Inspection on 21/01/07 for Beech House

This inspection was carried out on 21st January 2007.

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

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

Other inspections for this house

Beech House 22/02/06

Beech House 29/03/05

Beech House 24/01/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Beech House 11 Prowse Close Thornbury South Glos BS35 1EG Lead Inspector Melanie Edwards Key Unannounced Inspection 21st and 22nd January 2007 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beech House DS0000020316.V324098.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 House DS0000020316.V324098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech House Address 11 Prowse Close Thornbury South Glos BS35 1EG 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) 01454 412266 01454 412200 beechhousecare@aol.com www.bristolcarehomes.co.uk Beechcare (Thornbury) Limited Mrs Judith Peachey Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 55 persons aged 50 years and over who are receiving nursing care Staffing Notice dated 15.2.02 applies Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 22nd February 2006 Brief Description of the Service: Beech House is a purpose built nursing home, situated at the head of a private housing development, close to the centre of Thornbury in South Gloucestershire. Thornbury is a market town with a wide range of shops. It is easily accessible to both the M5 and M4 Motorways. Beech House has been trading since January 2001 and is one of three homes run by the Groundmount Group. The other homes are in Almondsbury (Glebe House) and Horfield in Bristol (Field House). Beech House has been built to the highest standards and is tastefully decorated throughout. Furnishings offer a high level of comfort. Care is provided for 55 service users in 49 single rooms and 3 double rooms, all with en-suite facilities. There is a large conservatory on the ground floor, with two other lounges and dining rooms. The home has two lifts therefore the home is fully accessible. The gardens are to the rear and to one side of the property. There are two paved areas complete with garden furniture that provides an area to sit out in good weather. A gazebo has been completed that provides additional outdoor space. The fees charged for staying at the Home range from £660 to £720 a week. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over two consecutive days. Seventeen residents and a number of visitors were consulted to find out their views of the Home and the service provided and what daily life is like for residents. The deputy manager, three registered nurses, and two care assistants were also consulted about their roles, responsibilities, training needs, and how they assist and support residents. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. A range of resident’s care records and care plans were also reviewed. The majority of the environment was seen; the only areas not viewed were a small number of resident’s bedrooms. There were a number of pre inspection feedback forms sent to the Commission for Social Care Inspection area office, from residents, and relatives. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: What has improved since the last inspection? Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 6 Residents’ best interests are now better protected as the fire safety risk assessment of the Home has been reviewed to ensure it is up to date and best suits the Home. 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 House DS0000020316.V324098.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 House DS0000020316.V324098.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): 1,3,4.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs are well met by the Home. Prospective Residents and their representatives have the information they need to make an informed choice about living at the Home. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide was reviewed. Each resident is given their own copy of the guide so they have access to helpful information about life in the Home. The guide includes photographs of residents, the Home, and the community. There is information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain about the service. A number of residents were also asked how they were told about the Home before they had moved in. Residents said that Mrs Peachey had been to see them and explained to them what life was like at the Home. As one resident put it `Judith (Mrs Peachey) was very honest and told me all about the Home’. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 9 Five residents assessment records were reviewed to find out how well residents’ needs are assessed. The assessment records were informative, and showed the residents had been consulted with to find out about their range of physical, mental and social needs. A physiotherapy assessment is also carried out, that is funded by the Home for all new residents. This demonstrates a commitment to residents’ range of needs being well assessed. On the second day of the inspection the physiotherapist was observed working in the Home carrying out assessments of residents needs. There were many comments of satisfaction expressed by residents about the care they receive. Examples of comments made included, ‘I find it really very very good I’ve no complaints the staff are very polite and they have been most caring,’ ‘the staff are very good the slightest thing I want it arrives, ’ and, ‘the staff are kindly and friendly.’ These comments were reflective of the majority of comments made by residents, and demonstrate residents are very satisfied with the service. One comment was made about how busy staff often seem to be however, they also said staff were caring and hard working. Beech House DS0000020316.V324098.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): 7,8,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans demonstrate how needs are met. Residents are treated with respect and their privacy is upheld. EVIDENCE: Five care plans were reviewed, to find out how residents are supported by staff to meet their care needs. The care plans were informative and detailed how to meet the health care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. Care plans had been reviewed and updated regularly by registered nurses. This demonstrates residents’ health needs are being monitored and kept under review. The residents consulted said that staff are very helpful, kind and caring, when they assisted them with their needs. Several residents said that, `nothing would be too much trouble for the staff’. Staff were observed knocking on residents bedroom doors before entering them and assisting residents in a polite and respectful manner. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 11 The service users guide states that all staff will treat all residents with respect and courtesy and in an adult `non patronising’ way at all times. This helps prospective residents know what manner of service and treatment to expect from staff. Three registered nurses were consulted about how they support residents to meet their health care needs. The nurses explained they constantly assess and monitor residents’ health needs, and will call a GP if required at the earliest opportunity. There was supporting information in residents’ care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. A G.P was observed attending to resident’s health care needs during the inspection. This is good evidence demonstrating how residents’ health needs are monitored by the Home. Beech House DS0000020316.V324098.