Inspection on 26/08/08 for Beechwood Care Rest Home

This is the latest available inspection report for this service, carried out on 26th August 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Beechwood Care Rest Home 11-12 New Parks Crescent Scarborough North Yorkshire YO12 5JZ Lead Inspector Pauline O`Rourke Key Unannounced Inspection 26th August 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 Beechwood Care Rest Home DS0000071442.V370305.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. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood Care Rest Home Address 11-12 New Parks Crescent Scarborough North Yorkshire YO12 5JZ 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) 01723 368419 Beechwood Social Care Options Ltd Mrs Diane Joan MacGregor Care Home 22 Category(ies) of Dementia (22), Old age, not falling within any registration, with number other category (22) of places Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of 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, maximum number of places 22 2. Dementia - Code DE, maximum number of places 22 The maximum number of service users who can be accommodated is: 22 N/a Date of last inspection Brief Description of the Service: Beechwood is a newly registered service. It is registered to provide care and accommodation for people who are over the age of 65 and people who have a dementia. The premises are adapted from two Victorian style houses. There are 19 bedrooms over three floors. The majority of the rooms are ensuite. Two of the bedrooms are double rooms. There is a passenger lift that allows access to all floors. There is a large lounge and a dinning room on the ground floor. There is a small patio area to the rear of the property and a sitting area at the front of the property. The home is situated in a quiet cul-de-sac in Scarborough within easy reach of local amenities and transport links. Information about the services offered is in the format of a service user guide that is made available to people in the home. A copy of the most recent Commission for Social Care Inspection report is also made available to people. On the 26th August 2008 the weekly fee is between £341 and £372 and does not include items personal to an individual, chiropody, hairdressing and some trips out. Beechwood Care Rest Home DS0000071442.V370305.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 star. This means the people who use this service experience good quality outcomes The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Information provided by the registered person on an Annual Quality Assurance Assessment document Comment cards returned from 6 people living in Beechwood, one health professional and one care manager. A visit to the home carried out by one inspector that lasted 6 and a half hours. During the visit to the home 10 people who live at Beechwood, and four staff were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Beechwood for the people living there. The manager was available to assist throughout the visit for feedback at the close. What the service does well: People at Beechwood told us during the visit that they liked living at the home. One person said ‘I feel better cared for now than I ever did’. They also said that the staff were nice and always responded quickly to requests for assistance. One person said that ‘the food has improved over the last year’ another said ‘the food is delicious’. People enjoy the weekly meetings that give them a chance to air their views about the home and the way it is working. There has been an increase in the amount of activities available including a weekly ride out in a mini bus provided by the Lions, a local voluntary group. The emphasis in the home clearly puts the physical, and social care needs of the people who live there first. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 6 The Registered Manager also ensures that there are enough staff on duty to provide the support people need. This sometimes means that the staffing levels are increased as the occupancy levels increase. The Registered Manager is always available and operates an open door policy. She works well with the staff and other professionals and one said ‘the manager makes sure that tailored care to suit the individual is provided.’ A relative said ‘In my opinion my mother receives a high standard of care to fulfil all her physical, psychological and social needs, with all residents being treated with respect’. What has improved since the last inspection? What they could do better: This is a new service and there are several things that the Registered Manager can do to improve the service provided to the people in the home. During the visit one of the bedrooms and a bathroom were found to have a strong odour of urine. These areas must be kept clean so that the people who live at Beechwood can live in a clean and comfortable environment. The Registered Manager must ensure that any accidents or serious illnesses are reported to the Commission without delay. This ensures the people in the home receive the correct treatment and any follow up action is taken to ensure that people continue to receive good treatment. The Registered Manager should also ensure that assessments are completed fully to allow for staff to have the information needed to provide the support required on an individual basis. She should also involve the people in the home in their care plans, which, they can then sign to confirm their agreement of them. Staff that manage the medication should have access to accredited training to ensure they have a fuller understanding of the medicines they are handling. All staff should be included in the training for Adult Protection issues so that all staff can be vigilant and recognise when abuse may be occurring. The Registered Manager should also ensure that there is a maintenance plan in place and the bedrooms without locks should be provided with locks. This will allow people to ensure their rooms can be locked to protect their belongings when they leave them and maintain peoples right to privacy. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beechwood Care Rest Home DS0000071442.V370305.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 Beechwood Care Rest Home DS0000071442.V370305.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): 3 and 6 People who use the service experience good quality outcomes in this area. People who decide to use this service can be assured their needs will be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home provides a Statement of Purpose. It clearly sets out the objectives and philosophy of service and is supported by the Service User Guide. The guide details what the people in the home can expect and gives clear information about the services available, the accommodation, how to make a complaint and how to obtain a copy of the most recent inspection report. The manager is looking in to providing this document in to different formats so that it is accessible to people with differing disabilities. Four case files were seen and each of them contained an assessment provided by the placing authority as well as an assessment carried out by either the Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 10 manager or deputy manager. The assessments carried out by someone from the home were very basic and referred the reader back to the assessment provided by the placing authority. If someone from the home carries out a pre-admission assessment then as a matter of good practice it should be detailed enough to help staff enable someone to settle in and receive the support they require. Each of the files contained a care plan. There have been no new admission to the home of people who are self-funding but the manager is aware that any assessments carried out without the back up of information provided by a placing authority must be detailed and involve the person themselves and their families. People newly admitted to the home are provided with a statement of terms and conditions of their residency. This sets out in detail what is included in the fee, their role and responsibility of the provider and the rights and obligations of the individual. People said that they had met the manager before they came to live at Beechwood and they had copies of the Service User Guide in their rooms. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. People receive the care and support they need. The staff provide support in a sensitive way that promotes the independence and dignity of the people who live at Beechwood. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Each case file seen contained a care plan. The quality of these plans varied some were detailed and offered staff clear guidance as to the support required by the individual whilst others were basic in style and provided limited information. People spoken to were aware of their care plans although there was no evidence to show they had signed their care plan. The manager reviews the care plans each month. Staff keep daily records about each person in the home but there was no evidence they contribute to the care plans. Discussions with the manager showed her intent to introduce a key Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 12 worker system that would encourage staff to be more involved in the development of the care plans. People in the home said that they could see their own doctor on request and they could either go to the surgery or home visits are organised. The staff were observed contacting GP surgeries and requesting a visit at the request of the person concerned. Information was also held in their care plans to show if they had interventions form other healthcare professionals such as the tissue viability nurse and district nurse interventions. A record of a persons weight is maintained and where necessary specialist support is obtained to ensure people’s health is not compromised by poor nutritional intake. A monitored dosage system is used to manage the medication. Senior staff are responsible for the dispensing of the medication and they have completed a training course provided by BOOTS but have not had any accredited training. Records are kept of medicines coming in to the home and for the medication returned to the pharmacist. A medication round was observed and the home’s procedure was followed properly. The medication records were accurate and up to date. There are no controlled drugs in the home at this time but they are following the controlled drugs practice for the dispensing of Oromorph as a matter of good practice. There is no dedicated storage for controlled drugs but a cabinet has been ordered from the local pharmacist. The medication is currently stored in a locked cupboard on the top floor of the house. The manager needs to ensure this is an appropriate place to store the medication with proper ventilation. Advice was given to the manager about obtaining the guidance ‘The Handling of Medicines in Social Care’ issued by the Royal Pharmaceutical Society of Great Britain. No one in the home looks after his or her own medication. Throughout the visit the interactions observed between people who lived in the home and staff was seen to be relaxed and friendly. Staff called people by their chosen names and always knocked on a closed door before entering. Beechwood Care Rest Home DS0000071442.V370305.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): 12, 13, 14, and 15 People who use the service experience good quality outcomes in this area. People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good and varied diet and a social and recreational programme helps them to maintain their interests and hobbies. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care plans contained basic information about people’s likes and dislikes. Staff should endeavour to obtain detailed information from people newly admitted to the home about their social interests, how they like to spend their day, and who the important people in their lives are. People in the home said that they could spend their day as they wished and there was no set routine of the day they had to follow. Several people did not get up until lunchtime; staff were aware of this and made sure regular checks were carried out to ensure people were alright. Activities are provided most days and an activities organiser is employed. This means that someone has the responsibility to arrange trips out and activities within the home. The trips are courtesy of the local Lions, a charitable group who provide the mini bus and driver for Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 14 charitable contributions. Recent trips out have included visits to Bridlington, Whitby and into town. People are able to go out with the group and then spend time on their own if they wish and meet up at a pre-arranged time and place. Several people said this was satisfactory as it allowed them to get out but they could do what they wanted when they got there. Other activities included board games, sing-a-longs, reminiscence, and quizzes, exercising, gardening and getting ready for their summer fayre. There is a weekly house meeting where future trips and activities are discussed. One visitor was present during the visit and they said that they were always welcomed when visiting and the manger keeps then informed if their relative is not well. People in the home confirmed that their visitors were made welcome at anytime. They could choose not to see someone and staff would be supportive of that. Information obtained on the day included one comment from a visitor feedback form ‘There is good communication between management, staff and immediate family’. All of the people in the home spoke highly of the food comments such as ‘the food is delicious’, ‘the food is good here and I get breakfast in bed’ ‘the meals have improved over the last year’. A menu is in operation and it provides a varied and nutritious diet. Breakfast can be a selection of items including cereals, toast, yogurts, bacon, eggs and fruit depending on the requests of the people in the home. The lunchtime meal was observed and it was threecourse meal consisting of soup a main course and a dessert. There was no choice but alternatives are offered if someone doesn’t want what is offered. There is a choice of items on the tea menu and snacks are available throughout the night on request. Hot drinks are available throughout he day and there is a tea bar in the dinning room where people can help themselves to a hot drink at anytime. Beechwood Care Rest Home DS0000071442.V370305.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): 16 and 18 People who use the service experience good quality outcomes in this area. People who live at Beechwood and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a comprehensive complaints procedure in place, it is advertised on the information board as well as being in the Service User Guide. All of the people spoken with would take any concerns to the manager. There is also a weekly communications meeting where everyone in the home is invited to and those who attend raise any concerns they have about the home. Advice was given to the manager to ensure the correct contacts are in the complaints policy. An Adult protection protocol is in place and most of the staff spoken with were aware of their responsibilities under this procedure. This procedure was recently implemented and followed properly. Staff have received training through National Vocational Qualification and the manager has also provided the training in-house. One member of staff did not seem to think the Adult protection policy affected them and the manager needs to ensure all members of staff understand what the policy and procedure are about. All staff have a criminal records bureau disclosure or a POVAFIRST check prior to the Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 16 commencement of their employment to ensure they are suitable to work in the home. Beechwood Care Rest Home DS0000071442.V370305.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): 19 and 26 People who use the service experience adequate quality outcomes in this area. People live in a warm, comfortable and safe environment. They can access all areas of the home, which encourages independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Beechwood is an adapted property from two houses and is domestic in style and size. A walk round of the property raised the following issues: 1. Bedroom 8 had a strong smell of urine. 2. The bedroom doors in what was the day unit require handles and locks 3. The bathroom in this area of the home also had a strong smell of urine. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 18 The manager must take appropriate actions to ensure these items are dealt with in a timely manner. The manager has a plan of works to upgrade areas of the home but this is not recorded anywhere. It is recommended that the manager produce a maintenance programme with timescales to show that there is intent to invest in the fabric of the home for the benefit of the people who live there. The manager has installed a new call system in the home that logs each call made by people when they require attention and allows for analysis of these calls and response times of the staff. A new lift has been ordered and is due to be installed in November 2008. The laundry is sited appropriately within the home. The washing and drying machines are adequate for the number of people who live at Beechwood. There is an infection control policy and staff were aware of their responsibilities when dealing with people in the home. They are provided with hand washing facilities, aprons and gloves for use when providing personal care Beechwood Care Rest Home DS0000071442.V370305.