Inspection on 11/10/05 for Northbrooke House

This inspection was carried out on 11th October 2005.

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

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

Other inspections for this house

Northbrooke House 22/05/07

Northbrooke House 07/06/05

Northbrooke House 11/01/05

Northbrooke House 23/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Northbrooke House Main Road Havenstreet Isle Of Wight PO33 4DR Lead Inspector Janet Ktomi Unannounced Inspection 11th October 2005 11.00 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 Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northbrooke House Address Main Road Havenstreet Isle Of Wight PO33 4DR 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) 01983 882236 01983 884956 Island Healthcare Ltd Mrs Sally Morrison Care Home 40 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (40), of places Physical disability (8), Physical disability over 65 years of age (4), Terminally ill over 65 years of age (2) Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate three named persons under the age of 65 years who are currently resident. This condition will cease when these people reach 65 years of age. Service users under the age of 65 may not be admitted for long term care. Up to 8 service users may be accommodated in the intermediate care facility. No more than four service users in this facility may be over 65 years of age. 7th June 2005 Date of last inspection Brief Description of the Service: Northbrook House is a registered Nursing Home providing nursing care and accommodation for up to 40 people over the age of 65 years with nursing care needs. The home is an extended converted period house set within its own extensive grounds with panoramic views out across the countryside. The home is located within the village of Havenstreet and is close to bus stops. The limited facilities within the village are within walking distance of the home if required. Service users are accommodated in single bedrooms, all with en-suite facilities, located on two floors accessible to all service users by two passenger lifts. The home has two large communal lounges, two separate dining rooms and a number of assisted bathrooms. An extension was completed in February 2005 to provide eight intermediate care beds and additional bedrooms for people requiring longer term nursing care accommodation. The home is owned by Island Healthcare Ltd and managed by Mrs Sally Morrison. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted four hours during which a tour of the building was undertaken. Discussions were held with service users, visitors and the nursing and care staff on duty. Many of the service users living within the home or using the intermediate care facility were met during the inspection and gave the inspector their views about the service. All the service users stated that they enjoyed living at the home and liked the staff. Care and other records and documentation identified in the report were viewed. The inspector spoke with the manager by telephone following the inspection. What the service does well: What has improved since the last inspection? The home has continued its planned programme of redecoration of the existing building to ensure that the high standard in the new wing is provided throughout the home. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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 Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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, 4 and 6. The home provides appropriate information to prospective service users or their representatives. Pre-admission assessments detail service users’ needs and ensure that appropriate people are admitted to the home. Service users admitted for intermediate care are helped to maximise their independence and wherever possible return home. EVIDENCE: The home has a comprehensive service users’ guide that the nursing staff confirmed is provided to all service users or their representatives prior to admission. The guide contains all the relevant information required in the National Minimum Standards. At present the service users’ guide, minus the information about fees and contract details, is provided to intermediate service users. Service users within the intermediate care facility confirmed that they had been provided with information about the home on admission. The pre-admission assessments and care plans for recent admissions were viewed during the inspection. These indicated that potential residents and intermediate care service users were fully assessed prior to admission and that Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 9 this information was then used to formulate care plans. Assessments were based on a standardised format that covers all the relevant areas identified in the standards and includes specific assessments in relation to manual handling, nutrition and pressure area needs. Care and nursing staff stated to the inspector that they felt able to meet the needs of existing residents and that appropriate numbers of staff are employed to ensure needs are promptly met. Due to the level of disability it was not possible to talk with all residents, however during a tour of the building many of the service users were seen and all appeared happy and well cared for. Service users spoken with stated that they felt their needs were met and that appropriate numbers of care staff are employed at the home. External professionals visiting the home at the time of the unannounced inspection informed the inspector that they felt the home appropriately met service users’ needs. The home has a variety of manual handling and pressure relieving equipment that was seen during the inspection. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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 and 11. All long term residents and intermediate care service users have individual care plans detailing how health, personal and social needs will be met. Care plans indicated and visitors, service users and staff spoken with confirmed that health needs are met, that staff treat service users with respect and that privacy is upheld. Medication is appropriately stored and administered within the home. EVIDENCE: During the unannounced inspection a number of resident and intermediate care service user care plans were viewed. All service users have individual care plans compiled from information gained during pre-admission assessments and updated by named nurses monthly and additionally if care needs change. The care plan details the nursing and care the service user requires ensuring all aspects of health, personal and social care needs are met. Care plans are preformatted with individualised hand written additions where appropriate. Within the care plans are information and risk assessments to cover moving and handling, pressure areas, falls and nutritional needs. Service users spoken with were generally aware that written records and care plans are held by the home Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 11 although due to cognitive limitations not all service users are able to participate in planning their care. Care plans indicated that family members or representatives were also involved in care planning for some service users. Care plans contained updated Waterlow assessment and pressure area management plans for all service users for whom assessment had indicated a need. During a tour of the building pressure relieving equipment was seen in use around the home. Visiting professionals confirmed to the inspector that they believed the home meets the health and social care needs of the service users. Care plans contained full records of medical care received by residents and service users including opticians, dental and chiropody. During the inspection care and nursing staff were observed knocking on service users’ doors and to treat people with respect. Visitors and service users confirmed this to be the case, stating that the home’s staff are kind, pleasant and helpful. Discussions with nursing and care staff indicated that they view service users as individuals and that care practises are not task oriented but individually undertaken. All bedrooms are for single occupancy ensuring personal care or medical consultations/treatment are provided in private at all times. The home aims to continue to support service users who are dying and has an additional category for terminal illness on its registration certificate. Staff receive training around the care of the dying as part of their induction programme and ongoing training via NVQ and in-house events. Qualified nurses are able to access palliative care training via St Mary’s hospital. The home would access specialist advice from Macmillan nurses and the hospice. A notice advertising training for qualified nurses in palliative care and pain relief was noted on the training notice board. Staff confirmed they would support relatives of people who were dying and allow open visiting arrangements. The home has a policy and procedure for the administration of medications, with medication found to be stored in an appropriate locked facility. A qualified nurse administers all medication within the home. Records are kept in regard to all medications. The inspector saw the arrangements for controlled medication, the storage and recording of which was found to be appropriate. Following changes in the pharmacy laws the home has now arranged a contract for the disposal of unused medication and has introduced an appropriate recording system. Medication awaiting disposal is appropriately stored within the provided containers and a locked facility. The home has a lockable fridge to ensure that medications that must be kept cool may be. Maximum and minimum temperatures are registered by an appropriate thermometer and recorded daily. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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 and 15. The home meets service users’ social and leisure activities in a flexible and varied manner. Contact with family and friends is encouraged and supported and a varied, nutritious diet is provided which meets individual needs. Service users are provided with opportunities to make choices and to have control over their lives. EVIDENCE: The pre-admission assessments seen included information about service users’ social and leisure interests and this is included in care plans. The home employs an activities co-odinator within the home and works five days per week. Service users are able to make choices about aspects of their lives including meals, where they spend their time and whether they join in activities or not. The home has two lounges, one within the traditional nursing home and a separate intermediate care lounge. There is also a pleasant patio and path around the outside of the home with level access from the home. The inspector was able to meet with some visitors during the unannounced inspection who confirmed that they are welcomed to the home and able to visit at any reasonable time. Service users confirmed that they are able to have visitors and the home has a small room available should people wish to visit in private other than in service user’s bedrooms. Information about visitors is Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 13 included in the service users’ guide and additional information provided at the time of admission. Residents and visitors spoken with during the inspection were positive about the food they receive at the home. Service users reported that they have a choice at all meals that may be taken wherever they wish, within their own rooms, the dining rooms or one of the lounges. Menus seen provided a choice of different main meals and fresh fruit and vegetables are used whenever possible. Meals served during the inspection were well presented and had appropriate portion sizes. On admission a food sheet is completed detailing individual likes and dislikes as well as special dietary requirements. Special diets and requests were catered for appropriately. Service users confirmed that they have access to snacks and hot and cold drinks in between meals and these were seen within the lounges around the home. Support is required by some service users and was seen to be provided in an unhurried, discreet manner. All required records were in place and are compliant with the regulations. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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 and 18. Service users or their representatives are able to complain if they are unhappy with the service provided at the home. Staff are aware of adult protection issues and would respond appropriately if they had concerns in relation to adult protection. EVIDENCE: The home provides service users with information as to how to make a complaint within the service users’ information and on the hall wall. The home’s complaints policy and procedure fully complies with the requirements of the National Minimum Standards. Information as to how to complain via the Commission for Social Care Inspection is included in the service users’ information. The home maintains a record of complaints. Discussions with service users and visitors indicated that they felt able to complain and indicated that they would do so to either the manager or to the nurse in charge. Care and nursing staff spoken with during the inspection were aware of what they should do if a service user or relative wished to complain. At the time of the unannounced inspection residents, service users or visitors had no complaints. Care and nursing staff undertake training about adult protection during both their induction period and a yearly update session. Care and nursing staff were aware of adult protection issues and correctly identified the action they should take should they suspect that an adult protection issue has occurred. The home has a full and comprehensive recruitment procedure that should ensure Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 15 that unsuitable people are not employed in the home. Care plans were seen to contain risk assessments and management plans for individuals whose behaviour may be challenging to staff or behaviours that may place the service user at high risk. The home does not become involved in service users’ money and any additional expenses such as chiropody or hairdressing are invoiced to the service user or their representative on a monthly basis. Service users all stated that they felt safe at the home and that staff were kind and considerate. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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, 20, 21, 23, 24, 25 and 26. The home is warm, clean and generally well maintained providing appropriate accommodation, both private and communal, to meet service users’ needs. There is a need to repair or replace hall carpets within the original building and to provide the commission with a timetable for the completion of external work and the car park. EVIDENCE: The premises has operated as a care home for a number of years and over time has been adapted to meet the needs of the client groups accommodated. A new extension providing additional en-suite bedrooms, lounge, dining room and assisted bathroom as well as a second shaft lift was opened in February 2005 and provides accommodation to a high standard. The home itself is well maintained with an ongoing maintenance programme. The original part of the home has been redecorated and now requires the carpets to be repaired or replaced where damaged or worn. The home employs a maintenance person who completes routine jobs within the home and gardens. Externally the Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 17 gardens are well maintained providing pleasant areas accessible to service users. There is car parking available at the front of the building. There continues to be some residue external work following the completion of the extension. The home must provide the commission with a timetable for the completion of the balcony railings and the car park to be resurfaced. During the unannounced inspection a tour of the home was undertaken, service users’ private accommodation (bedrooms) and communal areas are appropriately furnished and the home was warm, clean and tidy with no offensive odours noted. Service users and visitors confirmed that the home is always clean and warm. All bedrooms are for single occupancy. Service users stated they were happy with the facilities provided at the home. The home provides service users with two lounge areas, two dining rooms and also has a small private room that could be made available for people to receive visitors in private other than in their bedrooms. All communal areas are located on the ground floor and assessable to all service users. Lighting and furnishings within communal areas are domestic in nature and appropriate for service users. An area inside the porch entrance to the patio has been designated as the only area where service users may smoke. This has had a new tiled floor provided for easy cleaning and fire prevention. The home employs domestic staff responsible for all hygiene and cleanliness issues. On the day of the unannounced inspection the home was found to be clean, tidy and free from offensive odours. All WCs and communal bathing facilities were noted to have a supply of paper towels and liquid soap with guidelines available for staff around infection control and the use of chemical cleaners. Care staff informed the inspector that supplies of gloves and paper towels are freely available and that they had received training in infection control. The home has a laundry with industrial machines capable of washing to required temperatures. The home has an emergency lighting system. The home was required at the previous unannounced inspection in June 2005 to ensure that a monthly check of the emergency lighting system was undertaken. A review of the records indicated that the emergency lighting was checked in August 2005 but not in September. The home must ensure that the emergency lighting is checked every month. It is requested that the proprietor include a note on Regulation 26 reports to the commission to confirm that emergency lighting checks have been undertaken each month. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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 and 28. The home employs appropriate numbers of registered nurses, care staff and ancillary staff to meet the needs of service users. EVIDENCE: The Department of Health has yet to publish staffing guidelines for Nursing Homes. Staffing rotas indicated that the home provides sufficient staff numbers to meet the needs of service users. The home employs seven care staff and two qualified nurses during the morning, six care and two nurses during the afternoon and three care and one nurse overnight. In addition to the qualified nurses and care staff employed the home also employs a manager, catering, domestic, maintenance, activities and administrative support staff. Service users and visitors spoken with during the inspection reported that they felt care staff had sufficient time to meet their needs. Care and nursing staff stated that there were adequate numbers of staff employed at the home to meet service users’ needs and that everybody worked together as a team. Staff confirmed that they cover extra shifts required due to sickness or holidays with very occasional use of agency staff. The home currently has 35 of care staff qualified to at least NVQ level 2 with an additional three care staff undertaking NVQ level 2. The home employs adaptation nurses as care staff until they have completed their training and received PIN numbers to work as qualified nurses. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 19 The inspector was able to speak with newly appointed members of care staff who confirmed that appropriate recruitment and induction procedures had occurred. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 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): 32, 33, 34, 36, 37 and 38. The management arrangements within the home ensure that service users’ needs continue to be met and creates a homely atmosphere in which service users felt valued and are well cared for. The home must ensure that regular checks of emergency lighting are undertaken and recorded. The sign outside the home must state the current providers. EVIDENCE: Care and nursing staff were positive about the support and management they receive from both the manager and providers, stating that they could discuss any issues and felt confident that these would be resolved. Service users and visitors also confirmed that they had frequent contact with the manager. The home has regular staff (qualified and care staff) meetings, with dates for coming meetings seen on notice boards. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 21 The home has quality assurance policies and procedures based on seeking the views of service users and their representatives. The manger meets individually with service users most days and organises service users’ meetings with the activities organiser. Monthly Regulation 26 visits are made to the home by a representative of the company with written reports available in the home and submitted to the Commission. The same company representative also undertakes formal quality assurance with questionnaires to all intermediate care service users following discharge and to service users’ relatives as well as external professionals who visit the home. The manager confirmed that the information from these questionnaires is used to improve the service provided at the home. Nursing and care staff confirmed that they have supervision approximately every three months and an annual appraisal. Nursing and care staff stated that support is always available either from senior staff or the manager and that they felt able to discuss any concerns openly. At the time of the unannounced inspection the home would appear to be financially viable, being fully occupied at the time of the unannounced inspection and the folder of waiting list and enquires being seen by the inspector. The home has the required insurance with certificates seen during the inspection. During the unannounced inspection a variety of records was inspected. These included, pre-admission assessments, care plans, risk assessments, care records, medication records, staffing rotas, menus, fire and emergency lighting equipment records. All were found to be well maintained and appropriately stored. At the previous inspection it was required that monthly checks of the home’s emergency lighting must be undertaken. The home has complied a list of all the emergency lighting within the home and a procedure for checking has been devised. However whilst the records indicated that emergency lighting was checked in August 2005 it had not bee checked in September 2005. The emergency lighting must be checked and recorded every month. The proprietor completes monthly Regulation 26 visits to the home and must document on the report that emergency lighting has been checked. The sign for the home continues to state the previous proprietors and this must be corrected to state the current proprietors. The home is generally a safe place for service users, staff and visitors. The home provides a clear set of health and safety guidelines, copies of which are available for staff. Staff confirmed that they receive induction and update training in moving and handling, fire safety, first aid, food hygiene and infection control. Appropriate manual handling and pressure relieving equipment is available. Pre inspection questionnaire information confirmed that the relevant maintenance and safety checks are completed. The home must repair or replace the carpets identified earlier in the report and ensure that the car park is resurfaced as at present areas of it are very uneven. The balcony is Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 22 not currently used and must not be until the railings are fitted. Emergency lighting must be checked monthly. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 23 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 3 3 X 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 X 3 2 2 Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 24 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. 2. Standard OP19OP38 OP19OP38 Regulation 23 (2) (b) 23 (2) (b) Requirement The home must repair or replace the carpets within the hall of the original building. A timetable for the completion of external work including the balcony railings and car park must be submitted to the commission. The emergency lighting must be checked monthly. The proprietor must include a statement to confirm this has been done on Regulation 26 reports submitted to the Commission as this was required at the previous inspection. The current proprietors’ name must replace the previous proprietors’ name on the sign outside the home near the road. Timescale for action 01/01/06 01/12/05 3. OP25OP37 OP38 23 (2) (p) 01/11/05 4. OP37 23 (2) (b) 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 25 No. Refer to Standard Good Practice Recommendations Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Northbrooke House DS0000012563.V249198.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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