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Inspection on 25/09/07 for Beechbrook Residential Home

Also see our care home review for Beechbrook Residential Home for more information

This inspection was carried out on 25th September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Beechbrook offers residents a comfortable place to live. The home is set in extensive grounds, which are well maintained and attractively presented. Residents say that they like living at the home, which is warm, comfortable and clean. They have their own rooms or suites, which are decorated and furnished to their own choice and liking. The home is well run by a competent and qualified Manager who residents say is approachable, caring and professional. Residents say that staff are attentive, warm and caring and provide their care with sensitivity and kindness. The staffteam are well trained and professional and there is sufficient staff on duty to effectively meet the needs of residents Recruitment practices are well carried out and the staff files contain all information needed to ensure the safety of residents. Written records are well kept and up-to-date and provide staff with the information they need to provide good quality care to the residents.

What has improved since the last inspection?

Since the last inspection new care plans have been developed which ensure staff know how to provide the right care to residents. The information included in the plans has been improved to cover more areas of need. The homes policies and procedures have been reviewed to ensure that they meet professional standards. Recruitment procedures are robust and protect residents from harm. The Manager is no longer part of the care team and now has sufficient time to carry out her administrative and management duties effectively. The home has carried out a review of its business and financial plan. The home is now notifying the Commission of incidents that may affect the welfare of residents in line with current Regulations. Staffing levels have increased to ensure that there is a minimum of two staff on duty during the day and on-call arrangements have been formalised at night. The communication systems have improved in the home and staff are now being formally supervised at least six times a year. Staff have been provided with refresher training in core skills and additionally have received training in dementia care to further enhance their practice. The administration of medicines is being carried out more efficiently and there is a policy for residents that self-medicate. The health & safety records relating to substances that may be harmful to health are up to date and in good order. A record of each resident`s choice of menu is being kept to ensure that residents have a balanced diet.

What the care home could do better:

There are no new requirements or recommendations arising from this inspection.

