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Inspection on 14/10/05 for Brandon Park Nursing Home

Also see our care home review for Brandon Park Nursing Home for more information

This inspection was carried out on 14th October 2005.

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

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

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

What has improved since the last inspection?

The home has addressed the identified shortfalls from the last inspection; to ensure medication records are fully completed. Staff to ensure the safety of residents, report any maintenance work that needs repairing.

What the care home could do better:

Staff must follow infection control procedures, to reduce the chance of any potential infections being passed around the home. The home needs to ensure when residents share a bedroom, it is through choice, and the residents arecompatible. The home must look at their current dining arrangements to ensure residents who require assistance, are not taken down to lunch too early, and left waiting whilst others eat.

CARE HOMES FOR OLDER PEOPLE Brandon Park Nursing Home Brandon Country Park, Bury Road Brandon Suffolk IP27 0SU Lead Inspector Jill Clarke Unannounced Inspection 14th October 2005 10:05 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 Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brandon Park Nursing Home Address Brandon Country Park, Bury Road Brandon Suffolk IP27 0SU 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) 01842 812400 01842 813213 BUPA Care Homes Limited Ms Lisa Elmy Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th February 2005 Brief Description of the Service: Brandon Park Nursing Home is set within Brandon Country Park amidst Thetford Forest. A short drive from Brandon, which has a Post Office, Library, café, shops, rail and bus links. The care home with nursing, is registered to provide care for 55 older people. The Commission for Social Care Inspection (CSCI) is currently processing the home’s application to provide care residents, whose first need is nursing, but also have a diagnosis of dementia. The Grade II listed building has been converted and extended into a 55-bedded nursing home for older people. Bedrooms and lounges are located on both floors, which can be accessed using the passenger lift or stairs. The 2 main dining rooms are located on the ground floor. There are 39 single and 8-shared bedrooms, all of which have en-suite facilities (some also include a bath). There are also bathrooms located close to resident’s bedrooms. The homes own mature gardens leads onto the Country park, and tourist center. There is ample parking at the front of the home. It should be noted that Brandon park is located close to the military bases of Mildenhall and Lakenheath. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over 7 hours, during a weekday in October. During the inspection time was spent in private with 5 residents, and 2 visiting relatives, to hear their views on the home. General feedback was given during conversations with residents (19) throughout the inspection. Time was also spent with members of staff, which included the Registered Manager, Nurses, Senior Care Assistants and Care Assistants. A tour of the building, took in all the communal rooms and a sample of 5 bedrooms. Records viewed included, care plans, staff rotas, pre-admission assessments and medication records. Discussions during the day with people living at the home, and staff, identified that they preferred to be known as residents, rather than service users. This report respects their wishes. What the service does well: What has improved since the last inspection? What they could do better: Staff must follow infection control procedures, to reduce the chance of any potential infections being passed around the home. The home needs to ensure when residents share a bedroom, it is through choice, and the residents are Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 6 compatible. The home must look at their current dining arrangements to ensure residents who require assistance, are not taken down to lunch too early, and left waiting whilst others eat. 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. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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 Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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): 1, 3, and 5. People wishing to move into the home, can expect their needs to be fully assessed. This ensures that the home only admits residents within their registration category, whose care needs they can meet. EVIDENCE: In the entrance hall there was a copy of the home’s Statement of Purpose and previous CSCI inspection reports. Although the Manager admitted that they keep going missing, as visitors, seeing the other information booklets, which they can take away – are also taking the CSCI reports. Time was spent looking at the Statement of Purpose, which although informative, led the reader, if they wanted to know further information, to ask the home to look at the policy it related to. The residents guide, held a summary of the Statement of Purpose, which was more informative, and user friendly. The manager, who is currently updating the information in the Statement of Purpose to reflect registering for dementia, said that they would make the adjustments, as discussed, at the same time. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 9 All residents bedrooms looked at, held a copy of the home’s information book for residents. This gave a good level of information on the home, which included, terms and conditions of residency, meal times and details of local organisations. Residents spoken to, were aware of the information book which some had read parts of. On the back of the door, there was further information, informing the resident of the name of the lead Nurse and Carer. They had overall responsibility for ensuring the residents care needs were met, and be responsible for advocating (speaking up), on the residents behalf. Time was spent with a relative, who explained what happen during the admission during the process. They said that they had come to look around the home (on the prospective residents behalf), spoke to the manager and staff, who answered any questions. They confirmed that they had been given written information on the home, and felt comfortable to ask any questions. They had also looked at the CSCI inspection report. Due to the distance involved, the home had not undertaken their own assessment, but had been sent information from the residents’s previous care setting. They felt their next–of-kin was well looked after and the staff were “great”. Discussions with the manager confirmed that it was normal practice to undertake their own pre-assessment; to ensure that they can manage the prospective residents needs, both physically and environmentally. This was especially important due to the location of the home, in case residents wander and get lost. The relative was fully aware of the costs. Discussion with 1 resident confirmed that they knew the cost of their room, and that a financial assessment had been undertaken by their Social Worker. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8. People using the service can expect staff to monitor their care, and take appropriate action to support their changing physical, and mental health needs. EVIDENCE: The home was in the middle of changing between dispensing Pharmacists. To support the home, whilst they instigated the new system, the inspector did not undertake a full check of the home’s medication. Instead, their records were checked to ensure requirements made at the last inspection had been addressed. The sample of medication administration records (MAR) sheets looked at showed that staff were correctly recording medication, received into the home. Care plans viewed (3) held Nursing Assessments, which gave staff information on how much assistance to give, such as ‘requires prompting to wash upper half, and assistance to wash bottom half’. Residents, or if applicable their representative (relative, friend), had signed to say they had discussed with staff how they wanted to be looked after. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 11 Information covered nursing and personal care, nutrition, falls and mobility risk assessments. Where any risks were identified, the assessment gave staff guidance on how the risk should be reduced or eliminated. Entries made by nursing staff described any nursing intervention. This included monitoring any wound, pressure area care or injury following a fall. This was further evidenced for 1 resident who had fallen, staff was concerned that the resident might have injured themselves. They had sought medical advice, and arrangements were being made to take the resident to hospital for tests. During the inspection, time was spent with 1 resident, looking through their care plan. They felt the information contained in the care plan covered the level of support they needed. However, there was some confusion over the resident’s wishes concerning personal care. The care plan stated ‘likes to have a shower before going to bed’, the resident felt that this was “totally wrong”, as it would “wake them up – not make them sleepy”. This was fed back to staff, so they could discuss it with the resident concerned. One resident said they were “happy with the physical care”. Others spoken to had no concerns over the care and support, but 1 felt that the home “hadn’t many nurses”, as they were always “busy”. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15. People using this service can be expected to be offered nutritious, and varied meals of a good standard. However the home must review their dining arrangements, to ensure residents who require assistance, are not left waiting, whilst others eat. Staff are committed to offering residents a range of activities, appealing to residents individual interests. EVIDENCE: Residents asked if the home had enough activities going on replied “yes they do”, saying that they had outside entertainers come in, and there was “domino’s and puzzles” in the lounge. Another resident said that they were “looking forward to having a game of cards after dinner”. The home has dedicated activity co-ordinators, who arrange the activities, social events, outings and craftwork, some of which was on display in the lounge. Staff said a Physiotherapist “leads a movement to music class once a month”, and an “Indoor Firework party (without the Fireworks!)” was being arranged. The dining rooms with its period features, including high ceilings, crystal chandeliers, looked out onto the landscaped gardens and Country Park. Dining Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 13 tables had been laid with co-ordinating tablecloths and napkins. Residents asked about the food said “excellent”, “it seems to have improved lately”, they “enjoyed the food”, and “food very good”. Asked if they had enough choice they answered “yes”. A relative said that they often eat when they visited, saying the food was “pretty good”. Residents asked to complete menus in advance, choosing what they would like. A relative relayed a residents experience on their first day, when they had ticked most of the choices on the breakfast menu. This resulted in them being served fruit juice, Cereal, Cooked Breakfast, fruit, toast and Marmalade, which they were still working through when the relatives visited mid morning. After lunch, time was spent with the residents, to hear their views on the home. They said