Inspection on 09/10/06 for Beech House

This inspection was carried out on 9th October 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.

Other inspections for this house

Beech House 24/01/06

Beech House 28/07/05

Beech House 06/01/05

Beech House 13/07/04

Beech House 30/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Beech House Brownlow Bend Basildon Essex SS14 1QD Lead Inspector Ms Vicky Dutton Unannounced Inspection 9th October 2006 09:00 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 House DS0000018103.V315825.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 DS0000018103.V315825.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech House Address Brownlow Bend Basildon Essex SS14 1QD 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) 01268 286863 01267 286863 Christian Care Homes Miss Kaye Andrews Care Home 28 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (28) of places Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Total number of service users for whom personal care is to be provided shall not exceed 28. Personal care can be provided for up to 28 older people over the age of 65 years of age. Personal care can be provided for up to 22 older people who have dementia and are over 65 years of age. Miss Andrews to undergo formal training in the Protection of Vulnerable Adults within three months of the date of registration. 24th January 2006 Date of last inspection Brief Description of the Service: Beech House is owned and managed by a registered charity, Christian Care Homes. The home provides care and accommodation for up to twenty eight older people. Within this number the home is registered to provide dementia care for up to twenty two people. The home is in a residential area of Basildon. Local amenities and the town centre are accessible. The home has its own transport in the form of a minibus available. All private and communal accommodation for residents is on the ground floor. The home has five shared rooms with the rest providing single accommodation. There are comfortable lounge areas for residents. A central, enclosed courtyard garden area is accessible to residents. There is a small garden area around the home and parking to one side, as well as on the street. The small first floor of the building provides an administration and staff area. The home has a statement of purpose and service users guide available. The homes service users guide and most recent inspection report are available to residents/visitors in the lobby area of the home and copies of these made available as required. For privately funded residents the scale of fees is £390.00 to £420.00. Local authority fees range from £375.63 to £426.09. There are additional charges for chiropody, hairdressing, personal items, newspapers/magazines and holidays and outings. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The inspection was undertaken over a seven hour period. At this inspection all the key standards, and the homes progress against their previous agenda for action were assessed. Prior to the site visit the home had submitted a well completed a preinspection questionnaire, and provided additional information that assisted with the inspection process. At the site visit a partial tour of the premises took place, care, staff, and other records and documentation were selected at random and various elements of these assessed. A notice was displayed in the home advising all visitors that an inspection site visit was taking place with an open invitation to speak with an inspector. During the site visit residents, and some of the homes staff were spoken with. As part of this key inspection questionnaires were sent out in the post to health and social care professionals. Staff, residents and relatives/visitors surveys were left at the home to be completed by any who wished to do so. The views expressed at the site visit and survey responses have been incorporated into this report. The registered manager was in the home throughout the site visit and assisted with the inspection process. The responsible individual for Christian Care Homes was also present for part of the inspection. Feedback on findings was given throughout the day, with opportunity for discussion or clarification. What the service does well: Beech House continues to provide a consistently high level of care and support to the residents. Residents are seen as individuals and cared for according to their needs and wishes. The home benefits from good leadership and an enthusiastic staff team. Many staff have worked in the home for some time providing a stable environment for the residents. Relatives praised the home saying that; ‘Staff are always pleasant and helpful.’ They also praised the care offered by the home saying: ‘The caring is wonderful.’ Staff at the home are able to undertake a good range of training to assist them to meet residents needs. The home has exceeded the target of 50 of staff achieving NVQ level 2. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 6 The registered provider is proactive in addressing any requirements or recommendations made by CSCI and funding authorities. The home works well with funding authorities and other agencies. A district nurse said that the home provided ‘excellent care.’ Feedback from other professionals was also positive. 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 House DS0000018103.V315825.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 DS0000018103.V315825.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 good. This judgement has been made using available evidence including a visit to this service Information is provided for prospective residents. The admission process is well managed and staff at the home are well trained and able to meet residents needs. EVIDENCE: Since the previous inspection Beech House has further developed their Service Users Guide to provide prospective residents/families with information about the home. The document provides pictures of areas of the home, and has a useful ‘frequently asked questions’ section. Following the site visit the registered manager was advised of some additions that need to be made to the service users guide in order that it meets the required standard, covers all areas and provides comprehensive information for prospective residents or other interested parties. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 9 The files of two recently admitted residents were viewed. These showed that the home had completed an assessment of needs prior to residents moving into the home. Information was also available from the funding authorities. Christian Care Homes are proactive in providing a good level of induction and training to their staff to assist them in meeting resident’s needs. All staff have received training in dementia care. Intermediate care is not provided at Beech House. Beech House DS0000018103.V315825.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 good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and health care needs are consistently being met by the home. EVIDENCE: All residents at Beech House have a care plan in place. As part of this inspection several residents care plans and associated information was viewed. The care plan format was seen to be based on Person Centred Planning and detailed residents care needs over a full twenty four hour period. This provides information in such a way that care staff find it easy to follow and which assists them in meeting residents needs. Additional information such as risk assessments, and monitoring information was also available. In discussion with the registered manager it was identified that further improvements to the care planning system are being considered. This will be of benefit, particularly to those residents with more complex care needs. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 11 Both residents and relatives felt that the home met individual care needs. One comment was: ‘My mother is most well cared for. She has improved immensely since coming to this home’ Care plans and other information showed that resident’s health care needs are monitored and that appropriate action is taken in response to any concerns. Records are maintained of health professionals visits. Residents weight is monitored and a record of nutrition maintained. It was noted that staff were not recording what residents have at suppertime. The registered manager undertook to address this. From observations and records it was seen that pressure relieving equipment is used appropriately as required to meet individual assessed needs. A district nurse said the staff were ‘very caring and keen to take on any advice given regarding patients care’. They also said that ‘The home is always clean and presentable and residents appear happy and well looked after.’ The home uses a monitored dosage system (MDS) for the majority of tablet medication. Medication that cannot be stored in the (MDS) system is administered direct from bottles and packets. The inspection took place on a ‘change over’ day. This process was well managed, and records viewed were well maintained. Protocols for medication prescribed “as and when required” (PRN) need to be produced, to ensure that this medication is given consistently, in response to residents needs, by staff. The registered manager outlined what training staff administering medication. This was verified on training records. During the inspection residents were seen to be treated in an unhurried and sensitive manner. Residents spoken with said they are looked after well and the staff are very nice and helpful. Beech House DS0000018103.V315825.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. Activities provided at the home have improved and further development is planned. Residents are encouraged to exercise control over their lives within their abilities. Food provided at the home is good, and choice is offered. EVIDENCE: Observations during the inspection, care planning information, and discussion with residents shows that they are able to choose their own daily routines and activities. The home employs an activities co-ordinator who works from 13.00 to 17.00 on four days each week. In addition a pastoral worker now attends the home on one afternoon a week (more if required). No formal activities programme is in place but activities planned on a daily basis according to the wishes of residents. Activities mainly take place during the afternoons. Social afternoons/evenings and other special activities take place throughout the year. The registered manager said that due to some additional staffing, care staff now joined in more and participated in activity provision. During the day Staff were observed to spend time interacting with residents. The home are also starting to work with picture/photograph books to try and involve and engage residents who have dementia. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 13 The home has an open visitors policy, which encourages residents to maintain contact with their family and friends. During the inspection visitors came and went and were clearly made welcome. Feedback confirmed that visits could take place in private and that people are always made welcome. Information on advocacy services was available in the home. As confirmed in the service users guide, residents are able to bring in personal items of furniture and other possessions when they move into the home. The home operates a four week rotating menu based on resident’s likes and dislikes and reviewed on a regular basis. Menus seen were wide, varied, contained choices and appeared nourishing. Menus for the day are written up on whiteboards in both the lounge and dining areas of the home so that residents can see what is available that day. Residents spoken with said that the food at the home is very good and confirmed that they were offered choice. It was noted that a high number of resident’s remained sitting in arm chairs and ate their lunch from small tables or lap trays. The registered manager said that this was according to their choice. This needs to be made clear in care planning information, to ensure that it is in the best interests of resident’s health and welfare. Beech House DS0000018103.V315825.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 good. This judgement has been made using available evidence including a visit to this service. Arrangements for responding to any concerns or complaints and for protecting vulnerable residents are satisfactory. EVIDENCE: The home has a clear complaints process in place. It was advised that this be reviewed in line with recent guidance provided by CSCI. Since the previous inspection one complaint had been recorded. This had been managed appropriately by the home. Discussion and feedback showed that residents and relatives are aware of how to raise concerns and would feel confident in doing so. Information/video material relating to the protection of vulnerable adults is available in the home. Staff records show that this area is covered well as part of staff’s induction into the home. Some established staff have undertaken specific POVA training, others have covered it as part of their NVQ training. The registered manager said that further training sessions in POVA are planned. Beech House DS0000018103.V315825.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Beech House provides a comfortable and homely environment for residents. The home need to ensure that residents health and welfare is not compromised by poor infection control/adherence to universal precautions. EVIDENCE: As part of this inspection a partial tour of the premises was undertaken. Full details of this were fedback to the registered manager. The home is located in a residential area. All rooms used by residents are on the ground floor. Offices and staff facilities are located on the first floor. Minor works and some redecoration have taken place since the previous inspection. Further works, including improvement to the lobby area of the home are planned. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 16 Sufficient communal space is provided for residents, offering a variety of seating areas. Some communal areas are not well used but this is through resident’s choice. There is a safe and enclosed courtyard garden for residents to enjoy. Sufficient adapted bathrooms/shower rooms and toilets are provided for residents use. The home provides adequate hoists and other equipment to meet the needs of the residents. As the home is registered to provide care for residents who are diagnosed with dementia, directional and orientation signage at the home needs to be improved. Resident’s bedrooms seen were nicely decorated, furnished and personalised to each individual residents tastes. Residents spoken with said they were happy with their bedrooms. Screening is provided in shared rooms for privacy. Examples were given to show that shared rooms are occupied by positive choice. Care is needed about how resident’s incontinence pads are stored. Many of these were clearly visible in different areas of resident’s rooms. This does not promote resident’s dignity. The home has an adequate laundry facility able to meet the needs of the residents. Since the previous inspection the floor in the laundry area has been replaced to improve infection control. The large butler sink in the laundry area is still in a poor condition and therefore difficult to keep clean and hygienic. During the inspection it was agreed that this would be replaced. During the inspection it was noticed that laundry was on the floor outside some bedroom doors. Infection control/universal precautions are covered as part of staff induction. Observations during the inspection relating to the use of protective clothing such as gloves were shared with the registered manager. This indicated that further awareness training is required as staff were using the same pair of gloves across a range of tasks. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Beech House benefits from an enthusiastic and stable staff group. A wide range of training is available to staff and NVQ training is promoted. EVIDENCE: Both residents and relatives praised the quality and skills of staff at Beech House. One resident said that: ‘The staff here are wonderful, you couldn’t get any better, even if you went to Buckingham Palace.’ Staff had a good rapport with residents, and were enthusiastic about their role. Rotas confirmed that currently the home maintains minimum staffing levels at four care staff plus one in charge in the morning and three staff plus one in charge in the afternoon/evening. In addition to this an extra carer works from 09.00 to 12.00 in the morning to assist with residents bathing needs, and from 16.00 to 20.00. Night staff remains as two at nights and one member of staff on call. The registered managers hours are supernumerary. Ancillary staff such as cooks, cleaners and an administrator are employed. Since the previous inspection a laundry assistant has been employed for 15 hours a week. This enables care staff to concentrate on caring tasks. The registered manager felt that current staffing levels were sufficient to meet resident’s needs. Residents spoken with and surveys received indicated satisfaction with the staffing levels provided by the home. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 18 No agency staff are used at the home. Vacancies, sickness and leave are covered by the homes own staff. The registered manager reported that once staff currently being recruited are in post the home will be fully staffed. A wide range of appropriate staff training is provided by the registered provider. From the homes pre-inspection questionnaire, and confirmed by staff training records 15 of the homes 27 care staff have achieved NVQ at level 2 or above. The files of two recently recruited staff were viewed. These showed that all appropriate checks to protect residents are carried out before staff start to work at the home. The registered provider has a good history of providing a structured and comprehensive induction for care staff. Staff files viewed showed that this is still the case. To ensure that the homes induction process complies with Skills for Care standards and new structured workbook is being undertaken by newly recruited staff. This was in place on those files viewed. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 19 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, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from an experienced competent manager who provides stable leadership to staff to ensure a consistent high quality of care. EVIDENCE: The registered manager at Beech House has over 17 years of experience in care and has achieved NVQ level four and the Registered Managers Award. The registered manager provides strong leadership at the home. The home has an open culture. Although the manager and some senior staff have worked at the home for many years, there is a commitment towards the continued development, and improvement of the service for the benefit of residents. The home has arrangements in place for regular meetings for staff and relatives. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 20 Recently a training session about dementia was arranged for relatives to attend and assist their understanding. The home have completed a quality survey with some residents/relatives. This work needs to be progressed with the development of an annual action plan for the home. The registered person conducts regular visits as required by regulation. The home are proactive in working with funding authorities and hold regular meetings to discuss any issues. The home are also audited under contracts monitoring by two funding authorities. Reports of these visits are available to relatives/interested parties. Records of resident’s finances managed by the home were sampled. These were satisfactory. The registered manager said that it would be possible for residents to access their money or property at any time. Information on the pre-inspection questionnaire showed that the homes systems and equipment are regularly inspected and serviced. Fire records were satisfactory. A new fire risk assessment for the home has just been completed. Staff at the home have received training in core areas such as moving and handling. Care needs to be taken to ensure that residents are cared for safely at all times. Boxes of gloves were noted to be available in areas where residents with dementia are accommodated. Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 21 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 2 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 X 2 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 3 3 2 X 3 X X 2 Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 13 Requirement The registered person must make arrangement to prevent the spread of infection at the home. This refers to the issues raised in the body of the report relating to the management of laundry and the use of personal protective equipment. Timescale for action 01/12/06 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. 2. 3. 4. Refer to Standard OP1 OP8 OP9 OP15 Good Practice Recommendations The homes Service Users Guide should contain all the required elements, as identified in standard 2.1. Nutrition records should be fully maintained. Protocols for the use of medications prescribed ‘As and when required’ (PRN) should be developed. The practice of residents having meals whilst sitting in DS0000018103.V315825.R01.S.doc Version 5.2 Page 23 Beech House armchairs should be monitored to ensure that it is in line with residents stated wishes and meets their health and welfare needs. 5. 6. 7. OP22 OP24 OP33 Directional/orientation signage at the home should be improved for the benefit of those residents with dementia. Incontinence pads should be stored in a manner that protects resident’s dignity. The homes quality assurance mechanisms should continue to be developed to the required standard, and provide a report of any findings and an annual development plan for the home. The registered person(s) must ensure that residents are kept safe and equipment stored appropriately. This refers to the storage of protective gloves. 8. OP38 Beech House DS0000018103.V315825.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 DS0000018103.V315825.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. 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