Inspection on 11/12/06 for Berengrove Park Nursing Home

This inspection was carried out on 11th December 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Berengrove Park Nursing Home 22/10/08

Berengrove Park Nursing Home 16/02/06

Berengrove Park Nursing Home 24/06/05

Berengrove Park Nursing Home 31/01/05

Berengrove Park Nursing Home 24/09/04

Berengrove Park Nursing Home 22/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Berengrove Park Nursing Home 43 - 45 Park Avenue Gillingham Kent ME7 4AH Lead Inspector Sally Hall Unannounced Inspection 09:30 11 December 2006 th 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 Berengrove Park Nursing Home DS0000026149.V320273.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. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Berengrove Park Nursing Home Address 43 - 45 Park Avenue Gillingham Kent ME7 4AH 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) 01634 850411 01634 840046 Berengrove Limited Carole Frances Godden Care Home 36 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (24) of places Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to be aged 60 years or over. Date of last inspection 16th February 2006 Brief Description of the Service: Berengrove Park Nursing Home is home to 36 Older People who mainly have nursing and high care needs. The home also has 12 beds designated for dementia care. The home itself is a large older property, which means a lot of the bedrooms are of a large size. There are a high number of shared rooms in this home but the owner has added another five en-suite bedrooms to reduce the shared rooms. The home has a small garden to the rear and to the side of the property, which can be accessed by service users, and there is off road parking to the side of the home. The home is opposite a large park, which during the summer months is very pretty and is a nice area to walk in. The home is situated within walking distance of a main bus route and there is main line railways station approximately a mile away. Gillingham also has a High Street with many main High Street stores, and is not far from the Historic Chatham Dockyard. The fee range is between £496 to £581 and is dependent on the assessed nursing needs. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key Inspection at Berengrove Park Nursing Home took place on 11th December 2006, between 09.50hr and 16.10hr, the link inspector was Sally Hall On the day of the inspection the Inspector agreed and explained the inspection process with the Registered Manager and Owner. Time was spent reading a sample of care plans, written policies and procedures and records kept within the home. Staff were spoken with and a tour of premises was not undertaken during this inspection. The focus of the inspection was to assess Berengrove Park Nursing Home in accordance with the National Minimum Standards for Older People. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The home was ask to complete a pre–inspection questionnaire, evidence from these documents is also included in this report. What the service does well: What has improved since the last inspection? Staff trained to do so now undertakes supervision and all staff have the benefit of their own development plans. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have access to the information they require to make an informed choice about the home. There is a system of pre assessment at the home that enables staff to assess the needs of residents prior to and following admission to ensure that service users needs are met. Service users have the opportunity of a trial stay in which time they can choose if they wish to make their stay permanent. EVIDENCE: Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 9 Copies of the Statement of Purpose and Service Users Guide are given out to all service users and their families. Copies of these documents are each service users bedrooms. The home reviews the information at least every 12 months. Six Service user’s files were sampled. Evidence was seen of a comprehensive assessment for each service user. Three of the Service users’ files sampled were for Service users admitted recently and these contained the assessment undertaken prior to admission and a wide range of other assessments that had been added to or were awaiting completion since admission. The assessment process included all the information included in 3.2 of this standard - a mobility and lifting assessment, and the assessment on tissue viability. The Registered Manager, who is a RGN and has the NVQ Level 4 Registered Managers Award, had completed these assessments. The inspector also saw for Local Authority funded Service users the assessments provided by the care managers, which are also completed and received prior to admission. The files sampled contained written plans of nursing care required to meet the needs of the individual Service user. These included specialist needs such as dementia. The plans of care, nursing plans and risk assessments seen by the inspectors reflected the information gathered at the assessment stage. The home does invest in staff training to ensure staff have the skills to meet the service users’ needs. However they do need to ensure they have a robust system in place to ensure training certificates remain current. Unless an admission is an emergency then all prospective service users and their families are encouraged to visit the home prior to admission. All service user are admitted on a trial basis and at the end of this time a review is held to decide if the home can meet that service users’ needs and if the service user is happy to stay and become a permanent resident. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a high standard of care planning and their health care needs are fully met. The home has a robust medication policy and procedures that are followed by all staff and monitored regularly. EVIDENCE: The care plans and nursing plans seen by the inspector in the files sampled indicates the care and nursing in put required by each individual Service users. These plans are reviewed monthly by staff and before if there is a change in the Service users condition/needs. The daily records seen by the inspector did cover some of the care provided as detailed in the plans of care and nursing plans. However, this could be improved significantly if staff recorded the entire care. offered to each individual service user. It was still evident however from the observations of the inspector that Service users are receiving good care Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 11 and special needs are being provided but, unfortunately, the daily records did not convey this fully. In files sampled all accidents reported featured in the accident book. However in one file bruising had been added to the body map but there was no follow up on why, how in the daily record. The inspector found that the use of bed rails had been risk assessed and permission had been sought to install these. Health monitoring was evident in the daily records. These also indicated when the GP had been called in to give treatment or advice. The care plans detailed the care required for a service user with pressure area as well as the preventative care