CARE HOMES FOR OLDER PEOPLE Beechbrook Residential Home The Holt Hare Hatch Wargrave Berkshire RG10 9TA Lead Inspector Julie Willis Unannounced Inspection 25th September 2007 10:10 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 Beechbrook Residential Home DS0000011400.V349448.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. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechbrook Residential Home Address The Holt Hare Hatch Wargrave Berkshire RG10 9TA 0118 940 3987 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) catherineseagrim@hotmail.com Mrs Catherine Seagrim Mr Michael Paul Seagrim Mrs Catherine Seagrim Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2007 Brief Description of the Service: Beechbrook provides accommodation and care for up to fifteen service users, who have care needs associated with old age. The home is not registered to provide care to people with needs associated with dementia or require full time nursing care; this would require additional registration categories. Accommodation is available on the ground and first floors of the home, with access to the first floor by staircase or passenger lift. All bedrooms have private bathrooms. One bedroom is separate to the main building. The current scale of charges as at February 2007 are between £675.00 and £1050.00 per week. There are additional charges for chiropody, physiotherapy, newspapers, hairdressing and toiletries. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspection took place on Tuesday 25th September 2007 between 10:10am and 4.45 pm. and covered all the standards for older people. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met and spoke with all twelve residents and four relatives that were visiting at the time of the inspection. The inspector also spent time talking to a visiting Community Matron, individually to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes Manager at the end of inspection. There were no outstanding requirements from previous inspections and no legal requirements were made as a result of this inspection. The Commission has not received any information about complaints about this home since the last inspection. What the service does well: Beechbrook offers residents a comfortable place to live. The home is set in extensive grounds, which are well maintained and attractively presented. Residents say that they like living at the home, which is warm, comfortable and clean. They have their own rooms or suites, which are decorated and furnished to their own choice and liking. The home is well run by a competent and qualified Manager who residents say is approachable, caring and professional. Residents say that staff are attentive, warm and caring and provide their care with sensitivity and kindness. The staff Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 6 team are well trained and professional and there is sufficient staff on duty to effectively meet the needs of residents Recruitment practices are well carried out and the staff files contain all information needed to ensure the safety of residents. Written records are well kept and up-to-date and provide staff with the information they need to provide good quality care to the residents. What has improved since the last inspection? What they could do better: There are no new requirements or recommendations arising from this inspection. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 7 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. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard3 Quality in this outcome area is good. Residents are fully assessed prior to admission to ensure their needs can be met effectively by the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined and case-tracked two residents from pre-admission to date. It is clear that admissions are not made to the home until a full needs assessment has been undertaken. Residents confirmed that the assessment was carried out by the Manager in a professional and sensitive manner and involved where possible both the resident and their family or representative. The pre-admission assessment provides the home with sufficient information to develop a preliminary care plan. Other more detailed information is added following the resident’s admission. The home has adopted a new care plan format ‘Standex’ which provides detail about the residents health and personal care needs, social history, nutrition, communication needs, mobility needs, history of falls, continence and mental state. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 10 Prospective residents are provided with the opportunity to visit the home informally so that they may ask questions about life in the home, observe the daily routines and meet staff and other residents. The Manager and staff are on-hand during this visit to provide support and guidance and to answer any questions the prospective resident may have about the home. The inspector spoke with all of the current residents. They made comments such as “staff were so kind to me when I moved here they made me feel most welcome, it didn’t take long to settle in”. Another said, “I’ve never regretted moving here, look around, who could ask for more”. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 Quality in this outcome area is good. Sufficient information is in place to enable staff to effectively meet the health & personal care needs of residents. Residents are encouraged to participate in the care planning and review process from the outset. Residents are provided with care in a manner, which maintains their right to dignity, privacy, independence and choice. The system for the administration of medication is good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with staff, management and residents and from observation of practice the home was able to evidence that it understands that the delivery of care is highly individualised and must be specifically tailored to meet the needs of each resident. Observation concluded that the staff team ensure that personal care is provided in a manner, which ensures dignity, privacy, choice and independence. The staff were provided with sufficient time to over-see self care in order to maintain the residents independence. Staff were observed to be polite and courteous to residents at all times. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 12 The staff team were observed to knock at doors and wait to be invited in before entering. Care was clearly provided with sensitivity and patience. The Manager has recently reviewed how the home carries out the care planning process with each of its residents. The home has chosen to adopt the ‘Standex’ format for its care plan system. Each plan covers a number of areas including health & personal care needs, nutrition, risk of falls, communication, socialisation and activities. The system incorporates risk assessments on a range of risks including manual handling, fire and bathing. The ‘Standex’ system also includes the use of clinical tools to assess and monitor tissue viability, nutrition, dependency levels and mental state. Where risk is identified effective risk reduction measures are put in place to reduce the likelihood of occurrence. The care plans gave clear instruction on how staff should reduce the risks identified. Each plan had been signed by the resident to indicate that they agreed with the content and is reviewed at monthly intervals to ensure that it continues to reflect their needs. The residents confirmed that they were provided with access to health and social care professionals when required. They said that screening and preventative treatments are offered routinely by their doctor’s practice. Several residents said that they were going to have a flu vaccination prior to the onset of winter and that they can ask to see their doctor when they need to. There was evidence on file that residents have regular chiropody treatments, hearing tests and sight tests. The inspector had the opportunity to meet a Community Matron who was visiting at the time of inspection. The Matron confirmed that the home was always welcoming, clean and fresh and that staff seemed caring, attentive and professional. From examination of the medication administration system and discussion with staff it is clear that the home follows best practice guidance in relation to the storage, administration and disposal of drugs. The majority of medicines are administered by the staff but a few residents self-medicate their own painkillers and ‘homely’ remedies. The home has a policy on selfadministration and provides lockable medicine cupboards in each bedroom for safekeeping. The inspector had the opportunity to speak with all of the residents and a number of visitors. One visitor told the inspector that they felt that the home was “excellent at getting medical help when it was needed” another said “I was so pleased when Mum moved here, she is very happy and content”, “its just like a second home”. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 Quality in this outcome area is good. Residents are provided with the opportunity to participate in a range of leisure activities suited to their needs. Residents are encouraged to maintain contact with the local community, their friends and relatives. The meals in the home offer residents choice and variety. Special dietary needs can be catered for effectively. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of inspection a number of residents were enjoying a classical music session in the conservatory, which is organised on a weekly basis by one of the residents. The music is chosen each week from a selection bought to the home by the mobile library. The residents appeared to be enjoying the music whilst relaxing with their tea. Most of the residents have the opportunity to go out with their friends and family on a regular basis. Management informed the inspector that it is likely that all but one or two of the residents will be away at Christmas and will be Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 14 enjoying the festivities with their families. Those that stay share a ‘family’ Christmas with the staff. Observation concluded that there are frequent visitors to the home and a number of residents said that they regularly go out shopping, for a meal out or out sightseeing with them. One resident said that they liked to go to the pub at the end of the drive where they can share a meal out with their friends and/or family. The home offers a range of other activities including exercise classes three times a week, word games, pub lunches and outings. There is a heated swimming pool in the grounds and tennis, mini-golf and croquet are also available during clement weather. Residents confirmed that meal times at the home are considered an ‘occasion’. A choice of meals is presented each day in the comfortable spacious conservatory. Tables are attractively laid with tablecloths, napkins and vases of flowers. There is a wide range of condiments available. A menu is displayed on each table from which residents choose their meals. Sherry and wine are served at lunchtime for those that want it. Since the last inspection the chef is taking a more active role at mealtimes. The chef serves meals from a hostess trolley and is available to receive feedback about the quality of the meals provided. There is a weekly menu meeting and residents have been asked what they would like to see on the menu. Lunch on the day of inspection was curry with saffron rice or alternatively residents could choose salad, omelette or beef stew. Residents said that the food was “very tasty” and “nicely cooked”. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistleblowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Regulation and Standard. Residents are provided with information on how to make a complaint, the predicted response time and the various stages in the procedure. Examination of the complaint records indicated that there have been two complaints made to the home since 1st January 2007. One was resolved to the satisfaction of the complainant and the second complaint is more recent and is yet to be resolved. The Manager is in the process of compiling a written response. There has been no information about complaints reported to the CSCI since the last inspection. Residents said that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. There was evidence in staff files and from discussion with staff, that they receive training in the protection of vulnerable adults as part of their formal Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 16 induction to the home. The initial learning is later consolidated when staff undertake NVQ (National Vocational Qualifications) training in which it forms a core module. Staff interviewed were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 17 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): Standards 19 & 26 Quality in this outcome area is good. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector toured the premises. The grounds are extensive and well maintained in general, but one resident did comment on the state of the drive. The resident said, “The gravel drive is a bit uneven you have to watch where you put your feet”. The Proprietor is aware of the on-going problems with the drive and undertook to carry out some repairs on the day of inspection. Residents commented on the quality of the décor and furnishings in the home. Several made comments such “its lovely here, just like home” another said, “Its always beautifully kept, clean and comfortable”. The residents confirmed that the toilets and bathrooms are clean, fresh and hygienic and that the home is vacuumed and dusted every day. The Manager told the inspector that the Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 18 domestic had just been promoted to care and that they were trying to recruit new cleaning staff through an agency. The communal lounges and dining area are pleasantly decorated and furnished in a homely manner. Lighting is domestic in character and bright enough to read by. All rooms are centrally heated and the residents may adjust the temperature in their bedrooms. Residents said “I like it here, I have my own bedroom and lounge, it’s just what I need” and “I don’t think you could get any better, it’s a home from home”. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 19 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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. Staff were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of residents in their care. Staff recruitment procedures are robust and transparent and protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined two of the recruitment files. The content indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. Staff interviewed formally by the inspector appeared to have a good understanding of their role. They understood the need to ensure that the residents were well cared for. They were well trained, well motivated and cheerful. There was evidence in the staff files that care staff have been properly inducted to Skills for Care standard and have received training in core skills such as fire safety, first aid, manual handling, food hygiene, health & safety, COSHH and infection control. All staff have received training in ‘Safeguarding Adults’ as part of their induction and as a core module in NVQ training. All staff Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 20 at the home are well motivated and have either achieved or are working towards a National Vocational Qualification at level 2 or 3. All staff receive support on an on-going basis. They receive formal supervision at least six times a year and have additional opportunities to air their views and to have a say in the way the home is run in the team meetings. Staff said that they enjoyed working at home and looked forward to coming to work. Residents and visitors were highly complimentary about the quality of the staff employed at the home. One resident said “ they are good girls, they always come and help me when I need them” another said, “the staff are very good, they always check that I’m OK”. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 21 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): Standard 31, 33, 35 & 38 Quality in this outcome area is good. Residents benefit from living in a well managed home, where there is evidence that their health, welfare and safety is of importance. The registered manager is qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Proprietor/Manager - Catherine Seagrim is a qualified and highly experienced nurse who has enhanced and updated her skills and knowledge by completing an NVQ 4 in care and the Registered Managers Award. She works entirely off of the roster so that she may concentrate on her management duties. A competent deputy, administrator and a team of skilled carers support the Manager in her work role. Most of the staff team have worked in the home Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 22 for many years and know the residents well. There is an extremely low rate of turnover amongst the staff team and no reliance on agency workers to cover gaps in the roster. Residents are highly complimentary about the management of the home and feel that they are kept well informed of what is going on. Residents say that the manager is always open and accessible and makes time to speak with them on a daily basis. They confirm that they are regularly consulted on issues that affect them and feel that their views are always taken into account. From examination of the minutes of residents meetings it is clear that when requests are made or concerns expressed in the meetings the issues raised are followed up promptly by management. The home carries out a number of quality assurance checks and uses the information gathered to monitor how well the home is meeting its aims and objectives. The home does not hold any monies on behalf of residents. Residents either manage their own money or have a family member or an advocate to do this for them. The health and safety records were sampled. All were well maintained and upto-date. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for the residents. All risks to residents are effectively risk assessed and managed. Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 23 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 x x 3 x 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 x x x x x x 3 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 x 3 x 3 3 x 3 Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 24 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 Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Beechbrook Residential Home DS0000011400.V349448.R01.S.doc Version 5.2 Page 26 - 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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