Inspection on 05/02/08 for Hilton Brook House

This inspection was carried out on 5th February 2008.

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

The inspector 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

Hilton Brook House 28/09/06

Hilton Brook House 21/03/06

Hilton Brook House 08/07/05

Hilton Brook House 22/09/04

Hilton Brook House 28/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hilton Brook House Hilton Bridgnorth Shropshire WV15 5PE Lead Inspector Janet Adams Key Unannounced Inspection 5th February 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hilton Brook House DS0000020716.V356517.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. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilton Brook House Address Hilton Bridgnorth Shropshire WV15 5PE 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) 01746 716577 01746 716338 jen@hiltonbrookhouse.co.uk Mrs Jennifer Jones Mrs Jennifer Grace Jones Care Home 31 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (21), Physical disability (1) of places Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 31 Service Users, of which no more than 9 Persons may be suffering from Dementia, 1 Person may have a Physical Disability, and the remainder being Older Persons. 28th September 2006 Date of last inspection Brief Description of the Service: Hilton Brook House is a residential Home situated in the village of Hilton, near Bridgnorth, South Shropshire. Owned by Mrs Jenny Jones, who is also the Registered Manager, it is registered to provide care for a maximum of 31 older people, up-to nine of whom may have dementia. Having been considerably extended and converted, the Home provides accommodation comprising 19 single bedrooms (5 en-suite) and 6 double bedrooms, located over two floors with the upper floor being accessed via two passenger lifts. The Home benefits from pleasant, well-maintained, easily accessible gardens offering open views across neighbouring countryside. Residents can also enjoy the use of Mrs Jones’ own garden, which adjoins the Home, where there are a variety of pet animals and birds. Current weekly fees were not specifically listed in the home service user guide. The reader may wish to obtain further up to date information from the care service itself. However, it is known there is an additional charge for hairdressing, chiropody and newspapers. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good outcomes. This inspection was carried out by one inspector on one separate occasion and lasted a total of six and a half hours. Some time before the inspection, we wrote to the home to request some up to date information to assist with this process. This meant that although Hilton Brook House knew the inspection was imminent, they were not aware of the date or time the inspection would take place. The inspection included observing activity within the home, inspecting the premises, and an ‘in depth look’ at records for residents and staff, as well as observing, talking and listening to over half of the 31 people living there. The Registered Manager was thanked for the very useful information provided before the inspection and her assistance throughout the inspection day. Everyone, including residents and staff, was very welcoming and helpful throughout the inspection. Some of the staff on duty at the time of the inspection also shared their views about working at the care home. Discussions with people were carried out in private with people on their own, or together in groups in the lounges. Everyone was happy to share their comments, which are included in the main body of the report. As part of the inspection process CSCI circulated questionnaires and stamped addressed envelopes to people living visiting and working at the home, so their views and opinions could be included in this report. A total of 23 out of a possible 38 National Minimum Standards for Older People were assessed on this occasion. What the service does well: The atmosphere within the home is warm and friendly and the staff group communicate well with residents. The home provides a good standard of care to individuals living at the home from a committed trained and thoughtful staff group, whose efforts can be summed up by a written comment made by a relative, ‘Bringing Mum to you was the best thing we could have done for her. It is a great comfort knowing she is happy and being well looked after. Your staff are a credit to you and she loves them all. Keep doing what you are doing because it works!’’ Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Hilton Brook House DS0000020716.V356517.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 Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Standard 6 does not apply to this home. Quality in this outcome area is good. An appropriately qualified person assesses all people considering moving into Hilton Brook House before being admitted; to make sure the home is suited to meet the person’s needs and wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a variety of information to offer people who are thinking about living at Hilton Brook House. The home has an easy to understand welcome leaflet freely available in the home entrance area, which gives a brief overview of the services, and accommodation the home offers. A copy of the home Statement of Purpose and Service User guide dated August 2007 was also seen. The information in these booklets was reported to be in the process of being further expanded to inform people the right information Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 9 about fees in line with the legislation changes for this matter. These will be reviewed at the next inspection. All prospective residents are assessed by Mrs Jones or her deputy prior to coming into the home. An in depth look at the admission records of 2 people who moved into the home since the last inspection confirmed that good standards of recordkeeping are kept for this matter. Details seen written down confirm as much information as is necessary is collected for the home to decide whether they can meet the person’s personal and health care needs before they move in. Evidence of information gained at the assessment was seen people’s care files. 