Care Home: Brimington Care Centre

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What the care home does well Comments received from people living at the home and their relatives, both in person and through questionairres have been positive, and observations during this inspection visit were also positive. Efforts have been made to ensure that the environment is welcoming and familiar, with a `pub` having been created within the building, and a beer garden outside, both of which would be familiar to many of the people living at the home, from their younger days. As part of the dementia strategy there is a bus stop in the building, and an old time sweet shop, with sweets in jars on a shelf. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Brimington Care Centre Manor Road Brimington Chesterfield Derbyshire S43 1NN Lead Inspector Rob Cooper Unannounced Inspection 09:50 22 August 2008 nd 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 Brimington Care Centre DS0000019946.V370861.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. Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brimington Care Centre Address Manor Road Brimington Chesterfield Derbyshire S43 1NN 01246 559777 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) brimington@schealthcare.co.uk Southern Cross Care Homes Limited Mrs Josephine Teresa Jackson Care Home 45 Category(ies) of Dementia (45), Old age, not falling within any registration, with number other category (45) of places Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 45 23rd October 2006 2. Date of last inspection Brief Description of the Service: Brimington Care Centre is a purpose built home for elderly people. It consists of two units. One providing personal care to elderly residents, the other providing dementia care with specific diagnosis, which are listed as part of the conditions of registration. The Dementia unit consists of 6 bedrooms, bathroom, and a lounge / diner. The Elderly unit is on two floors, with bedrooms on both floors. There is a large lounge and dining room on the ground floor and a lounge / diner on the first floor. The fees currently are £345.52 - £64.31 per week per person, but each person would have a financial assessment and would be consulted about the fees. Private rates are £471.80 per week. People who might want to live at Brimington Care Centre can obtain information about the home direct from them, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection, which are on display in the foyer. In addition information about Brimington Care Centre and the services it provides can be found at the following web site: www.ashbournesl.co.uk Brimington Care Centre DS0000019946.V370861.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 an unannounced visit as part of the key inspection process – so that no one at Brimington Care Centre knew that the inspection visit was going to take place. The visit took approximately five hours through the middle of the day, with one inspector present. In preparing for this inspection, the information that the Commission holds about this care home was reviewed, this included looking at the last inspection report, the inspection record, considering any complaints or concerns that have been made about the service, and reviewing any notifications made relating to incidents that affect the well being of people living at Brimington Care Centre. The methods used during this key inspection and visit were to visit Brimington Care Centre, where a method called case tracking was used; this involved identifying four people who live at the care home and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of Brimington Care Centre, looking at the activities on offer, and talking to three residents three members of staff about the quality of the service, and their experiences of living and working at Brimington Care Centre. We also sent out an Annual Quality Assurance Assessment (known as an AQAA), which allowed Brimington Care Centre to carry out a self-assessment; and provide a range of information relating to their service. The AQAA was returned within the frame time asked for by the Commission, and had been completed in a professional manner. Information provided by Brimington Care Centre helped to form the judgements in this report. We also sent out ten surveys to people living at the home, and five to relatives and another five to staff members working there, asking for views and information, about the home. Of these surveys we have received five from people who live at the home and one from a relative and three from staff. These surveys have helped with the judgements that we made. The registered manager Josephine Jackson provided much of the information during this key inspection visit. On the day of this inspection there were fortytwo people living at Brimington Care Centre. Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 6 What the service does well: 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. Brimington Care Centre DS0000019946.V370861.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 Brimington Care Centre DS0000019946.V370861.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): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People, who currently live at this care home, and those who would want to, have access to detailed information about the services on offer. People have contracts or a service agreement and they receive a comprehensive assessment of their needs, which allows the people to make an informed decision about whether the home can meet their needs. EVIDENCE: Both the statement of purpose and service user guide for Brimington Care Centre were seen during this inspection visit. Both documents contained useful information about the care home, and the information available would allow people living at the care home, and those who might wish to in the future, to make an informed choice about living there. Discussions with three people showed that they had been given copies of the service user guide, and