CARE HOMES FOR OLDER PEOPLE
Brecklands Nursing Home 28 Burnham Avenue Bognor Regis West Sussex P021 2JU Lead Inspector
Marilyn Lewis Unannounced Inspection 13th February 2007 09:00 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 Brecklands Nursing Home DS0000024124.V325867.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. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Brecklands Nursing Home Address 28 Burnham Avenue Bognor Regis West Sussex P021 2JU 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) 01243 863218 01243 869769 Mrs Janet Mary Cole Mrs Lynda Rehman Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Brecklands nursing home is a privately owned care home providing nursing care for up to nineteen residents in the category of older people. The home is a detached two-storey property in a residential area of the town of Bognor Regis. It is close to the town centre, within easy access to all local amenities and is half a mile from the sea front. Accommodation is provided in fifteen single and two double rooms. Four of the single rooms have en-suite facilities. A lounge with adjoined conservatory and a smaller dining room provide the communal space. A seating area is also available on the first floor. Information from the registered manager, received on the 21st January 2007, stated that fees for the home were £500 per week. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 13th of February 2007. A regulation manager accompanied the inspector on the visit to the home. The inspector toured the home and met with the registered manager, three staff members, six residents, a visitor and the cook. Care plans were sampled and records seen included those for medication, complaints, accidents, staff training and staff recruitment. Information was also obtained from documents provided by the registered manager before the inspection visit. What the service does well:
The home looked clean, welcoming and homely. Residents said that staff were kind and caring and treated them with respect at all times. One resident commented that she ‘liked living here’ and all residents spoken with said that they liked their rooms. Residents felt that they were able to exercise choice and control over their daily lives and were able participate in the social activities provided at the home as they wished. The food served at lunch on the day of the visit was well presented and residents said that they enjoyed the meals served and that the ‘food was always good’. Residents said that they would talk to the registered manager if they had any concerns or complaints and felt that any complaints would be taken seriously and acted upon. The registered manager has many years experience in providing care for older persons and runs the home in the best interests of the residents. Residents said that the registered manager was approachable and easy to talk to and staff commented on the support they received from the registered manager. During the visit good interaction was seen between the registered manager, staff and the residents. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection?
Records seen at the last inspection indicated that residents had been admitted to the home without a care needs assessment to ensure the home could meet their care needs. Records seen on this visit confirmed that care needs assessments had been completed for residents admitted to the home since the last inspection. Care plans seen at this inspection informed staff of the assessed care needs of the residents and gave guidance and instruction on the actions required to meet those care needs. This was not the case at the last inspection. A requirement was issued at the last inspection for the health care needs of the residents to be met. Records seen on this visit indicated that the health care needs were met with visits recorded and comments documented from GPs and other health professionals. On this visit staff were seen to adhere to the home’s policies for dealing with medicines and therefore protecting the health of the residents. Since the last inspection staff have received training in the prevention of abuse and were aware of the procedures to follow should abuse be suspected. Improvements have been made to the environment since the last inspection. The bathroom seen at the last inspection to be in a poor state of repair has been refurbished and is now fit for purpose. Additional electrical points have been fitted to allow electrical equipment to be used without trailing wires across floors. Also additional fire door closure devices have been fitted to fire doors eliminating the need for them to be wedged open and therefore reducing the risk to residents. Recruitment records seen at the last inspection indicated that staff had commenced work at the home before a Protection of Vulnerable Adult (POVA) or Criminal Records Bureau (CRB) check had been completed. Records seen on this visit contained all the information required including POVA and CRB checks, therefore reducing the risk to residents’ safety. Since the last inspection the home has improved its systems for monitoring the quality of care provided at the home. The registered provider has visited the home unannounced to complete reports on the quality of care provided. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 7 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. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 8 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 Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are provided with information about life at the home and are able to visit before making a decision about taking a place there. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: The registered manager has recently updated the home’ s Statement of Purpose and Service User Guide. The information was provided in a clear format suitable for the resident group and was available in large print as needed. The registered manager said that she would up date the documents further to include details of the criteria for admission to the home.
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 10 Each resident is provided with a written contract giving the terms and conditions for residency at the home. A copy of a contract seen included information on the services included in the fees and what were available at additional cost, such as hairdressing. One resident spoken with said that she knew there was a contract but was not really interested in it as her family dealt with her financial interests. The registered manager discussed the process for the assessment of new residents prior to offering a place at the home. Care needs assessments were seen for the four residents admitted since the last inspection visit. The assessments had been completed by the registered manager and provided information on all aspects of care needs including personal care and emotional care. The resident manager said that prospective residents and their relatives were encouraged to visit the home prior to making a decision about taking a place there. A resident said that they had visited the home and met other residents and staff before moving in. The home does not provide intermediate care. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans clearly inform staff of the assessed needs of the residents and the actions required to meet those needs. Residents’ health care needs are met and they are protected by staff adhering to the home’s policies for dealing with medicines. Residents feel that they are treated with respect at all times. EVIDENCE: Care plans were seen for three residents. The plans gave information on the resident’s care needs and the actions required to meet the needs. The plans for one resident stated that at times the resident could talk in an inappropriate manner while in the lounge or dining room causing upset for the other residents. The plans gave clear guidance for staff as to the actions to take if this should happen. Notes seen for other residents also gave guidance to staff such as ‘likes to take time with his meals, do not rush him.’