100 of comments received from relatives were complimentary about the way the home handled the admission of their family members. One person wrote, ‘We were anxious that we find the right place for Mum but from the very first visit when we were showed round your facilities we knew she would be happy at Hilton Brook. Everything felt right.’ Another commented that the professional way the admission of their relative had been handled had resulted in the person settling well into the home in ‘no time at all.’ It is of note the home also handled two emergency admissions to the home over the festive period in an appropriate professional manner. The home does not offer an intermediate care service. Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10. Quality in this outcome area is good. Staff are sensitive to the individual needs of each service user and meet these in a professional manner. Care plan records are not sufficiently detailed to ensure that all residents’ needs are met. Most medication is safely managed to make sure it promotes good health for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the of written comments received about the care carried out for the residents of Hilton Brook House care home were complimentary. One person commented, ‘Good standards of one to one care’ Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 11 Another relative wrote to say ‘I feel that mum is in the best care home to meet her needs – they do a sterling job at Hilton Brook House’. Through discussion with people who lived at the home, the manager, staff and a complementary therapist who was visiting at the time of inspection it was evident that people living at the home are well looked after. Everyone looked comfortable and well cared for. Information provided by the home before the inspection stated, ‘All of our residents have a detailed care plan which shows the action which needs to be taken by care staff to ensure all aspects of health, personal and social care needs are met’ In order to check out this comment, an in depth look at the records of five people living at the home who have a variety of support needs, was carried out. Although the care records confirmed some health needs are accounted for, they did not give an adequate ‘pen picture’ of all the care and support being carried out. • Several care plans lacked detail to keep individuals safe whilst promoting personal well being and independence, and were not up to date. • Others did not show whether the person or their representative had been involved in the care planning paperwork. • One person who relied on twice daily visits from the district nurses for diabetes management did not have this medical condition fully accounted for in care records. This resulted in some tests for blood sugar levels not being carried out. • Important paperwork seen in other care records to check on people’s safety was either not filled in or had not been kept up to date. • The records for a person who had fractured a wrist did not acknowledge the changes in care needs which were necessary for the person following this injury, and when new equipment was provided to prevent her from falling any more. • In addition, daily report records do not reflect care carried out to compensate for lack of information in care plans. Regular entries of ‘appears well’ and ‘no problems’ were seen recorded regularly rather than reflect the actual care and support carried out for any individual. These matters were discussed with both the registered manager and her deputy at the end of the inspection and they agreed that prompt action would be taken to get all care records up to date in as short a time as possible. Medication management systems in the home are generally satisfactory. All matters relating to the administration, recording and securing of the majority of medication appeared to be in adequate order, except for the way insulin ordering, receipt and storage has been managed. The manager was also given one of our information leaflets in order to update the way Controlled Drugs are stored and administered in the home. Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, &15 Quality in this outcome area is good. People who use services are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received from people living at the home and their visitors all confirmed the home has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication, and independent living skills. One relative wrote to say that their family member’s well being has improved since moving into Hilton Brook House, and that the person has come on in ‘leaps and bounds’. Communication between staff, residents and their next of kin was also reported to be good. Written comments from visitors were unanimous to Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 13 confirm the home always made every effort to help individuals living at the home keep in touch with them. A relative commented, ‘As we live a long distance away the care home rings us so our aunt can chat with us when she wishes’ Social activities vary and are planned with needs and interests of individuals in mind. Singers are booked to come into the home on a monthly basis and a most welcome visitor is the complimentary therapist who visits weekly. She was seen carrying out hand massages with residents on the inspection day. Her services are very much appreciated. The