copies were seen in people’s bedrooms. The information contained within the Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 9 documents is subject to periodic change, and some was found to be out of date. There were also no dates to indicate how current the information is, which could be confusing for people accessing the information. Both documents are available in large print and audio tape versions for people who may have difficulty reading the written versions. As part of the case tracking process four people who live at the care home were identified, and their files were seen, each one contained an agreement from Social Services to fund their placement, and a copy of the terms and conditions of residence. The individual or their relatives had in some cases signed the terms and conditions of residence. Each of the four files that were seen contained a formal assessment of need based on the activities of daily living which had been completed before admission. In their AQAA Brimington Care Centre said: “We always receive a care management assessment and copy of social services care plan before an individual enters the home.” Brimington Care Centre does not offer intermediate care, so the relevant National Minimum Standard was not assessed. Brimington Care Centre DS0000019946.V370861.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 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People have their personal care given in a professional and caring manner by the staff, which means that their personal and healthcare needs are being met. EVIDENCE: Each of the files that were seen contained a plan of care, which identified personal goals and identified people’s needs and how to meet them. Evidence was seen that care plans were being reviewed regularly, and there were daily entries by care staff, to record progress and any issues relating to individual’s care. All of the files that were seen contained health care plans. The plans included information relating to health care professionals such as visits to the doctor, or by the nurse, and any hospital visits. A company called Vision Call visit the care home on a regular basis to test people’s eyesight, and arrange for new spectacles if needed. A community dentist and a chiropodist also visit to see people living at the home. Three people were asked about seeing the doctor, Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 11 and they all said that the staff would get them a doctor if they were unwell, and if they needed one. Depending on the ‘problem’ they would either visit the surgery, or the doctor would see them at the home. An inspection of the Brimington Care Centre’s medication systems showed that medication is handled safely. Administration records were seen and found to be complete. No one living at Brimington Care Centre currently selfmedicates. The procedures that were seen showed a clear audit trail for medication, and indicated that people living at the care home were safe, apart from the storage of creams. Evidence was seen that Boots the chemist are booked to come and deliver updated medication training in October. Discussions with three people who live at the care home, and observation of the staff working with people generally showed that the staff treated them with respect and dignity. This included observing staff knocking on people’s doors before entering, and speaking in a respectful manner. Comments received from relatives the questionairre included: “My mother is very happy here, and the staff are very friendly, confident and competent. It is a very friendly home.” In their AQAA Brimington Care Centre said: ‘Staff are given training about privacy and dignity and this is a question on the quality assurance questionnaire given to all residents. The residents are always seen by health professionals in the privacy of their own room. Residents have the use of telephone in private if so needed. All residents’ clothes are labelled and returned to the correct rooms after being laundered.’ During the inspection visit, there were many examples of people laughing and there was a very relaxed and comfortable atmosphere throughout the home. Brimington Care Centre operates a dementia strategy, and there are many ‘familiar’ things within the care home, to help ‘signpost’ individuals in their daily lives. This includes a bus stop, a pub and an old time sweetshop. Each person’s file that was seen had a very good form covering different aspects of the individual’s wishes at the end of their life. Some of these forms had been completed, and some were in the process of being completed with relatives input. Brimington Care Centre DS0000019946.V370861.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 excellent; this judgement has been made using available evidence including a visit to this service. People have a lifestyle that reflects their cultural, social and religious interests, and needs, which means that their social care needs are being met. EVIDENCE: During the morning a communal singing session was being held in the dining room by the activity co-ordinator. This focussed on songs from the 1940’s and 1950’s and was attended by the majority of people living at the home. Observations of this event showed that there was widespread participation with everyone singing or tapping their feet. Towards the end of the session some people started dancing, and there was obviously much enjoyment throughout the group. A few people did not want to join in, and sat in the lounge, several were noticed to be tapping their feet in time to the music or singing along. Discussions with three people who live at the home identified that there were plenty of activities arranged, these ranged from activities in the home such as bingo and table topped activities (games and puzzles), outside entertainers, and trips out in the home’s minibus. Among the entertainment brought in to the home have been: singers, and musicians, and people living at the home are encouraged to be involved in choosing the entertainment. There is also a Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 13 recreation of a ‘pub’ with a beer garden at the home, where people can socialise in ‘familiar’ surroundings, and play dominoes, cards and darts, as they used to do in their ‘local. One relative was spoken with during this inspection visit, and she spoke positively about the care her father was receiving, and said that the staff were friendly and approachable, she also said how much her father enjoyed the singalong sessions. Two people living at the home said that their families came often and the staff always made them welcome, and that there were open visiting times, so that relatives could visit at any time (within reason). In their AQAA the care home said: ‘Families and friends are encouraged to join clients on functions, outings and various other activities.’ Staff were observed to see how well they interacted with the people who live at Brimington Care Centre, and whether choices were being offered. This was seen to be a positive situation with choice offered particularly around drinks and activities. Staff demonstrated how choices were offered and recorded at meal times, and the activity co-ordinator talked about how activities were organised, and choice was offered, including taking feedback from people taking part in activities. Discussions with three people indicated that they thought they had control over many things in their lives. On the day of this inspection visit there was a good choice of meal on offer. Information related to people’s likes and dislikes was also seen in the kitchen. The food was well presented, and the dining room was attractively laid out for people. In the questionairres received from people living at the home, all of them responded positively to the question: ‘Do you like the meals at the home.’ All of the people spoken with said good things about the food with comments such as: “The food is very nice, and there’s always a choice, so if I don’t like it, they get me something else” and “It’s really very good.” Brimington Care Centre DS0000019946.V370861.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; this judgement has been made using available evidence including a visit to this service. People are safe, as a result of the policies, procedures and systems that are in place, and those people and their relatives are confident that their complaints will be taken seriously and dealt with. EVIDENCE: Brimington Care Centre have not received any complaints since the last key inspection in October 2006. The home’s complaints procedure is on display in the foyer, and also forms part of the service user guide. The Commission for Social Care inspection has received no complaints or concerns about this home since the last key inspection. Discussions with three people who live at the home indicated that they knew who to complain to, and how to complain, although none of them had ever needed to. In their AQAA Brimington Care Centre said: ‘Our complaints policy is displayed in the reception and is included in the service users guide and statement of purpose, which all clients receive when coming in to our home. All complaints are responded to within 48 hours and resolved within 28 days. Monthly audits are completed on complaints and results are evaluated to enable us to improve the service we provide. These are used as part of our quality assurance.’ A review of the staff training records in relation to safeguarding adults, and a review of the statistics showed thattwenty-five out of forty-four staff had Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 15 undertaken this training in the last twelve months, with further training courses booked for October and December. The training is aimed at raising staff awareness of abuse, and issues around abuse and through raising those issues, offering people greater protection against abusive practice, while also making sure that the staff understand the correct policy and procedure to follow if abusive practice is found. Three members of staff were asked about safeguarding adults training and they said they were aware of the issues, and had undertaken this training. Brimington Care Centre have not had made any safeguarding adults referrals since the last key inspection. Brimington Care Centre DS0000019946.V370861.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 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People live in a safe, clean, well maintained and comfortable home, with their personal possessions around them, which means that they are living in ‘homely’ surroundings that meet their needs. EVIDENCE: A partial tour of Brimington Care Centre showed that it was comfortable and well maintained, with good quality fixtures and fittings. Discussions with three people who live at the care home showed that they thought Brimington Care Centre was comfortable and meets their needs. Several bedrooms were seen, and these were well personalised, and homely, all of the people who were spoken with said they felt they had everything they needed, and that they thought their bedrooms were comfortable and the home was well equipped. The carpet in the main lounge was rather stained, and is getting ready for replacement. Discussions with members of staff indicated that the carpet had Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 17 been cleaned several times, but due to it’s age and use, it was now ‘past it’s best’. Domestic staff were seen cleaning in different parts of Brimington Care Centre during this inspection visit, and discussions with staff showed that there were systems in place for cleaning, and that the home had a good supply of cleaning materials. The building was found to be clean, and smelt fresh. In relation to cleaning Brimington Care Centre said in their AQAA: ‘To maintain a clean environment free of odour and well presented. Monthly Health & Safety meetings held within the home.’ Brimington Care Centre DS0000019946.V370861.