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): 12,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with a very varied range of social and therapeutic activities, and a very varied well-balanced appealing diet. EVIDENCE: As was applicable at the last inspection, residents benefit from the Home employing two activities coordinators who each work three days a week. This demonstrates a commitment by the Home to providing a range of activities for residents. Residents are provided with a copy of the weekly timetable of social activities, which is circulated throughout the Home. This helps to ensure residents are aware of current activities taking place in and out of the Home. Residents can take part in a range of social activities as well as exercise classes and regular trips out to the local community. On the second day of the inspection resident’s daily ‘exercise and a glass of sherry group’ was taking place. It is evident how much benefit and enjoyment residents gain from this activity. A trip to a local garden centre also took place in the afternoon. Staff were planning the trip and ensuring that residents who had not been out on a trip recently were offered the opportunity to do so. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 13 Residents further benefit from a mobile shop, which is taken around the Home regularly. The activities organisers spend time talking on a one to one basis with residents while they take the shop around the Home. This helps ensure residents who spend more time in their rooms are offered regular social contact. The Home also has two cats, and a dog visits the Home regularly, these are all a source of obvious pleasure for residents. There is a hairdresser who attends to residents in the Homes own salon. Residents were observed having their hair attended to during the inspection, and looking as if they were having an enjoyable time. The resident’s menu was inspected to find out if residents are provided with a varied and well balanced diet .The choices seen were nutritionally well balanced and varied. There are at least two, and often three choices available each day. This demonstrates residents are offered a very good variety of meals. Residents were asked their views of the quality and variety of meals provided at the Home. All of the residents asked said the food was, ‘good’ or, `very good’. At lunchtime the tables are laid with linen tablecloths and flower arrangements. There are two and four seated tables provided, this helps to make the lunchtime meal a relaxed and social experience for residents. On the first day of the inspection the inspector ate lunch with a group of residents. The meal choices were either roast chicken, or freshly made omelettes with roast potatoes and three fresh vegetables. This was followed by dessert choices of home made bread and butter pudding with custard, or cream, or fresh fruits, yoghurts, or cheese and biscuits. The meal was very tasty and well presented. There were alternative meals options being served to residents who are on special diets. Residents were also offered a choice of fresh fruit juice or a glass of wine with their meal. This further enhances this overall mealtime experience for residents. Residents who needed extra help to eat their lunch were being assisted sensitively by staff. Beech House DS0000020316.V324098.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse by the systems in place, and resident’s complaints about the service are responded to promptly. EVIDENCE: Residents can access the complaints procedure a copy of the procedure is on display by the reception. This is a well-frequented area by residents and visitors, helping to make this information easily accessible. The complaints procedure includes the up to date contact information for the area office of the Commission for Social Care Inspection if a person wanted to complain directly to the Commission. Residents are told the telephone extension number of Mrs Peachey’s office telephone, and can contact her at any time if they so wish. The complaints record book was reviewed, and there had been two complaints recorded since the last inspection. The complaints records showed that the Home had responded promptly and had investigated thoroughly the complaints that had been made. As part of the inspection, the actions taken by the Home in response to one of the complaints was reviewed. The complainant had alleged that the Home had lost the bracelet of their deceased relative. They also alleged the Home failed to contact them when their relative had become ill, and they were a significant person after the residents identified ‘next of kin’, and should also have been contacted. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 15 In response to the concerns that were made the Home have taken the following actions, • All residents have been given a copy of the Homes, ‘care of valuables procedure’ as well as the ‘care of residents property procedure’. These set out what actions the Home will take to keep residents personal items safe .The procedure also states that the Home cannot be responsible for residents personal items of value unless they are given to the administration manager for safe keeping .The Home has a locked safe for this purpose. The procedure also states that secure lockable provision for resident’s safekeeping is provided in residents’ rooms. • Mrs Peachey also gives a copy of the procedures to all prospective residents when she meets them to carry out an initial assessment with them of their needs. • The Home has also reviewed there ‘policy in the event of a death occurring in the Home ‘ .The policy now clearly states that after the ‘next of kin’ a second contact will be contacted, if there details are provided in the event of a death of a resident. Despite there being no breach of Care Standards Act Regulations the Home has responded in a thoughtful way. This ensures that the best possible outcomes for residents and their representatives can be achieved at Beech House. During the inspection an incident between two residents occurred that was witnessed by the inspector. The incident demonstrated one of the residents is at risk of harm and abuse from the actions of the other resident. This was discussed with the deputy manager, who referred the resident concerned to the South Gloucestershire Council Adult Protection Team .The deputy manager also took action to make sure the resident concerned was safe. There are a range of relevant policies and procedures relating to the issue of protection of vulnerable adults from abuse to assist staff to support and protect vulnerable residents. All staff attend regular training courses to ensure they are up to date in understanding the principle of the protection of vulnerable adults from abuse. Beech House DS0000020316.V324098.