Inspection on 24/01/08 for Braunton

This inspection was carried out on 24th January 2008.

CSCI found this care home to be providing an Good service.

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

Braunton 06/01/09

Braunton 12/10/07

Braunton 08/06/06

Braunton 06/02/06

Braunton 10/08/05

Braunton 21/02/05

Braunton 20/08/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Braunton 23 Grove Avenue Yeovil Somerset BA20 2BD Lead Inspector Barbara Ludlow Unannounced Inspection 24th January 2008 12:55p 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 Braunton DS0000054718.V356765.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. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Braunton Address 23 Grove Avenue Yeovil Somerset BA20 2BD 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) 01935 422176 01935 422176 vickeryalex@aol.com Braunton Residential Home Limited MRS ALEXANDRA VICKERY Care Home 9 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (8) of places Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user with learning disabilities under the age of 65 Date of last inspection 12/10/07 Brief Description of the Service: Braunton is a family run home providing accommodation and support for nine older people in domestic scale accommodation. Mr & Mrs Lambert, the owners, continues to be directly involved in the management of the home. Their daughter Mrs Alexandra Vickery is the registered manager. The management team, are supported by a small staff team. Residents are encouraged to maintain links with family and the wider community. The emphasis is on providing care within a homely environment. Fees from March 2008 will range from: £373.00 per week Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection is the second key inspection made to the service using the inspecting for better lives framework. There has been a significant improvement made with the management of staff recruitment and with environmental health and safety matters raised at the key inspection in October 2007. The inspection visit was carried out over a 7 hour period. The inspector met with the proprietors Mr and Mrs Lambert and Mrs A. Vickery the registered manager. Three care staff on duty during the inspection period were observed working and were spoken with and asked about their roles at the home. All the eight people in residence were seen and were spoken with during the inspection. Time was spent in the lounge with the people living at the home to observe daily life and to speak with them about the care and service they receive. Two people were spoken with in private in their rooms. No visitors were seen although people had visited during the day. A tour of the premises was made and the improvements made to the environment since the last inspection was seen. Afternoon tea was taken in the lounge with six of the people in residence. Medication administration was observed at teatime. At teatime the meal was served in the dining area to six people, 2 people having made a positive choice to remain in their rooms at mealtimes. Records were provided for inspection. They included care plans, medication records, staff recruitment records and maintenance records. Feedback was given to Mr Lambert and Mrs Vickery at the close of the inspection visit. The inspection was well received. The inspector would like to thank the people in residence and the staff for their contributions to the inspection process. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 6 What the service does well: 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. Braunton DS0000054718.V356765.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 Braunton DS0000054718.V356765.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): 3, 6 is N/A Quality in this outcome area is adequate Information about the home is available. A pre admission assessment visit is made for potential permanent residents to ensure that their care needs can be met at the home. Short respite stays and people coming into a social services block contracted bed are not always seen pre admission if there is a short period of notice. Pre admission assessment documentation has been revised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the last key inspection it was reported that: Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 9 The home has a number of block-contracted beds and a contracted respite care bed with social services, which is well used. Admissions for respite care are made for periods of a week or more. Respite care, had been given to thirty-six people in the past year, according to the Annual Quality Assurance Assessment (AQAA) sent to the Commission for Social Care Inspection (CSCI). The manager stated that these admissions are often made at short notice making them reliant upon the information coming in from social services, with no time for an assessment visit. The manager described her actions in response to a respite request; her information gathering is well managed. People come to stay at Braunton for repeated respite care breaks or they may have been to the home for day care. In such cases people know the staff and they are familiar with the home when they come in on a permanent basis. One person was seen that had made such a transition and had settled in. However since that inspection there has been a problem regarding information gathering and in consequence a lack of necessary risk assessment which had resulted in a complaint being made to the home. On examination of the admission details on one care plan record there was insufficient recording of information to evidence clearly and contemporaneously the pre admission assessment that had been undertaken. The proprietor and manager have now introduced more detailed paperwork for use pre admission. They have also raised their concerns with Social Services requesting their support with respite/ short stay placement and use of their block-contracted places. The home also offers a day care service for one or two people. One person only is attending at present. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. People are treated kindly and with respect. Care plans are in place and health and social care is delivered to meet the needs of the client group. One care plan was identified that required a health care risk assessment. Medications are safely managed and securely stored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff interactions with the people in residence were polite friendly and helpful, no concerns were raised with the inspector. There was a good rapport between Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 11 the people as a group and with the staff team. Supportive individual care was observed during this visit. People looked well cared for and all those asked said they were happy at the home and are well cared for. One person said ‘I like living here’, ‘they do everything well, you can’t moan about any of them’. Care plans were in place for all people in residence, from these a sample of five were chosen for examination. The care plans contain a good range of information including personal information and next of kin. One care plan was missing the emergency contact numbers page; this was brought to the manager’s attention. The single assessment process documentation from social services and reviews were seen on file. One care plan from an ex respite care place was examined for evidence of the initial home visit assessment. This had been carried out but there was not enough detail to evidence this clearly. A complaint was made to the home but the placement was not discontinued. Pre admission assessment needs to be more robust and the recording of the assessment detail needs to be more carefully and contemporaneously documented. The provider explained that a lesson for service had been learned and the paperwork had been altered to ensure all care needs are explored in more detail in future. Professionals allied to health care such as the optician and the chiropodist had been in to visit people and this was recorded in the care plans. The chiropodist had visited the home that morning. There was also a record of social visitors such as family members. The degree of self caring was documented, as was choice about any emergency interventions and resuscitation. Weight was monitored and dependency regularly scored. In one care plan there was detail about intervention strategies to reduce any conflict. Monthly observations were recorded for one person to monitor their health. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 12 One care plan did not have any detail for the management of a chronic ill health condition. This was discussed with the manager and was implemented before the conclusion of the inspection visit. Care plans were reviewed and one was signed by the person to confirm their agreement with the plan, others were not, this is recommended as good practice. An inventory of personal belongings is made and is recorded in the care plans. Medication managed by the district nurse is recorded on to the MAR charts and was in the care plan although the due date for three monthly medication could be brought forward on the monthly MAR sheets as an aide memoir. Medications are stored safely in a locked and secured medications cabinet. The management of medications was detailed in the individuals care plan and was person centred having an explanation of how each person prefers to take their medicine. There was a comprehensive information sheet for each person detailing the reason each medication was prescribed and the route of administration. This was prepared with other information should the person need to go to hospital in an emergency or transfer elsewhere. The management and administration of medication was observed at teatime. All observed practice was safe and carefully carried out. The Medication Administration Records (MAR) were seen; they contained photographic identification and other useful details. There was a list of homely remedies. One hand transcribed entry on a MAR chart had an error in the written dose but had been correctly administered. The manager is reminded that a second signature to check and sign as verification of the accuracy of the entry is strongly recommended at this inspection. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. There are activities each day at the home and people were satisfied with this and can choose how to spend their time. Family and friends are welcome to visit when they wish. Meals are social occasions with the majority of the people choosing to eat together at mealtimes. The food looked nutritious and appetising. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection the chiropodist had visited during the morning and an exercise session had been held in the lounge. The people had finished their cooked lunch when the inspection commenced and one person was assisting staff with the clearing of the dining table. People then sat together in the lounge area and had a cup of tea. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 14 The inspector joined the group and spoke with them about life at the home. All were satisfied that they could spend their time as they wish. There was a good rapport between the group and with the staff. It was a cold and breezy day and the people said that they used the conservatory and garden in warmer weather. Visitors called at the home during the afternoon but the inspector did not see them. People watched television later in the afternoon and had another cup of tea. A positive choice was made to view ‘Countdown’ one person said this was a favourite choice of programme. Bedrooms are comfortable and can personalised by the people in residence as much or as little as they wish. The two people who have made a conscious choice to spend their time in their rooms were seen and spoken with. Both expressed their satisfaction with the home and the care they receive, saying they ‘like living here’. The home brings in entertainers and staff spend time each afternoon with games or activities. Trips out are arranged the last one being the Christmas lights in Yeovil. Families and friends are welcome to visit and people confirmed that their visitors are made welcome. Two people attend Church with their families on Sundays. The teatime menu had been offered earlier in the afternoon, this was jacket potato with beans and arctic roll for dessert. Alternatives were available. Tea was served in the dining area and the tables were nicely laid. People complained that their plates were too small and they were losing their salad off the plates. The food looked appetising. People commented that ‘the food is very good’, another said ‘the food here is wonderful’. The kitchen was very clean and tidy. The care staff undertake the catering and one new member of staff commented that they had observed the catering during their first week and had learned about individual peoples likes and dislikes. Staff have food hygiene training. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. Complaints are taken seriously and are promptly investigated. People said they could raise concerns with the staff. Recruitment practices are safely managed to protect people from the risk of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy and deals with all concerns quickly if they arise. There had been one complaint made to the home, this had received a prompt response and action was taken to remedy the problem that had occurred. Recruitment practice has been reviewed and staff files have been updated to ensure they met with the National Minimum Standard to protect people living at the home from the risk of harm from poor recruitment practice. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 16 Staff have Criminal Record Bureau checks before commencing work at the home and staff confirmed having received abuse awareness training for the protection of the vulnerable adults in their care. A concern was raised with the inspector at the last inspection. The manager had dealt with this in an open way and an appropriate record was made of the concern. People at the home who were asked said they felt they could raise any concerns with the staff or the management of the home. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. The home was clean and fresh. There has been some redecoration and maintenance to improve the premises since the last inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was made. The home was clean, tidy and odour free on the day of the inspection. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 18 There has been some recent redecoration of parts of the home and there has been some maintenance to improve the standard of health and safety of premises. The home is comfortably furnished. People who live at the service are able to personalise their bedrooms with ornaments and pictures making them more homely. In warmer weather there is access to the rear garden, which has benches there is patio furniture available for use. The home has a conservatory, which provides additional communal space for people in residence to relax in, this area were not being used at this inspection. It was a breezy day and there was a significant cold draught felt around the door from the conservatory to the lounge. One person complained that their feet were feeling cold; they were sitting close to this door. This was brought to the attention of Mr Lambert who agreed to attend to this. The bedrooms have en-suite facilities. All rooms including bathrooms have been modified to ensure service user’s safety such as radiator covers and pull cords for the staff alert system. Beds were very nicely presented and looked comfortable. Hot water taps throughout the home have been fitted with fail-safe devices to reduce the risk of accidental scalding. Foot operated flip top bins are used for the disposal of hand wash waste to help to reduce the risk of cross infection. Locks are fitted to bedroom doors and residents can have a key to their lock. All doors can be accessed in the event of an emergency using a master key. First floor windows are restricted to a safe opening width to reduce the risk of anyone falling from the. All communal areas were clean and tidy. Some carpets have been replaced and some others look worn. The proprietor said that other carpets are due to be replaced to complete the current redecoration and refurbishment programme. The light fitting in one communal bathroom has been replaced to an improved safety standard. The bathroom that is not used for bathing, but is used by staff and as a laundry drying room was found to be clean and tidy. The home does not have tumble-drying facilities and washing is line dried indoors and outdoors in dry Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 19 weather. In response to hearing that the towels can be quite hard Mr Lambert is planning to review and replenish the homes towel stocks. All chemicals were stored appropriately. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Sufficient staff were on duty throughout the day to meet the needs of the people in residence. Staff receive training and there is a good level of NVQ qualified staff employed at the home. Recruitment processes have been reviewed and are now sufficient to reduce the risk of harm from someone who is unsuitable starting work at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At this inspection there were two staff and the manager on duty for the afternoon. There were eight people in residence. Three staff usually work in the morning with management support. The home has one waking night staff and one sleeping ‘on call’ night staff. The manager and the proprietors are on call in the event of an emergency or a need for management advice at night. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 21 Staff were described as being ‘very nice’ and the people living at the home said they had no concerns saying they are ‘well cared for’. Staff were observed as they worked and all interactions were polite and kindly. There was a good rapport between staff and the people in residence, one interaction seen was very caring and met the individuals request at that time. People at the home had confidence in the staff caring for them. At the last inspection the night staff received praise for answering call bells promptly. And it was reported than that the home has 75 of staff with a National Vocational Qualification (NVQ) in care. One example of agency staff being used was described during the Christmas break; this was to cover staff absence at short notice. Recruitment files were sampled for two staff. The recruitment process was examined and one new member of staff was spoken with. It was confirmed that the process was thorough and that a Criminal Record Bureau (CRB) check had been made and references taken up before the person started working at the home. Staff had received induction training and had sufficient time to work alongside regular staff to get to know the people in residence and the home. Supervision is carried out and is becoming a part of the routine management of the home. There are staff meetings and opportunities for staff feedback. A training matrix has been developed as an update on the staff skill matrix that was sent to CSCI with the AQAA before the last key inspection. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. The home is well managed and well maintained. Quality Assurance is undertaken by questionnaire. People’s views and best interests are considered in the day to day running and management of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well managed. The registered manager was working at the home on a late shift on the day of the inspection. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 23 The providers are actively involved in the day to day running of the home and were present at the inspection. The home does not manage any ones finances. Small amounts of money can be held for safekeeping. These were sampled at the last key inspection and were in order. Staff supervision is undertaken and a record is made. These were seen at the inspection. The homes maintenance records were sampled at this and the last key inspection: Fire safety equipment, the fire alarm, emergency lighting and extinguishers had been serviced on 9/10/07. In house fire alarm tests are made; the last was recorded for 19/01/08, the previous two had been at 13-day intervals, weekly checks are recommended, this should be addressed. The last fire officer visit had been in May 2006. A fire safety assessment was dated 10/04/07 and the fire register was updated on 16/01/08. The gas safety certificate was confirmed as May 2007. Accidents are recorded in the correct format that is data protection sensitive. There were two entries since September 2007 and no serious injuries had been reported. Since the last inspection the registered manager Mrs Vickery, proprietor Mrs Lambert and two staff have trained as manual handling instructors in order to cascade the teaching to all staff working at the home. All trainers now hold a three-year certificate. There are cleaning schedules for the home. Some carpets have been replaced and some look worn. There are plans to replace some within the coming weeks. Chemicals were stored securely following the COSHH findings at the last key inspection. Since the last inspection first floor windows have been restricted in opening for safety. Three dead locking bedroom door locks have been changed for ones that can be accessed in the event of an emergency. A bathroom radiator has been covered to prevent anyone accidentally falling against it and burning him or herself on the hot surface. Redecoration has been undertaken and the home looked clean and fresh. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 24 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 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 X X 3 Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 25 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 OP3 Regulation 14(1) Requirement Pre admission assessment must be clearly and contemporaneously recorded. Timescale for action 11/03/08 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 OP9 OP38 Good Practice Recommendations Hand transcribed entries on the MAR charts should be checked and the entry verified as accurate by a second competent person. In house fire alarm tests should be made at weekly intervals. Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Braunton DS0000054718.V356765.R01.S.doc Version 5.2 Page 27 - 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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