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Inspection on 03/04/07 for Bernhard Baron Cottage Home

Also see our care home review for Bernhard Baron Cottage Home for more information

This inspection was carried out on 3rd April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

Bernard Baron Cottage Homes is an established, very well managed and maintained service that continues to provide high quality care and accommodation for older people. The comfortable, relaxed and welcoming environment has evolved over many years and reflects the stability and commitment within the staff team and the open and inclusive management style. Documentation, including an imaginative and comprehensive `Welcome Pack` provides prospective service users and their relatives with all the necessary information about the home and the services provided. Thorough policies and procedures are in place for the admission and ongoing care and support of service users. Effective communication and consultation systems enable service users to be directly involved in developing and reviewing their individual care plans as well as many decision making processes within the home.

What has improved since the last inspection?

There were no requirements or recommendations made as a result of the previous inspection.

What the care home could do better:

The management and staff are clearly committed to raising and maintaining standards of care services currently provided. It is hoped that the sustained high quality service provision continues, as directly observed and reflected in satisfaction surveys and through discussions with people who use the service.

CARE HOMES FOR OLDER PEOPLE Bernhard Baron Cottage Home Lewes Road Polegate East Sussex BN26 5HB Lead Inspector Nigel Thompson Key Unannounced Inspection 3rd April 2007 10:30 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 Bernhard Baron Cottage Home DS0000021451.V334272.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. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bernhard Baron Cottage Home Address Lewes Road Polegate East Sussex BN26 5HB 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) 01323 483613 01323 486975 mail@bbch.co.uk Trustees Bernhard Baron Cottage Home Trudi Knight Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63) of places Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of residents to be accommodated must not exceed sixty three (63) The resident will be sixty five (65) years of age or older on admission Date of last inspection 25th October 2005 Brief Description of the Service: Bernhard Baron Cottage Homes provide residential care and support for up to sixty-three older people. The premises comprise of one large single storey building, providing good quality service user accommodation, in single en-suite rooms. The main building also houses the spacious dining room, kitchen, lounges and offices. In addition there are twenty five self-contained cottages for more independent living. All accommodation is connected to a 24 hour call system. The buildings are set in large, well maintained gardens and car parking facilities are available. The home is well situated and is easily accessible by road. It is close to amenities, including the main line railway station at Polegate and is within five miles of the seafront and Eastbourne town centre. Bernhard Baron Cottage Homes is owned by the Quakers. It is a registered charity and is managed by a board of appointed Trustees. Information about the service, including the Statement of Purpose, Service User’s Guide (incorporated in the comprehensive ‘Welcome Pack’) and most recent CSCI report, is made available to prospective service users or their relatives, on request, as part of the admission process. The range of weekly fees, as of 4 April 2007, is £330 - £372. Additional charges, not included in the fees, include hairdressing, chiropody, newspapers and toiletries. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over five hours in April 2007. The purpose of the inspection was to monitor care practices at the home. All of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was found to be very good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were fifty nine service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with the Care Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. Six service users and three members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: Bernard Baron Cottage Homes is an established, very well managed and maintained service that continues to provide high quality care and accommodation for older people. The comfortable, relaxed and welcoming environment has evolved over many years and reflects the stability and commitment within the staff team and the open and inclusive management style. Documentation, including an imaginative and comprehensive ‘Welcome Pack’ provides prospective service users and their relatives with all the necessary information about the home and the services provided. Thorough policies and procedures are in place for the admission and ongoing care and support of service users. Effective communication and consultation systems enable service users to be directly involved in developing and reviewing their individual care plans as well as many decision making processes within the home. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bernhard Baron Cottage Home DS0000021451.V334272.