CARE HOMES FOR OLDER PEOPLE
Bearwood House Residential Care Home 183 Bearwood Hill Road Winshill Burton-on-Trent Staffordshire DE15 0JS Lead Inspector
Mr David Cowser Announced Inspection 22nd November 2005 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 Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Bearwood House Residential Care Home Address 183 Bearwood Hill Road Winshill Burton-on-Trent Staffordshire DE15 0JS 01283 561141 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) Mrs Judith Dena Griffin Mrs Wendy Hyde Care Home 21 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (21) of places Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That the Care Manager completes NVQ Level 4 qualifications during the coming 12 months as agreed 30 June 2005 Date of last inspection Brief Description of the Service: Bearwood House is a large Victorian detached house that has been extended to provide 21 beds. The home is registered for 21 older people, one of which may have dementia care needs. The home is located on the outskirts of Burton on Trent in a residential area. Public transport and all amenities are close at hand. Accommodation is provided on three floors accessible by staircase and a shaft lift. There are six double and nine single bedrooms, of which two doubles and one single are on the ground floor. Communal facilities consist of two lounges and a dining room. There are four bathrooms and an adequate numbers of WCs situated throughout the home. There is no sluice facility or hairdressing facility in the home. Externally there are small gardens to the front, where access is by steps from the road. To the side and rear there are larger gardens all accessible to residents. Car parking is restricted with additional on street parking adjacent. The aims of the home are to provide 24hour care for residents in a homely environment whilst enabling residents to maximise their independence. Care is provided by care assistants lead by a Care Manager. District nurses, community psychiatric nurses and other professionals are accessed by the home when required. A local GP surgery and pharmacist service the home. NHS facilities and health services are accessed, and assistance is provided for residents to attend, when required. Activities take place with family and relatives involvement. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 22 November 2005 at 09.30hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to eight hours (excluding time spent on producing/processing the report). The acting care manager was in charge of the home accompanied by three care assistants. A cook, a housekeeper and a laundry person were also on duty. The homeowner did not attend. These staffing levels were adequate to meet the needs of the current 20 residents in the home; all receiving care for needs associated with old age. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with eight residents and four relatives, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing, quality assurance and health & safety. Since the last inspection on 30 June 2005; there had been no changes to the management of the home, no complaints had been received and no additional visits had been necessitated. What the service does well:
Residents and/or their representatives had been able to choose the home, following an assessment and an invitation to visit, prior to admission. Residents and visitors said that they had been made aware of the terms and conditions of a stay in the home. The statement of purpose and the service user guide seen were seen up to date. It was evident that the residents had been suitably placed, and that the home had the ability to meet their needs. Discussions with residents and staff, and an inspection of the relevant documentation, evidenced that health and social care needs had been addressed. Service user plans seen had been completed and were meaningful. The plans were based on the community care plans completed by social workers, and as agreed by residents/representatives. There was a good safe system in place for the receipt, storage, administration and disposal of medicines. No errors were noted concerning medicines, and residents said that they had their right medicines at the right time. Privacy, dignity and
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 6 choice aspects for residents were seen being upheld during the caring process. When asked several residents and relatives said that they were very happy with the health and personal care being delivered by the home. During the past 12 months the number of accidents and reportable events in the home was very low. All of the above reflected the good standards of care being delivered by the home. Activities and entertainment had taken place, and residents said how much they had enjoyed these. Visitors said that they were welcome to visit and that communication was good, also links had been maintained with the local community. Catering aspects were good and individual dietary requirements had been met. Residents spoke of choices and said that they were very pleased with the food provided. The inspector joined the residents for lunch, which was very good, well presented and met all requirements. Assistance was seen being given to people when required. All of the above had assisted the residents in enjoying a good quality of life. No complaints, incidents or reports of abuse of any kind had been received since the last inspection and policies and procedures seen covered these issues. Residents said that they had the opportunity to exercise their vote, and the manager stated that an advocacy service would be provided if legal or other advice were required. All these aspects had contributed to the protection of service users. The home was fit for purpose and provided a safe environment for the residents, staff and visitors. A very homely atmosphere had been created, and the premised were very clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Reference is made below to future changes to the home. Services and facilities including catering and laundry were adequately provided. All residents asked stated that they were happy with the facilities and that they were comfortable with their surroundings. The acting care manager and care assistants provided care. A good working relationship was evident with the local GP practices and pharmacist. NHS facilities and, both community and hospital, health professionals had been accessed when required. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were now good. Staff training was now being given a higher priority, with induction training being followed by NVQ training. Further reference to staff training is made below. These aspects had contributed to the high standards of care being provided by the home. The home appeared to be managed well by a competent acting care manager. General management aspects were good with informal quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures were adopted. There was a safe system of accounting for residents day to day monies and the ledger reconciled with the
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 7 money held. All the above had contributed to the protection and well being of residents in the home. Throughout the inspection the people who use, or have contact with, the home expressed only positive views. Long discussions with the residents revealed that they were very happy and comfortable in this family atmosphere. 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. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3,4,5 Residents had been correctly placed in a home of their choice, following assessment of their needs and the provision of information on the service. EVIDENCE: The documentation seen and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been able to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Two residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. A full assessment of each residents needs had taken place before admission and this was seen documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments.