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 12 The care plans also documented the preferences of the residents for their participation in daily living activities, food items and the name by which they wished to be addressed. Two residents spoken with said they knew what was in their care plans and agreed that they reflected their wishes. However care plans seen did not show evidence of the residents or if appropriate their relatives’ involvement and the registered manager said that she would ensure this would be recorded in future. Records seen indicated that resident’s health care needs were being met. Visits were recorded from GPs, opticians, a psycho geriatrician and a nurse specialising in Parkinson’s disease. A note from a district nurse for one resident indicated that wound care was being provided as directed. Although all the assessments, care plans, health records and daily records had been completed and were available, the documents were kept in separate folders or different rooms and if the registered manager had not been on duty it might have been difficult to trace all the information required. This was discussed with the registered manager who said that she would discuss new systems for storing the documents with staff. The nurse responsible for medication at the time of the visit was seen to follow the home’s procedures for dealing with medication. The medication room was locked and medicines were stored appropriately. The home has clear systems in place for recording medicines brought into the home and on disposal. Medication records had been completed appropriately and records for controlled drugs matched the amount held. When medication prescribed as to be given as required was administered for pain relief the reason for giving the medication was documented. Variable doses were also recorded. Containers for eye drops were dated when opened and stored if necessary in the fridge. Up to date information on the medication used at the home was available for staff. All residents spoken with said that staff were caring and friendly and that they were treated with respect. During the visit staff were heard to speak with residents in a very caring manner. At the time of the visit a new front door was being fitted at the home and a carer was heard to ask a resident she was escorting into the lounge if they would like to sit near the window so that they could watch the workmen with the door. Brecklands Nursing Home DS0000024124.V325867.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their daily lives, participate in social activities provided at the home and receive visitors as they wish. Residents enjoy the choice of well presented meals served at the home. EVIDENCE: During the visit it was evident that residents were able to exercise choice over their daily lives. Residents said that they were able to choose what time they got up and one resident was seen having a late breakfast because she had ‘enjoyed a lay in’. Some residents chose to spend time in the lounge and others preferred to stay in their rooms for the morning. One resident said that she appreciated being able to ‘do as she wished’. Records seen indicated that one resident attended services at a local church and a priest visited the home once a month to provide a communion service. The registered manager said that residents enjoyed watching Songs of Praise
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 14 on the television and that a high tea was served when the programme finished. Two residents said confirmed that they enjoyed this. Residents spoken with said that they liked to spend time reading their newspapers, magazines or books. One resident said that she read a lot and the registered manager had arranged for books to be collected from the local library for her. Volunteers visit the home every two weeks to run a gardening club. Residents are supported to participate in gardening activities such as potting up plants. Three residents said they enjoyed these sessions. Music and videos were provided during the week and the hairdresser visited every two weeks. The registered manager said that they had just started producing a newsletter for residents and their relatives to provide information on the home and articles of interest. The registered manager said that there were no restrictions on visiting. A visitor said that they were always made to feel welcome and a resident said that she was able to receive visitors as she wished and staff offered them tea or coffee as soon as they arrived. The cook said that she was given information on the residents’ likes and dislikes for food items and any special diets required. One resident preferred to eat fish and not meat and the cook had ensured that her menus included a different types of fish. The cook said that a choice of meals was always available. Lunch on the day of the visit consisted of beef casserole with dumplings, potatoes, cabbage and carrots followed by pancakes. Meals were well presented and the residents said that they enjoyed their meals. Comments included the ‘food is always good’ and ‘always enough to eat’. Brecklands Nursing Home DS0000024124.V325867.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that any complaints will be taken seriously and they are protected by staff awareness for the prevention of abuse. EVIDENCE: The home had a complaints policy in place that stated who would investigate the complaint and timescales for the process. The policy had been updated recently but information for the commission required further updating as it did not give the correct name. The registered manager changed this during the inspection visit and said that new copies would be provided for the residents. Records seen indicated that there had been no complaints since the last inspection. Three residents spoken with said that if they had any concerns or complaints they would discuss them with the registered manager. All said that they felt the registered manager would act to resolve the issues. The home has procedures in place for the protection of vulnerable adults. At the time of the last inspection a staff member was not aware of the correct procedures to follow should abuse be suspected. Since then all staff have received training in the Protection of Vulnerable Adults and three staff members spoken with were aware of the procedures to follow should abuse be
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 16 suspected and indicated that they would have no hesitation in reporting any concerns to the registered manager or senior person on duty. Brecklands Nursing Home DS0000024124.V325867.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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Brecklands provides a clean, safe and homely environment for all who live, work and visit there. EVIDENCE: Brecklands is a detached property situated in a residential area of Bognor Regis. Accommodation is provided on two floors with stairs and a lift providing access to each floor. Residents are accommodated in fifteen single rooms and two double rooms. The two double rooms are currently being used as single rooms. The home has a lounge and separate dining room on the ground floor and there is also a sitting area with dining table on the first floor. A cage with the
