Inspection on 15/08/05 for Manorbrooke

This inspection was carried out on 15th August 2005.

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

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

Other inspections for this house

Manorbrooke 27/08/08

Manorbrooke 27/08/07

Manorbrooke 05/06/06

Manorbrooke 17/01/06

Manorbrooke 15/09/04

Manorbrooke 22/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Manorbrooke Bevis Close Stone Dartford Kent DA2 6HB Lead Inspector Elizabeth Baker Unannounced 15 August 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Manorbrooke Address Bevis Close Stone Dartford Kent DA2 6HB 01322 223628 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kent County Council Mrs Patricia Joanne Isted Care Home 37 Category(ies) of Old Age (37) registration, with number of places Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 September 2004 Brief Description of the Service: Manorbrooke is a care home currently providing personal care for 37 Older People. Kent County Council (KCC) is the registered provider. Manorbrooke was opened in the sixties as a purpose built local authority home. All bedrooms are for single occupancy, with 21 rooms situated on the ground floor. Nine bedrooms have ensuite facilities. All bedrooms are connected to the call bell system and have a television point. None of the bedrooms have a telephone point. There is a passenger lift to all rooms on the first floor. The home is divided into three units. The first floor unit has a large/dining room. The two units on the ground floor have their own day lounge, but share a large dining room. The home is situated in Stone, off the main road between Dartford and Gravesend. Buses, shops, post office, church, pubs are within easy walking distance for able-bodied residents. Gravesend and Dartford are about 5 and 2 miles away respectively. Darent Park Hospital and the Bluewater Shopping Centre are nearby as is access to the main A2/M25 interjunction. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Almost seven hours were spent at this home carrying out the unannounced inspection. This is the Lead Inspector’s first inspection of Manorbrooke. A partial tour of the home took place. Of the eight residents spoken with, one was also spoken with in private. A number of staff were spoken with, of whom two were interviewed in private. One visitor was spoken with in private also. The Registered Manager and the Team Leader were in attendance for part of the inspection process. Some judgements about the quality of care, life and choices were taken from conversations with the residents and visitor, as well as direct and indirect observations. Some records were seen as part of case tracking and to assess work on the requirements and recommendations made at the last inspection. At the time of the inspection 31 residents requiring personal care were resident at the home. What the service does well: What has improved since the last inspection? What they could do better: Care records are not totally reflective of all the assessed needs of residents to enable care workers to deliver appropriate care and support. The home must provide better facilities for staff to wash their hands to promote good infection control practices. Work must be carried out to ensure the home is kept comfortable and safe to live in. The internal environment of the home is not good. Areas of concern included stained carpets in the Nightingale lounge; wallpaper coming off walls around the home; ceiling cracks still visible despite Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 6 the remedial plumbing work having been completed; replacement internal doors left in an unfinished decorative state; and doors, walls and door frames badly contact damaged. In addition, pathways and the car park drive must be levelled and repaired for the safety of residents, staff and visitors. The current poor state of the external facia boards and roof soffits needs to be rectified to promote a welcoming impression to the home. 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. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 3. Prospective residents and their representatives are appropriately assessed and provided with information about the home and its services and facilities, thereby enabling them to make an informed decision about moving into the home. EVIDENCE: Residents and or their families are encouraged to visit the home prior to a decision of admission being made. New residents are normally referred to the home by care management, who provide the home with comprehensive assessment of need information. This practice ensures the home only admits residents who fall within the home’s current registration category. New residents are provided with an information pack and contract. A relative said her mother had been provided with such information, and keeps this in her bedroom for ease of access. The home is not registered for intermediate care so standard 6 is not applicable. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Residents are potentially at risk, as care and medication records are not adequately maintained. Personal care is offered in a way to protect residents’ privacy and dignity and promote independence. EVIDENCE: For case tracking purposes, three care records were inspected. The content of care plans was poor in that they did not wholly reflect the residents’ current condition and needs as indicated in the respective daily records. For a resident now receiving palliative care, there was no care plan for this care need. For another resident with a history of falls there was no risk assessment why she had been left sitting alone in her armchair away from the call alarm system. The resident is doubly incontinent. Her care plan did not contain this information either. Where daily records indicated “red areas” noted on the resident’s body, this had not generated a pressure sore risk assessment or indeed a care plan component. The daily records stated ‘Sudacrem’ was being applied. The corresponding medication administration record chart did not evidence this preparation had been prescribed for the resident’s condition. Dependency assessments are used and reviewed monthly. However one assessment had not been “ticked” as having been reviewed, even though the respective daily records indicated changes. Comprehensive information about Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 10 a resident having been fitted with a new hearing device was recorded in the daily record. Sadly this had not been cross-referenced to the care plan. As daily record sheets are removed and filed periodically, this vital information is in danger of being lost. Two of the three admission assessments did not contain the residents’ weights on admission. For a resident whose appetite is being affected by their condition, there was no corresponding nutritional assessment to monitor the situation. This was of a particular concern in that the resident had lost six pounds in two months. Moving and handling assessments are used to provide information for staff when supporting residents to transfer. A box on the form refers to pain. In one case the box had been ticked, in another it had not. In both cases the daily records indicated the residents suffered with pain and recorded the pain sites. Disappointedly the level of detail was not incorporated into the moving and handling assessments. Discussion with the Registered Manager suggested most of the needs were known and were being addressed even though there was a lack of clear plans and guidance. This approach is dependent on staff memory and good verbal communication systems. Residents are at risk of not having their health care needs met if these informal systems break down. Pain assessments are not used to monitor pain treatment effectiveness where there is an assessed need. One medication administration record chart indicated variable dose pain relief. The respective care plan did not give adequate guidance on this. One resident has been prescribed morphine sulphate tablets (MST) as part of her palliative care treatment. Administration details are maintained on the resident’s MAR chart. However additional records are not maintained. As MST is a controlled drug, details of the administration must also be recorded in a bound book, for safety purposes. It was difficult to establish from some medication administration record charts the identity of transcribers making handwritten entries, as they had not been signed. This is poor practice as it prevents a proper medication audit trail being carried out. It has not been the home’s practice to maintain a separate drug incident book. This provision would allow better an easier auditing of any drug errors. The home has two medical rooms in which medications and sundries are safely stored. However, it was of a concern to identify green ivy type foliage having crept into the first floor medical room through the window. The window in this room had been screened from the sun by the use of cut up cardboard boxes. The state of the room is unacceptable as it prevents medicines and other sundry items being hygienically stored and poses potential risks to residents. Residents said staff treat them with respect and dignity when providing personal assistance. A relative said they visit regularly and are always made welcome by staff. Medical treatment and input provided by community specialists is carried out in residents’ own rooms. This ensures residents’ privacy. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents’ wishes to participate in occupational activities and recreation or not is respected. Appetising meals are available and residents can choose where to eat them. EVIDENCE: Residents had a good knowledge of what goes on at the home on any particular day. A yearly activities plan was seen in a lounge. Care workers endeavour to ensure residents are provided with a social care plan, which assists in planning activities reflecting residents’ choices. A number of residents were seen enjoying their knitting circle session, which runs on a weekly basis. Other residents were seen sitting in lounges either watching the TV or reading books and newspapers. However, it was difficult to talk with residents on the Nightingale and Kingfisher lounges, because of the loud volume of the TV programmes on at the time of the visit, despite not all residents being hard of hearing. Visitors are welcomed into the home and a relative said she is always made welcome and offered refreshment. A resident said he is able to meet his solicitor in private when he has confidential matters to discuss. Rooms inspected had been individualised with personal affects to make the residents’ stay more comfortable and homely. Indeed the carefully decorated ceramic Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 12 nameplates affixed outside bedrooms added to this. Residents had made the nameplates during their art classes, which the home regularly runs. Dining room tables had been laid in an attractive manner in preparation of the lunchtime meal. Residents commented favourably about their meals including “good grub”, “good food”, and “meals are very nice”. One resident said she is offered a nighttime drink and early morning drink in her bedroom. However, another resident said he used to receive this service, but for some reason this does not now happen. