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Inspection on 25/03/08 for Beechcroft House, Midsomer Norton

Also see our care home review for Beechcroft House, Midsomer Norton for more information

This is the latest available inspection report for this service, carried out on 25th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a pleasant homely environment improved by the recent work with new conservatory and extending of lounge areas. Individuals spoke of the "friendly" and "caring" staff and the home has a good history of retaining staff which ensures a continuity of care for individuals who live in the home. One respondent to the questionnaire stated that what the home does well is; "they put the wellbeing, care needs and happiness of the residents at the top of any decision making...cared for by staff who are well trained, professional and staff demonstrate an awareness of both the strengths and weaknesses of the resident and demonstrate flexibility in delivering care". There is good practice in care planning and these show full and detailed information about the individual including social history, life story.

What has improved since the last inspection?

A requirement was made at the previous inspection about the need to complete risk assessments where individuals manage their medication. On this inspection there remains an individual where no risk assessment had been completed. A further requirement will be made and the home must address this shortfall in their practice.

What the care home could do better:

This inspection identified that the home fails to undertake pre-admission assessments for individuals who are not known to social services. This was discussed with the manager at the time of the visit who stated that care plans are their assessment once the individual moves to the home. This is not good practice in that the home needs to establish through their pre-admission assessment their ability to meet the needs of the perspective resident and that the home is suitable for the individual. They also need to use the assessment to make a judgement against the needs of existing residents as to the suitability of the home and capacity to meet the needs identified. Further area to be addressed is that of completing risk assessments around the having of uncovered radiators in the home. To identify through this where there may a need to make sure they are covered to protect the health and welfare of individuals who live in the home. Having installed a lift the manager must review their practice where individuals "cannot" use the lift without being accompanied by a member of staff. This is potentially an infringement on individuals right to move freely around the home, as they would wish. Risk assessments would identify and record formally that individuals are able in a safe manner to use the lift independently. Indeed there is a question of all residents, unless someone is clearly either through mental incapacity or physical frailty at real risk, being able to do so rather then the approach at present where all have to be accompanied by staff member.

