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Inspection on 01/06/06 for Beaufort Hall Nursing Home

Also see our care home review for Beaufort Hall Nursing Home for more information

This inspection was carried out on 1st June 2006.

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 staff ensure the well-being and comfort of the residents` and treat them with great respect and kindness. For example 6 of the residents spoken with said, "the home is lovely, the staff are kind and caring, and the food is good." Surveys returned spoke of "a very happy staff that will always help". The manager and staff have worked hard in the last year to ensure a good standard of care is provided. Meals are varied, well balanced and nicely presented offering choice and variety. Staff seek to provide varied and interesting activities to meet the needs and interest of the residents. Residents said how much they enjoyed the times when staff take them out for a walk along the sea front. The senior staff ensure that staff receiving training appropriate to meet residents needs in a knowledgeable and understanding way. Residents feel that if they had something to complain about they would speak to a member of staff. All residents spoken with said they had nothing to complain about. Three residents said `the home is excellent`.

What has improved since the last inspection?

The dining room has been redecorated and the flooring renewed to make a much brighter and warmer atmosphere for meals to be taken in. A new washing machine has been installed and the flooring in the laundry renewed to reduce the potential for cross infection. Health and safety issues raised at the last inspection have been addressed to make areas at the rear of the property safe. All fire doors are being upgraded or replaced in accordance with the fire officer`s report to ensure the protection and safety of residents. All staff have received specific fire training about the importance of not wedging doors fire open. The home have written and implemented an end of life care policy to provide guidelines for residents` quality of life in their last days.

What the care home could do better:

Ensure that all residents receive contracts of residency that clearly state how they are to be funded, and what to be paid and by whom. All respite resident to have a fully documented assessment prior to admission to ensure their needs can be met. To raise relatives` awareness of the complaints process so that they feel they are able to make representation on their relatives` behalf should the need arise. To ensure all health and safety issues raised in the report are addressed for the safeguarding and protection of residents.

