Inspection on 23/10/06 for Brownlow House

This inspection was carried out on 23rd October 2006.

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.

Other inspections for this house

Brownlow House 22/10/08

Brownlow House 18/02/06

Brownlow House 21/06/05

Brownlow House 28/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brownlow House Brownlow House 142 North Road Clayton Manchester M11 4LE Lead Inspector Judith Morton Key Unannounced Inspection 10:00 23rd October 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brownlow House DS0000062022.V303863.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 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. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brownlow House Address Brownlow House 142 North Road Clayton Manchester M11 4LE 0161 231 7456 0161 231 0032 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) Mr Bradley Scott Jones Mr Russell Scott Jones Mr Bradley Scott Jones Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (3) of places Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can accommodate up to a maximum of 28 service users requiring personal care only by reason of old age (OP) Three named service users requiring care by reason of physical disability (PD) may be accommodated. Should either of the service users no longer require the services offered by the home then the place shall revert to that of old age (OP). The care staffing levels do not fall below the minimum levels specified in the Residential Forum Guidance for Staffing in Care Homes for Older People. The dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum Guidance for Staffing in Care Homes for Older People. The service should employ, at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 18th February 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Brownlow House is a registered care home providing personal care only for up to 31 older people over the age of 65 years. The home is a detached building set within its own grounds, with a garden to the rear of the property and a parking area to the front of the building. The property has access both at the front of the building and the rear by steps and ramps. The home has three floors of accommodation accessed by stairs and a passenger lift. The basement of the property accommodates the laundry and the boiler for the heating system. The accommodation comprises of 3-shared bedrooms each accommodating a maximum of two people and 25 single bedrooms. One of the single rooms has en-suite facilities and all other bedrooms have a hand basin. There is a large lounge to the rear of the property leading onto the dining room. At the front of the property there is a lounge, there is also a small television lounge for use by residents who prefer to watch television rather than being involved in group activities. On the day of the site visit the manager said that the weekly charge for living at Brownlow House was 373.54. There were additional charges of £15.00 for private chiropody and between £3.50 and £7.80 for hairdressing. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit part of the inspection process for this service, took place over 7 hours on 23rd October 2006. The registered manager and the deputy manager were both available to assist with the visit. The visit included spending time talking with the manager, deputy manager, carers on duty, cook, visiting optician and nine of the residents. The inspector looked around all areas of the home, looked at two residents care files, two staff files, the daily records, observed the medication administration and observed the residents’ lunchtime. Feedback was given to the registered provider at the end of the day. What the service does well: What has improved since the last inspection? What they could do better: Staff recruitment procedures must improve to keep the residents fully protected. A pre-admission assessment must be made, recorded and held on the resident’s file. An alternative choice of hot meal must be offered each day to the residents. The temperature of the hot food being cooked for the residents must be taken and recorded. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 6 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. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 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 the following standard(s): 1, 3 & 5 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. Although the assessments of the residents living at Brownlow House were detailed, a pre-admission assessment would ensure that no one is admitted to the home, whose needs cannot be met by the home. EVIDENCE: The Statement of Purpose and Service User Guide reflects the current services available in Brownlow House. The documents are produced and held on computer therefore the font size could be enlarged for those residents who have sight difficulties. The documents were not available in other languages but the manager had access to a web site that could translate the documents if needed. The manager said he would continue to seek a translation service for those languages not covered on the web site. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 9 The relatives of one resident whose first language is not English had taken a copy of the documents and they were going to read it to the resident in their native language. A comments leaflet was available at the back of the documents so that relatives or residents could complete them at any time to express their views. This could be done anonymously if people preferred. Two resident’s care files were checked. The manager said that he felt a resident who had recently left Brownlow House had been wrongly placed, as it was clear from the outset that the resident had mental health problems. Although he said he had conducted a pre-admission assessment of the resident there was little evidence of a pre-admission assessment on the two residents’ files checked. The manager must carry out a pre-admission assessment with the resident and/or their representative, and record this on an appropriate form. This should then be held on the resident’s file. This would ensure that no resident will be wrongly placed and a detailed care plan, which will meet all of the identified needs, can be developed. There were good detailed post accommodation assessments held on the two files checked. One member of staff had conducted the assessment with the resident and the resident had signed the forms to show that they had been involved. This is good practice and should be carried out with all residents where they are able. The manager said that residents could view Brownlow House prior to making a decision about whether their needs could be met there. Brownlow House does not provide intermediate care. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 & 11 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The care plans would inform the staff as to how residents’ needs should be met and detailed recording reflects how their needs were met. EVIDENCE: Two care files were checked. The care plans had been redesigned and covered all of the needs identified at assessment. The care plans clearly identified the needs of each resident and described clearly how the staff should meet each of the needs. On occasion a little more detail was required to show exactly how a specific need was to be met. Some staff had written ‘yes, no’ answers to questions and had not signed or dated each page of the document. The deputy manager said she was aware of this, and which members of staff had written them, as she had identified this recently during her monthly review of the files. The night staff were making an entry in the residents’ notes each morning, to say how well residents were sleeping and what, if any, help or care support had been needed during the night. The deputy manager showed the inspector a form which was to be used for the night staff to evidence that checks were being carried out at a frequency required for each resident. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 11 There was an accountability sheet on each of the care needs identified. This showed that the care pathway had been reviewed and identified if, and where, any changes had been necessary. The content of the daily recordings was good, some staff being more consistent than others. On the two files checked the recordings told how much support the resident had needed, how well they had eaten, whether, and how, their personal care needs had been met, where they had spent their day, ie. bed, lounge etc and whether they had received a visitor. It would be good practice for staff, whenever possible, to seek the views of those residents able to express them and to record these in the daily recordings. A social history on each file would help staff to get to know the resident, their hobbies and interests, their family, their work and in some cases their temperament, if this has changed due to degenerative illness. It would also assist staff in promoting conversation. In some instances this may have to be done by, or with, the resident’s family. There was good evidence that the resident’s health needs were being met. It was recorded on each file when a health care professional had visited, such as optician, GP, chiropodist and district nurse. In addition to this, on one resident’s file it was also recorded that a nursing assessment had been carried out so that appropriate pressure relief/prevention could be obtained and used for the resident. This was good practice. The medication storage and recording was checked and the administration of medication by the senior carer was observed over the lunchtime period. The medication administration sheets (MAR) were being completed appropriately with the correct use of coding when necessary. The medication cabinet was clean and well organised. There were no photographs of the residents held with the MAR sheets. This would be good practice as it would assist new or bank staff to know what the resident looks like when administering their medication. During the site visit the staff were seen to interact with, and address each resident with respect. The residents spoken with all said that the staff were lovely. One resident said “the staff are great here, I swear on my husbands grave, I’m not just saying it because you’re an inspector, I don’t swear on my husbands grave for just anything”. The wishes of all of the residents in the event of their death were now recorded as part of the new care pathway. The question is asked routinely of any new residents. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The activities already provided and those that are proposed would ensure that the residents remain stimulated and active and that their emotional needs are being met. EVIDENCE: Some activities were provided for the residents, these included, an accordion player, singer, film nights, etc. The deputy manager said that the range of activities is to be increased and they are to introduce candle making, cake decorating, decoration making ready for Christmas. There was no record of who had participated in activities and what those activities had been. The manager had bought hard backed A4 book so that they could start to record this. It would be beneficial for the names of the residents who participated in the activities to be recorded in the book together with the names and signatures of those who were offered the activity but declined. Regular review of activities and introduction of new activities will give the residents’ variety and choice. Information gained from the resident’s profile/history will assist the activities co-ordinator in devising activities and ensure they continue to match with the resident’s hobbies and interests. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 13 The manager should consider producing an activities timetable with photographs supporting the typed word. Photographing the equipment, games, singer and outings etc would enable an activities directory to be formed. The activity of the day could be displayed in a prominent area of the home, frequented by the residents and be a visual prompt for those residents whose reading skills, vision or memory have deteriorated. The manager said that visitors are welcome into the home at any reasonable time. This is also reflected in the statement of purpose. The residents were seen to walk freely around the home and choose where they wished to spend their time. The residents were able to choose, to varying degrees depending on their ability, what clothes they wish to wear each day. Some residents chose not to join the other residents at meal times or to remain in the lounge for their meal. Others would return to their room for the afternoon. There is currently no choice of hot meal offered at lunchtime, although the manager said, if a resident does not like what is provided an alternative would be made available. However, an alternative choice must be offered so that residents can choose what they feel like eating and not always whether they like particular food. This need not be a complete change of meal, for example, if fish chips and peas was on the menu and alternative such as chicken or sausage could be offered. Four residents were asked throughout the morning what they were going to have for lunch, two were asked while they were sat at the dining room table waiting to be served their lunch. Each person answered that they did not know. One resident said “we never know until it arrives”, another said, “ it’s guess the meal time, it’s very exciting though”. The cook might consider producing a photographic menu displaying both choices of meal. The two photographs can be taken to residents each morning to enable them to make their choice, this should then be recorded. Those residents, who are no longer able to read or communicate verbally, can point to the meal that they would prefer. The photographic menu of the day can also be displayed in the dining area and serve as a reminder for those residents whose memory is deteriorating. The inspector observed the meal at lunchtime and the food looked good, well cooked and nicely presented. The staff sat with those residents who needed assistance, this was given in an unhurried manner. The fridges and freezers were checked. Food was being stored appropriately and temperatures were checked and recorded. However, there was no record of the temperatures of the food being cooked for the residents. The temperatures of the hot, cooked food to be served to the residents must be taken and recorded. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 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 the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The methods available to enable residents to complain, anonymously if they wish, together with the staff knowledge of the protection of vulnerable adults and whistle blowing policy will further protect the residents from poor practice. EVIDENCE: There are a number of opportunities for residents and relatives to complain should they wish. At the back of each Service User Guide and Statement of Purpose is a comment leaflet. This can be completed at any time and can be anonymous if preferred. Additionally the residents are given the leaflet every three or four months, or their relative completes one with them. There had been one complaint made directly to the manager since the last inspection. The manager had responded to this in writing and it had been resolved to the satisfaction of the resident and their relatives. Brownlow House does not have a complaints book. It would be advisable for the manager to do so and to have headings in the complaints book so that a complaint can be tracked through to completion, including how and when the complainant was informed. This would also enable the manager to see at a glance whether there is a pattern to the complaints or whether the complaints are about one particular person. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 15 The manager said that all staff have attended awareness training on protecting vulnerable adults from abuse so that the residents can be protected from abuse, harm and poor practice. The home has relevant policies, procedures and systems in place to enable concerns to be raised and protect residents from neglect and/or abuse. Two staff spoken with said that they had undertaken adult abuse awareness training and this had also been covered during NVQ training. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24 & 25 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Brownlow House provides the residents with a homely, comfortable and clean environment in which to live. EVIDENCE: The home felt comfortable and homely. All of the areas of the home seen during the site visit were nicely decorated and furniture was domestic in style and appearance. One area of wallpaper and border was peeling off the wall on the landing. The manager showed the inspector the replacement paper that had already been purchased to resolve this. The doorframe to one room was cracked and the plaster was crumbling. The manager said that it was on the list of repairs, as was the wallpaper, but the contractors were busy at another of Russley Care Homes. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 17 One of the toilets looked very dirty and needed lime scale re-moving. The deputy manager said that it had been out of action for some time and only recently repaired. The repair jobs and cleaning of the toilet should be completed as soon as possible. A number of bedrooms were viewed during the inspection. Those seen were appropriately furnished and, in most instances, had been personalised by the resident with objects brought from their own home. Those residents spoken with said that they were very comfortable living at Brownlow House. The deputy manager said that there were plans to give some of the larger bedrooms en-suite facilities. They were also going to re-arrange the use of the lounges so that one lounge, which is opposite the office, could be used for those residents with greater support needs through dementia, Alzheimer’s Disease etc to reduce the impact some of their behaviours can have on the other residents. The home was clean and free from offensive odours. Steps had been taken to reduce offensive odours caused by incontinence in one resident’s room by removing the carpet and providing the resident with a non-slip cushion floor lino. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. Staffing levels that were sufficient to meet the needs of the residents, together with the training given to staff would give the residents further protection but improvements in the recruitment procedures being followed would ensure they were fully protected. EVIDENCE: There were adequate numbers of staff available to meet the needs of the residents on the day of the site visit. The rotas also showed that numbers of staff would be consistently adequate unless staff were absent for illness or holidays, in which case the manager would look to other staff to cover their shift. The manager said that he does not like to use agency staff and their own staff will be approached to cover shifts in the first instance. Two staff files were checked. Both files had documentation missing that would provide the residents with added protection. One file only had one reference as the other reference had been returned from the worker’s country of origin as not being understood. The file of the other new member of staff did not have the result of a Criminal Record Bureau (CRB) check, nor had the Protection of Vulnerable Adults (POVA) result been received. The manager said the staff member had only started on the day of the site visit as she had worked her notice from her previous job and they had expected the POVA result to be back. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 19 All recruitment documentation necessary for the protection of the residents must be received before the staff start work at Brownlow House. New staff receive an induction programme and complete an induction training book. One member of staff spoken with said “ you get plenty of training here, I’ve recently just done my NVQ Level 2, first aid, medication and I am due to do dementia care training on 30/10/06.” The deputy manager said “I’ve done NVQ Level 4 and Registered Manager’s Award, been on a two day course in Manchester, which was great. It was on moving and handling and as soon as I came back I ordered all different pieces of equipment to help the staff and the residents with their mobility”. “In house training consists of being given a workbook, which you have to take away and work through for a week or two then we all go into the dining room and sit separately to do a test. The registered provider sits in to make sure we don’t talk to each other and ask the answers.” The training co-ordinator, who works at another of the Russley Care Homes, holds a training matrix regarding all of the staff at both homes. The manager should be included on the staff training matrix and a copy of the matrix kept at Brownlow House. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The staff are supported and supervised which ensures that all staff are practicing to a high standard. This, together with the regular health and safety checks and involvement in residents and relatives in the running of the home, will promote the welfare of the residents. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. He has a degree in management and marketing. Brownlow House has a questionnaire, which is given out to residents, relatives and professionals who visit the home. The completed questionnaires were seen and were positive about Brownlow House. However, a report was not devised to show what the views of those questioned where. A report should be devised from the information received and should then be sent to the people who Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 21 completed it showing what is going well and how any areas that require improvement are going to be addressed. Inspection of records for residents’ finances was well maintained and up to date. The records were held both on computer and in a finance record book. Staff at the home receive formal supervision and any issues identified in their work practice or keeping of records is discussed and recorded. Inspection of maintenance records confirmed facilities and equipment were being maintained as required. Brownlow House DS0000062022.V303863.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 3 X STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 1a Requirement Timescale for action 01/12/06 2. OP29 19 A pre admission assessment must be carried out with the resident and/or their representative and a copy of the assessment document maintained. The registered person must ensure that at all times they 01/12/06 obtain information and documents specified in paragraphs 1-9 of Schedule 2 of the Care Homes Regulations 2001 in relation to recruitment of staff. Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP7 OP9 OP12 Good Practice Recommendations 1) The views of the residents should be sought, where possible, and recorded in the daily records. 2) A social history should be included on the resident’s file. A photograph of each resident should be added to their Medication Administration Record. (MAR) 1) A record of the type of activity offered and whether the resident participated or refused, should be kept. 2) A photographic directory of activities should be made and the activity of the day displayed in a prominent place for the residents. 1) A photographic directory of the meals served at Brownlow House should be created and the choice of meal each day displayed in a prominent position for the residents. 2) The photographs should be used to help residents choose their meal and evidence of the choices should be kept. A complaints book should be devised to show how a complaint was dealt with through to completion and informing the complainant of the outcome. The contractors should attend to the repairs that the home had identified as soon as possible. A copy of the staff-training matrix should be held at Brownlow House and a record of the manager’s training should also be included. An alternative choice of meal should be offered at the main meal of the day. The temperature of the cooked food to be served to the residents should be taken and recorded. 4 OP15 5 6 7 8 9 OP16 OP19 OP30 OP15 OP15 Brownlow House DS0000062022.V303863.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. 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