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; this judgement has been made using available evidence including a visit to this service. Staff have been recruited professionally, and are competent and trained to do their jobs, which means that the people who live at the care home are safe, and have staff who are able to meet their needs. EVIDENCE: The staffing rota for Brimington Care Centre was reviewed and this showed that there was enough staff currently employed to meet people’s needs. Three people living at the care home were asked about staffing levels, and they said that they thought there were enough staff. In their AQAA the care home said: ‘We ensure there are sufficient staff on duty at all times to meet the needs of the clients. Continuity of care has been achieved through good staff retention and skill mix. Staff employed are of different ages and experience which gives stability and a good balance.’ The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the staff training records showed that currently there are thirty-one care staff at Brimington Care Centre, of whom there are twenty-five staff with NVQ level II, and four currently studying for their NVQ level II qualification. Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 19 There are also seven staff with an NVQ level III, and two more currently working towards their level III. The files of four members of staff were seen, to check that they contained all of the information that would show that staff at Brimington Care Centre had been recruited in a safe manner – namely that applicants had filled out an application form, provided two written references and had had a Criminal Records Bureau check. The documentation showed that the care home’s recruitment policy and procedure had worked fully to protect the people living there. Three members of staff were asked about their recruitment and they all said they had gone through all of the pre-employment checks, and had not started working until those checks had been completed. In addition comments received in staff questionairres included: ‘All neceassary checks were carried out prior to me starting the job.’ The staff training records showed that Brimington Care Centre does have a training plan for its staff. The training records showed that staff were receiving the training to help them to do their jobs. Discussions with three staff members provided evidence of the training courses staff had attended, including training in fire safety, dementia and health & safety etc. Comments received in staff questionairres included: ‘Induction covered every aspect of the care service’ ‘Training courses are regular and very informative’ and ‘Staff are trained to a high standard, and full support is given by all levels of staff and management to give the highest standard of care to the service user.’ Brimington Care Centre DS0000019946.V370861.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 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Brimington Care Centre is a safe, well-managed care home with good systems for ensuring it’s quality in place, which means that people living at the home have their needs met. EVIDENCE: Josephine Jackson is the Registered Manager. She is suitably qualified and experienced and she has been judged by the Commission for Social Care Inspection to be a fit person to run a care home. Brimington Care Centre’s quality assurance system relies on questionnaires being filled in by service users, relatives and visitors. Copies of these questionnaires were seen together with evaluation of the results. The care Brimington Care Centre DS0000019946.V370861.R01.S.doc Version 5.2 Page 21 home does not currently hold group meetings for the people who live there, due to levels of dementia and confusion, so one to one meetings are held instead to gain people’s views, and ensure they are involved. Regulation 26 visits (these are monthly audits by a representative of the owners’ management team) are taking place, with copies of reports seen; these are part of the home’s quality assurance system. Brimington Care Centre has a system for people’s small cash needs. This is operated on behalf of some of them by the staff (dependent on individual choice and their ability to manage the money, or relative’s involvement). Four people’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of the individual’s financial expenditure to be followed. The care home has a formal staff supervision system in place, in which staff receive supervision, either with the manager or with one of the other senior members of staff. This is usually in a one to one meeting. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. Three members of staff were asked about formal supervision, and they all said they felt well supported, and were receiving regular supervision sessions. A review of the documentation showed that staff were receiving regular formal supervision. Many different health & safety records were seen, including the fire safety records – weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date. Brimington Care Centre DS0000019946.V370861.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Brimington Care Centre DS0000019946.V370861.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 OP1 Good Practice Recommendations The Statement of Purpose and Service User Guide should be updated to ensure that the information is current and accurate for people living at the care home, their relatives and those who might wish to in the future. Dating any amended copies will also allow people to assess how upto-date the information is. The carpet in the main lounge should be replaced, as it is stained and is showing signs of it’s age. This will ensure that people living at the care home are safe, and their surroundings are pleasant and meet their needs. 2. OP19 Brimington Care Centre DS0000019946.V370861.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 Brimington Care Centre DS0000019946.V370861.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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