Inspection on 29/11/06 for Beech Dene Residential Care Home

This inspection was carried out on 29th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

Other inspections for this house

Beech Dene Residential Care Home 30/01/08

Beech Dene Residential Care Home 11/01/06

Beech Dene Residential Care Home 28/09/05

Beech Dene Residential Care Home 24/02/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beech Dene Residential Care Home Westwood Road Leek Staffordshire ST13 8DL Lead Inspector Norma Welsby Key Unannounced Inspection 29 November 2006 10:00 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 Beech Dene Residential Care Home DS0000059648.V316701.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. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Dene Residential Care Home Address Westwood Road Leek Staffordshire ST13 8DL 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) 02476 470465 Mr Simon Badland Mr Anastasis Kayiatou Joanne Caroline Boyle Care Home 31 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (31), of places Physical disability over 65 years of age (3) Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 8 DE(E) - 1 of whom may be 60 on admission Date of last inspection 11.01.06 Brief Description of the Service: Beech Dene is a large, semi-detached property set in mature gardens, in close proximity to the market town of Leek. The extended part of the home is two storeys but the original building has three floors and a large basement, which is used as the laundry room. Currently, there are plans to utilise what was formerly the managers flat to create an extra six single en-suite bedrooms, subject to CSCI approval. It is hoped that this work will be completed in January 2007 and the home has submitted plans to the Registration team in Birmingham. The home is currently registered for 31 but in an effort to remove shared bedrooms, the home provides for a maximum of 29. Care needs vary, ranging from dementia care to residents who experience physical incapacities including, visual and hearing impairment. During this inspection the dependency of the residents was discussed with the Registered Manager and was felt to be commensurate with the home’s registration categories. The home provides a comfortable and homely environment with spacious communal areas, providing lots of natural light and views of the front and rear gardens. In addition, there is also a designated smoking room. There are large, well-kept gardens to the front and rear of the property that can be safely accessed and have adequate seating. There are plans to improve the rear garden, creating a safe area with screening. In fine weather many residents prefer sitting at the front of Beech Dene as they can observe passers-by and this involves them in the daily activities of the local community. The front of the property is safe and secure, provides adequate parking space, and is monitored with CCTV cameras. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ms Norma Welsby carried out this unannounced key inspection on the 29th of November 2006, between 10am and 5pm. The inspection was very positively received by staff and residents alike and helpful assistance was provided throughout the day. All of the National Minimum Standards that were inspected during this visit were very satisfactorily met and the Inspector was impressed with the quality of the service provided at Beech Dene and the many positive outcomes for residents. Several residents were keen to convey their opinion of the home to the Inspector and without exception all of the comments received were complimentary. These included: “Although its not home, it’s the next best thing and it was the best decision I could have made moving here.” “I should think this is one of the best homes around.” “The food is excellent and nothing is too much trouble for any of the staff.” “The staff are good fun and we are able to have a laugh together”. What the service does well: Beech Dene provides a very attractive and homely environment with a selection of spacious communal areas, each of which were being used during this inspection. There are several conservatory areas that provide attractive and light sitting rooms. Throughout, the home was very clean and hygienic and all areas inspected were warm and comfortable. A sample of bedrooms was visited and these were very personalised and attractive. One resident told the Inspector that the home was always “lovely and clean and there was never any unpleasant odour”. The care planning system used is the Standex system and information was found to be well documented and provided evidence of meeting a range of needs very well. Service users stated that they were very satisfied with the care afforded to them at Beech Dene. A wide range of activities was available for the benefit of the service users and they were supported and enabled to make choices and decisions about their own lives. A pantomime is due to visit again in December. Several residents said they had thoroughly enjoyed last years and were really looking forward to this years production of Aladdin. During the afternoon of this visit several residents joined in a game of bingo and other ladies were having their hair Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 6 washed and set by the visiting hairdresser, while others were having their finger nails painted. Staff were observed throughout the period of the inspection, three were privately interviewed and three more were consulted and the Inspector was impressed with their knowledge and commitment to high standards of care. Without exception residents’ comments about staff – including managers, care staff, catering staff and domestics – were very complimentary. Training is given a high priority and an examination of the staff training matrix confirmed that a comprehensive programme of mandatory training was in place. 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. Beech Dene Residential Care Home DS0000059648.V316701.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 Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents received detailed information about the home to enable an informed choice to be made about the suitability of the home for them. Each resident had a contract with the home and they were assured that the home could meet their assessed needs before moving into the home. No intermediate care took place in the home and therefore, standard 6 was not inspected. EVIDENCE: The Statement of Purpose and Service User Guide was updated in January 2005 and was examined during the inspection in January 2006 and found to be very satisfactory. Each was contained within a glossy, attractive, and professional looking folder. The Statement of Purpose and Service User Guide Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 9 contained all of the required elements to provide residents with a clear understanding of the service provided at Beech Dene Residential Home. The Statement of Purpose included: the philosophy of care, the facilities to be provided, number of rooms and details of communal areas, the complaints procedure, a comments/complaints feedback form, fee structure etc. The Service User Guide included: details regarding the provider and manager, qualifications of staff, age range accepted, location, religious needs, visiting, entertainment, assessment details, sample menus, a list of policy and procedures used within the home, examples of thank you messages etc. A service user’s terms and conditions of residency was also inspected and included details of: confidentiality, medication, smoking, personal safety, personal effects, trial periods, termination and payments, the complaints procedure, fees and the scope of the fees, those items/services not included in the fees, privacy and dignity, fire procedure, etc. Any subsequent changes to the contract, such as the annual change in fees were notified by letter to the resident and a resident confirmed this to the Inspector. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care planning processes within the home provided staff with sufficient information to meet resident’s needs satisfactorily. Health care needs were met very well and comments received from residents were afforded with a high standard of personal care. Medication records and procedures were examined and were satisfactory. Residents were treated with respect and their right to privacy upheld EVIDENCE: Beech Dene uses the Standex system of individual care planning. In line with case tracking a 10 sample of care plans was examined and found to be of a very good standard. Information was comprehensive and there was evidence of regular reviews and risk assessment. A daily record was maintained of Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 11 personal care provided together with records of visits and treatments from a range of healthcare professionals. The home commended the support received from a variety of healthcare professionals. When asked, several residents also confirmed that they were very satisfied with the personal care they received at the home and also the attention given to any healthcare matters that required a referral to a range of healthcare professionals. One residents told the Inspector, “Whenever I have been in need of a GP, the staff have been very prompt and I think this is very good”. The Nomad Monitored Dosage System of Medication is used and is felt to work well. The Home Co-ordinator takes the lead responsibility for medication. The administration of lunchtime medication was observed and found to be satisfactory. Medication is stored in a large and separate smaller metal cabinet in the dining room from where it is administered. There is also a smaller lockable fridge for any items needed to be maintained at such temperatures. Medication administration records were examined and were also found to be satisfactory, as were arrangements for the storage of medication and quality/stock control. Currently none of the residents self medicate and when a sample of residents were asked they confirmed to the Inspector that they were happy with staff taking the responsibility for their medication. The majority of staff were currently part way through refresher training on the management of medication - NCFE Intermediate Certificate in Safe Handling of Medicines. Throughout the period of the inspection the Inspector had extensive discussions with residents, staff and a visitor to the home, along with making many observations. There was much evidence of high standards of care, including the promotion of privacy and respect. Indeed residents and staff spoke about each other with mutual respect. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Beech Dene provides a good range of activities and entertainment in the home. Daily routines are flexible and residents are encouraged to maintain family links. Choice is promoted across many areas of daily life and an excellent standard of catering is provided. EVIDENCE: Several residents confirmed to the Inspector that a good range of activities were provided such as bingo, quizzes and nail painting. Regular entertainment is also arranged, such as piano recitals and many residents were keenly looking forward to a pantomime that was visiting the home in December. The only area identified by residents for improvement was the opportunity to have more regular trips out to local places of interests – though some residents did voice the opinion that they would not chose to go out and were content with in house activities. The Inspector discussed this finding with the Registered Manager and made a recommendation that through individual care Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 13 planning, opportunities should be available for residents who wished to have trips out. A further recommendation was also made in respect of this group of Standards, namely that the home should make provision for the four residents who are visually impaired to have access to audio books/newspapers through the library. Contact with relatives and friends is encouraged and several residents told the Inspector that their visitors are always made welcome by staff on duty. One visitor consulted during the inspection confirmed this view and was generally very positive in all comments about the home. Residents are encouraged to make personal decisions and to exercise choice in their daily lives. One resident told the Inspector that a clothing company was due to visit and she enjoyed this as she was able to make her own choices rather that have someone shop for her, as she did not feel capable of going to town, especially over the winter months. The provision of meals is given a high priority at Beech Dene and without exception all residents who were consulted (approximately 50 in the dining room at lunchtime), told the Inspector that the quality and choice of food was consistently high. Comments included – “lovely home-cooked food”, “meals are always excellent” , “choice at breakfast and tea is excellent and there are always alternatives to the cooked lunch if you don’t feel like a big meal”. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure had been issued to residents and was seen on display in the home. Procedures and training were in place for staff to ensure that residents were protected from abuse. EVIDENCE: The complaints procedure is outlined in the home’s Statement of Purpose and Service User Guide. Details were displayed in the home. When asked, several residents confirmed to the Inspector that they would have no hesitation in raising any concerns or complaints that they might have with staff and felt confident that any matter would be appropriately addressed. Several residents were keen to convey to the Inspector that all staff were very “approachable”. Beech Dene had not received any complaints in the past year, nor had any been referred direct to the CSCI. Any minor grumbles were dealt with immediately in line with the home’s quality assurance system. Staff are provided with ongoing training in protection and the procedures to follow in the event of abuse being suspected. There was further training planned in this area for January 2007 and this was detailed on a notice in the Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 15 home. Policies and procedures were in place to protect residents from financial abuse. Generally the home does not hold residents’ personal allowance, only monies held for hairdressing. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Beech Dene provides an attractive, comfortable and homely environment, suited to its purpose. Standards of maintenance and hygiene are very high. EVIDENCE: During this unannounced key inspection a tour of the building was undertaken. All communal areas were visited, along with a sample of bathroom/toilets and bedrooms. The home presented as clean, pleasant and hygienic and one resident told the Inspector that there were never any unpleasant odours and that the cleaning standards in the home were “excellent”. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 17 There are several communal areas, all of which were being used by residents. Three of these areas including the large dining room are part conservatory, which affords a good standard of natural light and views out to the front and rear gardens. There are plans to further improve the rear garden for next summer in order to promote a higher degree of safety for frail residents. Several residents confirmed to the Inspector that the home is always “warm and cosy” and it was noted that all radiators have been fitted with attractive radiator covers. A random sample of bedrooms were visited and found to be satisfactory and two residents also showed their bedroom to the Inspector and both of these were very comfortable and personalised. The renovation of the former staff flat was well underway, with completion envisaged in January 2007. It appeared from observations that appropriate health and safety precautions had been taken and disruption to residents had been minimal. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Beech Dene had sufficient staff with the skills mix to meet the needs of residents. On going training provide staff with opportunities to pursue qualifications. Robust recruitment procedures were in place, including POVA First and CRB checks. EVIDENCE: During this Unannounced Key Inspection there were good staffing levels on throughout the day. Both the Registered Manager and the Home’s Coordinator were on duty and provided helpful assistance, as did all staff who where consulted during this inspection. Three staff, (namely two carers and one domestic assistant) were interviewed privately and in addition the co-ordinator, the cook and another member of the care staff were extensively consulted. Through these discussions and by extensive observations the Inspector was impressed with the care and commitment demonstrated by all staff. Without Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 19 exception, all of the residents consulted were also very complimentary about the staff. The home provides the following ratio of staff on duty: 4 care staff up to 2pm and always a senior on duty 3 care staff till 6pm and 2 till 8pm 3 waking care staff 8pm/8am In addition the home co-ordinator works 6 hours over 5 days (Mon – Fri), plus the Registered Manager also works full time hours. The remaining staff compliment is made up of the following: Handyperson 16 hours per week 2 Cooks 32 plus 24 hours over 7 days Kitchen Assistant ( Mon – Fri ) 20 hours plus 8 hours each weekend. 2 Domestics 36 hours Laundry 16 hours The Inspector was told that there were no vacancies at present but one pending in December for 20 hours care assistant, which was due to someone leaving to commence nurse training. The actual staff turnover at Beech Dene is very low and both residents and a visitor highlighted this fact as a real positive of the home. In respect of night time cover, while the Inspector acknowledges the on call arrangements in addition to the three waking care assistants on duty, it is considered good practice to always have a designated senior on duty and a recommendation was made. Staff training in all mandatory areas is provided as part of a rolling programme, along with other specialist training areas. The home maintains a matrix, which clearly evidences training provided and copies of certificates achieved were also seen on the sample of staff files examined. Several staff have recently commenced NVQ level 2 and once completed, the home will have 50 of its staff trained to at least level 2. Staff files were examined and were generally satisfactory. Of the three seen, one contained just one written reference, although it was understood that a second verbal reference had been provided. The Inspector made a recommendation that in the absence of a second written reference, a written record should always be maintained of a verbal reference or telephone conversation. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager was fit to be in charge, responsible and of good character. The ethos and management approach of the home is open and transparent. The health, safety and welfare of service users and staff were upheld and protected. EVIDENCE: The Registered Manager, Ms Joanne Boyle had been involved with the home since 1986. At one time she was part owner and later became the Registered Manager in 2001 for the current providers. She confirmed that she was in the process of undertaking NVQ Level 4 in Care and had achieved the Registered Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 21 Manager’s Award. Ms Boyle had already achieved the City and Guilds D32 and D33 Assessor’s Award and City and Guilds Level 2 in Care. She was also qualified to train staff in Manual Handling and was a First Aid representative for the home. The Registered Manager was found to be very experienced in managing her responsibilities to meet the needs of the residents in the home and it was evident that residents and staff benefited from her open, inclusive approach. Without exception all residents and staff who were consulted were very complimentary about the management approach of the home, including the role of the Registered Manager and the Home’s Co-ordinator. Detailed information had been provided in the pre –inspection questionnaire about maintenance, servicing and associated records. A sample of these, including fire were also discussed during the inspection, including fire safety and found to be satisfactory. Health and safety precautions had also been taken in respect of the current renovation work taking place and disruption to residents had been minimal. Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 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 4 17 X 18 4 4 4 X x X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X X X X X 3 Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 24 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 OP27 Good Practice Recommendations Consideration should be given to providing a designated senior carer on each night shifts. 2. OP12 The home should make provision for four residents who are visually impaired to access audio books/newspapers from the library. Individual care planning should include opportunities for outings to local places of interest for those residents who wish to make such trips Where difficulty is experienced in securing a second written reference, the Registered Manager should keep a record of a verbal reference or telephone conversation. 3. 4 OP7 OP36 Beech Dene Residential Care Home DS0000059648.V316701.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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