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Inspection on 03/08/05 for Beverley Grange Nursing Home

Also see our care home review for Beverley Grange Nursing Home for more information

This inspection was carried out on 3rd August 2005.

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.

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

Residents spoken to like the cleanliness of the home and the fact that their laundry is always clean. The home is very well maintained and decorated to a high standard throughout. More than one resident said that the staff are "super" and will do anything for them. Meals are nutritious and nicely presented. All of the residents spoken to enjoy the food. One resident thinks it is "marvellous". Staff respect residents and meet their individual needs. Choice is given and independence encouraged. Residents say that they can get up when they like and there is always food available. More than one resident likened the home to a five star hotel. Residents are comfortable in the home and their visitors are made to feel welcome. The home assesses the needs of residents well prior to admission.

What has improved since the last inspection?

The home continues to be a positive environment for residents to live in. Recommendations from the last inspection have not however been carried out by the home. Therefore there is no improvement to service levels.

What the care home could do better:

The home must be clearer about the information it provides to residents in the service user guide. There is no reference to the fact that accommodation is offered to residents under the age of 65 and the fact that the home is a no smoking environment. The home is also caring for two residents whose needs cannot be fully met. The home must not admit outside of their registration categories, in order to ensure the needs of service users are met. The home must develop a clear policy around admissions. It was observed that whilst drinks are provided, these were not always within reach of the service user. Similarly calls bells were seen to be out of reach of service users. The recording of the administration of the administration of medicines must also be improved upon so that residents are protected and the home evidences that administration of medication is as directed. The complaints process could be improved by ensuring that the outcomes of complaints and whether complainants are happy with the outcomes are recorded. The home has deployed some newly recruited staff prior to their CRB checks being received. This is poor practice and leaves residents in a vulnerable position and must not occur. Regularity of staff meetings should be established so that this ensures consistency in ways of working and good communication for staff. The provider is not carrying out the required visits to the home to ensure that systems are working in practice. This must be carried out on a monthly basis.

