Care Home: Briars Residential Home

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What the care home does well The home continues to have a very welcoming homely atmosphere, with residents` families and friends always made to feel welcome, when they visit. People are provided with some opportunities to access the community or join in with the home`s planned leisure activities. People who live at the home can expect to be consulted about the care and support they want, and the home will take time to ask them what they think about the care provided. Care plans would record the care agreed. People living at the home said they were satisfied about the food provided. Feedback from people about the service included the following views. `The home offers a warm and friendly environment for residents, and their families`. `The staff are all caring and put the needs and well being of the residents above everything else. The care home is spotless, and the meals are excellent`. What has improved since the last inspection? The home has continued to develop its service in order to accommodate people with different needs. The information provided by the home (AQAA) said that they had increased the number of staff, which would help them to improve the quality of the care offered. The home has now appointed a part time activities co-ordinator, and engaged the services of a registered complementary therapist, which would seek to improve people`s lifestyle opportunities. What the care home could do better: The home was aware of what they could do better and further development of some of the care plans is needed to ensure that the home can evidence that agreed outcomes are achieved and that the health and welfare of the resident is being met. CARE HOMES FOR OLDER PEOPLE Briars Residential Home 23 Hunts Hill Glemsford Sudbury Suffolk CO10 7RP Lead Inspector Kevin Dally Unannounced Inspection 24th June 2008 09:45 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 Briars Residential Home DS0000024343.V367051.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. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Briars Residential Home Address 23 Hunts Hill Glemsford Sudbury Suffolk CO10 7RP 01787 282249 01787 881104 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) Ms Karen Julia Stokeld Mrs Irene Worsdell Care Home 17 Category(ies) of Dementia (17), Old age, not falling within any registration, with number other category (17) of places Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th June 2007 Brief Description of the Service: The Briars Residential Home is situated in the small village of Glemsford close to Sudbury. It is next door to the local social club and within walking distance of a general store. The Briars is an older style property, which has a cottage feel to it and retains many of its original features from when the building was a domestic dwelling. Further adaptations have been made since the initial registration, which fit in with the age and style of the original building but benefit from modern design. An additional seven bedrooms, a first floor lounge, toilets, bathrooms and an extension to the dining area were completed in November 2005. The property has its own parking with a patio area to the rear, and a small front garden. It is able to offer accommodation and care for up to seventeen older people. At the time of writing the agency charged between £386.00 and £650.00 per week, extra charges for some activities and outings. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key unannounced inspection of The Briars Residential Home, which took place on 24th June 2008. Mrs Irene Worsdell, the manager, was present for the inspection and provided us with relevant information, to help us with this process. The inspector was shown around the home and was able to spend time with some of the residents and staff, and talk with a visiting relative. This gave us information about what people thought about the home and the quality of the care provided. Care plans, resident and staff records, maintenance records and training records were also checked. The Commission sent a survey to residents, relatives and staff before the inspection took place. Seven residents, six relatives and 4 staff members responded. A selection of their views and opinions about the home are included within this report. The management also completed the CSCI Annual Quality Assurance Assessment form (AQAA), which provides key information about the home, and allows them to say what they do well, what they could do better and any plans to improve the service. Some of the information from these documents has been used in this report. What the service does well: The home continues to have a very welcoming homely atmosphere, with residents’ families and friends always made to feel welcome, when they visit. People are provided with some opportunities to access the community or join in with the home’s planned leisure activities. People who live at the home can expect to be consulted about the care and support they want, and the home will take time to ask them what they think about the care provided. Care plans would record the care agreed. People living at the home said they were satisfied about the food provided. Feedback from people about the service included the following views. ‘The home offers a warm and friendly environment for residents, and their families’. ‘The staff are all caring and put the needs and well being of the residents above everything else. The care home is spotless, and the meals are excellent’. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 6 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. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,6. The quality in this outcome area is good. People can expect to receive the information they need about the service, and their care needs would be assessed prior to them entering the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Due to a change in CSCI registration policy, the Briar’s registration now includes up to 17 residents either with old age or dementia. The service user guide did not yet reflect this change and must be updated to include this. Further, the guide must also record the correct weekly fees per week charged, not the 2007 fees as listed. All other information required by new residents was available within the service user guide. The information provided by the home, (the AQAA) said, ‘We give a full comprehensive assessment, prior to the service user’s admission, and we invite them and their families to view the home, have lunch and speak with Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 9 other service users about the home’. Residents who are placed by the local authority have a community care assessment. The manager, will visit each new person prior to offering them a place at the home, to ensure that a full care assessment has been completed. Records checked showed that the home had completed or obtained detailed care needs assessments, the information of which had been added to the final care plan. From the information gathered it was apparent that the home had a reliable group of staff who could meet the care and support needs of the people living at the home. Records checked showed that the staff group had received training that would help them meet the needs of the residents, although feedback from some staff members said that dementia training could have been provided earlier in the induction period. (Please refer to Standard 30) Advanced staff training provided included death and dying training, medicines awareness, dealing with aggression, falls prevention, safeguarding training, dementia awareness, and diabetes training. The home recorded that around 35 of their care staff (7 of 20) had achieved a national vocational care qualification (NVQ2), with a further 5 currently undertaking this course. Feedback received from seven of the people we surveyed said they ‘always’ received the care and support they needed. Feedback received from six of the relatives/visitors said that the care home ‘always or usually’ met the needs of their relative. The following comments are a selection of residents and relatives’ views about the care provided by the home. ‘ The care is second to none’. ‘The staff are all caring and put the needs and wellbeing of the residents above everything else’. ‘The home treats each client as an individual and tries to accommodate the needs of each accordingly’. ‘I find the staff very attentive’. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The quality in this outcome area is good. People living at the home could expect to receive the care as agreed with them, which staff would provide in a dignified way. Peoples’ health care needs would be met by appropriate referral to healthcare professionals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents’ care plans and records were looked at during the inspection. They showed a link between the pre assessment, short-term care plan and the full plan. Sections included information around personal details, eating & drinking, observation, breathing, moving & handling, personal care, dressing, elimination, work & play, personal history, mental status, memory, emotional, family and social aims, and medical information. The home also provided a ‘pen picture’ for most people, which provided good background information for staff around peoples’ former work, social and family history. This would help staff to better understand peoples’ background, and how best to work with each individual. Care records also clearly showed what residents had currently Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 11 been doing by recording activities, interests, baths etc. Some care plans had yet to be completed in the new format, which provided more detail around the care and support that was needed. Moving and handling risk assessments had been written for the residents and included details of how to safely move them based on their particular moving and handling needs. Individual risk assessments had been completed around other potential risks, for example, the risk of falls. This provided guidance for staff, and how these could be reduced, to keep them safe. Care records were updated daily, with a record maintained of any significant changes and relevant handover information needed for staff. A record of any doctor’s or other health care professionals visits, had been kept. Feedback received from residents and observation of staff during the inspection showed that they treated the residents with respect and dignity. The home environment throughout the day was calm, welcoming and friendly with residents and staff talking about the day’s events. Feedback received from seven residents said that ‘staff listen and act on what they say’. One resident said, ‘Staff are very kind and helpful. I have no complaints about this home at all. I am very happy here’. The home uses a monitored dosage system (MDS) with blister packs for medication. Staff told me this was easy to manage, and ensure that the correct medicines were administered to the residents. The lunchtime medication round was observed and we discussed the process with a staff member. Training had been provided for those who administered medicines to the residents, and the policy and procedure included their responsibilities and boundaries. Medication administration records (MAR) were checked and found in place with a photograph of each resident attached. Two residents’ records and medicines were audited, and the medicines checked matched with the records provided. There were no gaps in the records checked. The home had a medication trolley that can be moved around the home and directly to residents who remained in their rooms. The cabinet was kept secure and a senior carer held the keys on each shift. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. People can expect the home to meet their social and leisure needs, and provide a varied diet. Their individual choices, participation and inclusion at the home would be encouraged. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The information provided by the home said, ‘We actively encourage service users to keep in contact with their families, and friends, and we seek the opinions of service users on a wide range of subjects such as menus, outings, standards of care, activities, and any changes they would like. Visitors are always welcome at all times’. Feedback received from people who used the service were supportive of the lifestyle opportunities offered by the home. Six of seven residents told us that there were, ‘always or usually’ activities arranged by the home that they could take part in’. One said ‘sometimes’. One resident told us that they thought the care provided by the home was very good. They said that the hairdresser called on Wednesdays, the craft lady came on Thursdays, and that the local vicar called every few weeks. They also told us that they could access a local dial-a-ride service to take them out or there would be activities provided in the Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 13 home, for example, bingo. The resident also told me they liked to watch any sports events on the television. Another resident told us that they were quite happy at the home and that friends and family could call at any time. They said they could go to bed when they wanted, and no restrictions were placed on them. Staff always ensured that they had their own personal clothing and that this was always kept well laundered. The home menu was checked and this showed that the home provided a varied and balanced diet for the residents. Hot meal choices over one week included devilled lamb chops or beef, meatloaf or golden vegetable bake, turkey or ham, cod in bread crumbs or pizza, lasagne or Italian lamb casserole, roast pork or Spanish vegetable stew. The meal for the day was listed on the menu board in the dining room, which was a choice of curried turkey, or chicken casserole served with creamed potatoes, carrots and Swede mash. Pudding was semolina with jam and ice cream. The meal looked and smelt appetising. We spoke with three residents in the dining room who told us that the meals at the home ‘always very good’. Seven people responded to the CSCI questionnaire. Six said they ‘always’ like the meals at the home, one said ‘usually’. A selection of peoples’ comments about the meals were as follows. ‘ The home provides varied and well prepared meals’. ‘The meals are always very good’. ‘ I think the meals are excellent’. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. People can feel confident that the home will address any concerns and they would be kept safe from potential harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint procedure was provided in the service user guide, which explained how a resident, their family or their representative could make a complaint, should they have any concerns. Feedback received from the residents and relatives survey said they knew how to make a complaint to the home, and who they could complain to. The complaint book was checked and four complaints had been received and investigated by the home. Two of four complaints were about other residents, one about a staff member, and one about the environment. All complaints had been upheld by the home, and solutions found to resolve each issue. One resident said, ‘I have nothing to complain about’. The home has safeguarding policy, which they can refer to if there are any safeguarding concerns. The home had access to safeguarding training and all staff had been on this course. Three staff members we spoke with confirmed they had received safeguarding training, and were aware they should report any concerns to the manager. Staff records checked included criminal record bureau (CRB) and protection of vulnerable adult (POVA) checks, reference Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 15 checking and identity checks, which would ensure that staff were suitably checked and cleared to work with vulnerable adults. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 26 Quality in this outcome area is good. People who use the service benefit from comfortable surroundings and a pleasant atmosphere within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Briars is an old style cottage that has been extended at the back to provide more accommodation and a large dining room. The rooms are decorated and furnished in a cosy and homely way. Ten of the seventeen rooms have en suite facilities. The home has a policy about how the privacy and dignity of residents can be maintained when they use the toilet and shower facilities that open directly onto the dining/lounge areas. Lighting that is sensitive to movement is installed on the ground and first floor corridors. Several rooms checked met the requirements with appropriate furniture, fittings and fixtures having been provided by the owners. The home had domestic staff who worked very hard to maintain a fresh and clean Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 17 environment. The domestic was seen working her way around the home during the morning, and people who use the service told us that the home was cleaned most days. Seven residents told us that the home was “Always” fresh and clean. A sample of hot tap water temperatures were checked and one en suite measured slightly higher (46°) than the recommended 43°. The manager immediately contacted the contractor, to adjust this. The front door now had a security lock fitted for the protection of any vulnerable residents, but which staff and visitors could easily use to enter or leave the building. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. People who use the service benefit from sufficient staff on duty, who are well trained to meet the needs of the people who live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff files of two employees were looked at. These included the required recruitment checks, which were Criminal Records Bureau (CRB) checks, the Protection of Vulnerable Adults (POVA) list, confirmation of their identity, and reference checking with two previous employers. The application form provided a list of any previous positions held, including any former care work. A contract had been issued for one of the staff members. Of the six relatives/representatives who answered the CSCI survey, four said they ‘always’ thought that staff at The Briars had the right skills and experience to provide care. One said ‘usually’ and one did not say. Comments from residents were positive about the staff team and during the inspection it was observed that there was a relaxed and happy atmosphere. The four staff who returned a survey said that they had training which was relevant to their role, helped them understand and meet the individual needs of residents and kept them up to date with new ways of working. Some staff feedback indicated that dementia training would have been more helpful during their induction Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 19 period, rather than at a later stage. One staff member said, ‘I would have liked more information on the early stages of dementia, before I started’. The home has its own in house training, which also provides induction in line with the common induction standards from Skills for Care. This provides a programme of assisted and self-directed learning of 6 key core care subjects that is completed within the first 12 weeks of employment. The records we checked showed that the training provided included moving and handling, emergency first aid, palliative care, medication awareness, health and safety, safeguarding adults, falls prevention, infection control, challenging behaviour, and dementia awareness. Previous inspections identified that staff at The Briars have been encouraged and supported to complete national vocational qualifications (NVQ). The information provided by the home (AQAA) confirmed that seven of twenty (35 ) permanent care staff had completed NVQ2 or above, with a further five working towards this qualification. In discussion with the manager, and observation on the day, it was noted that the some residents had high care needs and this impacted on the amount of time staff were able to spend with each person. The home therefore provided two to three care staff for each waking shift, in addition to the manager, and on Mondays, an activity person. Four staff commented that there was ‘usually’ enough staff to meet the needs of the people living at the service. One staff member commented, ‘Depending on what shift you are on’. Residents and relatives made the following comments about the home. ‘They provide a happy and comfortable home environment as well as encouraging appropriate external interests’. ‘They provide a secure environment in a friendly atmosphere’ ‘The home offers a warm and friendly environment to residents and their families’. ‘The place is clean and comfortable and staff are always pleasant’. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. People who use the service benefit from good management of the home, and their views and opinions will be listened to and considered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs. Irene Worsdell, the registered manager has been in post since March 2004, but had worked at The Briars previously as a carer. They have completed the registered managers award (RMA), NVQ4 and have continued to update their knowledge. Feedback from staff was supportive of the manager although some staff members said that more support to discuss their work progress, would be helpful. Residents spoken with at the inspection knew who the manager was and felt able to speak with her about any concerns they might have. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 21 Minutes of resident meetings were available at the home. In addition individual reviews take place with residents to find out what their experience of living in the home is like. As recorded in previous sections of this report The Briars encourage residents to participate in the decision-making process. Complaints and concerns would be taken seriously and would ensure these were satisfactorily resolved. The home conducted its own quality assurance survey of residents’ opinions around the meals provided by the home. Where some shortfalls were noted, for example, 7 suggested they would like fresh fruit to be available. The home responded by providing a fresh fruit bowl and sealed packets of biscuit snacks permanently in the main lounge. The home does not take any financial responsibility for resident’s money, but they do receipt and record outgoings for residents who need help with buying papers, having the hairdresser etc. In these cases the home has an appropriate policy and procedure and records are kept. A tour of the home, and health and safety records checked confirmed that the home had appropriate systems in place to protect staff and residents from harm including fire alarm system checks and water temperature checks. Staff records checked showed that they had received appropriate health and safety training including fire, food, infection control, and first aid training. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 3 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 3 X 3 X 3 X X 3 Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 23 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. 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 OP7 Good Practice Recommendations Some care plans should be updated to provide more detail around the care and support that was needed. This is to ensure that all aspect of a resident’s agreed care is detailed for staff guidance. Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Briars Residential Home DS0000024343.V367051.R01.S.doc Version 5.2 Page 25 - 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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