Care Home: Brookside Residential Care Home

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What the care home does well The home offers a warm, friendly environment where people can live, whilst receiving assistance with their personal care in a safe environment. The home has a good working relationship with the local GP`s and District Nurses. Family involvement is encouraged at all times. The environment at the home was very clean and tidy and the bedrooms were finished to a very good standard. Communal areas are comfortable and cosy. What has improved since the last inspection? Many of the bedrooms have been repainted and new soft furnishings complete the updated look. The office has been refurbished and is a much better working environment. The laundry has been redesigned and new washing machines have been fitted. A new bathroom has been fitted which includes an electric bath hoist to aid the service users to be bathed. The bathroom was warm and inviting and finished to a high standard. Large screen TV`s have been purchased to assist the service users. The dining room has been redecorated and new curtains are in place. The furniture has also been replaced with nice tables and sleigh chairs for ease of movement. The fire office has visited and approved the home as being safe and meeting the local required standard. The Environmental Health Officer had inspected the kitchen and awarded 4 stars. The hall, stairs and landing carpet has been replaced and this area has been redecorated. Twelve bedrooms have been redecorated and new carpet has been fitted to eight bedrooms. Exterior security lights have been installed. 80% of care staff are NVQ level 2 or above and all staff are first aid trained, and have received dementia care and infection control training. A shift pattern has been introduced which has meant more staff is on duty at peak times. Recent quality assurance surveys were available with positive comments. An activity coordinator has been employed part time and is due to start this month. The manager told us that she is highly motivated and keen to offer a stimulating programme of activities for the resident group. Over the last 12 months the management have worked upon the points made in their last inspection, including care-planning documentation. They have taken on board relevant government legislation and are training our employees in its application into our practice. For example the Mental Capacity Act. They have actively encouraged and supported their employees to exceed the National Minimum Standards in their training. The management are working to implement best practice tools such as infection control management to ensure that the care we deliver is going to be of benefit to all involved. What the care home could do better: The staff supervision is to be formally documented. The care records are to be further individualised. CARE HOMES FOR OLDER PEOPLE Brookside Residential Care Home 159 Eccleshall Road Stafford ST16 1PD Lead Inspector Joanna Wooller Key Unannounced Inspection 10th April 2008 09:00 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 Brookside Residential Care Home DS0000061715.V361899.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. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside Residential Care Home Address 159 Eccleshall Road Stafford ST16 1PD 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) 01785 240738 Mrs Margaret Ann Rowlands Robert James Rowlands Mrs Margaret Ann Rowlands Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 MD Minimum age 50 years on admission Date of last inspection 15th August 2006 Brief Description of the Service: Brookside Care Home is a family run care home. The providers Mr and Mrs Rowlands have owned the home since August 2004. The home consists of 17 single bedrooms and four double bedrooms, most with en-suite wc facilities. The spacious sitting room and the refurbished conservatory allow a choice for the service users and complement the homely environment. There are cosy rooms set aside for quiet times. A passenger lift is provided in the home to allow ease of movement between floors for service users and staff. The dining rooms and refurbished kitchen reflect the care that has gone in to providing the highest standard of food preparation. Two chefs produce imaginative menus, ensuring the meals are presented to reflect the quality of produce purchased, and the individual dietary needs of the clients are addressed. Outings in better weather and planned entertainment provide social stimulation for the service users. Relatives are encouraged to participate when possible. Both single persons and married couples are welcomed in to the home. To the rear of the home there are stunning views of the garden and local marshes. The home has undergone redecoration in many areas and furnishings were seen to be good of quality. The atmosphere at the home was warm and relaxed. Fees £368 to £420 a week. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the service. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 10th April 2008 by the lead inspector. The Manager and the Deputy manager were in the home throughout the inspection. The inspection included the following elements; A tour of the building, Observation and inspection of records relating to provision of care, Discussions with several service users, Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, training, recruitment and health & safety. The Inspector was made very welcome in the home and all assistance was given to gain the evidence required for the report. No complaints had been dealt with by Commission for Social Care Inspection since the last inspection. Service Users spoken to at the visit were complimentary about the home. One lady spoken to said, “The place is very homely, I have been here for respite before, everything is marvellous” One relative commented, “Unable to suggest further improvement as care is excellent” Another relative commented, “They do so much with great professionalism, warmth and humanity – If I had to go into residential care, I would choose Brookside.” The overall quality rating for this service is 3 stars. This means that the people who use this service experience excellent quality outcomes. What the service does well: The home offers a warm, friendly environment where people can live, whilst receiving assistance with their personal care in a safe environment. The home has a good working relationship with the local GP’s and District Nurses. Family involvement is encouraged at all times. The environment at the home was very clean and tidy and the bedrooms were finished to a very good standard. Communal areas are comfortable and cosy. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? Many of the bedrooms have been repainted and new soft furnishings complete the updated look. The office has been refurbished and is a much better working environment. The laundry has been redesigned and new washing machines have been fitted. A new bathroom has been fitted which includes an electric bath hoist to aid the service users to be bathed. The bathroom was warm and inviting and finished to a high standard. Large screen TV’s have been purchased to assist the service users. The dining room has been redecorated and new curtains are in place. The furniture has also been replaced with nice tables and sleigh chairs for ease of movement. The fire office has visited and approved the home as being safe and meeting the local required standard. The Environmental Health Officer had inspected the kitchen and awarded 4 stars. The hall, stairs and landing carpet has been replaced and this area has been redecorated. Twelve bedrooms have been redecorated and new carpet has been fitted to eight bedrooms. Exterior security lights have been installed. 80 of care staff are NVQ level 2 or above and all staff are first aid trained, and have received dementia care and infection control training. A shift pattern has been introduced which has meant more staff is on duty at peak times. Recent quality assurance surveys were available with positive comments. An activity coordinator has been employed part time and is due to start this month. The manager told us that she is highly motivated and keen to offer a stimulating programme of activities for the resident group. Over the last 12 months the management have worked upon the points made in their last inspection, including care-planning documentation. They have taken on board relevant government legislation and are training our employees in its application into our practice. For example the Mental Capacity Act. They have actively encouraged and supported their employees to exceed the National Minimum Standards in their training. The management are working to implement best practice tools such as infection control management to ensure that the care we deliver is going to be of benefit to all involved. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 7 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. Brookside Residential Care Home DS0000061715.V361899.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 Brookside Residential Care Home DS0000061715.V361899.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): Standards 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident admitted to the home has a comprehensive needs assessment recorded and they are assured that this will be adhered to. Residents are admitted for intermediate care and they are assisted to return home. EVIDENCE: The manager ensures that significant time and effort is spent planning to make the admission to the home well managed and personal. Prospective residents and their families are treated as individuals and with dignity and respect for the life-changing decisions they need to make. There is a high value on responding to individual needs for information, reassurance and support. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 10 Residents spoken to said that “They felt very welcome when visiting the home and the staff have continued to be warm and friendly” The home has developed a comprehensive statement of purpose and service user’s guide, which is very specific to the resident group and considers the different styles of accommodation and support and specialist services required to meet the needs of people who use the service. All new residents receive a comprehensive needs assessment by the manager prior to admission. The manager is highly efficient in obtaining a summary of any assessment undertaken through care management arrangements, and insists on receiving a copy of the care plan before admission. For individuals whom are self funding, the assessment is undertaken by the manager also. Individuals are supported and encouraged to be involved in the assessment process. Information is gathered from a range of sources including other family, friends and relevant professionals, and with the individuals agreement, carer’s interests are taken into account, including visiting and support. The assessment aims to achieve positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the ethnic and diversity needs of the individual. Diversity is discussed with all service users including ethnic origin and religious needs. Before agreeing admission the service carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. Prospective residents are given the opportunity to spend time in the home. An individual member of staff is allocated to give them information and special attention to help them to feel comfortable in their surroundings and enable them to ask any questions about life in the home. The resident receives written confirmation that the home can meet their needs and all residents receive a contract to which they have agreed. It gives clear information about fees and extra charges, which is reviewed and kept up to date. Any documents are explained to individuals, so they fully understand the information. The use of advocates to support people is encouraged. The contract is reviewed and amended with the person if their circumstances change. Respite beds are in place and some residents return on frequent occasions to assist their carers and receive personal care support. Some residents have been admitted in the ‘step-down’ process to assist them to be more independent on leaving hospital prior to going home. Brookside Residential Care Home DS0000061715.V361899.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): Standards 7 to 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are set out in an individual care plan to evidence that their needs are fully met. Service users are supported with the administration of medicines and they feel they are treated with respect and their privacy upheld. Residents are assured that at their time of their death staff will treat them and their families with care, sensitivity and respect. EVIDENCE: The staff are fully committed in supporting individuals to lead fulfilling lives as independently as possible. People using the service are encouraged to make their own informed decisions and have the right to take risks in their daily lives. The individual care plan is developed with the manager and the care staff. It is based on a full and up to date holistic assessment. It includes reference to equality and diversity. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 12 The plan is person centred and focuses on the individual’s strengths and personal preferences. This also includes information about their health; Plans are to be further individualised within the new computer system recently installed in the office. Key workers actively provide one to one support, keep the care plan up to date and make sure that other staff always know the person’s current needs and wishes through daily reports. The plans seen at this visit were an up to date working tool used by the staff. Plans were reviewed regularly, and as the individual’s needs change. Social worker reviews focus on asking questions about what the residents feel about living in the home, whether there needs are being met and that they are happy in the home. The care plan includes comprehensive risk assessments, which is regularly reviewed. Manual handling, falls and nutritional assessments are monitored. Any limitations on freedom, choice or facilities are always in the person’s best interests. The individual understands and agrees any limitations; they are fully documented and reviewed regularly. People using the service know, and are able to see, the records the home holds about them. Individuals know their rights and advocacy services are encouraged by the manager to promote these. District nurses maintain any nursing care delivered to the residents. The home has a good rapport with the local nurses and GP’s and they support the staff in a professional manner. Residents are continually consulted on how the service runs and are able to influence key decisions in the home. Satisfaction surveys are sent to residents and their representatives throughout the annual period and the home acts upon the results of consultation with residents and their representatives. The home continues to makes sure that good practice is modelled and developed throughout and there is sustained evidence of this. Medication is monitored and administered by suitably trained staff and the pharmacy audit the homes procedures and ordering. Staff are competent and have experience of dealing with death in the home and residents and relatives are reassured that they will be treated sensitively at such a sad time. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 13 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): Standards 12 to 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ individual lifestyle expectations are met in the home. They meet with friends and family as desired and exercise choice over lives their lives. Residents receive a wholesome home cooked diet in a pleasant dining room or a room of their choice. EVIDENCE: The home recognizes the importance of the personal and social relationships that service users have and are respectful of service users privacy. The home has completely open visiting arrangements. The home has areas where residents can meet with family, friends or professionals and not be disturbed. Residents are able to have their own private telephone line into their room should they require this service. The home encourages individuals to become involved in activities and learn new skills should they wish to do so for example, rug making or cookery. The home will accommodate as much as possible of a residents personal possessions, which they wish to bring with them into the home. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 14 The home offers 3 meals a day; together with snacks and drinks each day [snacks and drinks available 24hrs a day] special diets are catered for, for example diabetic diets. Fresh meat, fruit and vegetables are delivered to the home and the cooks bake cakes and desserts on a daily basis. The kitchen has been refurbished and the Environmental Health Officer has recently issued a 4 star rating to the home following an unannounced inspection. The home continues to practice person centered care, treating residents as individuals. Therefore the home will try to make the routines of daily living as flexible as possible. The home provides residents and their families with information about outside agencies and ways in which the services can assist, such as advocates and Independent Mental Capacity Advocates. The home makes use of local transport, suitable for wheelchairs, to enable service users to become involved in community activities, and for personal outings. The home has evidence that they listen to the views of the residents and their friends and relatives for ideas on improvements, such as what’s on the menu or the decoration of communal and private rooms or activity programmes. The newly employed activity coordinator is due to start this month and she has demonstrated to Mrs Rowlands, a wealth of ideas and plans that are already in place to ensure the residents are stimulated and enjoy group and individual activities on a daily basis. The manager has complied an individual personal profile folder for each resident which the activity coordinator is planning to complete to further ensure that the home is offering a person centred approach to care in the home. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 15 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): Standards 16 to 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and acted upon – the provider/ manager is available to talk to residents on a daily basis. Residents’ legal rights are protected and they are protected from abuse. EVIDENCE: The home has a clear and accessible concerns/complaints procedure illustrating time scales and how complaints are dealt with. No complaints had been received by the CSCI since the previous inspection. Residents and their families are informed of the concerns or complaints procedure and would be fully supported by staff in making their complaint. The home keeps a record of all concerns/complaints received and the action, which was taken. The home adopts the opinion that each service user has the capacity to make all their decisions unless proved otherwise. Carers are also aware that service users capacity may change daily and assess this at each individual decision. Service users and their families can be provided with advocacy service information. All staff is trained in the protection of vulnerable adults and work to these regulations – staff are aware of the whistle blowing procedure and the Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 16 manager is confident that staff would inform her of any untoward occurrence in the home. Procedures are in place to respond to evidence or suspicion of neglect. The home assist residents to be as politically active as they choose; residents may use the postal voting system. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 17 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): Standards 19 to 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. EVIDENCE: Residents are encouraged to see the home as their own. It is a very well maintained, attractive home and has very nice communal areas. It has a wide range of specialist equipment and adaptations to meet the individual needs of people who use the service. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 18 Brookside is fully accessible throughout to people with physical disabilities, adaptations and specialist equipment are designed to fit within the homely environment. The management has a robust infection control policy and they work closely with their own staff and external specialists to ensure that infections are minimised. The home has been reorganised to provide small group areas to enhance the homely environment. Residents are involved in decisions about the décor and any changes in their communal and personal accommodation. The service is creative in how it involves people in decision-making and positively encourages people with a limited capacity to be as fully involved as possible. The home has single rooms available for all people who wish to have one. The rooms are well designed with most having en-suite facilities. The fixtures and fittings are of high quality, well maintained and adapted to meet the wishes of the present occupant. Individuals personalise their rooms and can use their own furniture if they wish. Residents say that they “appreciate being able to bring their own possessions into the home and that it is comforting to see their memories around them.” There is a selection of communal areas both inside and outside of the home, this means that people using the service have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. The kitchen and laundry have been re-designed to improve working conditions and safety for staff. The bathrooms are homely and include aids and adaptations to meet the needs of the people using the service. There are sufficient toilets to enable immediate access. All bedrooms promote high levels of privacy. The management spends money on the environment in the best possible way so that the outcomes are improved as much as possible for the people using the service. Several residents with difficulty in communicating their views are just as valued as those of other people. Residents spoken to say that there is always plenty of hot water and the temperature in the home can be changed to meet their personal choice, especially in their own rooms. The home is always very well lit, clean and tidy and smells fresh. Brookside is a credit to the providers and staff who work there. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 19 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): Standards 27 to 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff that has been well recruited in the home. Staff are trained and competent to do their jobs ensuring residents are in safe hands at all times. EVIDENCE: The home ensures that all staff operates in a manner, which promotes liberty, we enable service users to feel safe and secure whilst promoting independence. As an organization they recruit in a fair and open way ensuring that they employ the right people. The home have a robust recruitment process and carry out various checks on prospective employees, for example, CRB, POVA, references, and employment history. All workers receive a job description and have access to the employee handbook. All workers receive induction training, regular updates and are encouraged and supported in attaining NVQs. The home has an appropriately qualified workforce with at least 80 of staff delivering personal care holding an NVQ Care level 2 or above. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 20 Staff training has included statutory training for manual handling and fire safety, infection control, dementia and first aid. The home displays a Rota, which clearly shows what staff is on duty at specific times. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 21 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): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the best interest of the residents and the health, safety and welfare of the residents and staff are promoted and protected. The home is managed in a professional manner with strong leadership and caring ethos. EVIDENCE: All staff has induction training and then at least yearly appraisals to identify their learning needs. All workers are supervised at least six times a year but this is to be further formalized and evidence kept at the home. The manager has plans to develop this on the new computer system recently installed at the home. The manager of the home has 7 years management experience in a care setting and holds the Managers Award and is a Registered Nurse with Diploma Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 22 in Higher Education in Nursing Studies. The home has a clear and accountable management structure appropriate for its size. Records are kept to safeguard everyone’s interest for at least 3 years from the last entry. The home has up to date policies and procedures. The home regularly analyses the quality of the service, some of the findings of which are used within this report. Each service user is sent an annual satisfaction questionnaire so that we can monitor what we are doing well or not. Service users are able to look at the records about themselves that are kept by the care home, if they wish to. When a service user does not want to manage their finances, or does not have the capacity to do so, we can offer to manage finances in the best interests of the user, and or encourage a user to appoint a lasting power of attorney. We provide a safe place for service users to keep valuables and money. A record of anything kept within this area is maintained. Moneys kept at the home was checked and found to be in order. The manager ensures so far as is reasonably practicable the health, safety and welfare of the residents and staff. There is evidence that registered manager ensures safe working practices including • Moving and handling • Fire safety • First aid • Food hygiene • Infection control The manager also ensures the health and safety of residents and staff including • Safe storage and disposal of hazardous substances • Regular servicing of boilers and central heating systems • Maintenance of electrical systems and electrical equipment • Maintenance of water systems and risk of legionella • Maintenance of a safe environment including kitchen and laundry equipment The manager ensures compliance with relevant legislation. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 23 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 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 3 4 4 Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 24 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 OP36 Good Practice Recommendations All staff is to be formally supervised and evidence of this kept at the home. Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Brookside Residential Care Home DS0000061715.V361899.R01.S.doc Version 5.2 Page 26 - 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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