Inspection on 26/09/07 for Birchwood Care Home

This inspection was carried out on 26th September 2007.

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

Other inspections for this house

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

CARE HOMES FOR OLDER PEOPLE Birchwood Care Home Birchwood Road Newbury Berkshire RG14 2PP Lead Inspector Julie Willis Unannounced Inspection 26th September 2007 10:20 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 Birchwood Care Home DS0000069795.V348407.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. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Birchwood Care Home Address Birchwood Road Newbury Berkshire RG14 2PP 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) 01635 33967 manager.burroughs@careuk.com Care UK Community Partnerships Ltd Ms Hilary Truscott-Sinclair Care Home 60 Category(ies) of Dementia - over 65 years of age (0) registration, with number of places Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing nursing - (N) Care home providing personal care - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE(E)) The maximum number of service users to be accommodated is 60. 2. Date of last inspection Brief Description of the Service: Birchwood Care Home is registered to provide care for up to 60 older people whose needs are primarily mental frailty. Accommodation has been purpose built and is arranged over 3 floors accessible via shaft lift. Bedrooms are all single and have en-suite facilities. The cost of the service ranges from £463 to £671 depending on need. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was the first inspection since the home registered with the CSCI and opened for business in April 2007 and was an unannounced ‘Key Inspection’. The inspection took place on Wednesday 26th September 2007 between 10:10 am and 4.50 pm. and covered all the standards for older people. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the home opened for business. The inspector toured the building, examined records and met most of the residents and 4 relatives that were visiting at the time of the inspection. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the home’s temporary Manager at the end of inspection. There were no legal requirements made as a result of this inspection and only two good practice recommendations. The Commission has received no information concerning complaints since the home registered. What the service does well: This is a specialist service, which meets the need of residents with mental frailty. The home has been purpose built for its residents and has been equipped to a satisfactory standard. The residents benefit from being provided with single rooms with en-suite facilities. The home is clean and hygienic throughout. The home has sufficient nurses, carers and ancillary staff to meet residents’ needs effectively. Staff records are well kept and all checks have been carried out to ensure that residents are kept safe from harm. Residents and relatives say that staff are Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 6 “professional and caring” and offer residents care in a manner, which maintains their right to dignity, privacy, choice and independence. The staff team are well trained and feel well supported by management. The home provides a range of interesting activities for residents to participate in. Visitors are welcomed and offered appropriate hospitality. The home and grounds are very well maintained and provide plenty of space for residents to enjoy in safety. 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. Birchwood Care Home DS0000069795.V348407.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 Birchwood Care Home DS0000069795.V348407.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): Standards 1 & 3 Quality in this outcome area is good. Prospective residents and their representatives are provided with sufficient information to decide if the home will be able to meet their needs. All prospective residents are fully assessed before admission to ensure the home will be able to effectively meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a Statement of Purpose & Service User Guide that fully meets the requirement of the standard. The information supplied in these documents is in easy read English and is sufficiently detailed to enable a potential resident or purchaser of services to feel confident about what services are on offer at the home. Since the home opened in April 2007 the home has developed an admissions pack, which is used alongside other documentation to facilitate a smooth transition to the care home for the new resident. Staff are mindful to follow the Organisation’s admission procedure and checklist to ensure that the admission process is robust and well managed. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 9 Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. All prospective residents are fully assessed by the home prior to admission. Residents and relatives confirmed that the assessment is carried out with skill and sensitivity in the resident’s own home or in hospital by the Team Leaders, nurses or members of management. The service is efficient at obtaining a summary of any assessment carried out for Care Management purposes and asking for a copy of the care plan. The documentation for 4 residents was examined and residents were case tracked from pre-admission to date. The records evidenced that the service considers carefully the needs assessment for the prospective resident before agreeing admission. All essential information about the resident’s health and personal care needs was sought. The use of clinical tools to assess the resident’s nutrition, communication, mobility, risk of falls, continence and mental state was well developed. The inspector had the opportunity to meet residents that were being case tracked. The residents and/or relatives confirmed that they had been visited by the home’s staff pre-admission and had been provided with sufficient information about the home to enable them to make an informed decision as to whether to live there or not. One visitor said, “it was hard to make a decision for Mum to move into a care home but she has settled well despite my fears” and “the staff have been so helpful and kind”. Birchwood Care Home DS0000069795.V348407.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): Standards 7, 8, 9, 10 Quality in this outcome area is good. Clear information is in place to enable staff to meet the health & personal care needs of residents. People are encouraged to participate in the care planning and review process. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined care documentation for 6 residents. It was evident that the care plans are developed holistically as they consider all aspects of a person’s lifestyle including their personal, health and social care needs. They give an overview of the resident’s general health and act as an indicator and trigger for when referral should be made to other health & social care professionals for further specialist advice and support. The records are stored on the ‘Saturn’ computer system and computer terminals are available to all staff to update as necessary. A hard copy is available for each resident to view at any time. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 11 Residents confirm that they regularly see the GP who visits the home weekly and are referred to hospital when necessary for further treatment. Routine screening and preventative treatments are provided to all residents of the home including dentistry, chiropody, hearing and eye tests. The use of clinical tools to identify risks to residents in relation to tissue viability, nutrition, dependency rating, environmental risks, bathing and falls was fully developed. Care plans, treatment plans and appropriate equipment were in place to reduce the risks identified. There was evidence in the files that body maps, measurements & photographs are used when necessary to evidence resolution of wounds. Examination of the daily records clearly evidenced that care was being delivered in accordance with the individuals care plan and that residents and their family or advocates are involved in on-going review whenever possible. Recruitment of staff takes into consideration the need to employ a varied balanced and skilled staff group. The staff were observed throughout the course of inspection to provide personal care in a discreet and sensitive manner. Residents were addressed courteously and staff knocked on service users bedroom doors and waited to be invited in before entering. Care was delivered in a manner, which maintained the resident’s independence and choice. From examination of the medication administration system and discussion with senior staff and nurses it is clear that the home follows best practice guidance in relation to medication needs. The storage systems for medication are effective and disposal systems are safe. The ‘Doom box’ system has been adopted by the home for the disposal of waste medication and the home has an appropriate contract with a registered disposal company. Birchwood Care Home DS0000069795.V348407.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): Standards 12, 13, 14, 15 Quality in this outcome area is good. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents of Birchwood have the opportunity to participate in a range of activities that are both stimulating and worthwhile. An Activity Organiser is employed full time who shares his time amongst all three floors. Many of the activities are staff led in each of the units. The inspector observed a number of activities taking place in each of the communal lounges. In one there were ball and balloon games and in another reminiscence materials were being used to stimulate conversation and trigger memory. The home has links with Thatcham Volunteer Bureau who provide transportation for residents to hospital appointments and clinics and there are trips out arranged to the local shops and other community facilities. Local Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 13 church leaders visit the home to provide spiritual support and guidance and there are plans to forge links with local schools and community groups to provide entertainments. The inspector was told of plans to hold an ‘open day’ in order to improve relationships with the local community. The home has a budget of £100 per month to spend on providing suitable activities and equipment and the home is gradually increasing its supplies. The meals provided by the home are varied and nutritious and offer residents choice and variety. Each floor has suitably equipped dining rooms where most of the residents eat their meals. Lunch on the day of inspection was a mixed grill followed by homemade rhubarb crumble and custard. Residents confirmed that it was nicely cooked and tasty. The supper menu was Lasagne or sandwiches with assorted fillings followed by homemade cake or ice cream. The kitchen was clean, hygienic and well equipped. The inspector had the opportunity to meet the catering staff. The catering team consisting of Chef, 2nd Chef and 2 kitchen assistants seemed to be an effective team. Birchwood Care Home DS0000069795.V348407.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): Standards 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the home’s abuse of vulnerable adults and whistleblowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy in the home meets the requirement of Regulation and Standard. Residents are provided with information on how to make a complaint and the stages and time scales for action. The complaints procedure is written in plain English and is easy to understand. It is displayed in each resident’s bedroom and in each copy of the Service User Guide. Examination of the complaints records indicated that there have been 3 complaints made to the home since it opened for business. The details of complaints were well documented and evidenced the investigation undertaken and the outcome to complainants. Two of the three complaints were upheld and measures have been put in place to reduce the likelihood of recurrence. The CSCI has received no information about complaints about the home since it opened for business in April 2007. There is a suggestion box in the main entrance for people to post their comments, complaints and suggestions. Management confirmed that there have been no comments or suggestions posted since the home opened. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 15 Residents and relatives said that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. There was evidence in staff files and from discussion with staff, that they receive training in ‘Safeguarding Adults’ as part of their formal induction to the home. Their learning is later consolidated when undertaking NVQ training in which it forms a core module. Staff interviewed understood the importance of protecting users from abuse and exploitation at all times and were conversant with the home’s ‘whistle-blowing’ policy. Birchwood Care Home DS0000069795.V348407.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): Standards 19 & 26 Quality in this outcome area is adequate. The standards of décor in this home could be improved to offer residents a more comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been purpose built and was only opened for business in April 2007. Since that time there have been a number of teething problems but generally the home is of sound construction and any settlement cracks or ‘snagging’ will be remedied as part of the building warranty. The Fire Authority carried out a full inspection of the building and issued the home with an ‘Enforcement Notice’. Since then a number of essential improvements have been made to the fire alarm system. At the time of inspection automatic closure devices were being fitted to each door that will close them in the event of fire. This will eliminate the need to wedge doors open throughout the home, as was the practice during inspection. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 17 A number of additional call bells will be added to the current system to provide residents with additional call points to summon staff. The home is very institutional in design and paintwork appears bland and uninteresting. The home requires more signage to enable new staff, residents and visitors to negotiate their way around the home and it would be helpful if doors could be painted in brighter colours so that residents may identify the bathrooms and toilets with more ease. Dementia units should be decorated so as to aid resident’s recognition of their surroundings. Residents and relatives said that the home was always clean, comfortable and hygienic. They said that the domestic staff always kept the toilets and bathrooms clean and fresh and vacuumed and dusted their rooms regularly. Birchwood Care Home DS0000069795.V348407.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): Standards 27, 28, 29, 30 Quality in this outcome area is good. Staff recruitment procedures are satisfactory and protect residents from harm. Staffing levels are sufficient to meet the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has successfully recruited to the majority of its permanent posts since it opened for business. At the time of inspection there were 50 hours vacant on care and a vacancy for a full time laundry assistant. Examination of the staff rosters evidenced that there were sufficient numbers of staff on duty at all times to meet the needs of the residents, with particular attention given to busy times of the day. Examination of four staff files evidenced that the selection and recruitment procedures at this home are robust. All necessary checks are carried out on staff to ensure that they possess the necessary attributes to care effectively for residents. Records were well kept and met the required standard. The qualifications of nurses had been checked effectively to ensure they were fit to practice. The nurses Pin Numbers and Statement of Entry on the Register were well recorded and up-to-date. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 19 The home has a comprehensive staff development programme in place. Most of the staff team were recruited prior to the home opening, which provided sufficient time for all grades of staff to undertake a two-week corporate induction course to ‘Skills for Care’ standard. All care staff have received training in core skills such as fire safety, first aid, medication, communication, nutrition, manual handling, food hygiene, dementia care, health & safety, COSHH and infection control. All staff have received training in adult protection as part of their induction and as a core module in NVQ training. Staff at the home appear to be well motivated and have either achieved or are working towards a National Vocational Qualification at level 2 or 3. In addition to external trainers the Organisation has a computer based training scheme called ‘L box training’. This provides staff with the opportunity to constantly update their knowledge and skills. The home has several ‘laptop’ computers that staff may borrow to access the training on line whilst at home or they may use the home’s other terminals at quiet times during the day. The inspector had the opportunity to view the training programme, which requires staff to complete questions on a topic of their choice. If they successfully complete the questions and score 100 they are automatically issued with a certificate. Staff confirmed that they find the training “quite challenging” but enjoy training at their own pace in their own time. There were sufficient staff on duty at the time of inspection to effectively meet the needs of the residents. Staff confirmed that they have opportunities to express their views in team meetings, shift hand-over and formal supervision sessions. Residents and their relatives were generally complimentary about the qualities of the staff they made comments such as “ the staff are friendly”, “they genuinely seem to care about the people living here”. One resident said, “ the staff are very kind to me, I like it here”. Birchwood Care Home DS0000069795.V348407.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): Standards 31, 33, 35, 38 Quality in this outcome area is good. Residents benefit from living in a well managed home, where there is evidence that their health, welfare and safety are of primary importance. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the home opened for business there has been a change of Manager. Fiona Lawrence the Regional Operations Support Manager is currently managing the home on a daily basis and is supported in her role by Russell Dixon – Support Manager. Russell is currently undertaking an NVQ Level 4. Both Managers are highly experienced. Fiona Lawrence is a qualified nurse (RGN & RMN) and will be working at the home until another Registered Manager is recruited. A competent Deputy who is NVQ 3 qualified and a number of nurses, team leaders, carers and ancillary workers support their work at the home. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 21 The home prides itself on its ‘open-door’ policy where residents, relatives and staff can access the management at any time. Residents and visitors are highly complimentary about the management of the home. They say that the office is always open and accessible and the new temporary manager always makes time to speak with them. From discussion with residents and visitors it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account. Although residents meetings are yet to be fully established there was evidence that when requests are made or concerns expressed, the issues raised are followed up promptly by management. The home undertakes its own regular quality audits. Several people in the Clinical Governance & Clinical Effectiveness team carry out regular visits to the home. The inspector saw the reports of these visits, which requires the home to undertake improvements if the results of the audit fall short of what standards are expected. The home has recently introduced a ‘Respite Care’ questionnaire. The outcome of these questionnaires is collated to establish trends and to help identify where improvements can be made. The home employs a full time administrator who manages the home’s accounts and is responsible for ensuring that resident’s cash accounts are properly reconciled and audited. Care UK policy does not allow the home to hold more than £100 per resident. Residents with no family to assist with their financial affairs have either a West Berkshire Council Appointee or an appointed advocate provided by Age Concern. Examination of a sample of health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. Birchwood Care Home DS0000069795.V348407.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 x 3 x x N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 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 3 x 3 x 3 3 x 3 Birchwood Care Home DS0000069795.V348407.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 OP19 Good Practice Recommendations Consideration should be given to improving the environment for residents with mental frailty to aid their recognition of their surroundings and to foster independence. Advice should be sought from recognised experts in the field of dementia care. Birchwood Care Home DS0000069795.V348407.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House, 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Birchwood Care Home DS0000069795.V348407.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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