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Care Home: Brook House

  • 213 Barrack Road Christchurch Dorset BH23 2AX
  • Tel: 01202483960
  • Fax:
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Brook House is registered to provide personal care and accommodation for up to eleven people in the category of frailty of old age. The home is an older style property situated on one of the main roads into Christchurch town centre. The home has seven single rooms and two shared rooms. Three of the single rooms are located on the ground floor, together with the communal areas of a lounge and dining room. There is no passenger or stair lift to the first floor. Car parking is available to the side of the home and residents have access to a small garden area at the back of the home. The home is a family run business with the staffing being provided by family members. Mr & Mrs Chaumoo live on the premises.

  • Latitude: 50.742000579834
    Longitude: -1.7990000247955
  • Manager: Manager post vacant
  • Price p/w: -
  • UK
  • Total Capacity: 11
  • Type: Care home only
  • Provider: Mrs Ludivina Thelma Chaumoo,Mr Mahomed Rechad Chaumoo
  • Ownership: Private
  • Care Home ID: 3565
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 12th August 2008. CSCI found this care home to be providing an Good service.

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

For extracts, read the latest CQC inspection for Brook House.

What the care home does well Residents needs are assessed before a decision is made to offer a place at the home. A full assessment is carried out when a person is admitted to the home and care plans are then developed with the person concerned to meet their health and social care needs. Medicines are administered in accordance with good practice. Residents gave positive feedback concerning the way they were cared for at the home. The home provides activities and mental stimulation for residents to their satisfaction. Visitors are made welcome at the home.The home has full complaints procedures and staff have been trained in mandatory subjects. The home complies with legislation concerning staff recruitment. Mr & Mrs Chaumoo have demonstrated good compliance in meeting requirements and recommendations made at previous inspections. What has improved since the last inspection? The requirement concerning wedging open fire doors has been met, with some magnetic door closures fitted in the home. Care plans are now being reviewed each month as recommended. A new small fridge has been purchased for the exclusive use of storing medications requiring refrigeration, thus meeting the recommendation of the last inspection. The home has now achieved a level of 75% of staff trained to NVQ level 2 or above. What the care home could do better: Good practice guidelines concerning checking hand entries on medication administration records should be adopted. It would be good practice to put a photograph of each resident at the front of their care plan so that new staff can identify the person concerned. A record must be maintained of the shifts that have been worked, identifying which staff were on duty each shift. CARE HOMES FOR OLDER PEOPLE Brook House 213 Barrack Road Christchurch Dorset BH23 2AX Lead Inspector Martin Bayne Unannounced Inspection 12th August 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brook House DS0000026771.V367524.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. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brook House Address 213 Barrack Road Christchurch Dorset BH23 2AX 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) 01202 483960 NO FAX mchaumoo1@aol.com Mr Mahomed Rechad Chaumoo Mrs Ludivina Thelma Chaumoo Manager post vacant Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 11 16th August 2007 Date of last inspection Brief Description of the Service: Brook House is registered to provide personal care and accommodation for up to eleven people in the category of frailty of old age. The home is an older style property situated on one of the main roads into Christchurch town centre. The home has seven single rooms and two shared rooms. Three of the single rooms are located on the ground floor, together with the communal areas of a lounge and dining room. There is no passenger or stair lift to the first floor. Car parking is available to the side of the home and residents have access to a small garden area at the back of the home. The home is a family run business with the staffing being provided by family members. Mr & Mrs Chaumoo live on the premises. Brook House DS0000026771.V367524.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. We, the Commission, carried out a key inspection of Brook House between 9:15am and 2:15pm on 12th Aug 2008. The aim of the inspection was to follow up on one requirement and three recommendations made at the last key inspection of the home in August 2007, and to evaluate the home against the key National Minimum Standards for older people. Mr and Mrs Chaumoo, the Registered Providers of the home assisted throughout the day discussing how care was provided in the home. They provided us with records required by Regulation, as evidence of how residents were looked after and supported at the home. An Annual Quality Assurance Assessment document, AQAA, was sent to us in July 2008 and information from this was also used to help form the judgements within this report. During the inspection we spoke with a group of five residents in the main lounge and to one resident within their bedroom. We carried out a tour of the premises. What the service does well: Residents needs are assessed before a decision is made to offer a place at the home. A full assessment is carried out when a person is admitted to the home and care plans are then developed with the person concerned to meet their health and social care needs. Medicines are administered in accordance with good practice. Residents gave positive feedback concerning the way they were cared for at the home. The home provides activities and mental stimulation for residents to their satisfaction. Visitors are made welcome at the home. