Inspection on 27/06/07 for The Briars

This inspection was carried out on 27th June 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Briars 24/06/09

The Briars 20/06/06

The Briars 23/03/06

The Briars 30/08/05

The Briars 31/03/05

The Briars 07/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Briars 4 Station Road Thornton Cleveleys Lancashire FY5 5HY Lead Inspector Ms Jenny Hughes Unannounced Inspection 27th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Briars DS0000059597.V338201.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. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Briars Address 4 Station Road Thornton Cleveleys Lancashire FY5 5HY 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) 01253 854722 Mrs Ellen Hewitson Mr Martin Paul Hewitson vacant post Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: The Briars is situated in Thornton Cleveleys near Blackpool. It is a detached property, with shops and amenities nearby, and there is easy parking in the roads alongside the home. The home provides personal care for up to 15 older people, and is equipped to suit the needs of the people who live there. For example, a passenger lift gives people access to the first floor, and ramps are provided for wheelchair access. Bedrooms are all single occupancy, and are on both the ground and first floors. Two of the bedrooms are ensuite. Toilets and bathrooms are conveniently located. There is sufficient communal space, made up of a lounge, a dining room, and a small conservatory, which is also presently used as a smoking room. A small tidy garden is available for the use of residents. The home has achieved the Investors in People Award. As at the 27th June 2007, the fees ranged from £329.50 to £350 a week. Further information can be obtained from the manager. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to the home, in that the owners were not aware that it was to take place. The length of the visit was for 5 hours. Before the visit took place, the owner/manager was asked to complete a preinspection questionnaire, and surveys were received from residents and their relatives. During the inspection visit, staff records and resident care records were viewed, alongside the policies and procedures of the home. The manager, residents and care staff were spoken to, along with a relative who called during the visit. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home has a relaxed, welcoming atmosphere, with visitors calling and chatting with the staff and owner on their way to see their relative. The friendly dog adds to the homely feel of the place. The rooms are clean and fresh, and bedrooms provide a cosy private space for residents to relax among their own belongings. As a small home, staff and residents get to know each other very well, which means that staff can provide good individual care, and build good relationships with residents. Staff were seen to be tactful and gentle in their approach to providing care, being aware of individual needs. Residents were happy to approach staff if they needed something. Some activities take place, dependent on what residents wish to do. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 6 Meals are home-cooked and varied, with residents’ favourite meals taken into consideration. Meal times are pleasant and unrushed. A relative said, “I’m very happy with the way they look after Mum. I know she’s very settled here” One resident said, “They look after us, you know. Nice girls. I’m happy here”, while another signalled with a ‘thumbs up’, when asked if she felt well looked after. What has improved since the last inspection? What they could do better: The manager should ensure full detail is included in all records on the care that is actually being provided by care staff. This then formally shows that all areas of assessment and care have been addressed. Although the manager freely passes on to enquirers information about the services the home provides, the formal information about the home in the Statement of Purpose needs to hold the right detail to enable people to judge whether the home is the right place for them. Please contact the provider for advice of actions taken in response to this The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 8 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 The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided about the home that helps individuals decide whether it is the right place for them. Formal information about the home is not complete. The information gathered and recorded about new residents means that the service can show it is able to meet each residents’ needs and preferences. EVIDENCE: A new resident at the home said that they visited the home with their relative before deciding to stay there, and was given information about the home. A visiting relative said that the manager was always happy to discuss what services they could provide at the home. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 10 The Statement of Purpose for the home did not hold the information it should for prospective residents. This document should be clear on the homes’ aims and objectives, the range of facilities and services it offers to residents, and the terms and conditions of a person’s residency at the home. A copy of the Statement of Purpose was available in the entrance hall of the home, mostly hidden amongst a variety of related and unrelated documents. The manager was advised to update and correct the Statement of Purpose, and make all such information documents more easily seen and located in the chosen area. Individual records are kept for each of the residents, and there is a set procedure for admitting someone to the home, with a pre-admission assessment form being seen on three selected files. These are used by management to check that staff can give suitable care to each person, before the manager agrees that the home is the right place for them to live. The assessments are signed by the resident or their family to show that they agree with it. Staff spoken to were aware of the residents needs, and said that information was always passed on to them about any new or changing needs. The manager and senior staff said that as they were a small team of carers in this relatively small care home, there was constant communication as they always worked together. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning system in place, which provides staff with the information they need to meet service users needs. Residents benefit from the support of healthcare professionals. Appropriate medication systems are in place. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with instructions for staff for what they must do to meet that need. Any risk was clearly identified, and the manager was advised to add to the information, to make sure it was clear what action was needed to manage the risk. Since the last visit, the manager has continued to develop the information held on the care plans, to provide better information for staff and so enable better provision of the right care. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 12 The manager must ensure all of the information is completed for each individual. One new resident had information about their likes and dislikes missing, and also a medication consent form was missing. This is a declaration of the wishes of the resident regarding their medication. It is a statement on whether they wish to control their own medication, or have the home control the administration of it. The manager said that some information is obtained after the new resident has been staying at the home a while, when they know them better. Staff spoken to were able to discuss all of the residents’ needs, and how they liked to be looked after. The care of a very dependant resident has been well managed, using the necessary aids such as hoists, continence aids and a pressure mattress. Regular monitoring and liaison with health professionals has maintained the resident’s well being. The manager was advised to develop a policy regarding pressure care, as this was already being carried out, and the correct procedures would then be available at all times for staff. Diverse needs are catered for individually, and feeding and communication difficulties among the residents are recorded, and addressed. Staff were seen to be attentive and patient with one resident who needed time to communicate her wishes. A long term resident had developed differing needs over time, and the involvement of the Community Psychiatric Nurse helped to meet these. The Medication Administration Records (MAR) were viewed, and were mostly complete and up to date. Some omissions for eye- drops and inhaler use were noted, and found to be on a ‘when required’ basis. However, the manager agreed that this information should be included, and that it should be made clear how the medication was to be administered. A Controlled Drugs cabinet has been fitted, and is in use. The Controlled Drugs Register was up to date. The manager stated his awareness that two signatures are required on the MAR sheet when administering controlled drugs. The manager explained that as this was administered, at the resident’s choice, overnight, only one signature could be obtained from the one waking night staff. The manager was advised to ensure this was recorded in the care plan and on the medication record as agreed normal practice. Only trained staff administer medication. Staff were seen to be polite and respectful around the people living at the home. Chats and banter between most of the residents, staff, and the manager seemed to be the norm. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 13 Residents were sat in the lounge, watching the large television or chose to stay in their own rooms. One resident liked her spot in the large entrance hall, where she could quietly read. During the visit, a relative called to take her mum out. She said she was very happy with the home, and the information and contact she has with it. She said she was sure her mum was happy too. “It’s very welcoming. I just arrive and pop straight up to her room, then help her get ready to go out. There are no problems at all. The manager always informs me if she needs the doctor – I get regular communication. I call in when I want. Mum would tell me if she was unhappy – she’s quite settled here”. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents daily lives and social activities are catered for, and all people benefit from living in a home that works hard to try and ensure that people are provided with opportunities to live lives that are fulfilled. EVIDENCE: The individual care plans include information on each person’s likes and dislikes. The manager was advised to make sure this is always completed to get a full picture of each person. The manager, deputy manager, and all of the staff were able to discuss each person’s care and choices, showing they were kept fully informed. The residents said that visitors are welcome at the home at any time, and one called during this site visit, obviously relaxed and at home with the staff and owner. The manager said that they try to encourage all who live at the home to take part in activities, but find that most don’t choose to. Most residents spoken to The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 15 said that they would rather sit and relax, but a few said that they like to join in with whatever is suggested. A few activities are organised, such as a Tai Chi instructor, who visits and encourages gentle exercise. Occasional sing-a-longs, a lot of chats, and ice-cream in the garden on warm days are enjoyed. Some residents enjoy staff painting their nails, but one said, “I can’t be bothered with that!” One person was happily knitting and making large knee blankets, which she proudly showed everyone. Another person has helped weed the garden with a staff member, and another enjoyed a short walk around the village. A hairdresser calls for those who want her, and of course the television is in constant use. The manager said they try to occasionally organise events to which family would enjoy attending, such as barbeques, or quizzes, but have had varying success rates. “I’m happy sitting here. I’m not bothered to do a lot”, said one resident. “I like reading. I’m a book worm”, commented another, confirming she always had a plentiful supply of reading material. The manager has no pre-set menu, and plans meals on daily basis. He chats to people living at the home about what they like, and tries to suit everyone as far as he can. “We buy our groceries fresh through the week, and everything is home-made. We ask the residents what they would like to eat, and take it from there. Our cook and staff who help in the kitchen have completed a food hygiene course.” Arrangements are made for any special diets. The manager was advised to have a ‘like and dislike’ list/ special diets/allergies etc, in the kitchen for reference, although, again, all staff were aware of people’s needs when spoken to. The meal on the day of the visit was sausages, potatoes and vegetables, followed by rhubarb or blackberry pie. “And they make good porridge for breakfast!” said a resident. All the residents said they mostly liked the meals. Staff were seen helping those who needed it tactfully and quietly. People were able to eat in their room if they wished, and one resident preferred to stay in the lounge, although most are encouraged to use the dining room, and said that’s what they preferred. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a detailed complaints procedure in place, and it is available for residents and their visitors in the Service User Guide, and in the entrance hall to the home. As mentioned previously, the manager should make all documents more easily seen and located in this chosen area of the home. A complaints book records any complaints, which have been made. There have been none since the last inspection. Residents spoken to said they would “tell any of the staff” if they were not happy with something. It was noted that they were very vocal and relaxed with the staff and the manager, and clearly felt able to express how they felt. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 17 resident was at risk. Also if it were a member of staff causing concern they would inform the owner. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a generally well-maintained environment, which provides aids and equipment to meet the care needs of the residents. It is a pleasant, and homely place to live. EVIDENCE: The small lawned garden at the rear of the home is usually kept neat and tidy, with patio furniture for residents to use in the better weather. A wooden bench placed under the shelter of trees keeps residents out of the sun. “I like sitting here where you can see” said a resident in the conservatory, “I might sit outside sometimes”. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 19 Generally the décor in the home is of a good standard, making the environment a homely and relaxing place to live. All of the rooms viewed were nicely decorated, and where there is a need for some refreshing the owner has the work as part of a plan of ongoing maintenance and decoration. Some new carpets have been fitted around the home, and having been awarded a grant towards decorating the home, the manager hopes to continue to make improvements. At the last visit, a small damp patch in the corner of the lounge was noted. This has occurred due to damage to the flat roof. This damage has been repaired, any leakage stopped, and the lounge is ready for some redecoration. This still needs to be addressed. The manager stated that this has to be organised so as to cause the least amount of disruption to the residents as possible. The skylight in the conservatory also needs to be made water tight, which the manager was aware of. The bedrooms were full of residents’ personal possessions, with pictures, photographs, and ornaments filling the rooms. “It’s very warm and homely,” commented a visitor. Grab rails, assisted bath, raised toilet seats and a lift all go towards helping the mobility of people around the home A handyman is employed to deal with the day-to-day work that staff record on a board in the kitchen, such as new light bulbs, or minor fixes to fixtures and fittings that have broken. The owner said “I keep an eye on what needs doing in the home maintenance-wise, and tell the handyman each day”. Environmental Health had visited the home in September 2006, and confirmed that there were no problems. A fire officer had visited the home in April 2007, and confirmed that some work needed to be carried out to comply with fire regulations. This work has been completed. Staff records show that they all have fire awareness training. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is properly staffed, which means that the residents are supported by sufficient numbers of trained staff. EVIDENCE: Staff files showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available. All new staff have induction training, which gives guidance and information on their terms and conditions, and working practices in the home. The staff group are a mix of long term, experienced, and younger male and female carers. The rota showed appropriate numbers of staff on duty at the home every day. At the visit the owner and two care staff were on duty, and the handyman was at work. Basic training has been attended by staff, including moving and handling, first aid, food hygiene, and fire safety. A moving and handling video is used for The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 21 staff refreshers, and advice was given that staff also should attend formal practical training to make sure they carry out procedures safely. NVQ Levels 2 and 3 are attended, and 50 of the staff have achieved NVQ qualifications. Another 30 of staff are attending NVQ courses. The owner stated, “ We look for other courses outside of the NVQ, for example, staff attended a Dementia Awareness course, and a mental health course”. One staff member said, “You get good support. The manager is always available”. All staff on duty were seen to have good rapport with each other and the management. “We like to make it as homely as possible” they all agreed. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The present manager has a vision for the home, and has a good understanding of the areas in which the home needs to improve. He is supported well by senior staff who have a good understanding of residents’ support needs. EVIDENCE: The owner/manager has almost completed the Registered Managers Award qualification, and confirmed that he is keen to develop the home’s standards. A visiting relative confirmed that she is always able to speak to the owner and staff about the care provided, and felt it was a friendly place to be. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 23 A survey is used by the home to find out what the residents and their relatives feel about the care they receive. The manager said he is aware of the surveys which are sent from the Commission for Social Care Inspection (CSCI), and also social services, and decided to send his once a year. CSCI survey forms are left on the hall table for people to complete and return as they wish. The manager was advised to arrange the table so that all of the information left there is more accessible to callers. The Investors In People award is held by the home, which reflects the commitment of the manager to develop the staff. A residents committee is in place, although no recent meetings have been held as, the manager said, the residents didn’t want one. The residents confirmed they didn’t see what they needed one for, because they talked with the manager and staff all the time! Individual staff supervision takes place three times a year, to identify training needs and confirm correct working practices. The manager is not responsible for handling any residents’ finances, and any personal allowances are made available from their families. The records seen were mostly up to date and complete, and the manager was advised on how to further improve them. The manager continues to try to develop the home, through the environment, and the recording systems, and staff monitoring and training. All of the staff are aware of the needs of the individual residents, and are able to discuss how they care for individuals. Feedback from residents and their relatives, and staff, has all been positive. The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 24 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 Schedule 1 Requirement Information in the Statement of Purpose must be as detailed in Schedule 1 of the Care Homes Regulations, to ensure that people can make an informed choice on where they want to live. The manager should ensure medication records are clear on the action staff should take, and have taken, when administering. This then is a true record of agreed events. Timescale for action 31/08/07 2. OP9 13 31/07/07 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. The Briars Refer to Standard OP8 OP31 Good Practice Recommendations The manager should develop a policy and procedures on pressure care, to inform staff of the action to take when this is needed. The manager should continue to attend and subsequently DS0000059597.V338201.R01.S.doc Version 5.2 Page 26 achieve the NVQ Level 4 Registered Managers Award The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Briars DS0000059597.V338201.R01.S.doc Version 5.2 Page 28 - 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!