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Care Home: George Brooker House

  • 100 Dagenham Avenue Dagenham Essex RM9 6LH
  • Tel: 02089848983
  • Fax: 02085920119
  • Planned feature Advertise here!

George Brooker House provides accommodation, support, and personal care for 44 older people. The home is operated by `The East London Extra Care Society`, which is a member of the National Abbeyfield Society. The home is purpose built, and is situated on the edge of parkland, a short walk from Dagenham Heathway, which has connections to both tube and bus routes. All bedrooms are single, with 19 having ensuite facilities. The home is currently divided into two units; an 11 bed unit for the care of older people with a more severe dementia care need, and a 26 bed unit with places for people with a more moderate dementia care need and 7 for frail older people. The severe dementia care unit is on the ground floor with access to an attractive enclosed garden. The main building has a ground and first floor, which can be accessed by lift or stairs, and there is also another enclosed garden area. Personal care is provided on a 24 hour basis, with health needs being met by visiting professionals, or by staff/relatives accompanying service users to hospital appointments. The intention of the organisation is for the home to gradually provide services only for those older people with varying degrees of dementia. At the time of this inspection the fees were £542. per week, and there are additional fees for other services such as hairdressing for example. The inspection report, statement of purpose and service user guide are available in the reception area of the home, and copies can be obtained on request from the home.

  • Latitude: 51.537998199463
    Longitude: 0.14399999380112
  • Manager: Susan Ann Setters
  • Price p/w: ~
  • UK
  • Total Capacity: 44
  • Type: Care home only
  • Provider: Abbeyfield East London Extra Care Society Limited
  • Ownership: Private
  • Care Home ID: 6869
Residents Needs:
Dementia, Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 21st April 2009. CQC found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for George Brooker House.

What the care home does well The home provides excellent quality care to the residents who are living there. Activities and care are person centred and we saw good interactions between staff and residents. Complaints are taken seriously and dealt with effectively with the outcomes being used to improve services. Staff have received training in caring for people living with dementia and signage and decor throughout the home encourages and enables people to remain as independent as is possible. Equality and diversity issues are given a priority within the service and staff recruitment procedures are robust. Staff training and supervision is very good and the management team is effective, open and transparent. The dietary needs of all of the residents are monitored to ensure good nutrition and hydration, and residents are given choices with the necessary assistance where appropriate. Medication administration and record keeping is of a good standard with the safety of the residents being a priority. The service has good relations with the GP`s, district nurses and other health and social care professionals. What has improved since the last inspection? Care planning has improved and now includes assessments around behaviours which challenge, continence care, falls including the possible use of assistive technology. The service has introduced the use of pictorial menus which has helped residents living with dementia to make more informed choices. End of life issues are now addressed and the home is providing palliative care to those residents who wish to remain at George Brooker House. What the care home could do better: We discussed with the manager and the deputy manager that although staff spoken to were fully aware of when to administer PRN (as and when) medication, there is a need to have written protocols in place for the use of this medication. This is in the best interests of the resident and the staff administering this medication. Fans are strategically fixed along the corridors but these are currently at heights which could pose a risk to residents, staff and visitors. A requirement has been made to ensure that these fans are relocated so as not to pose a risk to residents, staff and visitors. Inspecting for better lives Key inspection report Care homes for older people Name: Address: George Brooker House 100 Dagenham Avenue Dagenham Essex RM9 6LH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sandra Parnell-Hopkinson     Date: 2 1 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: George Brooker House 100 Dagenham Avenue Dagenham Essex RM9 6LH 02089848983 02085920119 george.brookerhouse@zen.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Abbeyfield East London Extra Care Society Limited care home 44 Number of places (if applicable): Under 65 Over 65 44 44 dementia old age, not falling within any other category Additional conditions: 0 0 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 - DE (E) The maximum number of service users who may be accommodated is: 44 Date of last inspection Brief description of the care home George Brooker House provides accommodation, support, and personal care for 44 older people. The home is operated by The East London Extra Care Society, which is a member of the National Abbeyfield Society. The home is purpose built, and is situated on the edge of parkland, a short walk from Dagenham Heathway, which has connections to both tube and bus routes. All bedrooms are single, with 19 having ensuite facilities. The home is currently divided into two units; an 11 bed unit for the care of older people with a more severe dementia care need, and a 26 bed unit with places for people with a more moderate dementia care need and 7 for frail older Care Homes for Older People Page 4 of 28 Brief description of the care home people. The severe dementia care unit is on the ground floor with access to an attractive enclosed garden. The main building has a ground and first floor, which can be accessed by lift or stairs, and there is also another enclosed garden area. Personal care is provided on a 24 hour basis, with health needs being met by visiting professionals, or by staff/relatives accompanying service users to hospital appointments. The intention of the organisation is for the home to gradually provide services only for those older people with varying degrees of dementia. At the time of this inspection the fees were £542. per week, and there are additional fees for other services such as hairdressing for example. The inspection report, statement of purpose and service user guide are available in the reception area of the home, and copies can be obtained on request from the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We did an unannounced key inspection on Tuesday 21st April 2009 over a period of 6.5 hours. The inspection involved a tour of the premises, discussions with the manager and the deputy manager, staff, residents and visitors. We also looked at records, other documentation, the completed annual quality assurance assessment (AQAA), regulation 37 notifications and a conversation with a local authority commissioning department. We also case tracked 4 residents. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 7 of 28 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may use the service and their representatives are given the information needed to help them choose a home that will meet their needs. Evidence: We saw a copy of the statement of purpose, service user guide and the last inspection report in the reception area of the home. A pictorial service user guide is available for those residents who would benefit from receiving information in this format. The home also produces a periodic newsletter which is available to residents and relatives. From viewing files we were satisfied that residents and/or their relatives are given a copy of a contract or terms and conditions of residency at George Brooker House, and that all residents have had a comprehensive assessment undertaken to ensure that the home can meet their needs prior to moving into the home. The full assessment is completed on admission to the home, and this would include additional areas such as Care Homes for Older People Page 10 of 28 Evidence: preferred place of care, end of life wishes and various risk assessments. Admissions to the home take place once the service is confident that staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Prospective residents are given the opportunity to spend time in the home and an allocated member of staff will give them special attention to help make them feel comfortable and to introduce them to residents and staff. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: From case tracking, observations and discussions with residents, staff and visitors we are satisfied that residents receive personal and healthcare support using a person centered approach. Support provided is based upon the rights of dignity, equality, fairness and respect and residents are encouraged to be as independent as possible. The home provides care to people living with dementia, and the care to these residents is delivered effectively through a skilled, trained and knowledgeable staff group. Practices in the home reflect residents needs in the areas of equality and diversity, and all staff ensure that care is person centered, personal support is flexible, consistent and is able to meet the changing needs of the residents. Staff were able to demonstrate a good knowledge of the individual preferences of residents, and ensured that these were met. We observed that staff members were very alert to changes in mood, behaviour and general wellbeing of the residents, and fully understood how Care Homes for Older People Page 12 of 28 Evidence: they should respond and take the appropriate action. The staff group comprises both female and male care staff and residents have choice when personal care is being given. Weights are being monitored on a regular basis, some weekly where there are concerns. Staff were very aware of the need to ensure that fluids are freely offered and also the need to ensure that residents are eating a balanced diet. Where concerns are identified referrals are made to the GP and/or dietitian. Aids and equipment are provided where necessary and this now includes the use of some assistive technology which has helped to reduce the number of falls for those residents who have been identified as at risk of falling, and where the use of assistive technology would be a benefit. We looked at the medication storage, administration and disposal and found that this was being done in accordance with the homes policies and procedures. Also the service was complying with the recording, administration, safekeeping and disposal of controlled drugs. Some residents are on PRN (when required) medication and although the staff members administering such medication were fully aware of the protocol to be followed, such protocols were not written down. This was discussed during the inspection and a requirement is being made that protocols for PRN medication should be written down for the benefit of all staff involved in the administration of such medication. Staff members involved in the administration of medication have received the necessary training. The service is now caring for residents who are terminally ill or dying and their wishes, or where necessary those of the family, are recorded and sensitively discussed during the development of a person centered plan of care. All staff receive training and practical advice and have continuous support and opportunities to discuss any areas of anxiety and concern. The service also works closely with external professionals and specialists for advice and support to help the resident, their family and the homes staff. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services are able to make choices about their life style, and are supported to maintain their life skills, and the social, cultural and recreational activities meet the individuals expectations. Evidence: From talking to residents, staff and some visitors, and also from observations and viewing documentation, it was evident that residents are very involved in the daily life and social activities of the home. Files viewed showed evidence of life histories and care plans included the daily activity preferences of the residents. There were also photographs around the home of the involvement of residents in activities and also in visits to pubs, shops and holidays. A holiday has been organised for some of the residents to Eastbourne, and the ratio of staff to residents for this occasion is 1:1. The day of the inspection was warm and sunny and many of the residents were sitting in the garden enjoying the nice weather, and all had appropriate headwear and sun cream to prevent burning. Games and other equipment is readily available to residents in the lounges without the need for residents to continually request staff to assist them. However, staff are Care Homes for Older People Page 14 of 28 Evidence: always on hand to give assistance when