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Inspection on 08/06/07 for Beachville

Also see our care home review for Beachville for more information

This inspection was carried out on 8th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 offers prospective residents whatever length of time they need to decide if they wish to live at the home. There is a good level of staff training to give staff more understanding about the different needs of residents. There is an excellent standard of hygiene around the home. The home is comfortable and well maintained. There is a very good standard of record keeping. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. A wholesome, varied menu is available for residents. Residents have the opportunity to pursue their religion if they wish to.

What has improved since the last inspection?

The level of staff training continues to improve to help staff understand the care and support needs of residents. The standard of record keeping continues to improve. There is a selection of social activities and outings available if residents wish to become involved.

What the care home could do better:

Photographs of residents should be available. The Statement of Purpose requires updating.

CARE HOMES FOR OLDER PEOPLE Beachville West End Newbiggin By The Sea Northumberland NE64 6XD Lead Inspector Karena M Reed Key Unannounced Inspection 8th June 2007 1:15 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 Beachville DS0000000633.V338233.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. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beachville Address West End Newbiggin By The Sea Northumberland NE64 6XD 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) 01670-817345 01670 812411 beachvillecare@btconnect.com Mr S L Allison Mrs J Allison Ms Linda Karen Rutter Care Home 12 Category(ies) of Learning disability over 65 years of age (2), Old registration, with number age, not falling within any other category (10) of places Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: Beachville care home is registered to provide personal care to twelve residents, categories of care include nine older people, one older person with memory loss and two people with learning disabilities over sixty- five years of age. Nursing care is not provided. The home is situated in a residential area of Newbiggin By the Sea and is near to a bus route. It is also close to local shops and pubs. The building is a large detached house with gardens overlooking the coast. All bedrooms are for single use apart from one double bedroom. Rooms to the rear of the house enjoy magnificent sea views. A passenger lift is not available but some bedrooms are situated on the ground floor. There is a large lounge, a dining room and conservatory overlooking a well -stocked garden to the rear of the home, all the communal rooms have sea views. There are two bathrooms, one of which contains an assisted bath. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in June 2007 were £409.40. Additional charges are payable for hairdressing, private chiropody, toiletries, personal newspapers and some transport costs. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 3rd October 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on June 8th 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. Comments from residents and relatives include: “We visited a lot of homes before we chose Beachville. It is a very friendly, clean home, we chose this home as it was smaller than the rest, which I think offers a more personal touch, the food is varied and we are well looked after.” “Everything is always on hand that I need and I certainly receive all the care and support I need.” Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 6 “My relative is always clean and well presented, clothes are always washed with care.” “Very happy in the home.” “Staff are very friendly and helpful.” “The staff are so good and very attentive, they are very patient and listen.” “The staff always keep me informed and are helpful, they are lovely.” “Staff are available when I need them.” “The staff are friendly and approachable and are always available.” “The medical support I get is very good.” “Lovely home cooked meals.” “I am well fed, the menus is on view and varied from week to week.” “There is nothing at all at Beachville that could make anyone unhappy.” “Yes I know how to make a complaint.” “The home is a fine example of care and consideration given to the residents and is kept in a spotless condition.” “Beachville is a credit to the management and staff.” “I am happy living at Beachville and well cared for.” “Beachville is five star all the way and I can’t speak too highly of the way it is managed and how the staff are so dedicated in carrying out their duty of care.” “I’m satisfied with everything.” “The service responds well to changes in residents health and well being.” “Good communication with all parties even in difficult times.” “Keep maintaining the high level of care that they already provide.” What the service does well: Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 7 The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. There is a good level of staff training to give staff more understanding about the different needs of residents. There is an excellent standard of hygiene around the home. The home is comfortable and well maintained. There is a very good standard of record keeping. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. A wholesome, varied menu is available for residents. Residents have the opportunity to pursue their religion if they wish to. What has improved since the last inspection? 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. Beachville DS0000000633.V338233.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 Beachville DS0000000633.V338233.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): 1,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Useful information is given to prospective residents about the home. The home collects enough information about the needs of prospective residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. Residents and their relatives are very welcome to visit the home to assess its suitability. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. The documents require updating to ensure they include the different categories of care the home is registered to provide care and support to. Records for four of the residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they are aware of some of the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults, Infection Control. Developmental training includes: Equality and Diversity, Employee Relations, Diabetes Awareness, Peg Feeding, Health and Safety, Mental Health, Dementia Care and National Vocational Qualifications at levels 2 and 3. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Comments include: “We visited a lot of homes before we chose Beachville. It is a very friendly, clean home, we chose this home as it was smaller than the rest, which I think offers a more personal touch, the food is varied and we are well looked after.” Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are excellent arrangements in place to ensure that the health and social care needs of residents’ are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and most care plans show the amount of care and support that staff are providing to residents. There are full arrangements in place to ensure residents health care needs are met. Staff receive training before they are able to administer medication to residents. Residents are treated with respect and their right to privacy is upheld. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 12 EVIDENCE: There are detailed assessments in the residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. Care plans are amended and reviewed on a monthly basis by the resident’s key workers, (staff who have special responsibility for each resident). Residents and their families or representatives are involved in the process. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show district nurses visit the home as required and residents are helped to use chiropody and optical services at least annually or as often as required. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Medication records looked at for two residents were correctly recorded and signed by staff. No resident administers their own medication currently. A monitored dosage system is used in the home, it is made up and delivered regularly by the community pharmacist this reduces the amount of handling of medication by staff. Resident photographs were not available on their medical records to help new staff identify residents when administering medication. All of those residents spoken to, who could comment, said that they were treated well by the staff and well cared for. Attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents are respected. Comments include: “The service responds well to changes in residents health and well being.” “The medical support I get is very good.” Beachville DS0000000633.V338233.