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 17 Although residents know their complaints will be listened to and acted on, the outcome is not always relayed back, giving the impression that the matter has not been resolved. EVIDENCE: A resident said he could not recall being asked to complete a survey form but had completed a ballot paper in the last election. The manager maintains a record book of complaints and compliments. Details of the home’s complaints procedure are included in the information packs, which all residents are provided with. The complaint procedure is also on public displayed for ease of access. Residents and the relative spoken with all indicated they knew who to speak to if they had a complaint. However, a resident who had mislaid a pair of trousers was still awaiting an outcome, although his key worker indicated the trousers had been found. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22 and 26 Residents are at risk due to the home not maintaining a safe, hygienic and well-maintained environment. EVIDENCE: There is a secluded and shaded patio area at the back of the home, which enables residents to sit and enjoy the raised flowerbeds and numerous pots and planters, which were out in full bloom. However not all of the grounds are maintained to a safe and attractive state. Certain pathways were uneven and the tarmac drive had some small holes, posing potential trip hazards to residents, visitors and staff. Ceiling cracks were noted in certain areas of the first floor, which originate from a plumbing incident, which has now been rectified. Sadly the ceiling had not been redecorated. Wallpaper was seen coming off in various parts of the home; many doors and doorframes have been badly contact damaged and some new internal doors have not been properly finished off. The state of facia boards at the front of the home as well as the roof soffits is poor and requires either re-painting or replacing. Overgrown creeping foliage had entered the window of the medical room on Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 15 the first floor, as well as the room underneath on the ground floor and two other rooms to the side. Weeds were growing through pavement slabs. The home is in a neglected state and does not promote a homely and comfortable environment for residents to live in. The home has two dedicated sluice rooms, as well as a sluicing facility in the laundry. The state of the ceramic slop hopper facilities are poor and do not promote good infection control practices. The taps and fitments are corroded. Neither sluice room can be effectively cleaned because of the amount of sundry items stored in the rooms including a Hoover, carpet sweeper, cardboard boxes of vases, urinals, toilet rolls and paper towel. Neither sluice room has appropriate racking to store washed and clean continence aids. There are no separate hand washbasins in the two sluice rooms and Parker bathrooms. This situation presents potential cross infection hazards to both residents and staff. The deep sink in the unused “clean” laundry room was covered in a thick coating of green mould/mildew. The sink is not supposed to be used. However staff use this to clean the cat’s eating and drinking implements. The state of the main laundry floor does not allow for effective cleaning because some of the tiles are missing. The laundry does not have a separate hand wash sink necessitating staff to use a sink, which is also used for soaking contaminated items. A care worker was observed cleaning up bodily fluids without wearing added protective clothing, which has been provided for this purpose, thereby putting herself potentially at risk of cross infection. The method of cleaning did not reflect current good practice for dealing with this situation either. A used incontinence pad was seen left on a WC floor and another had been put straight into a waste bin. The bin’s lid was wedged inside and there was no liner. A number of armchairs have been stained by fluid spillages and parts of the dining room/lounge carpet on the Nightingale unit were stained and sticky. An odour was noted on entering the home and was more apparent in certain areas of the first floor. The current situation poses serious cross infection risks to residents and staff. To assist the manager in improving current infection control practices and developing and or expanding appropriate policies and procedures, a copy of Kent and Medway NHS Community Infection Control Guidelines (2002) published by Kent and Medway Infection Control and Health Protection Unit, was given to them at the end of the inspection. Following recommendations made at previous inspections, the home now has two quiet rooms and is in the process of converting a former medical room into a residents’ WC. These changes enhance residents’ facilities. As stated previously, it was difficult to talk with some residents because of the high volume some TVs have been set, although not all residents are hard of hearing. Installing a loop system may prevent televisions having to be turned up so loud and allow residents to talk with visitors more easily. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 30 Staff morale is good resulting in an enthusiastic workforce that works with residents to improve their quality of life. EVIDENCE: A care worker said core training, such as first aid, fire safety and moving and handling, are mandatory. In addition to this care workers are expected to attend other training as opportunities arise, such as adult protection. The care worker said she had now completed her NVQ training. The home continues to strive to ensure 50 of the workforce is trained to NVQ level II care. However due to circumstances beyond the home’s control, some care workers undertaking level II and III training, have not been able to finish their course as had been expected due to the training company ceasing operations. However a new training provider has been found and training is due to recommence in September 2005. Having appropriate training ensures residents are appropriately cared for by qualified staff. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33 and 36. The manager has a good understanding of what needs to be done to improve the home’s environment but is reliant on the Provider to approve and provide sufficient funds to undertake the work. EVIDENCE: The Registered Manager and has been in post for about five years. She has over ten years management experience in care of the elderly and has completed an NVQ 4 Registered Managers Award course. Residents and staff spoke openly about their experiences of living and working at the home. The care worker interviewed said she receives regular supervision, which enables her to discuss practice and training issues with her line manager. The care worker also said appraisals have just commenced and coincided with new working practices, which are currently being introduced. The new practices require care workers to be more involved holistically and should make their roles more interesting. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 18 The manager explained that staff and residents meetings take place regularly, but relatives meetings have not proved successful because of low attendance. However to obtain the views of advocates the home sends outs survey forms. The results are then collated and made available in-house to existing and prospective residents. Auditors from KCC Head Office have recently undertaken a full audit of the homes and residents finances and financial records. The Manager said a copy of their findings would be sent to the Commission. The home’s registration certificate and employer’s liability insurance certificate are displayed. However the height at which these are displayed does not promote easy public viewing of these important notices. Since the last inspection fire safety specialists have carried out a full fire risk assessment audit. A copy of the resultant report will be sent to the Commission. The poor environment of this home has been picked up at previous inspections. The manager is fully aware of what needs to be done. As capital expenditure approval is required before certain works can be carried out the manager has sent proposals to the Provider. To date no decisions or agreements have been received, resulting in residents living in a somewhat neglected home. Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 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 2 2 2 2 x x x 1 STAFFING Standard No Score 27 x 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 3 x 3 3 3 x x 3 x x Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 20 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must be complete of all current needs and support. (Timescale of December 2004 not met) All significant weight losses must be appropriately investigated and a plan of action subsequently recorded Pressure area deterioration must be appropriately recorded in the care plan and appropriate risk assessments developed. Details of controlled drugs administered must be recorded in a bound book Pain care plan components and accompanying assessments must be provided for those residents requiring pain relief treatment Residents who are subject to falls, must not be left alone in their rooms without easy access to the call alarm system, or reasons why this has not been provided must be recorded Medical rooms must be kept in a hygienic state for the safe and clean storage of medicines and associated sundries The paths and driveway must be repaired. Timescale for action 30/09/05 2. OP8 17, Sch 3 para 3(m) 17, Sch 3 para 3(n) 13(2) 12(1)(b) 15/09/05 3. OP8 15/09/05 4. 5. OP9 OP9 31/08/05 15/09/05 6. OP7 15 15/08/05 7. OP9 13 31/08/05 8. OP19 23(2)(b) 31/10/05 Page 21 Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 9. 10. 11. OP19 OP20 OP21 23(2)(d) 16 13(3) 12. 13. 14. 15. OP26 OP26 OP26 OP26 16 13(3) 13(3) 13(3) The home must be kept in a good decorative order both internally and externally Armchairs must be kept clean and stain free and dirty carpets either cleaned or replaced Separate hand wash sinks must be installed in all sluice rooms, the laundry room and bathrooms, and any other rooms which do not have this provision. but in which dirty procedures take place. The cause of odours must be identified and eradicated The sluicing equipment must be thoroughly cleaned and kept in a hygienic state The standard of cleaning and infection control practices must be improved The laundry room must be made good to allow for effective cleaning. 30/11/05 30/09/05 31/10/05 31/10/05 31/08/05 31/08/05 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP9 OP22 OP16 OP28 Good Practice Recommendations A drug incident book should be provided to record errors and monitor trends The installation of a loop system in communal rooms would enhance residents facilities Residents must be informed of complaint investigation outcomes to prevent any misunderstandings. Fifty percent of unqualified care workers must be trained to NVQ level II or equivalent by 31 December 2005 Manorbrooke H56-H06 S37766 Manorbrooke V244126 150805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstonhe Kent ME16 9NT 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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