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): 19-26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a Home that is safe, well maintained and very suitable to meet their needs. EVIDENCE: Beech House is a purpose built Care Home designed around meeting the needs of the older person. The Home is located close to private houses a short distance from the local health centre, the hospital, and nearby bus stops. The majority of the building was viewed both inside and out. The only areas that were not seen were a small number of bedrooms. Rooms are spacious and the standard of fixtures and fittings are of a very high standard. The environment was clean, tidy and well maintained, and this helps to enhance the quality of life for residents who live at the Home. There is also specialist equipment in the Home to remove unpleasant odours. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 17 The building is wheelchair accessible. There are two passenger lifts servicing the upper floor. There are adaptations in place throughout the Home to assist residents as well as visitors who are disabled. Bathrooms all have specialist equipment in them, including electronic adapted baths to help residents with reduced mobility to be able to bathe. The environment is maintained to a high standard, and the standard of the fixtures and fittings is also very high. Residents were observed sitting in communal areas, and bedrooms looking very relaxed and comfortable. Each bedroom includes a television and telephone line that is provided by the Home. There are two call bells fitted in each bedroom so that residents can summon staff for assistance if they need to. A full time maintenance worker is employed to address general maintenance and they were observed carrying out their duties during the inspection. The service records were seen for the fire fighting equipment, the lift, and electronic equipment. The records showed that an external contractor had serviced equipment in the last twelve months. This helps demonstrate that the Home is safe and well maintained. There is a CCTV security camera sited by the ground floor office to view the main entrance and this is for security purposes only. Beech House DS0000020316.V324098.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): 27,29,30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from sufficient number of staff who are skilled and competent and are working hard to meet individual’s needs. EVIDENCE: The staff were observed on both days of the inspection assisting residents with their care needs. Staff were courteous and patient in manner, and residents evidently enjoy warm relationships with them. The number of nursing and care staff on duty was reviewed to find out if residents’ benefit from a sufficient number of staff to meet their needs. There is a minimum of two registered nurses on duty at all times and nine care assistants in the morning, with seven care assistants and two registered nurses in the afternoon. At night there are two registered nurses and three care assistants on duty. There are at least two additional staff employed on a daily basis to serve drinks and assist with meals for residents. The number of staff on duty is above the legally required minimum staffing levels that are conditions of the Home’s registration. The manager and the deputy manager work mostly nine to five hours. Although both of them do some shifts to help them keep up to date with matters in the Home. There is also a full time administration manager who manages non-care related matters in the Home. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 19 There are full time catering, domestic and laundry staff also employed although the number of these staff was not reviewed at the inspection. The training records of three registered nurses and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. The care assistant’s records demonstrated staff had attended training sessions over the last six months. To find out if the Home operates safe recruitment practises a sample of staff files were inspected. There are two written professional references taken up for all new staff prior to offering work at the Home. In addition, all staff complete a Criminal Records Bureau check before commencing employment. These checks are a further safeguard for vulnerable residents. Beech House DS0000020316.V324098.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): 31,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights and best interests are safeguarded by the Home’s record keeping polices and procedures. Also the health and safety of residents and staff is protected. EVIDENCE: Mrs Peachey is the registered manager and has a number of years of experience working in care Homes at senior levels She is a first level registered nurse and has been the registered manager of the Home since it opened six years ago. This demonstrates Mrs Peachey is fit and suitable to run a Care Home. One of the residents said of Mrs Peachey, `I would say she was an extremely good manager’. Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 21 Residents’ rights are protected by records that are satisfactorily maintained, up to date, legible and in order. The care records reviewed were satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked satisfactorily maintained throughout. Mrs Peachey and the administrative manager take responsibility for health and safety matters in the Home. They carry out regular health and safety audits of the environment to ensure it is safe throughout the Home. There are health and safety policies and procedures in place for staff to follow to ensure the safety of residents is maintained. Health and safety practices in the Home are also addressed at the new staff induction day. A selection of recent residents’ accident forms were inspected to find out what action is taken after residents have an accident in the Home. The accident records showed registered nurses record in detail the nature of the occurrence, and all follow up action over a period of days after the event. To further safeguard residents the manager and deputy manager audit and monitor all accident records. The fire logbook was checked and showed weekly tests of fire alarms being carried out. The fire fighting equipment was being checked regularly, thereby helping to maintain the safety of those in the building. There is a record to show staff had attended fire safety update training in the last twelve months to ensure they are aware of fire safety procedures. To protect all residents there is a fire safety risk assessment of the environment. The risk assessment had been reviewed to ensure it remains current to the needs of the Home. Staff are provided with regular support and supervision to help them in the work they do and in better understanding residents’ needs. Several staff talked about the system of supervision that is in place. They said they were provided with regular supervision sessions, and met with other staff to discuss clinical matters on a regular basis. The staff training and development files seen demonstrated staff are supported and encouraged to develop skills in their work and practice. Beech House DS0000020316.V324098.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 X 4 4 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 3 3 4 4 3 STAFFING Standard No Score 27 4 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 3 3 Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beech House DS0000020316.V324098.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!