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 Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users have the opportunity to visit the home and know that it is able to meet their individual care and support needs. EVIDENCE: Information is available to prospective and existing service users in various formats. Following an initial enquiry to the home, an information leaflet is sent out with a covering introductory letter. The Statement of Purpose and the Service User Guide, contained in the ‘Welcome Pack’ have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. Also included in the pack is a ‘Brief History of the Homes’, information regarding the management Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 9 structure and a summary of the facilities provided. It is evident that this documentation has been recently reviewed and updated. The care manager confirmed that, prior to moving in to Bernard Baron Cottage Homes, a prospective service user is invited to visit the home to ‘look around, explore and get a feel for the place’. During these visits the individual would also have the opportunity to meet with members of staff and existing service users. This was supported by positive comments received from service users, spoken with during the inspection: ‘It’s everything I could have wished for and the staff here are so kind and helpful, they can’t do enough for you’. On satisfactory completion of the initial four-week ‘trial period’, each service user is issued with a formal contract, including a comprehensive statement of terms and conditions of residency. Documentation, including thorough assessments relating to two most recent admissions to the home was inspected and found to be comprehensive, up to date and well maintained. It was noted that relevant records had been signed by the service user and the member of staff completing the assessment. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans enable staff to meet the assessed needs of service users in a structured and consistent manner. Service users are protected by the home’s medication policies and procedures. They are treated with respect and encouraged to make decisions about their day-to-day living. EVIDENCE: High quality care plans are in place for each service user and continue to be clearly and directly linked to the individual’s assessed needs. Service users’ individual plans that were inspected were found to be accurate, generally well maintained, and up to date. It was evident that people living in the home are directly involved in the assessment process and their individual care planning and, as previously documented, it was noted that needs assessments are agreed and signed by the service user and member of staff. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 11 Positive comments from service users included: ‘The staff are all very kind and know what help I need’. Personal risk assessments are recorded in service users’ files and include: selfmedication and control of finances. Administration of medication ‘disclaimer’ forms were found to have been signed by the individual service user, who either ‘will be responsible’ or ‘do not wish to retain responsibility’ for the control and safe keeping of their medication. The care manager confirmed that all such assessments are closely monitored and regularly reviewed and this was evident from individual files that were examined. All service users are registered with local GPs and have access to other health care professionals, including District Nurses and physiotherapists, as required, via the surgeries. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Nutritional screening takes place as part of the pre-admission assessment process. Satisfactory records relating to the receipt, administration, dispensing and storage of service users’ medication are in place and were found to be up to date and well maintained. However, following discussion with the care manager, it is recommended that the current use of sticky labels on Medication Administration Records (MAR sheets) be stopped. Service users’ medication is evidently reviewed by their GP on a regular basis. A local pharmacist continues to provide specific staff training in the control and handling of medicines. This was confirmed through discussions with staff and supported by training records examined. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish. They benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: Independence continues to be promoted and encouraged within the home and wherever possible, service users are enabled and supported to make choices and take decisions affecting their life and daily routines. ‘There’s so much going on here. I’m so happy and the staff are wonderful’. There is a weekly activities programme and a monthly entertainment chart displayed in the dining room. It was noted that an extensive range of social, recreational and leisure activities is available in the home, which clearly reflects individual and collective interests and preferences, including singing, handicraft, music and movement, bowls, opera evenings, board games and film shows. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 13 Up to date information, including current and forthcoming events, is made during daily lunchtime announcements in the dining room. Service users are directly involved in running a regular ‘in-house’ shop and library service. Planned outings are also arranged. Religious observance and services are also facilitated. Service users are provided with a varied, wholesome and nutritious diet. At lunchtime a choice of meals is available and special diets are catered for. A weekly menu is displayed in the main dining room, reflecting service users’ preferences and including seasonal variations. The main house has set meal times, with lunch and teatime meals being served in a comfortable and spacious dining room. Service users residing in the cottages prepare their own breakfasts and teatime meal and collect provisions daily from the main kitchen. Although the popular head chef is still working in the kitchen, it is evident that there have been several recent changes within the catering staff. However the changes have been effective and have clearly been handled sensitively, with the minimum of disruption for service users. Service users spoken with during the inspection expressed a high degree of satisfaction with the quality and presentation of meals: ‘The food is consistently good and the chef is always coming round asking if everything is alright’. ‘The standard of the meals here is simply excellent’. The care manager confirmed that a weekly meeting is held with the head chef to discuss any relevant issues. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: A clear and accessible complaints procedure is in place. The management team continues to operate an ‘open door’ policy and is clearly considered to be very approachable and understanding. Service users and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to one of the care managers and each person was confident that they would be listened to. Since the previous inspection there has been eight complaints received by the home. Documentary evidence examined indicated that in each case the matter was dealt with efficiently and professionally, to the satisfaction of the complainant. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 15 The care manager confirmed that staff continue to receive regular certificated training in many key aspects of care, including adult protection. Staff are expected to watch, discuss and answer questions on a training video, relating to abuse. Additional specific training is provided through an ‘Adult Abuse Workshop’, which includes awareness of adult protection guidelines, understanding of the various forms of abuse and the importance of reporting and effective recording of relevant information. Policies and procedures relating to abuse, including whistle blowing are in place and it was noted that all relevant documentation has been reviewed and updated in November 2006. The care manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. This was confirmed through discussions with members of staff during the inspection and evidenced through minutes from meetings and individual training records. Bernhard Baron Cottage Home DS0000021451.V334272.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): 19, 20, 23, 24, 25 & 26 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 accommodation that is safe, comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: Standards at Bernard Baron Cottage Homes relating to the physical environment remain largely unchanged since the previous inspection and the premises, including ground floor service user accommodation and spacious communal areas, continue to be safe, accessible and well maintained. Communal areas, including the large lounge and spacious dining room remain comfortable and well maintained. They continue to be used for different activities as well as providing quieter areas for service users to meet with visitors. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 17 Good quality furnishings and fittings are provided throughout the home. The care manager confirmed that independence continues to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and preferences. All rooms are fitted with door locks and service users are provided with keys. Lockable facilities, to store money and valuables are also provided. Since the previous inspection, work has begun on constructing two double rooms – for the benefit of married couples – and a further single room. The care manager is hopeful that this work will be completed within the next few months although she confirmed that it would not affect the registered number. Infection control policies and procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Bernhard Baron Cottage Home DS0000021451.V334272.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): 27, 28 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient trained and competent staff on duty at all times to meet the assessed needs of the service users. Robust recruitment procedures and appropriate staff training ensure the safety and protection of service users. EVIDENCE: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of service users within the home. Appropriate staffing levels are in place throughout the day. At night there are two waking night staff on duty and two additional on-call staff, one of whom is a manager. To ensure consistency of care, any staff shortages, through sickness or annual leave, are covered by bank or regular agency staff. The management team clearly recognises the importance of a skilled and competent workforce. All new staff at the home receive comprehensive induction and foundation training, the ‘Common Induction Standard’, which is compatible with Skills for Care (Formerly TOPSS). Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 19 In addition, appropriate core skills training is provided for all staff, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: ‘There is so much opportunity for training here’. There are currently fifteen care staff employed in the home who hold the National Vocational Qualification (NVQ) level 2 or above. The management team is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from effective management and thorough quality assurance systems. Satisfactory health and safety policies and procedures, within the home, help to ensure the protection of service users and staff. EVIDENCE: The stable, efficient and experienced management team consists of two care managers, one being the registered manager, two deputy care managers (one appointed since the last inspection) and a Bursar. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 21 The care manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. For the purposes of security, there is a CCTV system in place and digital external door locks. Formal supervision is provided for all care staff on a regular basis. Through discussions with members of staff, it is evident that the management team also operates an ‘open door’ policy, with staff feeling confident and able to discuss any issues at anytime. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported: ‘Supervision is very useful and the managers are always very supportive’. The home operates effective quality monitoring systems, including regular residents’ meetings and satisfaction questionnaires for both service users and relatives. Out of a recent survey there was a disappointing response of 28 from 60 questionnaires distributed. However comments received were generally very positive regarding the home and the services provided: ‘’I consider I have been really fortunate to live here’. ‘You couldn’t find a better place for your old age’. ‘This is a very well run and happy home’. ‘BBCH is an exceptional place with a happy staff team and I feel privileged to be a resident here. Everyone seems to have our welfare at heart and any difficulties are resolved as soon as possible’. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 22 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 3 4 4 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 3 Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that the current practice of using sticky labels on Medication Administration Records (MAR sheets) be stopped. Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 24 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 Bernhard Baron Cottage Home DS0000021451.V334272.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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