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): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. Staff have been vetted prior to the commencement of their employment. They receive some training and are in sufficient numbers to ensure they can provide the support required by the people in the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: At the time of the visit there were four support staff, two ancillary staff and the manager available to the people in the home. A record of the staff rota is available and it shows how many staff are on duty at any time. The staffing levels are flexible and have recently been improved because the occupancy levels in the home have increased. There is a 90 achievement rate of the NVQ (National Vocational Qualification) level 2 in care, several members of staff also have an NVQ level 3 and two are looking to complete the level 4 in care and management. Four staff files were seen and each of them contained an application form a criminal records bureau disclosure check. There were references but these were addressed to ‘whom it may concern’ and were not always from the most recent employer. A discussion was also held about the application form and Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 20 the manager is going to look at providing one that allows for more employment history, and a space for identifying other qualities people may be able to bring to their role. Other training is available and the manager is planning to use supervision to identify individual training needs within the staff group. Since the manager took over the staff have had fire training and some training in safeguarding. Beechwood Care Rest Home DS0000071442.V370305.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): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. People live in a home that is well managed and systems are in place to protect their health and safety. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The Registered Manager is a qualified nurse and is experienced in managing services for older people. She has a good understanding of the conditions that can affect people, as they get older. She has established clear lines of accountability within the home. People spoken with said that she was very approachable and supportive. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 22 She has implemented a simple but effective quality assurance system. This consists of using feedback forms for people who live in the home, their families and/or friends and visiting professionals. She has already had feedback and this includes ‘In my opinion my mother receives a high standard of care to fulfil all her physical, psychological and social needs, with all residents being treated with respect’. Alongside the feedback forms there are the weekly house meetings, staff meetings and supervision notes along with any environmental issues that will feedback in to an annual development plan. The manager does not handle any monies for the people who live in the home. There is a health and safety policy in place and staff were aware of this. Established staff in the home have received training in moving and handling, first aid, food hygiene and infection control. Training is planned for newly appointed staff in these areas. All staff have recently had fire safety training. All of the appliances and equipment used in the home has been serviced and maintained in accordance with the manufacturers instructions. Risk assessments have been carried out for all safe working practices. All accidents are recorded, however, several accidents were noted where the person involved had either gone to the accident and emergency department of the local hospital or had been admitted to hospital following an accident and these had not been reported to the Commission as required. Beechwood Care Rest Home DS0000071442.V370305.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 3 X X N/A 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 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP26 Regulation 16(2)(k) Requirement Timescale for action 01/10/08 2 OP38 37(1)(c) (d) The Registered Person must ensure that all areas of the home are kept clean and odour free at all times. This makes sure people live in a clean environment. The Registered Person must, as 01/10/08 required report any serious injury or illness to the Commission without delay. 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 OP3 Good Practice Recommendations Any assessment carried out by the Registered Manager or deputy manager should be detailed and include all elements of a persons needs. This makes sure the home can meet the persons needs. The registered person should ensure the care plans are signed by the person they are about. The registered person should ensure that all staff that manage the medication should receive accredited training. DS0000071442.V370305.R01.S.doc Version 5.2 Page 25 2 3 OP7 OP9 Beechwood Care Rest Home 4 5 6 OP18 OP24 OP29 The registered person should include all staff in training for adult protection issues. The registered person should ensure that all bedrooms are capable of being locked by the occupant if they so wish. The registered person should always request fresh references and not accept any reference that is photocopied or addressed ‘to whom it may concern’. Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Beechwood Care Rest Home DS0000071442.V370305.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!