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 10 Residents and relatives asked were also aware of the service users guide. The guides and the statement of purpose for the home were seen available, and were up to date and correct. All of the above had contributed to residents being able to make an informed choice about their stay in the home. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10,11 Individual health, personal and social care needs, as documented within care plans had been adequately addressed, with privacy and dignity afforded during the caring process. EVIDENCE: Five service users, and four relatives, asked all commented very positively about the care being provided. The service user plans and associated documentation seen was generally well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. Photographs of all residents should be within the care plan documentation (MAR sheets), as discussed and agreed. The care delivered to three residents was examined in greater depth, and no shortfalls were noted. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 12 NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A local GP practice and pharmacy service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Currently no resident/patient had a pressure area. All the above had contributed to resident’s health needs being well met. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only senior care staff administered medicines, and that they had received training. No resident was ‘self medicating’, but locked facilities were available. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Four residents told the inspector that they were treated with respect, and that the staff were very kind. The records and policy documentation seen, along with a discussion with the staff, evidenced that death and dying aspects had been dealt with correctly and in a sympathetic manner. There had been only two deaths in the home during the previous 12 months. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 Social contact had been maintained and daily activities, along with autonomy and choice, had contributed to the resident’s lifestyle experiences meeting their expectations. Catering aspects were good and met individual needs and preferences. EVIDENCE: Several residents commented that their views had been listened to and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Visitors attending the home spoke of the good links and communication with them. Trips out to the community had been organised and transport provided. Further external and internal activities are being arranged. Residents and visitors said how much they had appreciated the activities that were now taking place. The local vicar and church members had an involvement in the home.
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 14 Several residents said how satisfied they were with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents, including diabetes and special diets, had been met. The cook when asked said that fresh good quality food from local suppliers was bought on a weekly basis, and the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The mid day meal, as sampled by the inspector, was well presented and met all nutritional requirements. The care staff and the cook spoke with each resident to agree his or her choice of food for the day, and this was seen documented. The mealtime was unhurried, and residents were seen being discreetly assisted by staff as and when required. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16,17,18 An open culture exists where complaints are listened to and acted upon, residents are protected from all forms of abuse, and their legal rights are also protected. EVIDENCE: An examination of the complaints record, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles had been listened to and dealt with. Since the last inspection no complaints had been recorded or brought to the attention of this commission. No incidents of neglect or abuse of any kind had been reported. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. A discussion with the staff and residents evidenced that all residents had been afforded the opportunity to exercise their vote in past elections. The manager confirmed that an advocate would be arranged if required by a resident. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,22,26 The home was clean, pleasant and hygienic, and provided a suitable and safe environment for the delivery of care. EVIDENCE: A tour of the building, and a check on the maintenance documentation, evidenced that the premises were fit for purpose, clean warm and tidy. The bedrooms seen were very homely, and residents spoke of their comfortable rooms. The re-decoration programme should continue, with priority given to the medicines room. If the home is ever altered then consideration should be given to the provision of the following facilities; a hairdressing salon, a larger assisted bathroom, a shower room and a sluice room, all as discussed. The dishwashing machine should be replaced in the main kitchen, as discussed. The residents really appreciated the communal areas, and were happy talking amongst fiends.
