Inspection on 22/08/06 for Bramcote House Care Home

This inspection was carried out on 22nd August 2006.

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

The inspector 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

Bramcote House Care Home 07/02/06

Bramcote House Care Home 22/09/05

Bramcote House Care Home 17/03/05

Bramcote House Care Home 19/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Bramcote House Care Home Town Street Bramcote Nottingham NG9 3DP Lead Inspector Karmon Hawley Key Unannounced Inspection 22nd August 2006 10:00 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 Bramcote House Care Home DS0000026420.V307197.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. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bramcote House Care Home Address Town Street Bramcote Nottingham NG9 3DP 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) 01159257316 0115 9257316 Bramcote Nursing Home Limited Ms Azza Hebeshaw, Mr Mahmood Saba Mrs Ann Elizabeth Warner Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Terminally ill (1) of places Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 070206 Brief Description of the Service: Bramcote House Care home is situated 5 miles from the city of Nottingham, within the village of Bramcote. It is an old period house, which has been sensitively adapted into a care home ensuring many of the old characteristics are still in place whilst being suitable for service users needs. It is close to public transport and local amenities. Both residential and nursing care is provided to older people. There is a choice of sitting areas and a separate dining area. Although there are 12 single and 5 double bedrooms some double rooms are used as single. A passenger lift offers access to all three floors. The entrance to the building and the gardens are accessible to wheelchair users. Service users and visitor may enjoy the large garden area and seating to the rear of the building. The current weekly fees, which are discussed during admission, are £412.50, this excludes chiropody and hairdressing fees. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit an analysis of the performance of the home over the previous year took place in line with the key national minimum standards. The evidence gained was assessed and thus the site visit planned in accordance with further evidence required to demonstrate compliance with the national minimum standards. The unannounced site visit took place in five hours and was performed by one inspector. The main method of gaining evidence during the site visit was case tracking, this is a method of sampling the records of four randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Six service users were spoken with so as to give the inspector an insight into the conditions and standards within the home. Those spoken with were extremely happy with the staff, care received and the standards within the home. The registered manager assisted in the inspection process and two members of staff were spoken with. The registered provider also visited the home during the inspection and discussed issues of development with the inspector. Staff were able to demonstrate an understanding of service users needs and the core values and principles in relation to their job role. What the service does well: What has improved since the last inspection? Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 6 Internal and external redecoration and refurbishment continues to ensure service users live in a safe, well-maintained and comfortable environment. Staff spoken with stated that they had access to service users plans of care and they were able to discuss service users needs, thus ensuring that service users needs are fully met. The complaints procedure has been amended to ensure complainants may approach the commission should they wish. The manager is cascading training in adult protection and further documentation has been made available thus ensuring staff are more aware of the procedures required. Staff spoken with were able to discuss relevant issues. The evidence reflects service users are further protected from abuse. 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. Bramcote House Care Home DS0000026420.V307197.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 Bramcote House Care Home DS0000026420.V307197.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. Service users may be assured their needs will be assessed and met prior to admission. The home does not offer an intermediate care service. EVIDENCE: The manager visits prospective service users in the community and carries out a preadmission assessment to ensure needs can be met prior to admission. There was evidence of preadmission assessments within service users files to demonstrate that this takes place and the assessment covers the requirements of the standard. One service user spoken with discussed how their admission had been arranged and the processes they had gone through. Service users may spend time in the home prior to making a decision as to whether they wish to take the placement. Staff spoken with were able to discuss the preadmission procedure that takes place. There is no arrangement for the home to provide intermediate care services. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 7,9,8,10 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. Service users health, personal and social care needs are set out in an individual plan of care. Service users health care needs are met. Service users, where responsible, are responsible for their own medication, and are protected by the homes policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: On case tracking service users files’ there was information and instructions in each in regards to good practice tips, what is required and the frequency of updating risk assessments. Four service users case files were observed which demonstrated that service users undergo various assessments such as the activities of daily living, which underpin the plan of care. Plans of care in place were relevant to service users needs, were personalised and reflected service users likes and dislikes. Issues Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 10 such as maintaining service users dignity, self-respect and self-image were also discussed. There was evidence that appropriate aids were in use as required. Progress notes were maintained and significant information was in place to reflect service users current and changing needs. Appropriate risk assessments were in all files with the exception of one in regards to bed rails, which the manager addressed on the day of the inspection. Service users spoken with stated that staff were kind and helpful and their needs were fully met. There was evidence within service users files to demonstrate that the multidisciplinary team and specialist services are accessed as required. One service user spoken with stated that they may see the doctor if needed. There was evidence of specialist equipment being available during the tour of the home. Appropriate policies and procedures were in place with regards to medication. Should a service users wish to, and is able to self medicate this is facilitated as appropriate and risk considered. The medication of those service users case tracked was observed and corresponded with the prescription chart. The clinical room was clean and tidy and appropriate records were observed to demonstrate that policies and procedures were being followed. The manager stated that all staff are instructed on maintaining service users’ privacy and dignity. There is screening available in double rooms and staff knock on service users’ doors prior to entering. There is access to a telephone if required and a number of service users have their own lines; several telephones were observed in service users rooms during the tour of the home. On speaking with staff they were able to discuss the core values and principles in relation to privacy and dignity and ensuring this is maintained. They discussed for example knocking on service users doors and ensuring personal care is offered in a discreet manner. All service users spoken with stated that staff were respectful at all times and two stated that staff knock on doors prior to entering, whereas one stated that staff did not, however they were happy with this arrangement. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12,13,14 and 15 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. Service users are enabled to find the lifestyle experienced in the home matches their expectations and satisfies their needs. Service users are enabled to maintain contact with relevant others. Service users are helped to exercise choice and control over their lives and equality and diversity is recognised within the ethos of the home. Service users receive a wholesome appealing balance diet in pleasing surroundings. EVIDENCE: An activities coordinator is employed who carries out various activities with service users both as a group and on an individual basis, inside and outside of the home. Entertainers also visit the home on occasion. The activities coordinator was spoken with and demonstrated enthusiasm, she discussed further research she was undertaking in order to plan more varied activities. A weekly plan is on display so service users are aware of activities that are available. The activities coordinator stated she respected service users individuality, likes, dislikes and abilities when planning activities. Service users spoken with stated that they thoroughly enjoy the activities on offer and there is enough for them to do. Several service users were observed having hand Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 12 and nail care throughout the inspection. Staff spoken with discussed the activities on offer and expressed that it was felt that service users had enough to stimulate them. Representatives from the local churches visit the home and Holy Communion is offered as desired every month. If able service users are also facilitated to visit the church and join in the church activities. There are no restrictions imposed upon visiting and service users expressed that visitors were made welcome at all times. There is a keypad-coded lock on the main door, however relatives have access to this code to ensure they may gain entry at any time. One relative was observed to enter the building using this code. Visitors may be received in private should this be desired, service users spoken with substantiated this. Staff expressed that visitors were always made welcome and were informed of events as required. The manager and staff discussed the issues with regards to equality and diversity and how they ensure it is represented within the ethos of the home. for example they wish to ensure that service users are valued and treated as individuals, their rights and choices are recognised and upheld so they may live a full and satisfying life. Service users spoken with stated that they felt that they were listened to and choices were offered and respected. Whilst speaking with a service user they discussed that a choice to move rooms had been offered, which they were debating at present. Two service users spoken with expressed that they were treated as individuals. Advocates are used within the home if required. Service users are enabled to handle personal finances if able and a lockable facility is available within service users rooms on request. During the tour of the home service users rooms were observed to be personalised with trinkets, pictures, items of furniture and ornaments. One service user spoken with substantiated that they had brought in their own possessions. The kitchen was clean, tidy and well organised on the day of inspection. There was evidence that a wholesome and appealing diet was on offer. A menu is displayed so service users may see what is on offer so they may make a choice. Service users spoken with stated that meals were of a good standard, plentiful and they substantiated that choices were offered. On speaking with one service user they thanked the manager for a special meal of their favourite jacket potato that they had been arranged. Appropriate records were available for inspection. Specialist diets are catered for and one service user spoken with discuss their special diet and how this is managed by staff with the inspector. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16 and 18 The quality rating for this outcome area is adequate this judgement was made using evidence available including a visit to the service. Service users and relevant others may be confident that their complaints will be listened to taken seriously and acted upon. Service users are protected from abuse, however this may be compromised due to an oversight to the changes in regards of Criminal Record Bureau checks. EVIDENCE: Relevant policies and procedures are in place in regards to dealing with complaints. The policy has been amended to include the up to date information in respect of the Commission for Social Care Inspection. This is displayed in the main entrance. There have been no complaints received since the previous inspection. Staff spoken with were able to discuss how they would deal with a complaint should it be received. Service users spoken with expressed no concerns. Relevant policies and procedures with regards to adult protection were in place. All staff with the exception of two had satisfactory criminal record bureau checks in place. The two that were not satisfactory had been completed by another company not connected to the home and were therefore not transferable. The manager was not aware of this change, therefore the need to apply for a Protection of Vulnerable Adult check is required prior to these staff Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 14 members resuming work, following this they are required to work under supervision until a satisfactory Criminal Record Bureau check is received. The majority of staff have undertaken training with regards to abuse within their national vocational qualification, those spoken with were able to discuss these issues appropriately. A comment received form one service users was that they felt safe in the home. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 The quality rating for this outcome area is adequate this judgement was made using evidence available including a visit to the service. Service users live in a safe adequately maintained environment, although there are areas that require attention the provider is making progress in refurbishment and redecoration. The home is clean, pleasant and hygienic, however this will be improved upon once stained carpets are replaced. EVIDENCE: Bramcote House is located in exceptionally pleasant grounds, which are accessible for service users and relatives to enjoy. The house is of period nature and there was ongoing work taking place to improve and update the environment. The outside of the house was being repainted and some windows have been replaced. There was also work being undertaken within the adjacent building where a new dining room and kitchen is currently being built. The Environmental Health Officer has recently visited the home, action had been taken to demonstrate that the eggs purchased were from a reputable Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 16 supplier there were records to demonstrate that this had been actioned. The fire authority has also visited the home, no requirements were set. There is a maintenance man employed who carries out routine maintenance, there was evidence of this taking place within records examined and the maintenance man was observed redecorating service users rooms and the upstairs landing. Several areas remain damaged from general wear and tear and from wheelchairs and in need of redecoration, however the manager stated that redecoration of this is planned for the near future. A keypad had been added to the main door, regular visitors have access to this code so can gain access at any time, one relative was observed to let themselves into the building. The shower room is currently out of use due to the need of major repair works; until this is completed there is only one bath that has a hoist in use. This was discussed with the manager and provider who stated that quotes had been obtained and the work would be carried out very soon. Within one service users room the carpet had been taken up, underneath, which has been left is a type of lino covering, however this is lifting up at the sides and is rather tired looking. There are sufficient domestic staff employed to maintain the cleanliness of the home. Service users spoken with stated that the home was always clean and tidy. There are a number of stained carpets around the home, the manager stated that there was an ongoing programme to have these replaced in the near future and one bedroom carpet had been replaced. The laundry room was well organised and tidy. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. The numbers and skill mix of staff meets service users needs. Staff are working towards ensuring service users are in safe hands at all times. Service users are supported and protected by the homes recruitment policies and procedures however the responsible person must remain up to date with any changes in legislation to ensure service users are fully protected. Staff are working towards ensuring they are trained and competent to do their jobs. EVIDENCE: The staff rotas were observed and demonstrated that sufficient staff were employed. The manager stated that skill mix is taken into consideration when planning the duty rota. Staff spoken with stated that the staffing levels were sufficient and the staff team worked well together. Service users spoken with stated staff were always available to meet their needs. One member of staff has attained the National Vocational Qualification level 3 and one is working towards this. Five members of staff have attained the National Vocational Qualification level 2 and 4 are working towards this. An appropriate induction programme is in place which all new members of staff undertake, there was evidence of this taking place within staff personal files. Four staff files were observed which contained the required documentation with the exception of the two files that did not have satisfactory criminal record bureau checks in place. (See Standard 18) Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 18 Records were in place to demonstrate staff were undertaking mandatory training and further training has been arranged to ensure all staff have completed this. On speaking with staff they stated that they felt supported within their job role and felt there was sufficient training available. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. 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 her responsibilities. From the experience of visiting the home and the outcomes discussed with service users and staff it is evident that the home is run in the best interests of service users, however a formal quality assurance programme is recommended to ensure that this is fully documented. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. Due to her previous experience and the length of time employed as the manager of Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 20 Bramcote House she has attained the necessary qualifications and skills which are required. She remains up to date with all mandatory training and cascade this to junior staff when necessary. Staff spoken with stated that the manager was always approachable and supportive and felt that the home was well run. Service users spoken with stated that the manager was nice and always asked how they were. There is currently no formal quality assurance system in place, however the manager stated that she carries out regular audits with the maintenance man and these are recorded. In regards to outcomes for service users and relatives this is done on an informal basis. Service users spoken with stated they were listened to and respected and the manager was always available should she be required. Two service users spoken with stated that the manager does enquire as to how they are feeling and if they had any problems. The manager stated that attempts had been made in respect of questionnaires however had received very little response; therefore she ensures she speaks to service users and relatives frequently. The home does not deal with service users personal finances, should a charge be accrued this is invoiced to relevant others. If service users wish to and are able to keep a small amount of money there is a lockable facility available. Relevant maintenance records and certificates were observed with the exception of the mains electric and portable appliance testing. The manager stated that the electrician that was currently working on the new development was due to carry this out once work has been completed. Appropriate accident records were in place and relevant information was documented. The fire logbook demonstrated that appropriate checks were taking place. Radiators have guards and windows have restrictors. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 OP18 OP29 Regulation 19 Requirement Apply for POVA 1sts and criminal record bureau checks for the named members of staff. Implement supervisory policy as discussed to ensure service users are fully protected. Provide sufficient numbers of bath and shower facilities fitted with hot and cold water supply. Timescale for action 29/08/06 2. OP19 23(2,j) 05/10/06 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 Refer to Standard OP18 OP29 OP19 OP26 OP19 OP33 Good Practice Recommendations Remain up to date with all legislative changes in respect to criminal record bureau checks. Continue to replace stained carpets and redecorate damaged paintwork. Replace the flooring in room N. Implement a formal quality assurance programme to provide further evidence that the home is run in the best interests of service users. Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Bramcote House Care Home DS0000026420.V307197.R01.S.doc Version 5.2 Page 24 - 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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