that “some things - not all that keen on”, saying at “meal times they have us down there before 12”. Lunch is served from 12.30 to 1.30pm. The resident said they “would like it all done at once” and that their wasn’t “enough girls serving – have to wait”. Time was spent in the second dining room, where residents required assistance to be able to eat. The resident who had made the comment had sat between 2 other residents who were being given their lunch. The resident had to watch and wait until the 2, sitting either side had finished, before they could start their meal. When the resident was offered assistance, the care was standing ‘ whilst they fed the resident. Another carer then took over, adopting a more relaxed eating atmosphere, sitting facing the resident, engaging them in conversation. A resident was asked if staff tried to dictate to them what they had to do, they replied “No – it’s the other way round”. Residents generally felt they were able to do as they wish. When 1 resident was asked if they could go to bed when they wanted, said not really, as staff tried to get them to go to bed the same time as the person they shared a bedroom with. They said staff preferred them to go to bed at the same time, so they did not disturb the other person. This was due to the person they shared with having dementia. This was fed back to the manager – (see Environment section). Residents confirmed that visiting was flexible. Relatives said they felt comfortable to visit any time, and they took part in fundraising and social events. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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 the following standard(s): 16. People living at the home, can expect any concerns they have to be listened to, and acted on in an appropriate manner. EVIDENCE: The homes complaint procedure is displayed in the home, and the summary contained in the resident’s information file and Statement of Purpose”. Residents and relatives spoken to, said they felt comfortable to raise any concerns directly with staff or the manager. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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, 21, 23, 24, 25 and 26. People living in the home can expect a safe, comfortable, homely environment, which meets their needs. However, staff are not always following safe infection control procedures, which could potentially lead to infections being passed around the home. The home needs to demonstrate how they will ensure residents who are moving into a shared bedroom, are able to make an informed choice, before admission. EVIDENCE: The home has 8-shared bedrooms. The expectation of the home is to ensure that residents are given a chance to make an informed choice if they wish to share. Time spent with 3 residents identified that 1 liked the company, but found was frustrated at times, at not being able to have a “proper” conversation with the person they shared with due to their level of confusion. They said when they first came, they were in a different room, but moved after the person they were sharing with shouted at them. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 16 This left them upset, and staff arranged for them to move to another room straight away. They said they liked sharing as they “liked the company”. Another resident said that they did not want to share. The person they were currently sharing with had dementia, which they felt restricted what they could do. This was fed back (with the residents permission) to the manager, who said that they have offered a single room, but was not in the area of the home the resident wanted. They would continue to monitor the situation, and arrange a move once a suitable room became vacant. The 3rd resident said that they were currently sharing a bedroom, but would prefer a singe room, but wondered if they could “afford it”. Concerns were raised with the manager, over residents being able to make an informed choice, especially as the home is currently being re-registered to care for people with dementia. Bedrooms looked at were large, and had plenty of space for residents to bring in their own possessions. Some of the bedroom furniture was serviceable but looked worn. The manager said new bedroom furniture and curtains were on order, as part of the homes on-going refurbishment and maintenance programme. Concerns were raised by 2 residents over noise. One related to hearing staff at night, talking outside/near their bedroom. The 2nd resident said that the home “Could be very noisy at times”. Further discussion identified it was another resident’s television, which during the daytime which they felt they had on too loud. Although it could not be heard at the time of the inspection, the resident said they would go down to the lounge “to escape the noise”. With the residents permission the situation was fed back to the manager. Residents were asked if they were disturbed by the sound of planes flying overhead. There had no concerns, 1 resident said that this wasn’t all the time, and they got use to it. One said that they had not had a bath or shower for “5 weeks”, instead they were having “bed baths” as the home’s baths were out of action. This was fed back, and a look at records showed it was 2, not 5 weeks. In the absence of general baths, the resident had been given bed baths. The Manager said that 1 bathroom was currently out of action, as a new bath was being fitted. Residents were being offered a shower, bed bath or could use 1 of the other assisted baths in another part of the home. During a tour of the building (lunch time), a handling belt, which had faeces on, was lying in the sluice – exposed to the air. At the end of the inspection, a check of the room showed that the handling belt was still dirty. Concerns were raised with the manager over how the handling belt was transported to the sluice, and why it had not been cleaned. Residents felt their rooms were kept clean and tidy, saying that there was “some very good cleaners”. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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. The home is not always able to maintain a full staffing rota. However the home is actively recruiting to cover vacant shifts, and build up their own bank staff. EVIDENCE: Residents and relatives raised concerns over the staffing levels at weekends, and what they felt was the high use of Agency staff. A relative said they were 99 overall care, which they felt, was very good. When asked about the 1 they felt that at times a member of staff would “fob them off”. Further discussions identified that the person had since left. Although 1 resident said that the carers were “very good” another resident said “you get carers- and some very good carers”. They felt staff that who were not fully committed, tended to move on. Both residents and relatives spoken to raised concerns over the amount of agency staff used, which they felt did not offer consistency. They also felt that the staffing levels at weekends were not being maintained. This led to discussions with the manager, and a review of recent staff rotas. The normal staffing levels was: • Mornings – 2 Nurses and 9 Carers. • Afternoons/evenings – 2 Nurses and 6 Cares. • Over night – 2 Nurses and 4 Carers. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 18 The manager confirmed that they use Agency staff to cover sickness and vacant hours, which they are recruiting to. They try to use the same staff where possible to give consistency in residents care, but sometimes this was not possible. Rotas for the week 7 – 13 October 2005 showed 2 afternoons when they were 1 member of staff down, and 3 mornings. In addition to the care hours the home has Activity Coordinators, and dedicated a trainer (16 hours per week) – who will cover care shifts in an emergency. The manager said that they try to cover any shortfalls in advance, but Agencies are not always able to supply a carer – especially weekends and when covering last minute sickness. The senior staff works an on-call rota, and will come in if staffing levels fall below safe levels. The manager said that they were constantly monitoring the situation, and if need be, would stop admissions. Although residents and relatives raised concerns over the amount of Agency staff used at weekends, no concerns were raised that they had not received the level of care they required. A resident, who was asked if they felt their was enough staff on duty said “yes” saying when they “asked to go to the toilet – someone would take them straight away. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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): 32 and 36. People using the service can expect to find an approachable, friendly management and staff team. EVIDENCE: Staff said that the manager was supportive, and their door was always open. Residents and relatives asked if they often saw the Manager, said that they knew their door was always open, and the manager always had time to speak to them. Staff confirmed that the Manager came around each day, greeting residents sitting in the communal rooms. Time spent with 1 resident, identified that they would like the Manager to visit them in their bedrooms. They felt if it was undertaken on a more 1 to 1 basis, “at least once a fortnight”, they could receive any comments/concerns direct. People spoken to, felt that the home was “well run”, and the staff were “very friendly” and “approachable”. They felt that the home had a good, relaxed atmosphere. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 20 Time spent with staff identified that some were receiving regular formal supervision (undertaken individual with staff to discuss their work), whilst others had not. This led to discussions with the Manager, who said due to the change in senior staff, not all the new staff had been trained to undertake supervision. Training was being arranged for Senior Nurses, once completed, they would carry out the regular supervision of Care staff. Staff felt they were supported, and said the home had a good training programme for staff. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X 3 X 2 3 3 2 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X 3 X X Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP23 Regulation 12 (2) Requirement Timescale for action 11/12/05 2 OP26 13 (3) The home must advise the Commission in writing, stating what procedures they are putting in place, to ensure residents are consulted, and able to make an informed choice - before moving into a shared bedroom. The home must ensure infection 14/10/05 control procedures are followed at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP1 OP7 Good Practice Recommendations It is recommended that the home review their Statement of Purpose, so it is as informative, and clearly set out as the resident’s guide. Although the home consults the resident (or their representative) when putting together the care plan, to ensure that residents are happy that the information is still relevant, it is recommended that the residents key worker DS0000024341.V257225.R01.S.doc Version 5.0 Page 23 Brandon Park Nursing Home 3 OP15 spends time going periodically through the whole care plan with the resident (if able) or their representative. The home should review their dining/staffing arrangements, to ensure residents are not taken down to the dining room too early, and are not having to wait for assistance, whilst others eat. Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Brandon Park Nursing Home DS0000024341.V257225.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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