CARE HOMES FOR OLDER PEOPLE Beaufort Hall Nursing Home 28 & 30 Birnbeck Road Madeira Cove Weston Super Mare North Somerset BS23 2BT Lead Inspector Patricia Hellier Key Unannounced Inspection 1st June 2006 08:00 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 Beaufort Hall Nursing Home DS0000050501.V295487.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. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaufort Hall Nursing Home Address 28 & 30 Birnbeck Road Madeira Cove Weston Super Mare North Somerset BS23 2BT 01934 620857 01934 414426 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) Boyack Enterprises Ltd Mrs Jacqueline Margaret Bowen Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability over 65 years of age (6) of places Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 6 persons aged 65 years and over with physical disabilities May accommodate up to 33 persons aged 65 years and over requiring nursing care 14th October 2005 Date of last inspection Brief Description of the Service: Beaufort Hall Nursing Home is registered for 33 elderly people aged 50 years or over. The home is on Weston-Super-Mare seafront and occupies a prominent position overlooking Marine Lake. The approach to the main entrance of the home is up a steep slope. Wheelchair access is available at the other end of the building. The home has 25 rooms used as single occupancy and four double rooms. All rooms have en suite toilets. Beaufort Hall is a four-storey building and has a six-person passenger lift accessing all floors. The home has been suitably adapted for the current resident group with handrails in corridors and grab rails in toilet facilities. There is a large dining room on the ground floor and two spacious lounges on the first floor, each of which has a small dining area. The home has a nurse call bell system throughout. There is a Registered Nurse on duty at all times. The home is well maintained, comfortably furnished and has a homely atmosphere. It is close to local amenities and the town centre. The current fees are £495 per week. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over seven hours and the manager was present throughout. Before the inspection the information about the home was received from the pre inspection questionnaire and comment cards received from relatives and residents. The last inspection report was reviewed and all correspondence since the last inspection. The accumulated evidence for this report comes from the above and also fieldwork that included the following: discussions with all residents, 3 relatives and 6 staff, observation of practices, tour of the premises, review of documents relating to care, recruitment and health and safety; review of policies; inspection of medication records and storage. Of the seven resident surveys returned all felt they received the care and support they needed; that the home was always clean and fresh and that they would know who to speak to if they were unhappy. Two of the seven felt they had not received enough information about the home and had not received a contract. From the relatives surveys five were returned. All five felt welcomed at the home and that they were consulted regarding their relatives care and needs. All five however did not know how to make a complaint. One of the five did not feel they could visit their relative in private or that there were always enough staff available. All five stated they were satisfied with the overall care of their relatives. All residents and staff spoken with told the inspector that the home was very good and the staff very kind. Comments received were “it is very homely and comfortable”; “I would recommend it to anyone”, “my relatives care needs are well met”. What the service does well: The staff ensure the well-being and comfort of the residents’ and treat them with great respect and kindness. For example 6 of the residents spoken with said, “the home is lovely, the staff are kind and caring, and the food is good.” Surveys returned spoke of “a very happy staff that will always help”. The manager and staff have worked hard in the last year to ensure a good standard of care is provided. Meals are varied, well balanced and nicely presented offering choice and variety. Staff seek to provide varied and interesting activities to meet the needs and interest of the residents. Residents said how much they enjoyed the times when staff take them out for a walk along the sea front. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 6 The senior staff ensure that staff receiving training appropriate to meet residents needs in a knowledgeable and understanding way. Residents feel that if they had something to complain about they would speak to a member of staff. All residents spoken with said they had nothing to complain about. Three residents said ‘the home is excellent’. 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. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 The quality outcome in this area is good. The Statement of Purpose and Residents’ guide is comprehensive and provides prospective residents with information to make an informed choice. The home’s assessment process is thorough and ensures that it is able to meet residents’ needs. Prospective residents and relatives are encouraged to visit the home to assess suitability. EVIDENCE: Residents are provided with a comprehensive Residents’ booklet containing the Statement of Purpose and all the information required to ensure they or their relatives have access to the relevant information at all times. There were no recent residents’ contracts available to view during the inspection; they were all at the Head Office. Contracts containing terms of residency were seen for residents that have been in the home for more than six months. These were clear about everything except the fees, so residents’ and their relatives do not have clear information about the amount they are to pay and if any contributions e.g. Nursing Care and Social Services, are Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 9 included in the fees stated or not. All residents who returned surveys said they had received a contract and terms of residency. Care needs are well met through a full assessment process and the completion of a care plan from this information. The assessment includes all the elements listed in the standard. One resident who had been admitted for respite care said that the care was “excellent.” “The staff were very attentive, kind and caring and fully met his needs”. Social services care plans had been obtained where relevant. Care practices observed showed that staff were fully aware of the residents needs as stated in their assessments. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 The quality outcome in this area is good. Residents benefit from care plans that are well formulated and give clear information to enable staff to meet residents’ health and social care needs, and to provide sensitive care at the end of life. Personal and environmental risks are well managed. The systems in place for the management of medicines are good. Respect and dignity are well maintained by kind and caring staff. EVIDENCE: Three care plans inspected showed clear and detailed information in relation to resident’s health, emotional and social care needs. Good practice was seen in the care plans that all care needs were referenced to psychological needs. This gives an holistic picture of care and is to be commended. Clear actions to met identified needs were recorded and regular evaluation noted. Two residents said they did not wish to be involved in their care planning, “the staff look after me well, I leave it to them”. Two relatives spoken with felt they had been consulted and involved with their relatives care planning. All care plans contained well-formulated risk assessments for Manual Handling, falls, nutrition and pressure relief. Consent for use of bed rails and recliner chairs had been obtained from residents or their relatives. Other personal and Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 11 environmental risk assessments were present to ensure the safety of the resident while promoting independence as able. Daily records were up to date and written in a respectful manner. All residents spoken with said “the staff are excellent”, “I am well looked after”, “I can do what I want when I want”, they are always there when I need them”. Two relatives told the inspector “the residents always look well cared for”. The medication administration system is good and reflects knowledge and understanding. There were no unexplained gaps on the Medication Administration Record charts and variable doses were well recorded. Hand transcribed prescriptions were seen on the Medication Administration Records and these had not been signed by two members of staff when written thus not providing the recommended safeguard for residents. All residents spoken with felt that kind and caring staff respected their dignity and privacy. Three residents stating, “they always knock on the door”. Resident’s wishes following death were not well recorded, however staff interviewed showed knowledge of residents’ wishes. One resident told the inspector of the kind, sensitive and helpful way in which the staff had handled his wife’s death. There is a clear policy in place to protect resident’s wishes while maintaining professional duties. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality outcome in this area is good. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Residents right to choice and control over their lives is well respected, and encouraged. Autonomy and personal choice is promoted. Friendly staff always welcomes relatives and visitors. EVIDENCE: A range of activities is provided with posters displaying information of forthcoming events throughout the home. A display of pictures and comments of the recent Easter bonnet parade and tea was seen in the entrance hall. Residents spoken with said, “we have plenty of choice and variety, the staff do various things with us, and the regular outings are nice.” “The staff are always willing to accommodate what we want”. Care records recorded personal preferences and routines. During the inspection some residents were seen enjoying a chosen activity. Many residents enjoyed a session of bingo, and later in the day staff and residents were observed enjoying a sing a long of old favourites. One member of staff is responsible for organising the activities and works hard to ensure there is something for all. They are to be commended for their work in this homely process. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 13 Spiritual needs are catered for and local clergy visit as requested. Several visitors were seen coming and going during the inspection. Relatives spoken with said they could come any time and felt that their relatives were well looked after by friendly staff. one relative said “the staff are so patient and residents never look untidy or uncomfortable”. A number of people living in the home were spoken to and everyone who commented on the food said how good it is and that they welcomed the daily choices offered. Menus and mealtime arrangements are flexible enough to accommodate individual preferences and needs. Good practice was observed in staff assisting residents with their food. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome in this area is adequate. Residents are confident that they are listened to and their requests acted upon. Residents are protected from abuse by knowledgeable and competent staff EVIDENCE: The home has a complaints procedure which all residents have a copy of. It is not publicly displayed and all five relatives surveys said they did not know how to complain, should they need to for the benefit of their relatives. There has been one complaint since the last inspection and the provider is currently investigating it. Residents stated that if they were not happy about anything they would speak to the manager. Staff and residents spoken to, say the manager is very approachable and understanding. One resident said ‘I’ve nothing to complain about, it’s the best home I’ve been in”. A clear record of complaints received with actions taken and outcomes is kept. The home has a copy of the North Somerset ‘No Secrets’ guide and a local abbreviated policy/procedure for the home specifically for responding to allegations of abuse. Staff said they had never seen any signs of abuse in the home and demonstrated a good understanding of what abuse is. Staff have received training in the recognition and handling of abusive situations for the safeguarding of residents. Care plans inspected showed that consent for the use of bedrails and recliner chairs had been obtained from residents or relatives thus safeguarding choice. Ten residents said ‘the staff are very kind and take time, I can’t fault them’. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 15 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): 19,26 The quality outcome in this area is good. Residents are provided with safe, comfortable surroundings. Robust Infection control practices are followed EVIDENCE: Since the last inspection a number of rooms have been redecorated and the leaks at the front of the house repaired. The fire requirements to ensure the safety of the home are in the process of being implemented with new fire doors having been fitted to bedrooms that needed them. Electronic release catches and door guards have been fitted to fire doors that need to be held open for ease of access for residents and staff. The living accommodation is well decorated and homely. A maintenance plan showing the ongoing routine maintenance and renewal of the fabric for the benefit of residents was seen. The home was clean and free from offensive odours throughout. The laundry facilities were well organised and the laundry floor has been renewed to provide an impermeable and washable surface to minimise the risk of spreading infection. Staff interviewed and observed demonstrated good understanding of Infection Control procedures and practices and maintained a clean and hygienic environment. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 16 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): 27,29,30 The quality outcome in this area is good. The home’s staffing levels are sufficient to manage the current care needs of residents. The procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living in the home. Staff access specific training to meet needs of residents EVIDENCE: Copies of two weeks staffing rosters were supplied to the inspector. Staffing levels rostered were sufficient to meet residents’ needs. Residents spoken with told the inspector “staff are always there when you need them”, “ you only have to ring the bell and they come”. A sufficient team of ancillary workers supports care and nursing staff to ensure the smooth running of the service. The home has a Key Worker system in place for all residents. Residents and staff were aware of the role and said, “it worked well”. Recruitment procedures are robust and all three files inspected contained the required documentation. All staff interviewed stated they had contracts of employment and job descriptions. A number of staff from overseas are employed at the home and form part of the close-knit team. Staff and residents said their presence brought a breadth of experience and interest to the home. Overseas staff interviewed said they felt very welcomed in the home and enjoyed their jobs. Newly appointed staff confirmed they had completed an induction programme and evidence of this was seen in personnel files. The home provides all Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 17 induction and in house training. Evidence of specialist training accessed through the Primary Care Trust and other sources was seen e.g. stroke awareness. Staff interviewed are keen to learn and all are undertaking one of the NVQ level qualifications. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 18 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): The quality outcome in this area is adequate. The manager provides clear leadership and guidance to staff to ensure residents receive consistent care in a safe environment. Residents’ views are sought and acted on, but a formalised system is not in place. Health and safety issues are monitored in the home to ensure that issues are identified and addressed where they arise. EVIDENCE: The manager has a wealth of experience in care of the elderly and has just achieved her Registered Manager’s Award. She gives clear leadership, guidance and direction to staff. Residents feel the manager is approachable, available and seeks to ensure all their needs are met. Staff interviewed stated that they felt well supported by an approachable manager. While the provider supports the manager he is slow to respond to his management responsibilities. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 19 A formal quality assurance tool was not available however residents and relatives told the inspectors that their views were sought and acted upon. Records of a recent audit for North Somerset Council confirmed this. There were no outstanding issues. Residents and relatives told the inspector that they were always encouraged to express their view and “to air the grumbles”. One resident said “they always do something about a grumble if you tell them”. A formalised quality assurance process is required. Records inspected indicated regular safety and fire checks are carried out. Staff spoken to confirmed that regular fire instruction and drills had taken place. As stated in the environment section the fire requirements to ensure the safety of the home are in the process of being implemented with new fire doors having been fitted to bedrooms that needed them. Electronic release catches and door guards have been fitted to fire doors that need to be held open for ease of access for residents and staff. Records indicating regular maintenance to gas and water systems were seen together with servicing records for all equipment. The home did not have certificate of safety for the electrical wiring system to ensure safety for residents. This must be obtained. A number of staff have received First Aid training. A record of accidents is kept in compliance with Data Protection to maintain staff and resident confidentiality. Accident records seen showed clear details, actions and outcomes following the accident. Environmental risk assessments are available and reviewed annually or sooner if any changes to the environment. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 20 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 2 3 3 3 N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X X X 2 Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 21 NO Are there any outstanding requirements from the last inspection? 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 OP33 Regulation 24 Requirement The development of a formalised system of Quality Assurance that analyses the results of a resident survey produces an action plan and feedback to residents and staff. To obtain a certificate of safety, by a registered electrician, for the electrical wiring throughout the building. Timescale for action 28/08/06 2. OP38 13.4 & 23.2 20/07/06 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 OP7 Good Practice Recommendations Residents wishes regarding death to be recorded to ensure all staff have the knowledge to provide sensitive care at this point. Staff must sign and date hand written entries on the medicine administration records DS0000050501.V295487.R01.S.doc Version 5.2 Page 22 2 OP9 Beaufort Hall Nursing Home 3 4 OP16 OP16 To re-circulate and display the complaints procedure for the information of relatives and visitors to the home. That all complaint investigations are completed with in the timescale of the complaint procedure; if delays that complainants are informed. Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 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 Beaufort Hall Nursing Home DS0000050501.V295487.R01.S.doc Version 5.2 Page 24 - 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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