for other service users who were at risk. A visiting Care Manager was interviewed about the home, its records and how well the home kept the care management team informed. The Care Manager said that the home always kept her and her colleagues informed of any changes in their clients’ conditions, that the records in the home were good and she was impressed with the assessments of the service users she was visiting that day. The Care Manager said that the home was very good at accommodating emergency admissions and again were good at keep them informed of the situation. Evidence was seen that the home arranges for other health professionals to visit the home. These include chiropodists, opticians, dentists and community psychiatric nurses. The Medication was checked and audited and found to be correct. The Medication storage room was clean and well organised. All medication is locked in cupboards and there is a facility for the storage of controlled medication. The Medication Record Sheets seen had been completed fully. However one gap was seen in the signing of medication but it was the case that the medication had been given. The manager was already aware of this and would be talking to the staff member concerned. The manager explained that she audits the medication system at least monthly. Any medication in stock at the end of the preceding month had been brought forward. Controlled medication was also seen and recorded correctly. Only the qualified nurses in the home administer medication to Service users. There are no Service users able to administer their own medication at this time. The inspector saw evidence that all medication that is returned to the pharmacy is recorded and signed for. Medical examinations and consultations take place in the Service Users’ own rooms. In bedrooms, which are shared, there are adequate curtains to ensure privacy. The home does not have a Visitors Room so visits in private take in place in bedrooms or a lounge that is not often in use. The home does have a public telephone and this is in its own little room so private calls can be taken. A number of service users have made the choice to have telephones installed in their own bedrooms. Staff were observed to treat the Service users with respect and took care when enquiring about personal issues. All staff were seen to knock on bedroom doors before entering and responded quickly when help was called for. The Service Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 12 users spoken to at the time of the inspection confirmed that the staff at the home respect their privacy and dignity. Residents/relatives are consulted regarding their wishes concerning terminal care and arrangements after death during the pre-assessment stage and, if this is known, recorded on their care plans. Where the home has not managed to get this information during admission then this followed up again later. Berengrove Park Nursing Home DS0000026149.V320273.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from activities and maintained contact with family/friends and local community as they wish. However a programme for those who remain in there bedrooms would ensure all service users have the opportunity of stimulation. Service users are enabled and encouraged to stay in control of their lives by the choices they offered though the day. The home provides a choice of nutritious well balanced meals that take into account any special diets service users may need. EVIDENCE: The home has various entertainers coming into the home on a regular basis. Most service users are encouraged to participate. The Activity Co-ordinators and staff arrange activities in the lounge but service users who are confined to bed are not offered a range of activities at this time. The manager was asked Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 14 to ensure all service users had some sort of input through the week. Some of the more able service users spoken to said that they enjoyed some of the activities and also confirmed that they do as they want through the day, getting up and going to bed when they are ready. Evidence was seen of visitors coming into the home during day with no restrictions imposed on these visits. Service users choose to see their guests in private in their own rooms or one of the quieter lounges and staff assist with this. The service users are also able to choose whom they do not want to see. The home’s involvement with the local community is contact with local church, visits and visits by school children as appropriate. The staff also take out residents to the local park as the weather and residents’ health permits. Service users were seen to be offered a choices during the inspection. Service Users confirmed that they are offered choices at meal times. Service users were asked about the meals and the choice that is offered and all spoken to confirmed that the quality and size of the meals provided are good, that they are offered at least two choices. The care plans indicated the amount of help Service users need with feeding. Some Service users take meals in their bedrooms either by choice or necessity. The meals are taken individually to each service user and staff were heard checking that service users were happy with their meals and had everything they wanted before they left the room. The meals taken by each service user is recorded on a daily basis. The amount eaten is recorded on the fluid chart if there are any concerns It was suggested that this information be recorded in the daily record for each service user. The owner confirmed that the home uses fresh produce when in season. The Registered Manager confirmed that on admission Service users are asked their likes and dislikes. This information, along with any dietary needs, are given in writing to the cook. Berengrove Park Nursing Home DS0000026149.V320273.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users and their relatives benefit from knowing the home takes all complaints seriously, and use them to improve its service. The service users benefit from staff knowing how to report any possible abuse, and what immediate action needs to be taken to protect service users. EVIDENCE: The home has a clear complaints procedure, which was seen displayed within the home. Evidence was also seen of it in the statement of purpose and service user guide. The home has received a number of complaints since the last inspection. These have been dealt with in the timescales and resolved to everyone’s satisfaction. The home ensures the service users are safeguarded from any abuse, neglect or harm by robust policies and procedures. The home’s nominated Adult Abuse trainer gives training for all staff at induction. The staff then attend courses in the Local Authorities protocols on Adult Protection, as well as having a copy of the updated policy on file. The manager was reminded that this training needs to be refreshed every three years. Staff, when questioned, were able to give comprehensive replies to what they would do in case of suspected harm to a resident. The home has a whistle blowing policy, which staff questioned understood. The home has had allegations made against it but the home has Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 16 co-operated fully with the investigations. None of the allegations have been fully proven, but the home has used the experience to improve its service to service users. Berengrove Park Nursing Home DS0000026149.V320273.