE: As at previous inspections, the relationships observed between care staff and residents were open and good-humoured. The residents are encouraged to take pride in their appearance and their preferred style of dress is respected. The care records of four residents provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 12 The residents are unable to work due to the level of disability. They have attended the local college in the past, but unfortunately this facility has been withdrawn. The home has employed an activities organiser who works full time focusing on arranging individual and group activities, outings and entertainment. The inspector spent some time with three residents and the activities organiser in the activities room. A variety of handicrafts, games, jigsaws, etc. are available and there is a snoozlen. Residents clearly enjoyed undertaking a variety of handicrafts and were relaxed and talkative. One resident says she ‘used to take off’, but feels much more settled now. She enjoys her time at the home and she is kept busy. The activities are not only enjoyable but encourage a social atmosphere and enable a sense of achievement. Some residents were taking part in musical activities. The activities organiser also talked about the activities undertaken outside of the home by residents, these included; shopping, ten pin bowling, swimming and visiting the cinema. Day trips were also organised. The home provided transport for the residents by means of a minibus and a car. Local transport was also used such a taxi or the local bus service. The home has an open visiting policy and many of the residents receive visitors, although there were no visitors on the day of inspection. The activities organiser said that family and friends are invited to the home to attend parties, summer fairs and other events. There were also a number of residents who visited their families and friends. Residents were able to see their visitors within their bedrooms if they wished to do so. Residents had access to all communal areas of the home as well as their private facilities. Residents were also able to access the grounds of the home, however some residents did require staff support or supervision to do this. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Healthcare records were documented and the home is pro-active in seeking help with health concerns ensuring that service users health needs are met. EVIDENCE: Records examined and discussions with staff showed that residents health and personal needs were being met. The needs within the resident group are various, with a proportion of residents having a range of physical disabilities, challenging behaviour, and/or poor communication skills as well as learning difficulties. The home work closely with Ash Green Hospital and a variety of health professionals, including psychologists, to implement action plans to deal with behaviour problems. In addition residents are assisted to attend hospital appointments for physical ill health. It was reported that there is a good relationship with the two local GPs who provide most of the primary care to residents. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 14 All residents attended services within the community including optician, podiatrists, and dentist. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to be satisfactory. Medication records relating to case tracked residents were seen and had been recorded correctly. No residents were taking controlled drugs at the time of inspection although a system was in place for recording them. Copies of specimen signatures were available. The home has a copy of the latest advice from the British Pharmaceutical Society, and various books advising on medication, side effects, etc. All medication was held in the original container and kept in a named compartment in the medication trolley. No current residents are able to administer their own medication. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear and accessible complaints and safeguarding adults procedures are in place to ensure residents and their advocates can be confident that any issues raised would be acted on effectively and promptly. EVIDENCE: The home has a policy for the protection of vulnerable adults. Staff spoken to demonstrated a knowledge of safeguarding adults issues. The manager has attended training and briefing sessions run by the local authority. No issues relating to safeguarding adults has been reported to CSCI in the last twelve months. The manager stated that the physical intervention techniques were rarely used but the home’s policies were in line with the Department of Health guidelines. The complaints procedure is displayed in the foyer, and is explained in the service user guide. There have been no formal complaints and no complaints have been received by CSCI. Day to day issues are dealt with by staff as they arise and the report book is used to document any issues and how they have been dealt with. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable and provides a good standard of accommodation in both individual and communal areas enhancing the quality of life for residents. EVIDENCE: A tour of the home was undertaken and all communal areas were seen. The home is well maintained and furnished to a satisfactory standard, although some chairs in the downstairs lounge are due to be replaced. Each ‘house’ has its own lounge/dining area. The inspector was informed that a handyman is employed to undertaken any minor decoration and repairs. There is a rolling programme of maintenance and decoration. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 17 The facilities are homely, comfortable and free of unpleasant odours as was the case on the day of the visit. Three residents showed the inspector their bedrooms, which were comfortable and arranged to reflect the interests and needs of the residents. Most had photographs of family and friends, and several people had their own televisions and music centres. Some residents with physical disabilities had special beds and chairs for their comfort and safety. Several residents use wheelchairs. Moving and handling advice is available on care planning documentation. Bathrooms were seen and were appropriate, and some bathrooms have hoists. One bathroom also has a shower. There are substantial grounds with space for residents to sit outside when the weather is fine. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and competent staff meet the dependency needs of residents currently accommodated within the home. EVIDENCE: The inspector spoke to three care staff, a nurse on duty, and the activities organiser. Staff spoken to were well informed and spoke positively about their work. They felt they worked well as a team and felt supported by the management arrangements. They were clear on their roles and responsibilities. While they were often very busy they were not just ‘task orientated’ but were able to spent time talking to residents and encouraging their social skills. Training is given a high priority and they are encouraged to attend relevant courses. The home has a structured induction package; this includes providing a named member of staff to work with new employees through their induction period. Staff meetings are held on a regular basis and discuss matters relating to individual residents as well as day to day organisation. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 19 There is a staff recruitment policy and procedures in place. Two staff records were examined and contained appropriate Criminal Records Bureau checks, two references, and copies of application forms. Over 50 of the care staff at the home have acquired a National Vocational Qualification (NVQ) in Care at level 2. The inspector was informed that staff training records are in place and overall planning for training is undertaken by a senior member of staff. This includes fire safety, moving, and handling, managing aggression and violence and caring for people with epilepsy. Some training takes place within the corporate group of homes, and some takes place with Ash Green Hospital. The organisation of training demonstrates that the home aspires to meet the residents needs by ensuring the staff have the required training to enable them to undertake their roles to the best of their ability. Staff employed within the last six months have not yet commenced their NVQ2 in care, but the manager confirmed that training will start in the near future. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 20 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a suitably qualified and experienced manager in post and staff have an awareness of their roles and responsibilities, thus ensuring the home is run in the best interests of residents. EVIDENCE: The manager has considerable knowledge and experiences in caring for adults with a learning disability and challenging behaviour. She has been worked at Broomhouse for a number of years. The manager is working towards gaining a recognised managers award, which all managers of care homes are required to achieve. Residents and staff spoke highly of the manager, and she appeared Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 21 professional, approachable and friendly towards staff and residents on the day of inspection. There is a policy for monitoring care provided by the home and a questionnaire developed. However, due to the limited communication levels of some of the residents they are unable to complete questionnaires and take part in residents meetings which are run by an independent advocate. Minutes of residents meetings are available in an easy to read format and were seen by the inspector. These indicated that residents were able to raise issues with the advocate, who could then discuss them with the manager. For example, the issue of transport was raised when the minibus broke down. The following month it was noted that a new minibus had been obtained. The manager stated they receive positive informal feed back from families. The registered proprietor visits on a regular basis and regulation 26 records of the visits were made available to the inspector. These indicated that matters of day to day running of the home are discussed and monitored. The home are part of a group of homes for people with learning difficulties and various corporate systems are in place. The home undertake an audit each year and also produce an annual report, both items were made available to the inspector and indicate that all necessary checks are carried out and policies in place. There was a discussion relating to the recording of incidents, which the manager indicated she is reviewing. The inspector was informed that the home has systems in place for the managements of residents’ money and that these systems worked well. Records were held separately for each resident and these were kept securely. Residents can request monies. The home are appointee for several residents who have moved from Whittington Hall Hospital. The inspector was informed that the home’s arrangements for dealing with residents finances are internally audited by an accountant. Information on maintenance and health and safety records was provided by the manager in the pre-inspection questionnaire and indicates that matters relating to health and safety are satisfactory. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 3 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 23 No 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA1 YA1 YA6 YA23 YA24 Good Practice Recommendations The homes policy on the use of residents mobility allowance and policy on appointeeship had been changed and the statement of purpose should be updated. The residents’ guide should include residents’ views of the home and make reference to the most recent inspection report. The organisation of care planning documentation should be reviewed to ensure clarity and consistency. The manager and senior staff should undertake refresher training in safeguarding adults issues. Some chairs in the downstairs lounge should be replaced. Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Broomhouse Nursing Home DS0000002047.V327435.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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