Inspection on 28/11/06 for Showley Brook Care Home

This inspection was carried out on 28th November 2006.

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

Showley Brook Care Home 05/07/07

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

CARE HOMES FOR OLDER PEOPLE Showley Brook Care Home 10 Knowsley Road Wilpshire Blackburn Lancashire BB1 9PX Lead Inspector Mrs Lynn Mitton Key Unannounced Inspection 10:00 28th November 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Showley Brook Care Home DS0000067068.V314653.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. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Showley Brook Care Home Address 10 Knowsley Road Wilpshire Blackburn Lancashire BB1 9PX 01254 248188 01254 248188 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) SBC Residential Care Limited Mrs Susan Coupland Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 15 older persons (OP) requiring personal care can be accommodated at the home. 17th January 2006 Date of last inspection Brief Description of the Service: Showley Brook is registered with the Commission to provide accommodation and personal care for 15 older people. It is owned and managed by Susan Coupland. The home is situated in a quiet residential area on the outskirts of Blackburn. There is a church and local shops nearby. Showley Brook is a detached house with gardens to the front, side and rear of the home, which are accessible to residents. There is a small car park with further off-road parking to the front of the building. There are fifteen single bedrooms, one of which is en-suite. Accommodation is on the ground and first floor. A chair lift is available to take residents to and from the first floor. There is a large lounge and a dining room. There are suitable and accessible toilet and bathing facilities. There is a call alarm system. The home is staffed 24 hrs per day. Fees for the cost of a weeks care at Showley Brook ranges from £313.00 – £355.00. There was information available to potential service users and their families advising them of the home and giving them details about the type of service they could expect. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted on 28th & 30th November 2006. The registered person of the home completed a pre inspection questionnaire. The inspector spoke to residents in receipt of a service, visitors to the home and to the care staff on duty at the time of the inspection. Throughout the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of residents. Records regarding these people were inspected. Three residents were case tracked, their files examined in detail and two care staff member’s files were also case tracked. 8 of the Commissions resident’s questionnaires were returned, and two visitors questionnaires were also returned. Comments and findings of these surveys are referred to throughout this report. The inspector conducted the inspection with the registered person and senior carer on duty at the time of the inspection. During the inspection a number of records, policies and procedures were also viewed. What the service does well: Personal support was offered in accordance with resident’s wishes, and in a way that promoted privacy dignity and independence. Residents had opportunities to maintain family links, and they valued this. They were also given opportunities to exercise choice and control in their day to day living. The admission procedure for new residents ensured that information about their care needs was obtained and this enabled staff to have a clear understanding of how they needed to care for them. Resident’s care and health needs were appropriately recorded, ensuring that care staff knew how each persons needs were to be met. A programme of activities ensured that residents had opportunities for their enjoyment, mental and physical stimulation. Meals were varied and provided a social occasion on a daily basis. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 6 Residents and their families felt they could approach the management team if they had any concerns. All care staff had undertaken prevention of abuse training. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and mostly free from offensive odours. Aids and equipment met resident’s needs. The number of staff on duty reflected the needs of the residents. Some training had been undertaken to ensure that care staff had the skills to care for the residents. 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. Showley Brook Care Home DS0000067068.V314653.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 Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP1, OP2, OP3 & OP6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents had not received information about the service prior to them moving into the home. Contracts had not been issued to residents in order to explain what service users could expect, and what was expected of them in order for them to live at Showley Brook. Assessment documentation was sufficient to ensure the needs of residents could be met upon admission. EVIDENCE: One resident wrote; “we made our choice by visiting the home and talking to residents and staff”. One resident’s relative wrote; “Although there was no immediate choice for my relative I am generally pleased with the care she has received at Showley Brook”. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 9 Two residents spoken to said they had not received information about the home prior to their admission. One resident was visually impaired and may not of been able to read the written documents. A new and updated statement of purpose and service user guide had been developed and implemented, dated July 2006. On examination of these documents, the inspector found that minor amendments were needed to fully comply with this requirement. The inspector and registered person discussed the need for the residents guide to be in formats suitable for all potential residents. Two residents files were examined during the case tracking process. One resident was receiving respite care and had not been issued with a contract; the resident told the inspector “my son deals with all that”. The other resident had not been issued with a contract. A third resident told the inspector that she had been given information about the cost of her care at Showley Brook. The inspector and registered person discussed the homes contract, and the registered person agreed to implement this as soon as possible, issuing all residents with a contract explaining the terms and conditions of their stay at Showley Brook. Assessment documentation had been completed for one resident prior to their admission. The second person had been admitted to Showley Brook prior to the takeover by the new owner. Social services supplied assessment documentation. Assessment documentation contained sufficient documentation to develop a plan of care and meet the needs of residents. There was evidence that assessment of resident had taken place prior to their admission on the day before the inspection. Intermediate Care is not offered at Showley Brook. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP7, OP8, OP9 & OP10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s care and health needs were appropriately recorded, ensuring that care staff knew how each persons needs were to be met. Safe administration, recording and disposal of resident’s medication was not yet in place. Personal support was offered in accordance with resident’s wishes, and in a way that promoted privacy dignity and independence. EVIDENCE: One resident told the inspector; “the girls are good they look after me well”. Another said; “The girls are very obliging – I’m really well looked after here – I’ve been here 18 months and have no grumbles whatsoever”. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 11 Two plans of care were examined during the case tracking process. Plans of care were detailed and had been reviewed November 6th. Plans of care showed resident involvement and regular review. They gave staff the information to look after the residents accommodated at the home. Information about resident’s health needs, and how these should be met were being kept separately to the care needs the inspector and registered person discussed how this information would benefit from being amalgamated and kept together. There were not photographs of residents on their care plan. The registered person and inspector discussed the content of some daily records. The inspector was advised that a new medication administration system was due to be introduced in January 2007. It was agreed that the present system was not safe. Controlled drugs were not secure; the controlled drugs records seen were accurate and up to date. Some medication was overstocked and the inspector discussed obtaining patient information leaflets for resident’s drugs to be used in conjunction with the new administration system. Some residents told the inspector that some felt they were spoken to and treat with dignity and respect and gave examples of this. The inspector also observed this was the case. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP12, OP13, OP14 & OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had opportunities to maintain family links, and they valued this. Residents were given opportunities to exercise choice and control in their day to day living. A programme of planned activities ensured that residents had opportunities for their enjoyment, mental and physical stimulation. Meals were varied and provided a social occasion on a daily basis. EVIDENCE: One resident wrote; “The activities seem to have improved since the new owner took over in July”. Another resident wrote; “Would like to see more interaction between residents and staff, however the new owner has provided new cd’s and videos’ etc., for residents”. This resident then went on to comment; “fresh home made food is always available and my dietary requirements are always taken into account and an alternative is always provided”, A large number of visitors were welcomed to the home on the day of the inspection. The visitors’ book was being completed. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 13 The inspector observed resident’s exercising choice and control over day-today elements of their lives, for example, getting up at different times and having a choice of meals at lunchtimes. Care staff were seen to respect residents choices and opinions. A weekly activity programme was in evidence. This included activities such as movement to music, keep fit dvd, card making, inflatable ball activity, snakes and ladders. Residents spoken to told the inspector that they enjoyed participating in these activities. A bonfire party had been a big success, and a clothes party had been held last week. It was planned that a choir would come to sing for the residents before Christmas. The inspector was advised that residents religious needs were met by members of the clergy visiting the home on a monthly basis. Two residents go out into the local community of their own accord. Risk assessments were in place. One resident was observed to be playing dominoes with their visitors. The inspector noted that a choice of meals were offered to residents. It was planned that each days menu would be written on the new wipe board. The inspector was advised that a new menu was being developed. Residents with special needs, for example diabetic and soft diets were catered for. One resident was seen to be assisted in a sensitive and caring way. The inspector and registered person discussed the seating arrangements in the dining room – it appeared that not all residents could sit in the dining room should they so choose. Nutritional assessments were seen on care plans case tracked. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16 & OP18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure was not readily available for residents and their families to voice their concerns. Residents and their families felt they could approach the management team if they had any concerns. Abuse policies were not in place to protect residents from possible abuse. All care staff had undertaken prevention of abuse training. EVIDENCE: One resident’s relative wrote: “If I had a complaint I would talk to Mrs Coupland”. Another resident’s relative wrote; “A complaint made recently was dealt with in a professional and thorough manner by Mrs Coupland”. There was a complaints policy and procedure in place, however the policy was not on display in communal areas for residents and their visitors to see. Two complaints had been made to the Commission since the previous inspection. The inspector discussed the areas of concern with the registered person and was satisfied that the issues raised had been dealt with appropriately at the time of the concern. Residents spoken to by the inspector said they were satisfied they would be listened to if they had any concerns or complaints. Two residents spoken to by the inspector were unsure if they had been given a copy of the homes complaints procedure. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 15 All staff had received Protection of Vulnerable Adults training during November 2006. There was a document that described the different types of abuse, but policies and procedures could not be located. The inspector advised that a copy of the ‘No Secrets’ document and a whistle blowing policy for staff should also be in place. The Blackburn with Darwen POVA procedures must also be available for staff to follow local initiative. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 & OP26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and mostly free from offensive odours. Aids and equipment met resident’s needs. Health and safety issues regarding the safekeeping of residents must be addressed as a high priority. EVIDENCE: One resident wrote; “The homes cleanliness seems to have improved since the new owner took over in July, however, further improvements to modernise the home could be made especially with new furniture”. One resident’s relative wrote; “my relative’s room always looks and smells fresh”. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 17 One resident’s relative wrote; “Recent change of ownership and the new proprietors are making improvements to the home and working hard to this effect”. New moving and handling equipment had been purchased and more was on order. The inspector conducted a tour of the building and visited all communal rooms and most bedrooms. The home was clean and homely. Two residents bedrooms were odorous. The inspector advised that communal toiletries should be removed from bathrooms. The inspector was advised that A new industrial washer and dryer had been purchased, and that 3 bedrooms had been redecorated and re-carpeted, and that other bedrooms would also be decorated on a rolling programme. It was hoped that in 2007 the kitchen would be replaced. The inspector noted that a spider key was being used to lock the front door; which is also a fire exit. The inspector advised that this practice must cease immediately. The cellar door was found unlocked and open on two occasions during the inspection. The registered person advised that keypad locks were due to be installed on the front, back, cellar, kitchen and cleaning cupboard doors. The inspector advised that this work be completed as a matter of priority. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, OP28, OP29 & OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty reflected the needs of the residents. Some training had been undertaken to ensure that care staff had the skills to care for the residents. EVIDENCE: One resident wrote; “I find the care staff to be very caring”. Another resident told the inspector; “The girls are very obliging – I’m really well looked after here – I’ve been here 18 months and have no grumbles whatsoever”. The staffing rota was seen; this demonstrated that there were sufficient staff members on duty to care for the needs of the residents. There were usually 3 care staff on duty from 8 am until 1pm and 2 care staff from 1pm until 10 pm. The registered person was included on the rota. Some of the care staff team had considerable experience in caring for older people, and were well established. There were cooks and cleaners also employed. New job descriptions had been developed and were due to be implemented. The inspector was advised that seven out of the twelve care staff had obtained NVQ2, and two were undertaking this training. Commons Induction Standards training had recently been implemented for all new care staff. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 19 Two care staff’s personnel files were examined and it was found that they had most of the information required to evidence that staff had been employed in accordance of that required by the Commission. The inspector advised that photographs and proof of identity must also be in place. The training matrix demonstrated that staff had completed 1 days training, which included; POVA and prevention of abuse, manual handling, challenging behaviour and health and safety. The inspector was advised that further training regarding catheter care, pressure area care, wound management and continence promotion had been booked and it was hoped would take place in the next few months. In the New Year, 5 care staff are due to begin accredited administration of medication training. Appraisals were being completed with all staff and the inspector was advised that following these, regular 1:1 supervisions would begin. Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP31, OP33, OP35 & OP38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The attitude of the staff and management is to run the home around the needs and choices of the residents. Residents and regular visitors to the home must be consulted about the dayto-day running of the home. Issues regarding the prevention of fire must be completed to ensure the health and safety of residents and care staff. EVIDENCE: Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 21 One resident’s relative wrote; “ I have found the new owner to be very approachable and willing to discuss any concerns – overall we are very happy indeed. Another resident wrote; “I find the Copland’s very helpful in every way”. Another resident’s relative wrote; “I was concerned when the previous owner left, but the new owners have been wonderful and made many improvements”. The registered person purchased Showley Brook in September 2006 and was still implementing and updating furnishings and practices within the home. The registered person has a postgraduate certificate in management. Staff, residents and visitors to the home all made very positive comments to the inspector about the changes they had seen at the home since the new registered person took over. The inspector was advised that effective Quality Assurance and quality monitoring systems were in the process of being developed and implemented. This included residents, and visitors to the home surveys, and an annual development plan. The inspector advised that residents meetings should take place regularly and minutes of these meetings recorded. The registered person was not appointee for any resident, the inspector was advised that all other residents finances were dealt with by the residents themselves, their next of kin or families. Records seen by the inspector were now being reviewed and updated All staff had completed fire training in November 06. Safety certificates were seen for gas and electrical installations and appliances, the stair lift and the PAT electrical test. Emergency lighting had also been recently tested. The last fire alarm tests had been undertaken on 6th October 2006. The inspector advised that the alarm must be tested at each test point on a weekly basis, and that a drill must also be undertaken. A COSHH file was in place, and procedures for a fire drill had been discussed at a recent staff team meeting. Fire doors were seen wedged open and the inspector advised that this practice must cease immediately. Risk assessments were in evidence on care plans and these now demonstrated how, once the risk had been identified, the risk was to be managed and what action to be taken in order to minimise the risk. However the inspector and registered person discussed the need to have risk assessments in place for the home. Showley Brook Care Home DS0000067068.V314653.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 2 1 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4, 5 & 6 Schedule 1 5(1)(b) Requirement A statement of purpose and service user guide must be produced in accordance with Schedule of the Care Home Regulations. The registered person shall provide the terms and conditions in respect of accommodation to e provided for service users including the amount and the method of payment of fees. Written care plan’s describing how each service users needs are to be met must be in place. These must be regularly reviewed and updated as required. The registered person shall promote and make proper provision for the health and welfare of service users. The registered person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received in the care home. The registered person shall provide sufficient and suitable DS0000067068.V314653.R01.S.doc Timescale for action 30/03/07 2. OP2 30/03/07 3. OP7 15(1) 30/03/07 4. OP8 12(1) 30/03/07 5. OP9 13(2) 30/03/07 6. OP15 16(2)(g) 30/03/07 Showley Brook Care Home Version 5.2 Page 24 7. 8. OP16 OP18 22 & Schedule 4 (11) 13(6) 9. OP19 13(4)© 10. 11. OP19 OP29 16(2)(k) Schedule 2 equipment, crockery, cutlery and utensils, and adequate facilities for the preparation and storage of food. This requirement is in relation to adequate seating facilities in the dining room. The complaint policies and practices must be in accordance with this legislation. The registered person must ensure that by staff training or other measures, to prevent residents from harm, abuse or being placed at risk or harm or abuse. The registered person shall ensure that suitable arrangements to prevent risks to the health and safety of service users are identified and as far as possible eliminated. The registered person shall ensure that the home is kept free from offensive odours. The registered person must operate a thorough recruitment process at all times, this includes proof of id, including a recent photo. The registered person must obtain the views of stakeholders and produce a summary of all the views obtained to ensure quality assurance systems obtain the views of all concerned with the home. The registered person shall ensure, that all parts of the home are so far as practicable, are free from hazards to health and safety, unnecessary risks are identified and eliminated. (Fire doors wedged open and regular tests to fire system). 30/03/07 30/03/07 26/01/07 26/01/07 26/01/07 12. OP33 24(1) 31/03/07 13. OP38 13(4) 26/01/07 Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 25 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 The registered person should detail the number of carers required to assist with residents with their personal care in the care plans as well as the assessment documentation Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Showley Brook Care Home DS0000067068.V314653.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!