required. It was apparent that the ethos of the home is to promote the individuals right to live as ordinary and meaningful a life as is possible, both within the home and in the community. Routines were observed to be very flexible and residents were seen making choices in areas of their life. Family and friends are encouraged to visit whenever they wish, and we were told by a visiting relative that she is always made to feel welcome. The religious needs of residents are also respected and met. Wherever possible residents are encouraged to help with daily routines and we saw one resident helping in a small kitchen on the upstairs unit. Life history books continue to be developed and these are proving to be very useful to staff during reminiscence activities. Residents are able to move around the home freely and are not told to sit down by staff. It was apparent that staff recognised the importance of allowing residents the freedom to walk, and the provision of the wall murals and other materials given the residents interesting things to look at, touch and feel. We observed breakfast and lunch being served, and the meals appeared very well balanced and catered for the varying needs, both cultural and dietary, of the residents. For those individuals who required support during mealtimes staff were on hand to give the necessary assistance in a discrete and sensitive manner. Mealtimes appeared relaxed and flexible with residents being given time to finish their meal in their own time. The service has developed pictorial menus which helps some residents to make choices, and staff were also heard asking residents, just before serving the meal, what they wanted. The dining areas were congenial with tables being appropriately laid with cloths, flowers, cutlery, cruet, cups/glasses and napkins. Residents are served four meals each day and in between times drinks and snacks are freely available. We spoke to the kitchen staff who demonstrated an awareness of the dietary needs, likes and dislikes of the residents. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can feel confident that they can express their concerns, and have access to a robust, effective complaints procedure and are protected from abuse and that their rights are protected. Evidence: We looked at the complaints file and are confident that the service takes all complaints seriously and deals with these promptly and effectively. From conversations with residents, visitors and staff there appears to be an open and positive culture at George Brooker House when dealing with complaints. We were told by some residents and visitors that they are extremely satisfied with the service, and that they feel safe and supported. Access to external agencies or advocacy services is actively promoted. Staff confirmed that they had undertaken training in recognising abuse and dealing with all safeguarding issues, and were aware of the homes policy and procedures in this area. This was also confirmed in the AQAA (annual quality assurance assessment) which had previously been submitted by the service. Staff understood what was meant by restraint, and would always look for alternatives to its use. Equipment which may be used to restrain individuals such as bed rails, key pads, recliner chairs and wheelchair belts would only be used when absolutely necessary and in line with the deprivation of liberty safeguards. Some use is now made of assistive technology for those residents at risk of falling, and the use of such equipment has reduced the Care Homes for Older People Page 16 of 28 Evidence: number of falls sustained by residents at risk. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment which promotes and encourages independence. Evidence: We undertook a tour of the building and found all parts to be clean and free from any offensive odours. The staff have worked extremely hard painting murals on some of the corridor walls. Bedroom doors had photographs which could be recognised by the individual resident, and this has aided them to find their own bedroom. Bedrooms seen had been personalised by the resident and this is encouraged by the service. The well-maintained environment provides specialist aids and equipment to meet the needs of the residents, and generally the is a very pleasant, safe place to live. The lounges/dining areas enable residents to live in small clusters to reduce an institutional environment. There is a smoking room with external ventilation and this is used by residents who currently smoke. Staff were aware of the need to exercise good infection control and policies and Care Homes for Older People Page 18 of 28 Evidence: procedures are in place. We were told that there is always sufficient hot water and the temperature in the home can be changed to meet the choices of residents, especially in their own bedrooms. We observed that fans had been strategically placed along corridors, but these need to be raised higher up the walls so that they do not pose a risk to residents, staff and residents. This was discussed with the manager during the inspection, and a requirement will be made to address this matter. We visited the kitchen and the laundry areas and these were found to be clean and well maintained. The local environmental health officers had recently undertaken an inspection and had awarded an excellent rating to the home. The garden area is well maintained and on the day of the inspection there were many pots and hanging baskets of attractive flowers. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, and to support the smooth running of the service. Evidence: The service has a well developed recruitment procedure and the recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service has good staffing ratios to support the needs, activities and aspirations of the residents in a person centred way. Management prioritise training and facilitate staff members to undertake external training and qualifications beyond basic requirements. We observed that the staff team are very supportive of each other and share skills and knowledge with colleagues. The roles and responsibilities of staff are clearly defined and understood. Residents and visitors told us that the staff are very skilled and extremely kind and caring. In discussions with the manager and the deputy manager they were able to demonstrate that they are proactive and have a very good understanding of equality and diversity issues throughout recruitment, induction and ongoing training. The induction and probationary periods are very robust and permanent employment is only confirmed when the management is satisfied that competence and progress has been Care Homes for Older People Page 20 of 28 Evidence: shown to be satisfactory against the high standards imposed by the service. Staff meetings are used for consultation and training and staff are involved in the development of the service. Individual supervision sessions take place regularly and staff told us that they find them useful for their development. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems and the management team of the home is competent and ensures quality care to people using the service. Evidence: The registered manager has the necessary qualifications and experience and is highly competent to run the home and meets its stated aims and objectives. She has sound financial planning and budgetary control and the home provides value for money. In discussions with us the manager was able to describe a clear vision of the home and it was evident that she communicated a clear sense of direction for her staff. Equality and diversity, human rights and person centred thinking are given a priority by the manager who was able to demonstrate a high level of understanding and best practice in these areas. Care Homes for Older People Page 22 of 28 Evidence: The management team operates robust operational systems and are knowledgeable and highly competent in a range of areas. The deputy manager has responsibility for health and safety issues and was recently commended by the local fire office for the good fire risk assessment. Other maintenance records seen were in good order and the deputy manager and the maintenance person work very closely together to ensure that the home is maintained to a high standard. Staff told us that the manager and the deputy manager provide good role models and that they provide effective leadership. Training and development of staff is given a high priority within the service. The manager ensures that staff follow the policies and procedures of the home, and spot checks are part of the quality monitoring systems to ensure that good practices are followed. The service is open and transparent and the views of both people who use the service and staff are listened to and valued. Monthly visits required under regulation 26 of the Care Homes Regulations are undertaken and the reports of these visits were seen during the inspection. The annual quality assurance assessment was comprehensive and was fully supported by evidence seen during the visit. There are efficient systems to ensure the effective safeguarding and management of residents money and valuables, including record keeping. Records are kept securely and staff are aware of the requirements of the Data Protection Act. Working practices in the home are safe and there are clear trends which indicate a reduction in the number of accidents and this is evidenced by good monitoring and record keeping systems. There is full and clearly written recording of all safety checks and accidents, and there is no evidence of a failure to comply with statutory reporting requirements under regulation 37 of the Care Homes Regulations. The manager, deputy, seniors and staff at all levels demonstrated a good understanding of risk assessment processes which were underpinned by promoting independence, choice and autonomy. Currently no resident has been registered under the new deprivation of liberty safeguards, and no applications have been made nor refused by the local authority. The manager and the deputy manager were conversant with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DOLS). Training has been arranged for staff so that they are also conversant with the DOLS. Both the manager and the deputy manager have achieved the Registered Managers Award (RMA), and both were able to demonstrate an awareness of the need for robust Care Homes for Older People Page 23 of 28 Evidence: operational systems and were knowledgeable and competent in a range of areas. The deputy manager takes the lead on health and safety issues and was recently commended during a visit by the fire service on the fire risk assessment for the home. The manager was conversant with the Mental Capacity Act 2005 and also on the deprivation of liberty safeguards (DOLs). Staff have undertaken some training and further training has been arranged in this important area. Currently no residents at George Brooker are being restrained under the Mental Capacity Act, and no applications for such restraint have been made by the service, or refused by the local authority. The service has effective quality assurance systems and these include the monthly visits undertaken under Regulation 26 of the Care Homes Regulations. These reports are kept at the home, and these were seen during the inspection. Staff told us that the manager and the deputy manager provide good role models who provide consistently high quality services. Regular training is provided to all members of staff, as is supervision where issues can be discussed. The quality monitoring systems include spot checks to ensure that staff are consistently delivering good quality care. The manager ensures that all staff follow the policies and procedures of the home, and these are regularly updated in line with legislation. The annual quality assurance assessment (AQAA) was comprehensive and contained information that was fully supported by appropriate evidence seen during the inspection. There was strong evidence that the ethos of the home is open and transparent and that the views of people who use the service, and those of staff, are listened to and valued. The home has efficient systems to ensure effective safeguarding and management of residents money and valuables including record keeping. Record keeping has improved and records are kept securely and in accordance with the requirements of the Data Protection Act. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person shall 30/04/2009 make arrangements for recording and administration of PRN medication. Appropriate protocols should be written for the safe administration of PRN medication to ensure that all members of staff who could be involved in the administration of such medication are fully conversant of the occasions when this needs to be administered. 2 25 13 The registered person shall 30/04/2009 ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. The fans currently situated along the corridors could pose a risk to residents, staff and visitors at their currently height. These fans Care Homes for Older People Page 26 of 28 need to be moved higher up the walls to prevent people walking into them and hurting themselves. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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