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 6 The home has full complaints procedures and staff have been trained in mandatory subjects. The home complies with legislation concerning staff recruitment. Mr & Mrs Chaumoo have demonstrated good compliance in meeting requirements and recommendations made at previous inspections. What has improved since the last inspection? What they could do better: Good practice guidelines concerning checking hand entries on medication administration records should be adopted. It would be good practice to put a photograph of each resident at the front of their care plan so that new staff can identify the person concerned. A record must be maintained of the shifts that have been worked, identifying which staff were on duty each shift. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 7 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. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed prior to offered a place at the home thus ensuring that their needs can be met at the home. EVIDENCE: At the time of the inspection there were eight residents living at the home; seven accommodated for long-term placement and one person staying at the home for respite care. Since the last inspection one person has moved into the home for long term care and we used their personal records throughout the inspection to track records that the home is required to keep. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 10 We found that this resident had been admitted to the home via hospital. Mr Chaumoo had visited them in hospital and carried out a pre-admission assessment of their needs. We saw that a record of this that had been recorded on the home’s template for pre-admission assessments. We found that the template being used, covered all of the topics as listed in the Standards for older people and information had been gathered to ensure that the home could meet this person’s needs. We were told that the resident’s representative had visited home and had been given information about the home. We saw that a letter had been sent to the resident informing that their needs could be met at the home with a formal offer of a placement at the home. During the inspection we had the opportunity of speaking with this resident, and they told us that their needs were being met satisfactorily. The home does not provide an intermediate care service. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their health needs being met through good care planning, through medication being administered appropriately and being treated with respect and dignity by the staff. EVIDENCE: We looked at the personal care records for the above resident and also records concerning another resident of the home. We found that the personal care records were filed in an orderly, consistent manner and we saw that a full assessment of needs had been carried out, adding to the information gained through the pre-admission assessment. The full assessment covered all areas of need relating to health care and social support, including a brief social history. We saw that detailed risk assessments had been carried out Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 12 concerning people’s nutritional needs, skin-care needs and moving and handling. From these assessments, we saw that care plans had been developed and there was evidence of residents being involved in this process by their signing their care plan. The care plans were concise and corresponded with the needs discussed with Mr Chaumoo and with the residents concerned. Care plans detailed desired outcomes and the actions required by staff to meet these. We saw that care plans incorporated additional considerations of how to minimise the risk of harm in staff following through care plans. Care plans are stored in a locked filing cabinet in the dining area. Schedule 3 of the Regulations requires that the home has a photograph of each resident. We saw photographs of residents at the front of the medication administration records and also on the doors of their rooms. We recommend however that a photograph of the person concerned is put at the front of their care plan so that new members of staff are able to identify the person concerned. At the last inspection a recommendation was made that the home review care plans monthly to ensure that they were up to date. We saw that such reviews were now taking place with these being signed and dated each month. We saw within the personal files that records were kept of visits made by health professionals and there was evidence that GP visits were being arranged appropriately. At the time of our visit one resident was suffering from a chest infection and another from a urinary tract infection and the GP had been asked to see residents and antibiotics had been prescribed. We also saw that referrals were made for district nursing intervention appropriately. We saw that the home keeps a record of the weight of residents that links to a nutritional assessment, ensuring that people’s dietary intake is monitored appropriately. There was also evidence within care plans that continence needs of residents were being met. The residents we spoke with during the inspection told us that their health needs were met and that the staff were very supportive at the home. We looked at daily recording notes for the residents we tracked through the inspection and found that these were now being completed daily and provided further evidence that staff were adhering to the actions identified in care planning. There was evidence recorded of people’s dental, optician and hearing needs being assessed with appointments made when necessary. We looked at how medication was being managed in the home. The home contracts with a local