CARE HOMES FOR OLDER PEOPLE Beechcroft House 75 North Road Midsomer Norton Bath & N E Somerset BA3 2QE Lead Inspector Jon Clarke Unannounced Inspection 25th March 2008 09:30 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 Beechcroft House DS0000008148.V360359.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. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechcroft House Address 75 North Road Midsomer Norton Bath & N E Somerset BA3 2QE 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) 01761 419531 F/P 01761 419531 sarah_thomas1@btconnect.com Mrs Sarah Louise Thomas Mrs Sarah Louise Thomas Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Beechcroft House DS0000008148.V360359.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 providing personal care 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 18. 27th July 2006 Date of last inspection Brief Description of the Service: Beechcroft is a small family run care home for 18 older people established by the current owner 15 years ago and situated in the town of Midsomer Norton. The home is an extended and converted detached house. Accommodation is provided in single rooms over two floors with lift access to the first floor. All rooms have en-suite facilities there are bathrooms including one with bath seat and hoist as well as shower facilities. There are two lounges one of which includes a dining area in addition there is a large conservatory with level access to the garden. Beechcroft aims to provide its residents with a secure, relaxed and homely environment in which their care, well being and comfort are of prime importance. we pride ourselves on offering a highly professional care service, with a personal touch. (From the homes Statement of Purpose) Beechcroft also offers day care by arrangement. The homes Mission Statement states Beechcroft Residential home strives to provide consistent high standard of care at all times. To do this we try hard to: Understand our clients needs, Promote the best care values and Train and motivate our staff. Fees £495-525 dependant on care needs and facilities required. Inclusive of all facilities other then personal services i.e. chiropody, hairdressing. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. This unannounced inspection took place over one day. As part of the inspection a number of records were looked at including care plans, daily records, training and those relating to health & safety practice in the home. There was also an opportunity to discuss with residents and staff their experience of living and working in the home. A number of Have Your Say questionnaire were sent to the home before this inspection responses were received from 9 residents 10 relatives, 1 staff member and 6 health professionals. As part of this inspection the manager completed a Annual Quality Assurance Assessment (AQAA) which set out the areas of practice based around the National Minimum Standards summarising what the home does well, the evidence for this, what they could do better and how they have improved in the last 12 months. The information from the AQAA and questionnaires has been used to help make a judgement about the quality of care provided in the home. What the service does well: What has improved since the last inspection? A requirement was made at the previous inspection about the need to complete risk assessments where individuals manage their medication. On this Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 6 inspection there remains an individual where no risk assessment had been completed. A further requirement will be made and the home must address this shortfall in their practice. 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. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The pre-admission arrangements need to improve so that the home can make a more informed decision about the suitability of the perspective resident. The home’s Statement of Purpose provides the required information about the home, the facilities, staffing arrangements, admission procedure and aims and objectives of the home so that individuals can make an informed choice about the suitability of the home. EVIDENCE: A number of pre-admission assessments provided by the local authority were seen showing good information about care needs, daily routines of perspective residents. However where the individual is not known to social services there were no assessments undertaken by the home. Where there are mental health difficulties the home will involve the mental health team to make sure the home can manage the individual and the home is suitable for the individual. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 9 The homes Statement of Purpose was looked at and it provides full and detailed information about the staffing, facilities, fee and admission arrangements. However it should provide fuller details as to qualifications of staff that work in the home i.e. numbers with NVQ qualification. There also should be information about the sizes of rooms available. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Planning and arrangements for meeting health care are good providing staff with the necessary information so that the health and social care needs of residents are met. Arrangements for managing resident’s medication make sure that resident’s health needs are protected but to safeguard individuals who manage their medication a risk assessment must be completed. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld. EVIDENCE: A number of care plans were looked at and they illustrated good practice with information about the daily routines of residents, the abilities of residents in relation to daily tasks such as dressing and undressing and what help was needed. Risk assessments are completed and importantly reviewed to make sure that the information is accurate and reflects the actual needs of residents. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 11 Moving and handling assessments provided staff with guidance about safe practice when assisting residents with their mobility. Resident’s signature on care plans showed their involvement in completing care plans and when speaking to individuals who live in the home they confirmed that they had discussed with staff what help they needed. The home completes Risk Assessment for Falls which assists in identifying potential risks for residents this had been completed for an individual who has a history of falls. There is good access to community health services such as chiropody (every 8 weeks) dental and optician services are arranged either through visits to the home or using local service. Where individuals require medical support referrals are made to the district nursing service. Individuals who live the home and responded to questionnaire said that they “always” 7 and “usually” 2 receive the medical support they need. One individual I spoke with said how the staff “will always get me a doctor if I need one and very quickly”. A health professional commented, “ the staff have a very good understanding of the resident’s medical needs and seek advice appropriately”. Other comments about health care were; “ staff are very quick to alert us if there are any medical requirements” and from a relative “obtaining medical advice/re-evaluation and ensured that advice and follow up appointments are kept. In addition they have fully supported physiotherapy sessions” Medication records were looked at and showed accurate recording of medication administer to residents. Where controlled drugs are administered these are recorded in a controlled drug register these records were check and found to be accurate. The storage provided was good and included additional secure storage for controlled drugs. There was one individual who has responsibility for their medication however no risk assessment had been completed. In talking with individuals who live in the home they spoke of staff being always “someone we can talk too”. When asked how they felt they were treated one individual said she “always felt comfortable with staff”. Staff were observed talking and assisting individuals in a sensitive and appropriate manner. A health professional commented that they had observed staff and they “always provide privacy and give them their dignity”. A visitor to the home who completed the questionnaire commented “the staff here are mature caring and intelligent and care for the residents with kindness and respect and are not patronising”. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: A number of individuals I spoke with said that they felt there were “enough” activities and spoke of the exercise class, bingo and quizzes that takes place. They also spoke of how cares staff “have time for us” and having a chat was something they enjoyed. One staff member provides massage to resident and the housekeeper also provides music sessions. Respondents to the questionnaire said there was “always” 6 “usually” 3 activities arranged by the home they could take part in. One individual said they would like to be able to “go out more often just to the shops”. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 13 The home recognises the importance of residents maintaining contact with family and friend and individuals I spoke with all said how they felt their visitors were “always welcomed”. One relative commented “visitors are made very welcome” and another “I am always made to feel welcome”. Relatives who responded to the questionnaire all said how the home kept them informed. One commented “when visiting this care home there is always a welcome and have managed to create a real family atmosphere”. Individuals I spoke with were all very positive about the meals provided: “always a choice if I want it”, “I always enjoy the food here its very good”. Respondents to the questionnaire (residents) said they “always” 4 “usually” 5 like the meals in the home. One respondent said that “the plates are sometimes cold it would nice if they were warm” I spoke to the cook and she told me and this was observed that plates are always warmed and that she had changed the way she serves the meals so that there is less chance of meals not being hot. Menus were seen and they were varied and as previously there was an emphasis on providing as home cooked meals as possible. In talking with individuals who live in the home they all spoke of how “time is our own” “there are few routines can do as I wish” “this is like my home”. I asked one individual what would happen if she didn’t wish to get up when staff came to help her “they would come back later”. Individuals also spoke of staff being available when they wanted “all we have to do is ask” “staff all very good and there when we need them”. One relative in their questionnaire commented “the staff demonstrate an awareness of both the strengths and weaknesses of residents and demonstrate flexibility in delivering care”. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s practice and procedures help to make sure that residents and others are able to make any complaint or dissatisfaction and their views will be listened and necessary action will be taken. Residents are protected as far as possible from abuse by the home procedures and training. EVIDENCE: There is a complaints procedure in place and residents when asked were aware of their right to register any complaint or voice concerns. The pre-inspection questionnaire asked if residents knew how to make a complaint or who to speak to if they were unhappy all of the respondents said yes. Importantly when speaking to residents they were very positive about how if they did feel unhappy about anything “I can always speak to a member of staff” “I only have to say and staff will try and make it better for me” “I never feel I cant say how I feel”. There was a real sense when speaking to residents that their wishes and views would not only be listened to but also respected. The home has procedures in place providing guidelines and instructions about how to response to any allegation of abuse. Staff have completed Adult protection training, which provides them with a knowledge and understanding of the nature of abuse particularly in a care home setting. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 15 Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practices of the home help to provide a safe, clean, hygienic and wellmaintained environment. EVIDENCE: In looking around the home it was evident that there is a good standard of cleanliness. There are procedures in place that instruct staff on standards of hygiene and staff (12) have completed Infection Control training. At the time of this inspection the home was clean and free from offensive odours. All respondents to questionnaire said that the home was “always” fresh and clean. Since the last inspection there have been major improvements to the environment of the home through the building of large conservatory with level Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 17 access to garden decking and extending lounge area. This has made the home more spacious. Additional rooms have been added with en-suite and lift installed and new accessible Apollo bath. Individuals commented on how this had made the home “really nice plenty of space” and “I think every effort has been made by the care home to provide for the safety, comfort and well-being of the residents”(relative). Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing arrangements in the home ensure that there are adequate staff available to meet the care needs of resident and that staff are trained to provide care in a competent and professional way. The recruitment practice of the home helps to make sure the welfare of residents is protected and necessary checks and safeguards are undertaken. EVIDENCE: There are generally 2 staff on duty am, 2 pm and waking night staff in addition to housekeeper. Changes have been made since last inspection to account for increase in residents and there is now a sleeping member of staff, hours of kitchen staff have been extended so that care staff no longer have to undertake kitchen duties. An additional housekeeper is to be employed for the weekend. When taken against the care needs of residents this is adequate staffing and certainly the changes in kitchen staff arrangements is of benefit to residents. Individuals I spoke with all said how they found that staff were “always available if you want them” “there for us when we ask”. Previous inspection confirmed that there are the required arrangements in place for the recruitment of staff with all staff having Criminal Record Bureau checks, references and undertake Skills For Care induction. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 19 Training records were looked at for 6 members of staff all had completed Safeguarding Adults, Moving and Handling, Fire. Cooks had Food Hygiene training one has NVQ 2. Of the fifteen staff eight have completed NVQ 2 or 3 professional qualifications. Three members of staff are waiting to commence this training qualification. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager of the home ensures that there are opportunities for residents to express their views and that the health, safety and welfare of residents and staff is protected. Health and safety would be improved by undertaking risk assessments where necessary to identify risks for having uncovered radiators in areas of the home and individuals using the lift independently. EVIDENCE: Monthly residents meeting are heal and one individual I spoke with said, “the meetings are very good we can say what we like and Sarah will sort it”. Resident’s questionnaires provide comments about the service provided and these included: Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 21 “I am very satisfied with excellent staff care” “I would like to say thank you for making me feel so welcome and all the staff are so kind and helpful” “the staff in general are carers in every sense of the word”. No questionnaires are given to relatives or professionals who visit the home. Health & Safety records were looked at including the homes Fire Risk Assessment and Safety Management Plan that had addressed a number of areas that required attention. Fire records showed that fire alarm is tested weekly and fire drills take place as required. There are no risk assessments for uncovered radiators in room and other areas of the home. The inspector discussed with the manager the arrangements for individuals to use the lift independently. It is their approach that staff should accompany individuals using the lift. However one individual I spoke with was unhappy with this and felt able to use the lift independent. The manager was advised that this should be looked at on an individual basis and risk assessments undertaken to identify whether there are valid reasons why individuals should not use the lift without staff supervision. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 2 Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (4c) Requirement Ensure where residents manage their own medication a risk assessment is completed and reviewed on a regular basis. Timescale for action 01/05/08 2. OP1 4 (1) 3 OP38 13 (4) (a) 4 OP38 13 (4) (b) (C) The manager to ensure the 01/05/08 home’s Statement of Purpose contains the required information as in Schedule 1. (This refers to having room sizes included in information and staff qualifications and training.) The manager to ensure that all 01/06/08 parts of the home are as far as reasonably practicable free from hazards to their safety. (This refers to having uncovered radiators and risk assessments being undertaken) The manager to ensure that any 01/06/08 activities in which individuals participate are so far as reasonably practicable free from avoidable risks and unnecessary risks to the health or safety are identified. (This refers to risk assessments being undertaken regarding individuals using the lift independently) DS0000008148.V360359.R01.S.doc Version 5.2 Page 24 Beechcroft House 5 OP38 23 (4) © The manager to ensure that they make adequate arrangements for the containment of fires. (This refers to taking action regarding fire doors meeting the required standard and seek advice from Avon Fire Rescue Service about this matter) 01/06/08 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 OP33 Good Practice Recommendations Seek the views of relatives and professionals through questionnaires as to the quality of the service provided in the home. This information to inform annual service review. Beechcroft House DS0000008148.V360359.R01.S.doc Version 5.2 Page 25 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. Extracts may not be used or reproduced without the express permission of CSCI Beechcroft House DS0000008148.V360359.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. 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