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A variety of activities and outings are available to residents. Residents maintain contact with family and friends as they wish. Staff help more dependent residents to exercise some choice and control over their lives. Residents enjoy a wholesome and varied diet. EVIDENCE: Activities are available for residents these include: art and crafts, gardening, video afternoons, drinks, bingo, sing-a-long, manicurist, hairdressing, sherry afternoons and coffee mornings. Various parties are also arranged, which are well supported by relatives and families. Church services are held regularly and people also receive Communion monthly. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 14 Residents have the opportunity to visit the local community with relatives and staff. Some residents attend a club called a Mind Active weeklywhich also provides social activities and outings in the community. Staff ask each resident about their wishes, interests and choices. The cook talks with the residents to collect up to date ideas for making the menus and finding out about the food likes and dislikes of residents. Residents are also asked daily what they wish to eat from the menu selection. At least two hot meals are provided daily and an alternative is available at teatime. Residents were very positive about the food: On the day of inspection, the lunch served was fish in sauce or batter, with chips or boiled potatoes and vegetables followed by rice pudding. Comments include: ““Lovely home cooked meals.” “I am well fed, the menus is on view and varied from week to week.” Beachville DS0000000633.V338233.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is available to remind people coming into the home of their right to complain. Residents are protected from abuse. EVIDENCE: The home’s complaints procedure is available in residents’ records. There is a complaints procedure to inform people visiting the home of how they could complain if necessary. Residents have access to a complaints procedure that assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. There is a complaints procedure on display within the home for the use of residents and their relatives. The home keeps a record of complaints and none had been received since the last inspection. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 16 Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Staff have received training about working with behaviour that may be challenging. Plans are in place for all staff to complete a twelve- week Dementia Care course to give them more insight into the needs of people with memory loss. Comments include: “There is nothing at all at Beachville that could make anyone unhappy.” “Yes I know how to make a complaint.” Beachville DS0000000633.V338233.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, 23,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. Residents’ bedrooms are personalized. There is a very good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvements around the home. Since the last inspection laminate flooring has been laid on the first floor. Hallways and some bedrooms have been decorated. The conservatory and dining room have been decorated. Blinds have been fitted to all rooms. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 18 Residents all enjoy their own bedrooms with their personal belongings around them. Residents are encouraged to personalize their bedrooms with small items of their own furniture if they choose to. The home was very clean, well decorated and well maintained with a very good standard of hygiene. Comments include: “The home is a fine example of care and consideration given to the residents and is kept in a spotless condition.” Beachville DS0000000633.V338233.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. There are sound recruitment policy and practices in place to protect residents. Staff are trained to meet the care needs of residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8.00am- 2.00pm 2.00 pm –9.00pm 9.00pmBeachville 2 staff 2 staff 1 sleep in and 1 waking night staff. DS0000000633.V338233.R01.S.doc Version 5.2 Page 20 8.00 am These numbers do not include the manager. The proprietor is also available and working at the home carrying out ancillary duties. There is a senior staff member on each shift. There are no staff vacancies currently. Other staff members are employed for duties such as food preparation, maintenance and cleaning. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. A stable committed staff team has worked at the home for several years. The necessary checks are being carried out prior to the workers being appointed. Two written references were available for the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Photographs were available on all staff files. Staff receive Skills for Care induction previously TOPSS. 100 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Staff and their records showed that they also receive advice and /or training in other areas such as Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults, Infection Control. Developmental training includes: Equality and Diversity, Employee Relations, Diabetes Awareness, Peg Feeding, Health and Safety, Mental Health, Dementia Care and National Vocational Qualifications at levels 2 and 3. Comments include: “Everything is always on hand that I need and I certainly receive all the care and support I need.” “My relative is always clean and well presented, clothes are always washed with care.” “Very happy in the home.” “Staff are very friendly and helpful.” Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 21 “The staff are so good and very attentive, they are very patient and listen.” “The staff always keep me informed and are helpful, they are lovely.” “Staff are available when I need them.” “The staff are friendly and approachable and are always available.” “Beachville is a credit to the management and staff.” “I am happy living at Beachville and well cared for.” “Beachville is five star all the way and I can’t speak too highly of the way it is managed and how the staff are so dedicated in carrying out their duty of care.” “I’m satisfied with everything.” “Good communication with all parties even in difficult times.” “Keep maintaining the high level of care that they already provide.” Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a home that is well run and managed for the benefit of residents. Residents’ financial interests are safe guarded. The standard of record keeping is good. Staff receive regular supervision. The health, safety and welfare of residents and staff are promoted and protected. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has worked at the home for several years having begun as carer. She has completed the Registered Manager’s award. Discussion and observation maintain that she puts the needs of the residents first and promotes an ethos amongst staff of involving staff and residents in decision making within the home. A sample of records were inspected which included: the Home’s Statement of Purpose and service user guide, the home’s maintenance contracts, 4 care plans, 2 personal allowance records, the fire log, accident book, admission /discharge book, complaints record, staff communication book, staff meeting minutes and four staff files. All records as required by the Care Homes Regulations 2001 were well documented and completed. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a suitable system for accounting any monies held on behalf of a resident. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment for moving and handling were all up to date. Staff training relating to health and safety was up to date and training being planned to renew any that required updating. Staff files showed staff are supervised regularly. Staff meetings take place regularly. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x 4 x x 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 3 3 3 3 3 Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4(1)(a)(b) 5(1)(a) Requirement The Statement of Purpose and service user guide to be updated. Timescale for action 01/08/07 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 OP9 Good Practice Recommendations A photograph of each resident to be available on their medication record. Beachville DS0000000633.V338233.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Beachville DS0000000633.V338233.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. 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