CARE HOME ADULTS 18-65
The Brook 303 Leyland Lane Leyland Preston Lancashire PR25 3BP Lead Inspector
Val Turley Unannounced Inspection 4th April 2007 09:40 The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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 Brook DS0000033563.V330605.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 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 Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Brook Address 303 Leyland Lane Leyland Preston Lancashire PR25 3BP 01772 431466 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) Dawaking Care Ltd Mr Vinod Buldawoo Mrs Erika Ann Catherine Clayton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service should, at all times, employ a suitably qualified and experience manager who is registered with the NCSC. 24th February 2006 Date of last inspection Brief Description of the Service: The Brook is located on the outskirts of Leyland town centre, and provides 24hour support for up to 6 people with learning disabilities. The Brook offers accommodation on two floors, and all rooms are single. One room has a toilet en-suite facility, and a second has a shower en-suite facility. The communal lounge, dining area and kitchen are on the ground floor. The home has a private patio area to the rear. The fees range from £615 -£1500 per week depending on the assessed support needs of the individual service users. Service users pay for their own leisure activities, chiropody, hairdressing and personal items, including clothing and toiletries. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an inspection that took place over a fourteen-month period and culminated in a site visit to the home over one day in April 2007 by one regulatory inspector. The inspection involved discussion with service users living at the home, discussion with staff, observation of staff supporting service users and an examination of records, policies and procedures. Information was also provided through a pre-inspection questionnaire completed by the provider, through surveys completed and returned by 4 of the service users, and 1 completed by a relative of a service user. As part of the inspection, the inspector used ‘case tracking’ as a means of assessing some of the National Minimum Standards. This process enabled the inspector to focus on one of the service users living at the home. Records relating to that individuals were inspected and discussion took place with service users who were present in the home on the day of the site visit. What the service does well:
The Brook has a clear view of how to best support service users. This begins even before the service user moves into the home. The home works with the service user and any involved health and social care professionals to ensure as far as possible that the home is able to provide the support that the service user needs. Wherever possible service users are encouraged to become involved in the development of their care plans and these are reviewed at least on a monthly basis to make sure that the service users received the right support. Risk assessments were linked to the care plans. These are in place to help make sure that the service users are kept as safe as possible when involved in activities both inside and outside the home. The home also works with the service users to help them to each develop a person centred plan. This process encourages and supports service users to identify their likes and dislikes and any goals or ambitions they may have. The plans are very personal to each of the service users and are presented in ways that the service users are able to understand them more easily. Sometimes this includes the use of pictures and colours. Included in the plans are individual service users preferred daily routines, meals and activities. The service users are able to make decisions about the way the home is run and great efforts are made to ensure that they are able to make choices and decisions about their own lifestyles. Where this is not possible, advocates provide additional support for service users. The service users have monthly
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 6 meetings when they are able to discuss the running of the home and plan any activities they might like to get involved in. The service users are supported to get involved in a range of leisure and work activities including attendance at college, membership of a local walking group, employment with a local company and the use of leisure centres, local shops and pubs. Contact with families and friends is encouraged and visitors are made welcome in the home. The service users spoken to said they liked living at the home and liked the staff who worked there. The home is clean, well maintained, decorated and furnished and provides a pleasant environment for both the people living at the home and the support staff working there. The service users are able to personalise their bedrooms to reflect their interests and hobbies. The staff respect the privacy of the service users and always knock before going into a service users room. Service users are able to lock their bedroom doors if they are able to manage this. The service users decide their own menus and are able to take their personal likes and dislikes into account when doing this. The staff support them if they have any specific dietary needs. Mealtimes are relaxed and unhurried. The support staff work with the service users to make sure that their health needs are met. Health action plans have been developed to help identify and manage any health concerns as well as maintain a record of any routine health appointments. A range of health and social care professionals are involved in the home providing additional support and guidance. Medication in the home is managed well, keeping service users safe. The home has good policies and procedures in place with regard to any concerns or complaints made about the home and a record is kept of these showing that they have been managed appropriately. One allegation under the Safeguarding of Vulnerable Adults Procedures had been made and again this had been dealt with appropriately and the home had worked with other social care professionals to resolve the concerns. The home has good policies and procedures in place that help to protect both service users and support staff as far as possible. The staff team are carefully selected and recruited with all of the necessary checks being made to help make sure that the service users are kept safe. New staff feel well supported and the manager is seen to be both approachable and supportive of staff. The staff team as a whole have a good range of skills and qualifications and are knowledgeable about the needs of the service users. A range of training opportunities had been provided for them and over 50 of the team had achieved a nationally recognised qualification in care. The staff were seen to be sensitive in the support they offered service users and the service users were relaxed in their presence. The registered manager of the home is very experienced in her role and has achieved a NVQ level 4 in care and management. She is aware of the need to