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 17 Staff when asked had knowledge on infection control, and referred to the relevant documentation. Adequate hand washing facilities, including hand gel, were available throughout the home. The laundry facilities were seen to be adequate. The maintenance of the premises is ongoing, and the manager had identified her priorities. The grounds and gardens were seen to be adequately maintained and were much appreciated by residents, visitors and staff spoken to. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. There are no outstanding issues known from the Fire Prevention or Environmental Health departments. The EHO previously reported items in the main kitchen had been addressed. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 Adequate numbers of suitably trained and experienced staff are correctly employed to meet the assessed needs of residents. EVIDENCE: The acting care manager was in charge of the home accompanied by three care assistants. A cook, housekeeper and a laundry person were also on duty. The homeowner did not attend, and the deputy care manager was present. These staffing levels were adequate to meet the needs of the current 20 residents in the home; all receiving care for needs associated with old age. The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. Three care staff were on duty each morning shift, and a minimum of two care staff at other times during the 24 hrs. Two residents asked stated that staff were available when they wanted them, and that the staff were capable. The staffing cover at tea times should be reviewed, as discussed. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 19 The records seen and a discussion with the staff evidenced that, individually and collectively, they had the experience and skills to meet the assessed needs of the current service users. There were fourteen care assistants, of which two (15 ) were trained to NVQ level 2 or above. The records evidenced that induction and NVQ training had now been given a higher priority, and four care assistants were taking NVQ training. General training had also been given a higher priority and the training records of individuals were seen. However staff training must be completed in the following subjects; moving and handling, dementia awareness, fire precautions, all as agreed. Staff told the inspector that they are afforded the time off and encouraged to study. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked said that they had job descriptions and contracts of employment. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38 A competent care manager was managing the home, in the best interests of service users, in an open atmosphere. The home was being run well, was on a sound financial footing, and had safeguards for the health and well being of residents’ staff and visitors. EVIDENCE: A care manager must be registered with CSCI, and it is understood that an application is being sent. The acting care manager is well experienced and is about to embark on an NVQ level4 course. An open, positive and inclusive atmosphere was observed during the visit and confirmed to the inspector by service users, staff and relatives. Staff when asked also said the manager portrayed a clear sense of leadership and direction which enabled them to relate to the aims and objectives of the home.
Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 21 From observations made, discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was taking place, but needs to be further developed and documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. The documentation for care staff supervision sessions, six times per year, was seen as correct. A check on the records and a discussion with both residents and representatives evidenced that all had the opportunity to handle their own finances, and residents and families had chosen to do so. Day to day monies of residents were checked and the money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. All records were seen suitably stored with confidentiality being maintained. Health and safety issues were seen addressed with the following exception; A Landlords Gas Safety certificate must be obtained, as agreed. The documentation seen for checks and examination of other plant and equipment was all correct and up to date. The acting care manager, following consultation with the homeowner, gave assurances that the home was viable and that the company adopted suitable accountancy and budgeting procedures. The current public liability insurance certificate was seen up to date and correct. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 3 3 2 Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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. 2. 3. Standard OP31 OP33 OP30 Regulation 8(1) 24(1)(a)( b) 18(1)(a) Requirement A care manager must be registered with CSCI, application being sent. The quality assurance system must be developed and documented, as discussed. Staff training must be completed in the following subjects; moving and handling, dementia awareness, fire precautions, all as agreed. A Landlords Gas Safety certificate must be obtained, as agreed. Timescale for action 22/01/06 30/09/05 22/01/06 4 OP38 13(4)(a) 22/12/05 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 OP28 Good Practice Recommendations Staff training should continue to enable 50 carers to achieve NVQ 2 qualifications
DS0000061581.V261049.R01.S.doc Version 5.0 Page 24 Bearwood House Residential Care Home 2. OP19 3. 4 5 6 7 OP7 OP31 OP19 OP19 OP27 Consideration should be given to the provision of the following facilities; a hairdressing salon, a larger assisted bathroom, a shower room and a sluice room, all as discussed. Photographs of all residents should be within the care plan documentation (MAR sheets), as discussed and agreed. The acting care manager should undertake NVQ level 4 studies, as agreed. The dishwashing machine should be replaced in the main kitchen, as discussed. The redecoration and upgrading programme should continue, with the medicines room having a priority. The staffing cover at tea times should be reviewed, as discussed. Bearwood House Residential Care Home DS0000061581.V261049.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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