Inspection on 08/12/06 for Beechwood Nursing Home

This inspection was carried out on 8th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Beechwood Nursing Home 13/06/06

Beechwood Nursing Home 11/11/05

Beechwood Nursing Home 05/05/05

Beechwood Nursing Home 02/09/04

Beechwood Nursing Home 20/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Beechwood Nursing Home 41-43 Esplanade Road Scarborough North Yorkshire YO11 2AT Lead Inspector Mrs Rosalind Sanderson Key Unannounced Inspection 8th December 2006 09:30 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 Beechwood Nursing Home DS0000027997.V322595.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. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood Nursing Home Address 41-43 Esplanade Road Scarborough North Yorkshire YO11 2AT 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) 01723 374260 9999 beechwood2000@aol.com Mr Tamby Seeneevassen Mr Tamby Seeneevassen Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range 65 years plus Date of last inspection 13th June 2006 Brief Description of the Service: Beechwood Nursing Home is a detached Edwardian building converted over 20 years ago into a care home providing nursing care for up to 32 residents. It is situated in the South Cliff area of Scarborough and close to the Esplanade with views over the South Bay. A passenger lift is available, giving access to communal and private areas of the home. There is a small terrace to the front of the property and a patio area with seating for service users. On street parking permits can be obtained from the home for visitors. The local shops and post office are within walking distance of the home and there is a regular bus service to the town centre. Prospective service users are given verbal information about what services are on offer at the home when they look around. The homes statement of purpose is currently being developed and amended. The most recent Commission for Social Care Inspection report is available in the home and individual copies are available on request to the manager or person in charge. The scale of charges made at the home range from £442 - £520 with additional charges made for hairdressing, chiropody, personal toiletries and individual newspapers. This information was correct on 19th October 2006. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the acting manager on a pre inspection questionnaire; Comment cards returned from 5 service users, 13 relatives, 11 staff, 2 GPs and 2 care managers. A visit to the home carried out by one inspector. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. A site visit was carried out and lasted for seven and a half hours. Seven service users, two relatives and four staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspectors to gain an insight of what life is like at Beechwood Nursing Home for the people that live there. The acting manager assisted the inspector during the inspection and was available for feedback at the close. What the service does well: Service users are happy living at Beechwood. Staff that have received sufficient training to equip them for their role care for them. Service users enjoy the activities provided at the home and are particularly looking forward to Christmas activities. Relatives say they are always made to feel welcome whenever they visit. They are encouraged to keep in contact with their relatives and are able to join them for a meal if they wish. The acting manager operates an open door policy. Service users are confident that she has their best interests at heart. Comments include, ‘If I had a Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 6 complaint I would see Chris, I know she would sort things out for me’ and Chris is the best manager this home has had’. Relatives commented, ‘Since Chris has come to Beechwood, things have improved enormously’. A healthcare professional said, ‘There has been a marked improvement in communication within the home.’ The food provided is very good. It is nutritious and well presented. Special diets are catered for as are individual likes and dislikes. What has improved since the last inspection? What they could do better: The registered provider must take immediate steps to ensure that the service’s recruitment policy and procedure is adhered to. This will ensure that staff are recruited safely and in line with the Department of Health guidelines. The medication audits could be carried out in more depth to ensure that any problems, actual or potential, are recognised and corrected at an early stage. The registered person must make arrangements for the acting manager to apply to become registered with the Commission for Social Care Inspection in respect of Beechwood. He must also arrange, as part of his own quality assurance, to visit the home unannounced on a regular basis to ensure that the quality of service is maintained. So that service users have full and accurate information about the service the Statement of purpose and service user guide must be completed. This must then be made available to all prospective and current service users. Beechwood Nursing Home DS0000027997.V322595.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. Beechwood Nursing Home DS0000027997.V322595.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 Beechwood Nursing Home DS0000027997.V322595.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): 1,2,3. 6 is not applicable Quality in this outcome area is adequate. Service users needs are fully assessed prior to admission. Service users would benefit from receiving more written information about the services available at the home. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Pre admission assessments are completed for all new admissions to the home. This information is then used to formulate the initial care plans. All service users are visited prior to admission where possible. The person in charge makes sure that all available information about service user’s care needs is collected from all available sources. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 10 The acting manager is in the process of updating the statement of purpose to ensure that it contains all the required information. This will enable service users to have full and accurate information about the home. Those bedrooms where it would be difficult to accommodate service users that require the use of equipment such as a hoist need to be identified within the statement of purpose. At the moment service users do not receive accurate written information when looking at the services on offer. Beechwood Nursing Home DS0000027997.V322595.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): 7,8,9,10. Quality in this outcome area is adequate. Service users care is well planned for but they do not always receive their prescribed medications. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence within the plans that service users have access to other professionals so ensuring they are able to receive the best possible care when needed. The care plans that were looked at had been based on what information was available from the pre admission assessment. Risk assessments have been carried out and the care plans are reviewed at least monthly. This enables staff to recognise when care needs are changing and interventions may be required. There was evidence within the care plans to show that equipment required by service users is used in a way that protects service users safety. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 12 Medications are stored securely. Relatives commented, ‘…is clearly in much better health since moving to Beechwood’ and ‘The staff are very caring and willingly offer help when it is needed’ Additional bathing facilities have been provided in the form of a wet room. This enables service users who find having a bath difficult to maintain their personal hygiene. There were some controlled drugs held in the home that had been prescribed for a service user who was no longer living there. Some eye drops were in use that had not had a date of opening recorded on them and were supposed to be discarded after twenty-eight days. They had been prescribed in August of this year. An antibiotic eye drop that had been prescribed had not been administered for most of the twenty-eight day period. This means that the service user was placed at risk as prescribed treatments had not been administered correctly or at the required intervals. Similarly medication prescribed for pain relief and bowel regulation on an ‘as required’ basis had not been administered for some time. In some cases a code, ‘F’ was used. However the reason for the code had not been defined on the Medication Administration Record. This means that it is unclear whether the service users had been offered the medication and refused or had not been offered it at all. Audits of the medication system are carried out but they have failed to recognise these shortfalls. Beechwood Nursing Home DS0000027997.V322595.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): 12,13,14,15 Quality in this outcome area is good. Service users are satisfied with their lifestyle and they enjoy the food provided at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users commented how meals have improved. Comments received included, ‘the food is very good’, ‘the food is excellent my only complain is that you get too much!’ Another commented, ‘There is always plenty of drinks and snacks available’. The cook was knowledgeable about the service users dietary needs and explained how she would provide enriched diets for those who needed it. One service user said that she has a special diet and does not have to worry about this as the cook makes sure she gets what she should have. Staff were available in sufficient numbers to assist service users that required help at lunchtime. This was done in a way that promotes service users dignity, respect and independence. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 14 Service users said they enjoyed the activities available at the home. These range from motivational therapy to music afternoons. Some service users commented that they were looking forward to the Christmas activities that had been arranged. Visitors confirmed that they are able to visit at anytime and were always made to feel welcome. There were quite a number of people who were intending to take their Christmas lunch with their relative at the home. The manager confirmed that this was offered free of charge. A member of staff said that the key worker system enabled staff to be with service users on an individual basis for a period each week. This made sure that service users were given the opportunity to express their individual needs and wishes and that the expectation is that these will be addressed. A relative said, ‘The key worker system is good as I have a point of contact at the home’ All service users social needs are addressed. One relative said, ‘…….has to be turned regularly and they have arranged for two TV’s to be put in the room so they doesn’t miss anything’ Beechwood Nursing Home DS0000027997.V322595.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): 16,18. Quality in this outcome area is good. Service users are confident they are listened to and action will be taken to address any problems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been one complaint since the last inspection that had been passed to the acting manager to investigate. This had been dealt with appropriately and the complainant was satisfied with the outcome. This was recorded in the complaints file. Service users said they felt happy to approach the acting manager and confident she would address any concerns they had. One said, ‘If I had a complaint I would see Chris, I know she would sort things out for me’. The complaints procedure is displayed in the entrance hall and will also be included in the Statement of purpose when it is completed. Information about how to make a complaint is also included in the ‘contract’ All staff spoken with had a good understanding of adult protection procedures and were clear about their roles in identifying and reporting any issues. Staff have yet to receive training in this area. The adult protection policy is clear for staff to follow. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Service users live in warm, comfortable surroundings. Some elements within the environment may compromise the safety and dignity of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The newly refurbished rooms on the ground floor offer pleasant accommodation for service users. These rooms are en suite so respecting the privacy of people occupying these rooms. The home is clean, however on the day of this visit there was an underlying odour of urine throughout the home. Service users commented that they liked their rooms. Service users that share a room have screens in place in order that their privacy is respected. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 17 A new shower room has been commissioned on the top floor. Service users commented, ‘I love the shower room, it makes it easy for me’. The size and layout of some bedrooms would make it difficult for service users that required the use of lifting equipment to be accommodated in these rooms. The sluice room water supply has now been fitted with a fail-safe regulator to ensure that the water does not exceed 43°C. The door leading down to the laundry and cleaners store room has been fitted with a keypad lock to protect service users and staff as this door leads directly to a flight of downward stairs. A fire door to a bedroom was propped open with a chair. The fire door to the boiler room was also propped open. The manager was told about this and attended to it. The weekly fire alarm, fire door and emergency lighting checks had been carried out. A recent fire survey had highlighted some issues with equipment; the manager had made arrangements for these to be rectified as soon as possible. The fire risk assessment for the home was seen and is satisfactory. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. Service users are supported by well trained staff, however the recruitment practices at the home continue to place service users at unnecessary risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are on duty in sufficient numbers to meet the needs of service users in a timely fashion. Additional staff are available at busy periods such as mealtimes to ensure that all service users have the assistance they require. 50 of care staff hold a qualification in care at NVQ level 2. All staff receive a formal induction to the home that meets the ‘Skills for Care’ standards. Staff have received training to enable them to carry out their role effectively. Comments received include, ‘I am offered and I complete all the training I need to do my job’. Another said, ‘If I needed any training it would be arranged.’ The recruitment policy states that all new staff will have the necessary checks carried out prior to starting work. However records examined showed that staff had been deployed in the home in roles where personal care is given to service users before a CRB had been received. This places service users at risk of being cared for by unsafe staff. This has been a requirement in inspection reports for this service since September 2004. Beechwood Nursing Home DS0000027997.V322595.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): Quality in this outcome area is adequate. Service users benefit from the day-to-day management arrangements in place at the home. However systems need to be put in place to ensure that this continues and remains effective. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager is a trained nurse with a number of years experience in care home management. She has been in post since January 2006 and is to make application to become registered manager of Beechwood. She has made a positive impact on the running of the home and staff and service users alike appreciate her openness. Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 20 Comments received include, ‘Chris is the best manager this home has had’, Relatives commented, ‘Since Chris has come to Beechwood, things have improved enormously’. A healthcare professional said, ‘There has been a marked improvement in communication from the home.’ A GP commented that communication had been a problem in the past and they had also noted an improvement. The situation remains the same as at the last inspection in that the provider spends much of their time out of the country. It remains the case that the acting manager does not have access to a budget in order to manage the home but relies on petty cash. Regulation 26 visits still need to be arranged in order that the registered person is fully aware of the services performance and can monitor the activities of the home. Service users monies are handled correctly and full receipts kept of all transactions. General risk assessments for the home have still to be completed so control measures to reduce any risk may not be in place. The quality assurance system is still being developed in order that stakeholder’s views on the service are obtained. The acting manager has continued with the relatives meetings and one relative commented, ‘Residents/family meetings are useful’ Staff supervision still needs to be formalised so that staff have the opportunity to discuss their individual performance in line with the homes aims and objectives and their training needs can be identified. Requirements that are made in this report and those that remain outstanding must be addressed in order that service users receive the best possible care and attention. Beechwood Nursing Home DS0000027997.V322595.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 1 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 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 2 1 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 2 X 1 Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 4,5,6 Requirement The registered person must ensure that sufficient and accurate written information is available for all current and prospective service users and their representatives. This information should give a clear picture of the services that are available at Beechwood. The registered person must make arrangements to ensure that medication is administered safely as prescribed. This relates to: • Administration of antibiotic eye drops within the timescales allowed and at regular intervals. • Ensuring that the date of opening is entered on medications that have a limited shelf life once opened. • Ensure that analgesia and aperients prescribed on a p.r.n basis are routinely offered to service users. If a service user refuses medication this should be documented. DS0000027997.V322595.R01.S.doc Timescale for action 31/01/07 2. OP9 13(2) 15/12/06 Beechwood Nursing Home Version 5.2 Page 23 3. OP29 18,19 Where codes are used on the Medication administration record, the reason for the code is clearly defined. • Ensure that controlled drugs that are no longer required are destroyed as per the home’s policy. For each new member of staff employed at the home the registered provider must obtain a Criminal Records Bureau check prior to them starting work. • 08/12/06 4. OP31 8(1(b(iii) 5. OP33 26 6. OP19 OP38 13 Previous timescale of 2/9/04, 5/5/05, 11/11/05 and 13/6/06 not met) The registered person must 30/01/07 make arrangements for the acting manager to apply to become registered with the Commission for Social Care Inspection in respect of Beechwood Nursing Home The registered provider must: 30/01/07 • Arrange for visits to the home to be carried out in accordance with Regulation 26 of the Care Homes Regulations 2001 and a copy of the monthly report be sent to the CSCI. • Make arrangements so that the manager has autonomy and authority to continue to run the home effectively during the provider’s absences. This requirement is outstanding from the report of the inspection dated 13/6/06 The registered person must 08/12/06 make sure that fire doors are not held open by unauthorised means. Only those means authorised and approved by the DS0000027997.V322595.R01.S.doc Version 5.2 Page 24 Beechwood Nursing Home 7. OP38 13 fire safety officer may be used. This requirement is outstanding from the report of the inspection dated 13/6/06 The registered person must arrange for risk assessments to be completed for the home. Any control measures identified must be put in place. 31/01/07 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 Refer to Standard OP18 OP33 Good Practice Recommendations It is recommended that all staff receive training in Adult Protection procedures. It is recommended that the quality assurance system is further developed to ensure that the views of all stakeholders are taken into account and to inform the homes development plan It is recommended that staff supervision is formalised and records maintained in respect of this. 3. OP36 Beechwood Nursing Home DS0000027997.V322595.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Beechwood Nursing Home DS0000027997.V322595.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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