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 7 keep her skills updated and has some clear objectives in terms of the training that she wishes to undertake over the coming year. She has a good overview of the needs of the needs of the service users, the staff team and the home in general and benefits from a good support network within the company. The home has a number of quality assurance checks in place and these help to make sure that the home is run safely and with the best interests of the service users in mind. All systems and equipment are serviced and maintained appropriately. Staff receive training in health and safety issues and this is backed up by detailed policies and procedures in respect of health and safety issues. 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. The summary of this inspection report can be made available in other formats on request. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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 Brook DS0000033563.V330605.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The pre-admission process was in sufficient detail to ensure that prospective service users supports needs are fully assessed before admission. EVIDENCE: The care of one service user was tracked during the site visit to the home. By doing this it was possible to look at the work the home had undertaken before the service user was admitted to the home. The information on the file showed that the home had worked with the service user and the care manager and that they had been given detailed information about the service users care needs. The staff at the home had also undertaken their own assessment to help them decide if they were able to give the service user the help and support that was needed. The manager said that the service user had been asked if he wanted to live at the home. He was given an opportunity to visit the home and talk to the staff and it was after this decided that he would like to live there. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 10 From the information collected during these early stages the home had developed a care plan that outlined where the service user needed support and how the staff would provide this support. This included any potential restrictions on the choices he made or his freedom of movement. The service user had been involved in the development of the care plan and had signed his agreement to it. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users were supported to take responsible risks based on good information and enabled them to work towards a more independent lifestyle. EVIDENCE: The file of the service user whose care was tracked during the site visit contained a very detailed care plan and included information for staff as to how best to support him on a daily basis and also how to manage some of the challenges he presented. The service user had signed the plan to show that he agreed with it. Service users were involved in the development of their care plans as far as this was possible and pictures had been used for some of the service users to help them understand the plans more easily. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 12 To make sure that the care plans met the needs of the service user, they were reviewed whenever it was necessary and at least once a month by the staff and where possible with the service users. They were reviewed formally every six months and this review involved other health and social care professionals involved in providing supporting to the individual service users. Risk assessments were linked to the care plans. These were in place to help make sure that the service users were kept as safe as possible when involved in activities both inside and outside the home. The home encouraged service users to make decisions and choices about their support needs and lifestyle as far as was possible. During the course of the visit to the home support staff were observed to ask service users what they would like to do. Advocates were involved in the home and they worked with individual service users helping them to make decisions and choices or helping to making informed decisions on their behalf. Service users were also encouraged and supported to attend local independent advocacy groups where they had opportunities to discuss any common concerns as well as work on joint projects. The home also had a key worker system in place and they gave service users individual support, helping them to make decisions and choices. The home had also introduced Person Centred Planning for most of the service users living at the home. This process encouraged and supported service users to identify their likes and dislikes and any goals or ambitions they may have. The plans were very personal to each of the service users and were presented in ways that the service users were able to understand them more easily. Sometimes this included the use of pictures and colours. The home had plans to extend the Person Centred Planning for each of the service users enabling them to decide on their preferred lifestyle. A member of staff was due to receive training so that this could happen. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The daily routines in the home promoted the independence of the service users encouraging and supporting them to make safe choices and decisions and become involved in valued and worthwhile activities. EVIDENCE: From evidence on service users files and from discussion with both service users and support staff, it was clear that service users were supported to become involved in a range of activities that they as individuals valued. These included employment with a local company, attendance at college and membership of a local walking group. Service users were supported to attend local churches and make use of local facilities including shops, pubs and leisure centres. Some of the service users visited a local sensory room. There had also