CARE HOMES FOR OLDER PEOPLE Beverley Grange Nursing Home Lockwood Road Molescroft Beverley HU17 9GQ Lead Inspector Sarah Sadler Unannounced 03 August 2005 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beverley Grange Nursing Home Address Lockwood Road Molescroft Beverley East Yorkshire HU17 9GQ 01482 679955 01482 679770 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Molescroft Nursing Home (Holdings) Limited Ms Joy Puckering Care Home 64 Category(ies) of OP Old age 64 registration, with number TI(E) Terminally ill 64 of places DE(E) Dementia - over 65 64 Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Registered for 2 day places for patients over 55 years of age 2 Nursing care for one service user under 65 years 3 One bed for young and disabled Date of last inspection 17th March 2005 Brief Description of the Service: Beverley Grange is a purpose built home situated on a new housing development in a residential area on the outskirts of Beverley. The home is set in its own grounds with plenty of space for residents to sit and enjoy the fresh air. The home was opened in 1999 to cater for long term and respite care, catering for people who need residential care or nursing care.The home has two floors with the ground floor having the reception area and office provision with lounge/hairdressing salon. The corridors run off each side of this area and resident’s bedrooms are located along the corridors, along with bathrooms and toilets. One of the corridors leads to the bar lounge whilst the other corridor leads to the ground floor dining room, kitchen and staff room. The first floor has the same layout with storage areas. The home is registered for 64 people. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours with two inspectors present, Sarah Sadler and Sarah Urding. With an hours preparation prior to inspection. This was an unannounced inspection. Inspectors looked round the building and a number of records were inspected. 11 residents and two relatives were spoken to. Interviews were held with a district nurse and the deputy matron. Two members of staff were spoken to. What the service does well: What has improved since the last inspection? The home continues to be a positive environment for residents to live in. Recommendations from the last inspection have not however been carried out by the home. Therefore there is no improvement to service levels. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 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. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 6 The statement of purpose does not adequately reflect the conditions of registration and admission criteria, which could impact upon residents’ ability to make an informed choice about entering the home. The assessment process on admission is thorough. The home is not set up to provide intermediate care but is doing so at the present time. This could lead to resident’s care being compromised. EVIDENCE: The statement of purpose and service user guide does not reflect that the home is a no smoking environment. This must be done to ensure that residents can make an informed choice about where they live. Service user guides are mainly available to all residents. One resident who was enjoying two weeks respite in the home does not recall being given a service user guide. There was not a copy of this in their room. The manager should ensure that service user guides are available to everyone especially those residents who are temporarily in the home. It would be good practice for staff to ensure that residents have an understanding of the purpose and facilities on offer prior to entering the home. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 9 The home undertakes a thorough assessment of residents needs prior to admission. This is well presented and clearly links in with the daily plan of care. The home has admitted a service user who does not fall within the registration categories of the home; this situation will rectify itself, as this is a short-term placement. No further admissions of this kind must be made. The inspectors were informed that intermediate care was being provided at the time of the inspection. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 On the whole service users health and personal care needs are met; being supported by clear plans of care. Service users feel that they are respected. There are shortfalls in the administration of medication records which could compromise the health of service users. EVIDENCE: There is a clear and detailed plan of care for all residents, which is followed by staff on a daily basis. Residents’ needs are met by care and nursing staff in the home, which is evidenced by the completion of monthly reviews and daily records. The home demonstrates that it works well with outside agencies. One district nurse was spoken to by inspectors and felt that the home worked well and consistently followed care instructions. Residents spoken to were positive about staff meeting their needs and felt safe when being given personal care. There is a comprehensive nutrition plan in place for residents and weight gain and loss is monitored and practice adapted accordingly. There was good evidence of this taking place in daily records. One resident’s needs for food intake had recently changed. The home has worked to meet these needs however there are some ongoing difficulties. The home must ensure that further advice is sought around nutritional needs so that best practice can be adhered to when feeding capabilities deteriorate. For example going from Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 11 solid to liquidised food. In discussion with relatives of residents there were some examples of poor practice highlighted. One service user had remained in bed for the morning with her curtains opened in full sunshine. There was no ventilation in the room and the residents’ call bell was out of reach. Staff must ensure that residents’ rooms are ventilated and protected from the sun and the call bell within reach particularly if they are immobile. There has been a previous complaint made to the home about drinking water being out of reach of a resident. The inspector also observed an example of this during the visit. This is a basic need and staff must ensure that water is readily available to all residents at all times. The needs and safety of residents could also be compromised by an admission out of category. The recording of medication has not improved since the last inspection. There was evidence that pulse readings were not being taken when specific medications were given and there were gaps in recordings. Whilst this is the case it could be interpreted that medications are not being given as directed. The Manager must ensure that this addressed. Residents spoken to felt respected by the staff and that their privacy was upheld. One resident said, “You get as much privacy as you want”. Medical consultations are carried out in residents’ rooms and personal care issues are handled sensitively. There was evidence of this in daily recordings and residents’ care plans. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Social activities are well organised, creative and provide stimulation and interest for people living in the home. Contact with families and friends is flexible and promoted well within the home. Residents are encouraged to maintain their independence through being given choice and control over their lives. Meals are nutritious and balanced and offer a healthy and varied diet for residents EVIDENCE: Residents stated that the home is a “very nice place” where they could “do as they liked”. One resident likened the home to a “five star hotel”. They did not feel bothered by staff or told what to do. A variety of activities is on offer in the home with a weekly plan available for all to see. One resident particularly liked the musical afternoon that the home had recently held. Bingo and drawing activities were also available. Residents spoke positively about being able to see friends and family when they wished. This was observed during the inspection and promoted by staff. Residents said that they could go to bed and get up when they liked. Choice was given to residents and staff were observed to discuss any issues with them. The home could improve upon providing information to residents and their families on how to access external agents who will act in their interest. There was one leaflet in the lift on financial information but this was placed in Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 13 a position where residents in wheelchairs would find it difficult to see. Further information is required before the home can fully meet this standard. Residents are given choice around where to have their meals and staff ask them daily what they would like to eat the following day. The home provided healthy and well balanced meals for residents. Residents made comments about the quality of the food being “very good” and the choice being “marvellous”. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The current system of handling complaints does not adequately reflect that complaints are acted upon. There are good procedures in place for the protection of the service user, however in practice service user safety is compromised by failure to adhere to these. EVIDENCE: Residents feel able to make representation to the staff if they are not happy with something. One resident said “if I had a problem I would talk to matron, she’s very nice and all the staff here are very good”. Another resident said “the staff here are super, they greet you like a long lost friend”. Many of the residents spoken to said that they had not had to make a complaint because they felt comfortable in the home. There had been two complaints made by relatives since the last inspection. Both had been dealt with by the home but the outcome of these complaints was not clear. The Manager must evidence this to ensure that complaints are being acted upon and that complainants are clear and happy with the outcome of complaints. One complaint appeared to be outstanding as there was no detail of how the manager had addressed it. This must be recorded so that the home can demonstrate a positive attitude towards dealing with complaints. This will in turn, further the protection of residents. There are policies in place for the protection of residents. Staff receive vulnerable adult training and a whistleblowing policy is in place. The home’s policies and practices regarding residents’ money and financial affairs are sound. There is a clear policy on the receiving of gifts and the involvement of staff in legacies and wills. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 The home is very clean and hygienic. Residents live in a well maintained and safe environment. EVIDENCE: The home demonstrates that it meets these standards well. The design of the home is suitable for its stated purpose and residents live in an environment that is safe and well maintained. Regular checks are carried out to ensure the safety of residents and the building is decorated to a high standard throughout. Residents are particularly positive about the cleanliness of the home. They told inspectors that their rooms are cleaned every day and that they always have clean towels. Residents are well dressed and cared for. Their clothes are cleaned daily. One resident said that the laundry is always brought in on rails and is immaculate. Policies for the control of infection are in place. There is alcohol spray for visitors to use as they enter the premises. Laundry facilities are sited appropriately and there are different facilities for the washing of staff uniforms and residents’ clothes. The home has a sluicing facility and meets all the requirements of this standard. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 29, 30 The complement and skill mix of staff is adequate to meet the needs of the majority of residents in the home. However current deployment of staff is not meeting the needs of the resident undergoing intermediate care. Current recruitment practice could leave residents in a vulnerable position as CRB checks are not in place prior to staff starting work in the home. The home offers a comprehensive training programme for all staff. EVIDENCE: Staffing levels are adequate to meet the needs of residents and the information provided reflects that staffing levels have been increased to meet the changing needs of residents. There was evidence on personnel files that staff had started work prior to CRB checks being received. This must not occur as it compromises the safety of residents. A draft code of conduct had been given to all staff but the content of this was not in accordance with practice set by the GSCC. Copies of this should be given to all staff. References had been obtained prior to staff being employed and a statement of terms and conditions had been given to all staff. Staff receive a good level of training which enables them to carry out their job competently. There was evidence that some staff may need to revisit training around working with people with dementia. An inspector observed one resident becoming distressed. When staff were informed one commented “Yes she does that”. The manager must ensure that staff do not become blasé about conditions they work with on a regular basis. This will ensure the ongoing protection of residents. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 17 Residents’ comments about the care of staff were positive with the majority feeling supported and well looked after. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 36, 37, 38 The home is run in an accountable manner but this could be improved through implementing a more rigorous system of checks. Routines of the home are based around needs of residents. Residents’ financial interests are safeguarded. Supervision of staff is carried out appropriately. Recording systems are in place but are not always followed. This impacts upon the home’s ability to demonstrate that it meets residents’ needs in all areas. The health, safety and welfare of residents and staff are promoted and protected. With the exception of recruitment practices identified earlier in the report. EVIDENCE: The home works within a quality assurance system, which seeks the views of all interested parties in the home. Some evidence was seen of staff surveys. Relatives meetings are also held which is a positive way of obtaining their views and improving standards for residents. Staff meetings are held but the regularity of these meetings is erratic. It would be good practice for these to occur on a more regular basis. An annual survey of views is conducted. The Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 19 report compiling this information was not available for inspection and should be sent to CSCI for information. The provider is not carrying out the visits required by Regulation 26 and is required to do so. The home operates a clear and accountable finance policy where residents’ interests are safeguarded. Supervision of staff takes place regularly and is on track for meeting the required level. Record keeping policies and procedures are in place but there is a shortfall in some records being completed. Dates of admission were not completed on all residents’ files and in some cases residents’ allergy status was not completed. Some residents’ files did not have photographs and care staff did not always complete daily records. Information outlined in schedule 3 must be kept for all residents to ensure that all their needs are met and promoted. The home regularly carries out maintenance checks pertinent to the health and safety of residents and staff. Comprehensive risk assessments are in place based around individual need. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 x 3 x x 1 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 2 28 x 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x x 3 x 3 3 1 3 Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 21 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4, 5 ,6 Requirement Timescale for action Immediate and on going 2. 3 3. 6 4. 8 5. 8 6. 8 The statement of purpose and service user guide must adequately reflect conditions in the home. All service users must have a copy of the service user guide. 10 The registered person must ensure that service users admitted to the home are appropriate to their registration category. 10 The registered person must inform CSCI of their intention to provide intermediate care and meet the criteria set out in standard 6 prior to doing so. 12, 13, 23 The registered person must ensure that residents rooms are ventilated and residents protected from the sun. 12, 13 The registered person must ensure that drinking water is available at all times. Call bells must be within reach of residents at all times. 12, 13, 14 A risk assessment must be carried out on the homes ability to ensure the safety of residents in the home, in the light of one admission inappropriate to the homes category status. J53_s929_Beverley Grange_v224361_030805_stage 4.doc Immediate and ongoing Immediate and ongoing. Immediate and ongoing. Immediate and ongoing. 20th August 2005 Beverley Grange Nursing Home Version 1.40 Page 22 7. 9 12, 13 8. 9. 16 29 22 18 10. 11. 29 37 19 26 12. 37 17 The registered person must ensure that the recording of medication meets the minimum requirements of the Royal Pharmaceutical Society and Medicines Act 1968. This is an ongoing requirement and immediate action must be taken to ensure compliance. The registered person must ensure that outcomes of complaints are recorded. The registered person must ensure that staff are given copies of the GSCC code of conduct. The registered person must ensure that all staff undergo CRB checks prior to employment. The registered person must ensure that visits are made to the home as outlined in regulation 26. The records outlined in schedule 3 must be held in respect of each service user. Immediate and ongoing August 31st 2005 August 31st 2005 Immediate and ongoing. August 31st 2005. August 31st 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard 1 14 27 30 33 Good Practice Recommendations Staff should ensure that service users have an understanding of the facilities available in the home. The registered person should provide more information to service users and their families/friends on how they can access external support, eg advocates. The registered person should review the deployment of staff so that the needs of the resident receiving intermediate care are met. The registered person should ensure that training is revisited so that staff do not become about working with conditions on a daily basis. A copy of the quality assurance survey should be sent to J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 23 Beverley Grange Nursing Home 6. 36 CSCI for information. Staff meetings should be held with more regularity. Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 3 First Floor Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beverley Grange Nursing Home J53_s929_Beverley Grange_v224361_030805_stage 4.doc Version 1.40 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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