Inspection on 13/04/05 for Beechcare Care Centre

This inspection was carried out on 13th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beechcare Care Centre 02/09/08

Beechcare Care Centre 04/09/07

Beechcare Care Centre 05/02/07

Beechcare Care Centre 02/05/06

Beechcare Care Centre 21/11/05

Beechcare Care Centre 07/09/04

Beechcare Care Centre 01/06/04

Beechcare Care Centre 20/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

Thorndene

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Beechcare Care Centre Darenth Road South Darenth Dartford, Kent DA2 7QT Lead Inspector Elizabeth Baker 13 April 2005 10.20hrs 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 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. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Beechcare Care Centre Address Darenth Road South, Darenth, Dartford, Kent DA2 7QT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01322 628000 01322 628001 BetterCare Group Limited Care Home with Nursing 74 Category(ies) of Old Age 48, Physical Disability 26 registration, with number of places Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07 September 2004 Brief Description of the Service: Beechare Care Centre, incorporating the Peter Gidney Unit, is a purpose built single storey facility. Following the registration of the Peter Gidney Unit as a special spinal unit in 1997, the home increased its registered numbers to 74 beds providing nursing care. BetterCare Beechcare Limited is the registered provider. The home sits within a five acre site of well maintained grounds. The location of the home is within a rural area where public transport is limited. The main A2/M25 junction is easily accessible by car from the home. Dartford town centre is approximately two miles to the north and is served by a regular train service to and from London, the Medway Towns and Kent Coast. There are ample car parking facilities. Bedroom accommodation comprises 58 single and eight double rooms. All bedrooms have ensuite WCs and wash hand basins. A number of ensuite rooms also have a shower. Day space consists of three day rooms, a large reception room and two separate dining rooms. A large gym is currently sited on the Peter Gidney Unit. All bedrooms used by Service Users are connected to the nurse call system. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over thirteen hours on the 13 and 14 April 2005. Lead Inspector Elizabeth Baker and Regulatory Inspector Lisbeth Scoones carried out the inspection. A partial tour of the home took place. Records were inspected. Three visitors, nine service users and ten members of staff were spoken to. At the time of the visit 64 service users requiring nursing care were resident at the home. Since December 2003 two Managers have been appointed and resigned. Another Manager has been appointed and is due to commence at the beginning of May 2005. The inspection was carried out with assistance from supernumerary Registered Nurse Ms L Burchall and supporting visiting Manager Ms S Alderson. Although the Commission has not carried out any recent complaint investigations, the Commission is aware of two formal complaints made directly to the home by Health Care Professionals in respect of poor care. Assessment of progress on requirements and recommendations made at the previous inspection was also part of this visit. What the service does well: What has improved since the last inspection? Some of the nineteen requirements made at the previous inspection have been actioned. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 6 The front porch has been repaired and repainted. Some corridors and a number of bedrooms have been redecorated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 4 Prospective service users and their representatives are unable to make an informed decision about living at the home as they are given confusing information. Prospective service users cannot be confident their nursing needs will be met. EVIDENCE: The two current Statements of Purpose and Service User Guides contain comprehensive information. However the continued practice of publishing two separate documents infers there are two separate homes – Beechcare Care and Peter Gidney, whereas the facility is registered as one. If it is the Organisation’s intention to publicize the centre as two separate facilities, formal application must be made to the Commission to vary the existing registration. At a meeting in July 2004 management confirmed care staff had not received training to provide adequate care to service users with epilepsy. The supernumerary Registered Nurse said training has still not been provided. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Service users are at risk as care records are not adequately maintained and medications are not properly supported. EVIDENCE: Service users are provided with a care plan. A range of clinical risk assessments is available to monitor the effectiveness of the treatment plans. Care plans inspected were not complete of service users’ assessed needs, problems and wishes. Some of the assessments were either blank or incomplete. Where incontinence was identified as a problem, corresponding care documents were inadequate to monitor the intervention planned. There was no appropriate seizure monitoring documentation for a service user with epilepsy. For a service user identified as having lost over 11kgs during the last five months, there was inadequate information of the cause having been investigated or that the care plan had been appropriately reviewed and amended. Similar incidents affecting two continuing care service users were the subject of formal complaints to the home at the end of 2004 by a Continuing Care Nurse from the Dartford, Gravesham and Swanley Primary Care Trust. Not all care plans inspected had been signed by the service user and/or their advocate. A visitor who spends much time at the home said they would very Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 10 much like to be involved with their relative’s care but had never been asked to contribute. Registered Nurses administer medications to service users. It was of serious concern that the Medication Administration Record charts on the Peter Gidney Unit for the night administration of 12 April 2005 had a high proportion of unexplained gaps; thereby indicating medications had not been given. Following a relative’s intervention, a GP prescribed a scalp treatment preparation for a service user. The medication administration record chart did not include this preparation despite the Registered Nurse saying the preparation had been applied that morning. The pharmacy label was in her pocket. Service users were well groomed and dressed appropriately. A Service user said there is a lack of discipline amongst staff. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Some service users feel isolated and overlooked as lifestyle preferences are not always obtained. Service users and/or their representatives cannot always meet in private to talk about confidential matters. EVIDENCE: A service user said her spiritual needs and wishes, which are important to her, are met. This information was recorded in her care records. The service user said she had enjoyed watching the Pope’s Funeral and the Wedding of the Prince of Wales. A visitor said the Beechcare unit’s Activity Coordinator has a good knowledge and understanding of their relative’s social preferences to participate in certain activities. A number of service users were seen either to have had their hair done or were waiting to be attended to. The week’s activities programme described the morning’s activities as hairdressing. Not all service users wanted this service and had been left with nothing to do. Some service users were seen slumped in chairs. A Service user said activities are not available every day and another said they sometimes feel ignored and get lonely. A service user in the Peter Gidney Unit said they recently enjoyed a country ride out in the home’s mini bus. One service user in a wheelchair was facing the wall in the main reception lounge. Their legs had been elevated onto an armchair for a medical condition. The service user said it was not their choice to face the wall. A number of unused footstools were seen in different areas of the home. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 12 Two service users asked for the radio to be turned off, as the programmes were not of their choice. The home does not have a separate visitor’s room. Two visitors were overheard talking to Registered Nurses in the doorway of the nurses’ office in the main reception lounge discussing their relative’s care. This situation compromises service users’ confidentiality. The home has two dining rooms. A service user sitting in the Beechcare Unit dining room was being encouraged by a health care assistant to eat their breakfast in a non-hurrying way, even though it was 11.30am. The health care assistant had a good understanding of the service user’s eating habits and preferences. Catering staff on duty were unable to provide precise details of the number of service users requiring special diets. Comment cards received in response to the last inspection highlighted that not all service users like their meals. Management said they would arrange for the Organisation’s dietitian to visit the home, speak to service users and review the current menus. Documents showing the nutritional review of the current menus were available. However there was no evidence service users had been consulted on the variety of meals actually provided. A service user said there are times when the home runs out of certain food items including cheese and milk. The service user also said they went without their meatballs on a particular occasion because kitchen staff had forgotten to take the mince out of the freezer. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users and their representatives do not feel listened to because their concerns and complaints are not always managed appropriately. EVIDENCE: In January 2005 the Commission became aware of complaints relating to poor care being made directly to the home by two Health Care Professionals. The home’s complaint procedure states complaints will be dealt with within specific timescales. At the time of the inspection the Commission had not been informed of the outcome of these complaints and the home’s complaint book did not provide up to date information. The visiting manager was unable to clarify the position. The organisation’s complaint procedure is displayed in the main reception hall. The procedure includes details of the area office of the Commission but the size of the frame obscures the Commission’s telephone number. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 25 and 26 Service users are at risk due to the home not maintaining a safe, wellmaintained environment. EVIDENCE: Since the last inspection the corridors on the Beechcare Care Unit have been repainted. The visiting Manager said a number of bedrooms have also been redecorated. Sadly bedroom and other doors along the corridors still require repair and/or redecoration due to wheelchair contact damage. It was disappointing to see the reception lounge armchairs have yet to be replaced despite the dirty appearance and sagging seat cushions. The condition of the carpet in this room was also poor. As most visitors to the centre access the home via this room, it does not promote a positive impression of the home, or provide a homely and comfortable environment for service users. No odours were identified on this visit. Sluices, bathrooms and some ensuite rooms were cluttered with inappropriate items and could not be cleaned Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 15 effectively. The standard of cleaning in the Peter Gidney Unit was again found to be inadequate. A relative said the standard of hygiene has gone down. The damp and mould problem in the laundry has not yet been satisfactorily rectified. This has been a requirement on two previous occasions. The laundry was commissioned in 1997 and forms part of the new extension. A service user said they would like a different bed as their feet hang out of the current one. The service user’s special call bell device was broken. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Service users are at risk due to poor working practices, inadequate recruitment processes and lack of staff training and supervision. EVIDENCE: Care staff are employed by BetterCare. Contractors employ kitchen/catering and domestic staff. Care staff comprise Registered Nurses and Health Care Assistants. The home determines its care staffing levels based on the staffing notice issued in 2001, when dependencies of service users receiving nursing care were generally considered lower. The supernumerary Registered Nurse said levels are reviewed according to service users’ dependency needs. Some of the service users residing at this facility have profound nursing needs. Only six percent of healthcare assistants are currently trained to level II care. There is an expectation that at least 50 unregistered care staff are now trained to this qualification. Poor food preparation practices and inadequate cleaning were seen. There was no evidence contract staff are being monitored either by their employers or indeed BetterCare. Laundry cover was inadequate for the number of service users, resulting in some of them waiting three days for the return of clean clothes. A similar problem was identified at the last inspection. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 17 Only five out of 53 care staff have received infection control training, despite the Provider stating in the response to the September 2004 inspection “Training had been organised and planned over the next two months” with a completion date of November 2004. Care staff have still not received training in epilepsy. At least seven service users have this condition. Four staff files were inspected. There was little evidence the home is scrutinising information provided by applicants. The full addresses of two local care homes stated on one application form for reference purposes were wrong. Despite this, the home had obtained and accepted references from these two sources. A bank overseas Registered Nurse is working at the home without having been formally inducted. There was no record of a work permit having been provided although the Administrator said she recalled seeing a document. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 and 38 Service users are living in a home that has no effective leadership. Staff need guidance and direction to ensure a consistent quality of care. EVIDENCE: Temporary management arrangements are again in place following the recent departure of the proposed Registered Manager Mrs J Hargan. Staff spoken with said they had not received any supervision for some time. A resident said staff discipline has declined. Low staff morale on the Peter Gidney Unit was apparent. The supernumerary Registered Nurse does not have the qualifications or experience to manage, supervise and monitor a home of this size. Prepared sandwiches were left out in ambient temperatures and out of date milk and mayonnaise had not been disposed of. This situation poses a serious risk to service users. Contract kitchen staff were working unsupervised. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 19 The organisation has numerous quality assurance policies and procedures for monitoring and auditing its services and facilities. Regrettably these are not being adhered to. For example the supernumerary Registered Nurse was unaware of the need to complete and submit monthly Kitchen Key Performance Indicator schedules to the Organisation’s Head Office as is required. External fire doors continue to be left wide open and unattended. This presents both a security and fire risk. There are no separate smoking rooms for service users who smoke. They sit in designated areas of two particular lounges. Service users in the Beechcare Unit were again seen smoking unsupervised. The surrounding carpets were marked with cigarette burns, as was a coffee table in the main reception lounge. Special fire safety precautions such as fire blankets and aprons were not in use. The supernumerary Registered Nurse said the home had purchased some special blankets but these had been sent to the laundry and ruined. The items had not been replaced. One service user, with limited dexterity, transports their cigarettes and lighter in a tissue box. The current situation presents a serious risk to service users and others in the home. The service user smoking in the lounge on the Peter Gidney had been provided with appropriate protection. The Commission was informed in February 2005 of a problem with the hot water temperatures from taps used by service users. At this visit the maintenance man said the remedial work was not complete because the plumber was doing the work as and when he had the time. A service user said there was a problem with the shower trolley in their ensuite room because there are no draining holes. This results in the service user lying in a puddle of water and staff tipping the trolley to get rid of the water. The supernumerary Registered Nurse said the home does not currently have a qualified First Aider to provide first aid if this is required. This must be addressed as a matter of urgency. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 1 2 x 2 x x 2 1 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 1 x 1 x x 1 x 1 Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP4 Regulation 18 Requirement The home admits residents with epilepsy. Care staff are not trained in this aspect of care. (Previous time scale of 30/11/04 not met). Care plans must be complete and current of residents wishes, needs and problems, and composed with input from service users and advocates. Medications must be administered as per the prescribers instructions. Menu planning must be determined with input from residents. (Previous time scale of 31/10/04 not met) The cause of the leak has still not been adequately investigated and rectified. (Previous timescale of 31/10/04 not met) Contact damage to bedroom doors and frames has not been made good. (Previous timescale of 30/11/04 not met). The provision of a separate smoking room for service users has not yet been provided. (Previous timescale of 30/11/04 not met). Worn out and dirty armchairs H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Timescale for action 30 June 2005 2. OP7 15 13 April 2005 3. 4. OP9 OP15 13 16 13 April 2005 30 June 2005 30 June 2005 30 June 2005 30 June 2005 5. OP19 23 6. OP19 23 7. OP20 23 8. OP22 23 30 June Page 22 Beechcare Care Centre Version 1.20 must be replaced. 9. OP26 16 The standard of cleaning of the homes kitchens, sluices, bathrooms and ensuites must be improved and hygiene practices monitored. Laundry staffing levels must be appropriate for the number and needs of current service users. Staff must be appropriately trained in Infection Control. A Suitably qualified and experienced Manager must be employed. This was the same situation at the previous inspection. In the interim period appropriate and sufficient cover must be provided. A suitably qualified and experienced deputy matron must be appointed. (Timescale of 30/11/04 not met.) Robust vetting systems must be followed in the recruitment and appointment of staff. Quality Assurance processes must be adhered to as per the companys requirements. This relates to monitoring and auditing. Staff must be appropriately supervised. Staff must not leave fire doors open. External doors must not be left open and unattended. The homes security must be reviewed and improved. Food preparation practices must be improved and supervised. Information documents about the home must not mislead service users or their advocates Appropriate staff must be adequately trained with regard to First Aid All service users must be consulted on all aspects of their H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc 2005 13 April 2005 10. 11. 12. OP27 OP30 OP31 16 18 9 13 April 2005 30 June 2005 13 April 2005 13. OP32 10 30 June 2005 30 June 2005 13 April 2005 14. 15. OP29 OP33 19 24 16. 17. 18. 19. 20. 21. 22. OP36 OP38 OP38 OP38 OP1 OP38 OP12 18 23 23 23 4 13 12 13 April 2005 13 April 2005 13 April 2005 13 April 2005 30 June 2005 30 June 2005 30 June 2005 Page 23 Beechcare Care Centre Version 1.20 preferred lifestyles. 23. 24. OP12 OP25 12 13 Private facilities must be provided to maximise service users confidentiality A planned programme to complete the hot water temperature adjustments must be instigated 30 June 2005 30 June 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations The Commissions telephone number of this area office must be clearly displayed. Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beechcare Care Centre H56-H06 S26147 Beechcare Care Centre V220913 130405 Stage 4.doc Version 1.20 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!