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 14 been some involvement with one of the local high schools that had developed links with the home. The service users were encouraged and supported to follow their interests and hobbies within the home. One of the service users wrote ‘the staff help me look after my budgie’ and another wrote ‘I tell staff what I want to do’. From information on service users files and from discussion with service users and staff it was clear that service users were supported to maintain contact with their families and friends. During the course of the site visit to the home a relative called to visit one of the service users. The visitor was made to feel welcome and looked relaxed during his time at the home. Service users bedrooms were personalised and reflected their hobbies and interests. There were locks on the bedroom doors and service users held keys to these if they wished to and if they could manage the use of keys. Staff were observed to knock on bedroom doors before entering the room. The service users had unrestricted access to all the communal parts of the house except the kitchen. This was kept locked for reasons of safety although those service users who could use the kitchen safely could get a key from the member of staff on duty. The service users living at the home met on a regular basis to discuss and decide on menus. Individual likes and dislikes and cultural preferences were taken into account in the planning. One of the service users wrote ‘I like it here, its nice food’. On the day of the site visit the home received a visit from a speech and language therapist who was providing specific support to one of the service users and advice to the staff in terms of suitable foods for people with swallowing difficulties. Mealtimes were seen to be relaxed and unhurried with help being given sensitively to those service users who needed it. Service user weights were monitored on a regular basis as a means of monitoring the service users general well being. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The support staff had a good knowledge of service users preferences and personal care and health care needs and provided support sensitively and in accordance with their wishes. EVIDENCE: The care plans for each of the service users at the home outlined their specific health and personal care needs. The home had also developed health action plans for each of the service users that helped to identify and manage any health concerns as well as maintain a record of routine health appointments. The home had reviewed the format of the health action plans and planned to introduce a new more person centred plan. Records showed that there was involvement of a number of health care professionals in the home. These included a speech and language therapist, a community psychiatric nurse and a district nurse. Service users were
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 16 supported to attend GP and outpatient appointments. Discussion with a service user, a member of staff and the manager confirmed the involvement of these professionals. On the day of the site visit a speech and language therapist visited the home and a second health professional telephoned the home. There was evidence that any health concerns that the service users may have were acted upon and that appropriate health professionals became involved. The home also held information about any conditions or syndromes that the service users may have from which gave support staff additional information and understanding. The support staff were aware of the individual service users preferred routines in terms of bed times, baths, meals etc and these details were included in both the care plans and in the service users person centred plan. Medication within the home was well managed and the policies and procedures regarding the administration of medication contained all the expected information and detail. Staff were supervised on a regular basis administering medication and records of this were kept on the staff members file. Any staff administering medication had received training. The home had a good relationship with the community pharmacist. Service users were protected as far as possible by the measures that the home had in place in respect of the management of medication. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home had good policies and procedures in place in order to protect service users. EVIDENCE: The home had detailed policies and procedures in place in order to protect service users as far as possible. One allegation under the Safeguarding of Vulnerable Adult Procedures had been reported and dealt with appropriately with the involvement of other social care professionals. A record of complaints was kept and this showed that any concerns received had been investigated and dealt with appropriately. Staff received training in the protection of vulnerable adults and the service users who completed a survey said that they knew how to make a complaint. The homes complaints policy and protection of vulnerable adults policy had also been given to the service users in a format that they would find easier to understand. Strategies were in place to manage any challenging behaviour presented by the service users and the home involved relevant health and social care professionals to provide additional guidance and support. The homes approach was strengthened by policies and procedures that worked towards protecting both service users and staff as far as possible. The home had clear policies and procedures in place in terms of supporting service users to manage their finances and service users monies were handled as safely as possible with the interests of the service users in mind.