local vicar also visits the home. The deputy manager has recently attended training to coordinate activities in the home, and she has directed her energies towards improving meaningful pastimes for the people living at the home with dementia related conditions. As a result she is using a workbook with the staff team to improve their insight to assist them in improving the lifestyles for such individuals. Observations and discussions with staff on duty confirmed they were knowledgeable about people’s dietary needs, and the best way to serve their residents’ food so they can dine independently. All residents who made comments about the meal provision were in agreement that the food was very good. Lunch was observed being served in two parts of the home and one person was overheard making comments to the staff that the food was, ‘really beautiful today’ Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18. Quality in this outcome area is good. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear complaints procedure in place on display as you come into the home. It is also available to any interested parties to refer to in the service users guide, also freely available in the entrance hall. No complaints have been received by the home or us since the last inspection. There were no complaints made to the inspector during the visit, and upon discussing this with subject with three staff members, all their responses demonstrated a good working knowledge of dealing with complaints in a positive welcoming manner. The home has all necessary documentation in relation to the protection of vulnerable adults and this subject is included in staff training. When the local authority ‘Safeguarding Adults policy’ was looked at, it had been amended in line with recent changes made during the past 12 months. This means that staff have up to date information to access for this matter. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 15 Discussion with two staff members on duty confirmed they fully understood safeguarding adult issues, and appropriate action to be taken if any abuse is suspected. Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people who made comments to us about the home were unanimous to confirm the home always smelled fresh and had a welcoming, clean and tidy appearance. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 17 One relative commented ‘there is a very friendly and homely atmosphere when ever we visit’ The report from the Environmental Health Officers visit at the end of January 2008 was also positive – no adverse comments were made. A tour of the home took place as part of the inspection visit, and the numerous improvements the home told us about before the inspection have made a positive impact to enhance people’s comfort as well as the appearance of the home • Flooring and carpets have been replaced. • 12 Bedroom suites have been replaced. • A new moving and handling hoist has been purchased. • The outside of the premises has been redecorated and a large new patio area now improves access to the garden. • All hot water outlets are now thermostatically regulated. • In order to continue to safely care for one of its residents a specialist low bed has also been purchased by the home. However, some of the bathrooms seen were showing signs of wear and tear and in need of refurbishment, especially two seen on the ground floor. Flooring and bath hoists in these areas need attention. Staff are trained in the topic of infection control and practices observed during the inspection confirmed their competence in this area. Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 &30 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received by people living at the home were unanimous to confirm that staff always listen and act upon what they say and that they were usually available when they needed them. One person commented ‘All the staff are exceptional. They are patient loving and caring in the way they look after mum’s needs.’ The rota seen and staff on duty indicated that sufficient staff are on duty and that there is an appropriate skill mix of staff. The home has a very low turnover of staff and people felt that it was because they were happy in their job; got the training they needed and felt appreciated. The home has not used agency staff for 17 years. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 19 The information the home provided before the inspection confirmed that 76 of the care team have the minimum expected care qualification. It is also positive to report that many aspects of staff training continue to progress well during the past 12 months. All staff were in agreement they received enough information in order to care for the people living at Hilton Brook House .All confirmed they felt they received training relevant to their role to keep them up to date with new ways of working. One commented, ‘We only have to say to Jenny what training we would like and we get it.’ Examination of the records for two new starters confirmed the home continues to have a satisfactory recruitment and vetting procedure. Induction records for the new starters was not available for inspection, it was reported they were in the staff’s personal possession as they were still ‘in progress’. However, two staff members did comment their induction covered everything they needed to know to do their job when they started. Concerns were raised when it was seen that a carer under the age of 18 was identified on the duty rotas examined. There was no reference in the person’s records, which clearly identified roles and responsibilities for this young person. It is recommended that personal care should not be provided by under 18’s, but this does not prevent the young person working in the home in a non-personal care capacity. Management systems need to be developed to show any young persons are fully aware of their roles and responsibilities. The support and supervision they need and get should be recorded in appropriate personnel files. This matter was discussed on the inspection day with the manager and her deputy to make sure priority was given to improve this matter. Hilton Brook House DS0000020716.V356517.