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Inspection on 10/05/06 for The Briars Residential Home

Also see our care home review for The Briars Residential Home for more information

This inspection was carried out on 10th May 2006.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

One of the strengths of the service is that it is very focussed on providing people with active and fulfilling lives. The house itself is comfortable and people told the inspector that they regard it as their home with one person saying it was the best home they had lived in. People living in the home told the inspector that one of the things they thought was good about the home was the activities. They are encouraged and supported to attend various college placements and day centres. People are encouraged to develop interests and one person spent the day gardening with the support of a member of staff. People were full of praise for the manager and staff. Relationships between staff and people living in the house were observed to be relaxed and friendly but professional. People were comfortable in expressing views to staff and the inspector. The views of people living in the house are sought and valued and they are kept informed about what is happening. They are involved in decision making about recruitment as well as day to day decisions about activities and meals. Views are also taken into account when interviewing staff. People told the inspector that the food is good and that their choices are respected. Lunch on the day of the inspection was eaten in the garden at a time convenient to the person and the activity they were involved in. Peoples` health and changing needs are monitored and advice sought and or appointments with relevant health care professionals made.

What has improved since the last inspection?

Improvements to the medication procedures have been made since the last inspection and medication training for staff is being arranged. Staff files have been reviewed and a sample check confirmed that they contain the required information to evidence a robust recruitment procedure is in place. Photographs of staff had not been present at the last inspection; these have now been taken and will be added to the file. Some work has been carried out to convert a store cupboard into a downstairs toilet. This work is now almost complete and will then allow for an en-suite bathroom to be added to a ground floor room.

What the care home could do better:

Record keeping is the main area for improvement and particularly important in areas, which instruct and guide staff in the actions they should take to support people. Work needs to be carried out to update care plans and risk assessments to make sure that they all reflect peoples` current care and support needs. While it is acknowledged that professional advice has been sought regarding behaviour management and an assessment is underway some interim guidance is required to reassure and protect staff and people living in the house. The registered manager confirmed during the inspection that she would contact the people carrying out the assessment for some interim advice. Staff and ultimately people living in the house would benefit by training in behaviour management. The information contained in incidents needs to include in all cases information such as `was an injury sustained`. Following an incident there should also be evidence of consideration of any necessary actions, for example changes to the care plan, risk assessment, referral to adult protection.