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 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 was clean and comfortable and provided a pleasant and safe environment for both the service users and support staff. EVIDENCE: The Brook provided a clean, homely and practical environment for both the service users living there and the staff working there. Bedrooms had been personalised by the service users and there was evidence that the staff had worked with the service users and supported them to do this. One of the service users said ‘I’ve got a bonnie room’. The home had a pleasant and safe patio area to the rear of the house that was enjoyed by the service user in the better weather. The kitchen and laundry were both clean and well equipped to meet the needs of the service users.
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 19 The home had a second lounge that was not in use at the time of the site visit. Although the service users had sufficient private and communal space in the home, a second lounge would provide more choices and options for the service users and it was recommended that this be decorated, furnished and brought into use. The home was well maintained with any repairs and redecoration being undertaken as needed. In addition to this there was a refurbishment schedule in place to help ensure that furnishings and equipment was replaced on a regular basis. There were regular safety checks on the environment and the home was also able to call on the services of a maintenance man for urgent repairs. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home selects and trains staff appropriately to ensure that the service users receive the support that they need. EVIDENCE: During the site visit the file of a recently appointed member of staff was examined. The file showed that the home had followed all of its procedures and all of the necessary checks and references were in place before the member of staff started to work in the home. The member of staff concerned said that the support that was provided by the manager and staff team was excellent and had been very useful in the settling in period. The staff team as a whole had a good range of skills and qualifications. A range of training opportunities had been provided for them and over 50 of the team had achieved a nationally recognised qualification in care. Staff were given opportunities within supervision to discuss their professional
The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 21 development and additional training was planned to broaden the skills base of the staff team. The staff team met on a monthly basis when they were given opportunities to discuss any concerns or ideas that they may have about the way in which the home was run and also to discuss any specific issues in relation to the individual service users. During the site visit the service users were observed to be relaxed in the company of the staff. The staff on duty were sensitive in their approach. It was clear that they had a good knowledge of the service users support needs and respected their individual needs and preferences. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, providing a safe and relevant service for the service users EVIDENCE: The registered manager of the home was very experienced in her role and had achieved a NVQ level 4 in care and management. She was aware of the need to keep her skills updated and had some clear objectives in terms of the training that she wished to undertake over the coming year. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 23 The manager had a good overview of the needs of the needs of the service users, the staff team and the home in general. The manager had a good support network. The proprietor of the home and the company’s general manager called in on a daily basis to provide support and guidance. She also had regular contact with other managers within the company providing each other with additional support. The manager said she appreciated the support that she received from her employers, colleagues and health and social care professionals who were involved in the home. The home had a number of quality monitoring systems in place. There were regular internal checks on the homes documentation including care plans and risk assessments and also on the environment. These helped to ensure the safety and well being of both the service users and the staff team. The homes policies and procedures were reviewed and updated as necessary to reflect any changes in legislation and good practice. The home had achieved the Investors in People Award which is quality assurance award accredited by an outside body. The home was also a member of the British Quality Foundation, which provides support to businesses enabling them to improve their performance. The home undertook annual surveys of the views of the service users, their families and friends and any involved professionals. The service users survey had been produced in a format that they could understand more easily. The most recent survey undertaken in December 2006 had not highlighted any major criticisms although an action plan had been put into place to address any concerns. Service users met every 1-2 months and were given opportunities to influence the way the home was run. There was evidence that the home was run as safely as possible with all systems and equipment being serviced and maintained appropriately. Staff received training in health and safety issues and this was backed up by detailed policies and procedures in respect of health and safety issues. Accidents and incidents were recorded in such a way that the manager could identify any patterns or emerging trends The Brook DS0000033563.V330605.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 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 X 3 X X 3 X The Brook DS0000033563.V330605.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations The home should bring its second lounge into use to give service users more choice and options of communal living areas. The Brook DS0000033563.V330605.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way 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 Brook DS0000033563.V330605.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!