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a safe, warm, and pleasant environment. EVIDENCE: At the last inspection early this year the inspector found the home’s location and layout was suitable for its stated purpose. The home had been visited by a fire officer and recently by environmental health. The home had met all their requirements. The home has three communal lounges spread across the building. One is used as a quiet room, another for viewing the television and another as an activities area. The home has a small private phone room, dining area, but mainly residents eat in their own rooms. Several residents spoken to commented “On the welcoming feeling of the home”. All residents when questioned enjoyed feeling part of a busy home. Five rooms in the new wing have en-suite toilet Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 18 facilities and rooms where these are not included a suitable bathroom/toilet is located nearby. The home has sufficient toilet and bathroom facilities for the number of service users. Bedrooms seen had all been personalised by the service users. The rooms were all clean and well decorated. Bedrooms have sufficient space to accommodate the required furniture. The home has high standards of cleanliness and cleaning staff have rotas of which rooms to deep clean daily. Only occasional odours were detected in the house. The home has a 6 monthly contract for servicing for the hoists and parker baths. The maintenance man checks and services all the wheel chairs and recorded evidence is kept of this. Call systems were seen in all the rooms and provided in communal areas. A full tour of the building was therefore not undertaken this time, however there was an odour detected in one bedroom, a change of flooring is being considered as daily cleaning of the carpet is no longer effective. Berengrove Park Nursing Home DS0000026149.V320273.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are met by sufficient number of staff that are motivated and enthusiastic. Service users can not be sure however that all staff are receiving all the training they need or that it is being kept up to date, although the home now has 50 of it care staff with an NVQ or appropriate qualification. EVIDENCE: On the day of inspection one extra trained nurse was provided to allow the manager, who works hands on for part of her shift, to be available for the inspection. The home does use agency staff and always uses the same agency with reliable care staff that they have got to know. The rotas seen showed that there are enough staff to cover the needs of the service users. The manager confirmed that staffing is increased if there is a special need. Normally there is a minimum of two qualified nurses and five carers staff the home on the morning shift, then in the afternoons two qualified nurse and four carers and in the evenings three waking staff, one qualified. The home also employs a cook and ancillary staff that keep the home clean and maintained. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 20 The staff working in the home are encouraged to have an NVQ, from domestic to care staff. There are now six care staff who have NVQ 2 or 3 and two staff who have nearly completed and two staff due to start soon. Two of the care staff working in the home are nurses, therefore the home has reached it 50 of care staff with an appropriate qualification. The records of the staff that required training, such as moving and handling for example, showed that not all courses have been undertaken or are out of date. It was suggested that the manager produce a matrix of staff training that she can use to ensure all staff training is undertaken and kept up to date. Berengrove Park Nursing Home DS0000026149.V320273.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from having a well supported and well led staff team who are appropriately supervised. Service users are protected by the home’s financial procedures. EVIDENCE: The management approach of the home has resulted in an open and inclusive atmosphere. The processes of managing and running the home are open and transparent. It is apparent owner and manager work well together and communicate well, they both show a dedication to providing high standards. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 22 The home has suitable accounting and financial procedures in place, evidence of financial viability was seen in the newly updated Business Plan. Insurance cover for the home was seen. Staff supervision is happening on a regular basis and the manager and some of her staff have been on specific supervision training. The quality of the staff supervision looks high and staff said that they feel they benefit from this. A personal development plan is also completed for all staff. The home sends out a survey to relatives and service users etc at least annually. The home prepares a Newsletter every six months, this gives service users and families and indication of what events are planned, it introduces new staff and reminds people of the regular meetings that the home holds. These meeting for families and service users are recorded as are the staff meetings that are held every two months. The home has a file in the main office that can be accessed by staff of all the policies and procedures they need to follow. The policies and procedures are in the process of being reviewed and update, some are now over time, but it was very evident this work was being undertaken. The home does not now get involved in any of the Service users personal financial affairs. The home does not hold any personal money for the Service users, it prefers to pay for anything the Service users requests and then invoice the responsible people on a 6 monthly basis. Berengrove Park Nursing Home DS0000026149.V320273.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 3 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 X STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 x Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 24 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 OP30 Regulation 18 (1) (c) (i) Requirement The registered person ensures that there is a staff training and development programme which meets the National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. By ensuring all required courses are undertaken by staff and kept current. Timescale for action 31/03/07 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 OP12 OP7 Good Practice Recommendations Ensure all service users have the opportunity to have stimulation even if they are cared for in their bedrooms. To ensure that all care is able to be cross-referenced and it is clear, improvements need to be made to the daily recording in service users files. Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 25 Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Berengrove Park Nursing Home DS0000026149.V320273.R01.S.doc Version 5.2 Page 27 - 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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