pharmacist and a unit dosage system is delivered to the home. Medication is kept in a locked cabinet in the dining room. We saw that the home had recently bought a controlled drugs cabinet to meet new Regulations. We also saw that the home had a bound, numbered controlled drugs register. At the time of the inspection there were no residents prescribed controlled drugs. We looked in the medication cabinet and found that medicines were being stored orderly and there was no overstocking. The home maintains a record of medications returned to the pharmacist. At the time of the inspection all of the residents were having medication administered Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 13 by the staff. We looked at the medication administration records for all of the residents. At the front of each person’s medication administration records, there was a photograph of the person, so they could be easily identified. We saw that known allergies were recorded at the top of their medication administration records. We saw that medications records had been completed in full with no gaps in the record. We recommend however, that where hand entries have to be made to the medication administration records, these are checked by a second member of staff who then signs the record that the entry has been made correctly. We saw that numbers of tablets carried over on to the next recording sheet were being recorded, so that all medication can be audited that comes into the home. At the last inspection a recommendation was made concerning medications that required refrigeration. We saw that the home had purchased a specific small fridge the storing of medications to meet this recommendation. The residents we spoke with said they had no complaints about the care they received in the home and that they were treated well by the staff. We saw within one of the shared rooms that screens were provided to maintain dignity and privacy of the people sharing a room. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their social and recreational needs assessed and the home providing opportunities with which they are satisfied. EVIDENCE: On the morning of our visit there was a group of five residents gathered in the lounge watching television. We saw that daily newspapers were available as well as a range of board games and books. We spoke with these residents who told us that they were content with the routines and activities provided at the home. We were told that a music entertainer visits the home every three weeks and that the occasional outing is arranged. We were told by the residents that they were soon going on outing to view a display by the Red Arrows. We also spoke with one newly admitted resident in their room. They told us that they were content watching television and reading and that when they had settled they might spend more time in the lounge area. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 15 We saw within care plans that residents were consulted about the time at which they wish to be assisted with getting up and going to bed. We also saw that residents had been consulted about how they wish to be cared for. An example being one care plan detailing that the particular resident like to have their windows open at night. The residents told us that if they had visitors, they were made welcome at the home and there were no restrictions on visiting times. We saw that spiritual and cultural needs formed part of the assessment process. We were told that the current residents had no unmet spiritual needs. Should a person wish to have some spiritual guidance, the home would arrange for a representative of the person’s faith to visit the home. The residents we spoke with said that the food was of a good standard. We saw the records of food provided and these were detailed enough to see what each resident had been provided with. On the day of our visit the main meal of the day was shepherd’s pie with an alternative of poached salmon. We were told that one resident who was not feeling well had requested that they have a corned beef sandwich and this was being provided. We also saw that there was a large choice available for breakfasts and also evening meal. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well publicised complaints procedure and through the staff being trained in adult protection. EVIDENCE: We saw that the complaints procedure for the home is pinned to the back of the door of each resident’s bedroom and also detailed within the Service User Guide, so that residents are fully informed of how to make a complaint. Mr Chaumoo told us that he had received no complaints since the last inspection and none have been brought to the attention of the Commission since that time. Mr Chaumoo showed us that he had undertaken the manager’s training in protection of vulnerable adults provided by Dorset county council. We also saw evidence of certificates of all the staff being trained in the protection of vulnerable adults and abuse awareness. Mr Chaumoo showed us that he had copies of local safeguarding protocols for the reporting of the suspicion of any abuse. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 17 Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises provide a ‘homely’, clean environment but some areas would benefit from redecoration. EVIDENCE: On the day of our visit we were shown around the home. We found that the premises were kept clean and there were no unpleasant odours. The home has a lived in, ‘homely’ feel and was in reasonable decorative order; however some areas could do with some redecoration. The returned AQAA informed that armchairs in the lounge have been replaced and double glazing has been fitted in two bedrooms, as well as the back door being replaced. Mr Chaumoo Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 19 acknowledged that some areas could do with redecoration and this will be monitored at future inspections. The home has no shaft lift or stair lift and so residents accommodated on the first floor must be able to use stairs safely as part of the admission criteria. All of the radiators have been covered to protect residents from hot surfaces and hot water outlets of the baths have thermostatic mixer valves fitted to protect residents from scalding water. We saw within residents’ bedrooms that they were able to bring possessions and furniture to personalise their rooms. Residents have access to a small garden to the rear of the home. The home has laundry facilities in an outbuilding with washable floor surface and hand washing facilities. The laundry area is equipped with washing machines and dryers suitable to the needs of the home. The home does not have a sluicing area; however procedures are in place to inform staff of how to clean commodes in line with the homes infection-control procedures. We saw that liquid soap and paper towels were provided in communal bathrooms. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a longstanding staff team of family members who have been trained in mandatory subjects. Duty rosters must be maintained to provide evidence that the home is staff appropriately at all times. EVIDENCE: Mr and Mrs Chaumoo, and members of their family live on the premises. The home is staffed exclusively by family members. We were told that staffing levels remain the same as at the time of the last inspection, with two members of staff on duty between 8am and 8pm. During the night-time period there is one awake member of staff on duty and one member of staff who carries out a sleep in duty. On the day of our visit Mr and Mrs Chaumoo were on duty and were joined by a further member of staff to assist that day due to the inspection. Mr Chaumoo was able to provide us with a rota that reflected the above staffing. He was not able however, to provide duty rosters of the actual staff who had worked shifts in the previous weeks. A requirement was made that a record be kept of duty rosters of persons working at the care home, and a record of whether the roster was actually worked. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 21 The returned AQAA, informed that 75 of the care staff have been trained to the standard of NVQ level 2 or above, thus meeting a recommendation to this effect made at the last key inspection. Since the time of the last key inspection, two members of staff were found to have been recruited to work at the home. We looked at their recruitment records and found that all the checks and records required under Schedule 2 of the Regulations had been complied with. We recommend that the staff application form be changed to request information required under Schedule 2, such as; a record of a person’s full employment history, with gaps in their employment accounted for and the reason why they left a position of care. One reference should also be requested from a person’s last place of employment, which involved work with children or vulnerable adults, of not less than three months duration. Mr Chaumoo was asked to provide evidence that the staff were suitably trained. We looked at a sample of staff training records and we found that the staff had been trained in mandatory areas such as moving and handling, adult protection, fire safety training and basic food hygiene. Mr Chaumoo was able to demonstrate that what there were sufficient staff trained in first aid for there to be one trained member of staff on duty within the home at all times. We saw that additional training had been given in infection control, care, confusion and continence and the Mental Capacity Act 2005. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home being well managed and run in the interests of the residents. EVIDENCE: Mr and Mrs Chaumoo have both run the home are a number of years. Mr Chaumoo has completed the Registered Managers Award and both he and his wife maintain their registration on the Nursing and Midwifery Council. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 23 At this inspection we found that Mr Chaumoo had complied with the requirement and recommendations made at the last key inspection, and also with issues identified through contract monitoring visits by Dorset county council. The AQAA had been returned as requested to the Commission and informed of quality assurance measures of how the home is run in the interests of the residents. The AQAA also provided dates for the testing and servicing of equipment within the home. At the last inspection a requirement was made concerning the wedging open of fire doors. At this inspection we did not find any evidence of this still occurring and the AQAA informed that magnetic closure devices had been fitted to the dining room doors. We looked at the fire logbook and saw that tests and inspections of the fire safety system were taking place to the required timescales. We saw that the home had a fire workplace risk assessment. Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation Schedule 4 (7) Requirement You are required to keep a record of the duty roster of persons working at the care home and a record of whether the roster was actually worked. Timescale for action 01/09/08 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 It is recommended that a photograph of the resident is put at the front of their care plan so that new members of staff are able to identify the person concerned. It is recommended that where hand entries have to be made to the medication administration records, they are checked by a second member of staff who then signs the record to certify that the entry has been made correctly. It is recommended that the staff application form be changed to request information required under Schedule 2. 2. OP9 3. OP29 Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 26 Brook House DS0000026771.V367524.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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