CARE HOME ADULTS 18-65 The Briars Residential Home 29 Spa Lane Hinckley LE10 1JA Lead Inspector Mrs Kathy Jones Unannounced Inspection 10th May 2006 08:00 The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 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 Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 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 Adults 18-65. 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 Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Briars Residential Home Address 29 Spa Lane Hinckley LE10 1JA 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) 01455 613749 01455 613749 Mr Roy William McCormick Mrs Ann O`Neill Mrs Ann O`Neill Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No further conditions of registration apply. Date of last inspection 18th January 2006 Brief Description of the Service: The Briars is a care home providing personal care and accommodation for up to seven people with a learning disability. Mr Roy McCormick and Mrs Ann O’Neil who is also the registered manager own the home. They also own Rowan House a similar size home across the road. The home is located on a main road very close to the town centre of Hinckley and is indistinguishable from other large domestic dwellings in the area. The home is easily accessible by private or public transport. Local amenities include post office, shops, swimming pool, public houses and take-away’s. The health centre, dentist and optician are also close. The house is detached and has a good sized garden to the rear of the building. Communal facilities are located on the ground floor and consist of a lounge and a conservatory. There is a dining table in the kitchen and another in the conservatory. Meals are taken in the garden in good weather. All seven bedrooms are single with two of them located on the ground floor. One bedroom has an en-suite bathroom The following information about fees was provided by the registered provider/manager as being current on 11 May 2006: Fees per month range between £1,328:00 and £2,455:52 dependent on the needs of the resident. The fees include personal care, accommodation and meals. Additional charges include chiropody, toiletries, magazines, holidays and a contribution towards transport. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All standards identified as ‘key’ standards and highlighted through the report were inspected. These standards are those considered by the Commission to have a particular impact on outcomes for residents. This was achieved through review of information relating to the home, an unannounced inspection visit to the home and telephone conversations with the registered manager following the inspection, review of an inspection questionnaire received from the registered manager and questionnaires from people living in the home. All of the evidence was then drawn together. The review of evidence and pre-inspection planning was carried out over the period of one day and involved reviewing the reports of the inspections carried out in June 2005 and January 2006, reviewing the service history which details all contact with the home including notifications of events reported by the home and telephone calls received. The information gathered assisted with planning the particular areas to be inspected during the visit. The unannounced inspection visit covered the morning and afternoon of a weekday. The majority of people living in the home were willing to express their views about the home and the care provided. One person showed the inspector their bedroom. Observations were also made of peoples’ general well being, daily routines and interactions between them and staff. A sample of residents care records were reviewed to check how residents’ care and health needs were being assessed and how their care was planned and supported. A sample of staff records were viewed to check the adequacy of the recruitment process. The inspector met with staff on duty to discuss the care provided. Communal areas of the home were seen during the inspection and three bedrooms. Feedback on the inspection findings was given to the registered manager throughout the inspection visit. One of the comments made to the inspector during the inspection, was that being referred to as ‘service users’, in previous inspection reports and other documentation upset people. A suggestion of ‘people’ or ‘people living in the house’ was made. This suggestion has been followed as far as possible in the body of this report. However due to using a standard report template, which refers to National Minimum Standards, it has not been possible to remove the term service users completely. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 7 Record keeping is the main area for improvement and particularly important in areas, which instruct and guide staff in the actions they should take to support people. Work needs to be carried out to update care plans and risk assessments to make sure that they all reflect peoples’ current care and support needs. While it is acknowledged that professional advice has been sought regarding behaviour management and an assessment is underway some interim guidance is required to reassure and protect staff and people living in the house. The registered manager confirmed during the inspection that she would contact the people carrying out the assessment for some interim advice. Staff and ultimately people living in the house would benefit by training in behaviour management. The information contained in incidents needs to include in all cases information such as ‘was an injury sustained’. Following an incident there should also be evidence of consideration of any necessary actions, for example changes to the care plan, risk assessment, referral to adult protection. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The admission process takes account of prospective residents views and provides assurances that the needs of people entering the home can be met. EVIDENCE: No new residents have been admitted since the last inspection. The registered manager confirmed that prior to someone being admitted to the home a full assessment of needs would be carried out. Residents’ and health professional views are all taken into account. Visits to the home take place prior to someone moving in to ensure that their needs can be met and that they are happy with moving into the home. People living in the home confirmed that it was their choice to move in. The registered manager confirmed that the views of existing occupants of the home are taken into account before a decision is made to confirm a place. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is adequate. This judgement has been made using all the available evidence including a visit to the service. The general care provided appears to be very good however the lack of up to date care plans and risk assessments to guide staff in the management of difficult behaviours puts people who live in the home at risk. EVIDENCE: Care plans are in place for all of the people living in the home and are signed by them. Review of one person’s care file highlighted that the care plans were last reviewed in August 2005 and no longer reflected their current care and support needs. There was insufficient information in care plans and risk assessments to instruct and guide staff as to the actions they should take in respect of a person who has been displaying challenging behaviour which is creating a risk to other people living in the home and to staff. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 11 Care plans varied in the level of detail about care and support needs and advice was given to review these with the help of people who the plans relate to. A key working system is starting which may assist with this process. Staff on duty have a good understanding of the needs and personalities of people living in the home. People are involved in decisions about their care; they attend reviews and are involved in care planning. Regular meetings are held with people who live in the house and discussion with them confirmed that they are kept informed about things relating to the running of the home. For example they were aware of the inspection process and had at a recent meeting been told of a change of lead inspector. The meeting had also discussed the need to recruit another member of staff and the involvement of people living in the house in the selection process. Discussion with people living in the house, staff and the registered manager indicated that people are encouraged and supported in taking responsible risks. Some risk assessments are in place however a sample check for one person identified that they didn’t include current risks, which are causing particular concern. The registered manager acknowledged this is an area to be addressed as a matter of priority. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People living in the home are encouraged and supported in living active and fulfilling lives. EVIDENCE: The inspector was told, by people living in the home, that one of the things they liked, was that they were always doing things and lots of activities were arranged. On arrival at the home the majority of people were waiting for transport to colleges and day centres. All appeared happy and looking forward to their day, they were doing courses that they had chosen and were due to go to another college open day to look at courses for next year. One person returned from an enjoyable day at the day centre having been on a boat trip. The three people not going to colleges and day centres that day also had very active days planned. One person told the inspector that one day a week he enjoys working with a member of staff, gardening, painting fences or other such outdoor activities. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 13 Another went shopping with a member of staff in the morning and bowling in the afternoon. The third person was involved in ‘team enterprise’, which involves making products for sale. This is organised by separate staff and includes two people who do not live in the house. People living in the house are supported in exercising their rights. For example they were given the opportunity to vote in the recent elections. Discussions during the inspection confirmed that contact with family and friends is encouraged and supported. There is a flexible approach to meals, people are asked what they would like and their choices are respected. They told the inspector that they were happy with the food and that there is plenty. There were no special diets at the time of the inspection however the registered manager confirmed that she was mindful of the need to ensure that people were provided with a varied and balanced diet. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. People living in the home receive a good level of care and support with health care services accessed as required. EVIDENCE: The majority of people living in the house are able to tell staff their preferences in relation to their personal support needs. In some cases this is recorded as part of their care plan. People choose their own clothes with any necessary support from staff and are encouraged to have their own identities. Routines in the house are flexible according to activities people are involved in. For example people had lunch as and when they had finished a particular activity. There was evidence from discussion with people living in the house, staff and the registered manager that peoples’ health is monitored and appropriate referrals to health care professionals are made. Records relating to health appointments are not kept up to date making it difficult to check the frequency. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 15 The majority of medication is received from the pharmacist in disposable blister packs allowing for easy checking. Excessive stocks of medication are not kept and generally medication appears to be well managed. Advice given at the previous inspection regarding medication has been acted on. One medication is given on an as and when required basis. Advice was given to record any tablets carried forward to the next month to ensure an accurate stock check can be made. The home has a new supplier of medication who is arranging training for all of the staff. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using all the available evidence including a visit to the service. People living in the house are protected by staff who are committed to their well being however remain vulnerable due to a lack of clear procedures and guidance for the management of behaviours. EVIDENCE: The Commission for Social Care Inspection have received no complaints about the service since the last inspection. The Registered Manager confirmed that no complaints have been received by the home. People who live in the home told the inspector that if they had any concerns they would talk to the registered manager and were happy that she would listen to them and deal with the problem. There is a complaints procedure, which contains pictures to aid understanding which people who live in the home have a copy of. At the time of the inspection some people living in the home expressed anxieties regarding their safety and the safety of staff due to the behaviours of one person. It was identified that the registered manager has arranged for relevant professionals to help in trying to resolve the problem and assessments are currently being carried out by an external agency. Given that the situation has been going on for some time, and the assessment is not yet complete, advice has been given to the registered manager, to seek advice regarding some interim management strategies. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 17 A review of a sample of incident records identified that there were incidents that related to one person living in the home hitting another. Advice was given to ensure that there is evidence that an adult protection referral or notification has been considered. At present the records lack clarity and detail making it difficult to establish the seriousness of some of the incidents. Advice has been given to include information such as if any injury was sustained and evidence of follow up checks including findings. People who live in the house confirm that staff always treat them well. Staff on duty at the time of the inspection had no concerns about how people who live in the house are treated by other staff. They are also aware of their responsibilities to report any concerns that they may have. There is an adult protection procedure, however this is a general procedure, which has been purchased. Advice was given to put together a simple procedure to supplement this with relevant local contact numbers in order to ensure the information is easily accessible if required. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The standard of the environment is good providing people with a clean, comfortable and homely place to live, which meets their needs. EVIDENCE: The home is a large detached house close to the town centre. It is also indistinguishable from other large houses in the area. There is a comfortable lounge on the ground floor and a conservatory, which allows people some choice of areas to relax. On the morning of the inspection some people were waiting for their transport in the lounge. Meals are eaten either at a dining table in the kitchen or in the conservatory. As the weather was very warm on the day of the inspection people who were in the house at lunch time had their lunch in the garden. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 19 All bedrooms are single and have been decorated and furnished according to the needs and tastes of the person. One person living in the home invited the inspector to see her room, which she was very pleased with, she, had chosen the décor which reflected her personality and was discussing with the registered manager her wish to purchase a new bed to match the style of the room. All areas of the home were clean and tidy at the time of inspection. Discussion with the registered manager confirmed that the suitability of the premises to meet peoples’ needs is something that is kept under review and where necessary and possible alterations are made. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 34, 35 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. There is a robust recruitment procedure, providing protection for people living in the home, staff are experienced and caring however additional training particularly in managing challenging behaviour is needed to meet specific needs. EVIDENCE: Staff on duty at the time of the inspection presented as being warm and caring and professional in their approach to people living in the home. Questionnaires received from them said that staff treat them well and listen and act on what they say. This was confirmed during conversations with people during the inspection. At the present time there is only one member of staff who holds a National Vocational Qualification, a second member of staff has completed the course and is waiting for the certificate. Other staff are interested in doing the training and are due to attend an information session this month. Induction training records were not available at the time of the inspection. The registered manager confirmed that she had a copy of the new combined The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 21 induction and foundation training which meets the sector skills criteria and is planning to use this to induct new staff. The training helps to ensure that staff have a basic understanding of providing care and support to people living in the home. Additional training identified by the registered manager as planned is challenging behaviour. The need for this to be pursued to assist staff in meeting the needs of a person displaying challenging behaviour was discussed during the inspection. The views of people who live in the home are taken in to account when employing new staff. They are involved in staff interviews and one person has received training through an advocacy group on staff selection. A sample check of staff files confirmed that references and criminal record bureau clearances are received prior to staff working in the home. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. There is an open management style and the interests of people living in the home are promoted. EVIDENCE: The registered manager is very experienced and has a very good relationship with the people who live in the home. The pre-inspection questionnaire identifies that she is intending to do a National Vocational Qualification level 4 in management and care. There is an open and inclusive management style. People living in the house are kept informed of what is happening, their views are sought and opinions valued. They are informed of staff changes and involved in decision making about recruitment as well as day to day decisions about activities and meals. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 23 Record keeping is an area for improvement, which was acknowledged by the registered manager, particular issues identified during this inspection were incident recording and updating of care plans and risk assessments. The information contained in incidents needs to include in all cases information such as ‘was an injury sustained’. Following an incident there should also be evidence of consideration of any necessary actions, for example changes to the care plan, risk assessment, referral to adult protection. Peoples’ views are sought through regular meetings and on a day to day basis. The registered manager advised that they have a quality assurance programme which they intend to implement which will include seeking views of relatives and people who are involved in the home. The manager confirmed that there were no outstanding maintenance or health and safety issues. Staff training has been reviewed and updated first aid training is in the process of being arranged. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 2 3 X The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9YA6 Regulation 12 (1) (a & b) Requirement Timescale for action 30/06/06 2 YA23 13 (6) Care plans and risk assessments must be reflective of current needs and provide staff with clear instruction as to the actions required. Professional advice must be 05/06/06 sought and implemented regarding behaviour management strategies in order to protect people living in the house. 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. Refer to Standard YA32 YA41 Good Practice Recommendations Staff should receive some training in behaviour management strategies. Incident records should be improved to contain more detail including whether there was an injury, and evidence consideration of the necessity for an adult protection referral or any other action. The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 The Briars Residential Home DS0000001675.V292326.R01.S.doc Version 5.1 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. 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