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35, 36 & 38 Quality in this outcome area is good. The home is managed by an experienced manager who in turn is supported by a deputy; senior carers and a longstanding staff group to ensure the effective running of the home. Staff are supported by regular supervision which ensures they get the direction monitoring and motivation to do their job properly. This judgement has been made using available evidence including a visit to this service. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 21 EVIDENCE: There are clear lines of accountability for the management of Hilton Brook House which people who live at the home, their supporters and staff are clearly aware of and comfortable with. One written comment we received stated, ‘I think Mrs Jones runs a very happy, well managed home.’ Feedback from a recent survey carried out by the home in November 2007 also confirmed this. Over half of the 30 people surveyed replied to Hilton Brook House’s in depth satisfaction survey. 100 of responses received confirmed they felt the home was run in a caring and professional manner and everyone was satisfied with the way the welfare and wellbeing of all individuals living at the home was dealt with. People who live at the home or their family are encouraged to manage their own finances. When the home has to keep monies in safekeeping for people they have a very robust system, which is fully backed up with computer records to maximise security. Records of one person recently admitted as an emergency to the home, in need of support with managing finances, showed the manager was fully involved with social services in sorting this matter out in a professional open manner. Staff spoken to on the day of the inspection told the inspector they receive regular supervision. This was verified by examination of staff files. Staff told the inspector that staff meetings are held. Meeting notes in the staff room recorded these discussions about the running of the home occur on a regular basis. Evidence of regular maintenance and service checks of equipment were examined and seen to be carried out as per requirements. Mrs Jones has taken a course in wheelchair safety and is currently in the process of organising appropriate safety assessments for all of this equipment in use at Hilton Brook house. Although the home previously had good methods of making sure staff understood about health and safety, during the tour of the home it was seen that some of the information needed to raise awareness to staff about chemical safety was not available. Likewise, although the staff team confirmed they had received training for a new specialist bed and lifting hoist, records were not available to confirm who had received the training and if people were competent to use it. It is recommended the home explore this matter to make sure the health and safety training the staff receive fully embraces the requirements of current legislation for such matters. Hilton Brook House DS0000020716.V356517.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 x X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 2 2 Hilton Brook House DS0000020716.V356517.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 OP9 Regulation 13(2) Requirement Timescale for action Medication management systems 05/04/08 in the home must be further developed to ensure the safe storage, recording, handling safekeeping and administration of insulin and Controlled Drugs within the home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Care plans must be kept under review and amended when there has been a change in a person’s circumstances, resulting in an alteration of the care and support they need. This must be done so that there is up to date guidance for staff and care is provided consistently and safely Care plans must be formulated as soon as possible to ensure the safety and well being of a person is being addressed with details that all resident’s health care needs are met as they should be, following any health care DS0000020716.V356517.R01.S.doc Version 5.2 Page 24 2 OP8 Hilton Brook House 3 OP26 4 OP27 5 OP37 6 OP38 professional advice at the time it is given, and as peoples needs change It is recommended the ground floor bathrooms receive priority attention as part of the home’s ongoing refurbishment programme. Flooring and paintwork on hoisting equipment is in need of improvement to maximise cleaning and minimise infection control hazard. It is recommend that the management and recordkeeping regarding the safe employment of under 18’s clearly identifies the roles and responsibilities for all individuals concerned with regard to care practices in the home, and outlines the support and supervision such individuals need and receive. It is recommended the home revise is record storage systems to ensure all records necessary for inspection can be accessed at all times, especially for staff induction s and health and safety issues. It is recommended the home revise its health and safety management processes to ensure staff are fully aware of and updated regarding all health and safety practices including equipment safety and the use of chemicals in the home. Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Hilton Brook House DS0000020716.V356517.R01.S.doc Version 5.2 Page 26 - 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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