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 18 home’s pet budgie was kept in the sitting area on the first floor. A resident said that this made the area feel ‘like home’. Since the last inspection additional electrical points have been fitted to allow for the use of electrical equipment without trailing wires across rooms and corridors. Additional fire door closure systems have also been fitted to ensure doors are not wedged open, risking the safety of residents. Specialist equipment such as hoists is used by staff to assist some residents with poor mobility. The registered manager explained how the rooms of the residents had been arranged so that furniture did not impede staff using the equipment. Staff members said that they felt there was sufficient room to work with the hoists. Residents’ rooms seen looked homely and contained many personal items. All residents spoken with said that they liked their rooms. A bathroom that had required refurbishment at the time of the last inspection had been redecorated and tiled. Although the décor in some of the corridors looked a little worn, all areas of the home seen looked clean. Staff were observed using protective clothing including disposable aprons and gloves as necessary. The laundry room was in good order and the kitchen looked clean with food stored appropriately. An enclosed garden with seating areas is provided to the rear of the property. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff employed at the home is sufficient to meet the residents’ needs and resident’s safety is protected by the home’s robust recruitment procedures. Staff receive the mandatory training they require but some do not have the opportunity to obtain NVQ level 2 or above in care, resulting in the home not meeting the requirement for at least 50 of care staff to hold or be in the process of obtaining the qualification. EVIDENCE: The home employs the registered manager, deputy manager, nine trained nurses and fourteen carers. A cook and domestic assistant are also employed. Rotas seen indicated that a trained nurse was on duty at all times. Staff spoken with said that they felt there were sufficient staff on duty on each shift to fully support the residents. Three residents also said that they felt there were enough staff on duty. Only four of the fourteen carers hold NVQ level 2 or above. The registered manager was aware of the requirement for at least 50 of staff to hold or be in the process of obtaining NVQ level 2 or above in care. A staff member said
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 20 that she was in the process of completing NVQ level 3 and was really enjoying the course. However another staff member said that it was difficult to get on a course for the qualification. Records seen indicated that all staff had received training in the prevention of abuse and moving and handling. Eight staff had attended training in infection control and staff who assisted with the preparation of meals had received training in food hygiene. The registered manager had arranged training for staff in emergency first aid. The registered manager had recently purchased a training package from Skills for Care that would provide an improved induction programme and provide staff with pre NVQ training. The home has procedures in place for the recruitment of staff. Records seen for two staff members contained all the information required including two written references. One of the records did not include an application form but the information was available. Records seen indicated that CRB and POVA checks had been completed before staff started work at the home, ensuring the risks to residents safety was minimised. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36 and 37 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents, whose financial interests are safeguarded by the home’s clear policy for handling residents’ money. Residents’ safety could be put at risk by staff not receiving regular formal supervision. Records for staff attendance at fire drills are not kept up to date and could result in some staff not attending drills as required. EVIDENCE: The registered manager, Mrs Lynda Rehman, is a trained nurse with many years experience in providing care for older persons in a residential setting.
Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 22 Records seen indicate that the registered manager has attended training sessions including the protection of vulnerable adults, infection control and palliative care. Staff spoke of the good support they received from Mrs Rehman and residents also spoke highly of her saying that she was kind and caring and ‘easy to talk with’. At the time of the last inspection the registered manager had very little allocated time for managerial duties. Since the staffing levels have been increased two days a week to allow her time for her managerial duties. The registered manager said that a survey in the format of a questionnaire had been provided for residents and their relatives/representatives. The results of the survey were displayed on the home’s notice board. The registered manager said that feedback was given on a one to one basis. Records seen confirmed this had taken place. Staff were able to give their views on the quality of care provided at the home during coffee/chat times. The registered manager said that a social evening for staff was being arranged. The home holds small amounts of money for residents. The money is held in individual containers in a secure place. Receipts are kept for all transactions and records seen for two residents matched the amount held. Staff spoken with said that they did not attend regular supervision meetings. The registered manager confirmed that supervision was taking place but not at least six times a year as required. The registered manager said that now she had more time for managerial duties she would be more able to provide supervision for staff. During the visit staff were observed using safe working practices. Substances hazardous to health such as cleaning fluids were stored safely. However denture cleaning tablets were seen on an open shelf in two residents’ rooms and it was agreed with the registered manager that the items be stored more securely to avoid any risks to the health of residents. Fire records seen indicated that fire safety equipment had been checked on a regular basis and staff had attended fire safety training. However records for fire drills did not clearly indicate the staff members who had attended the drills. Staff spoken with confirmed that they had attended drills. Records must be maintained of all fire drills including the names of staff members attending, as required. Records seen indicated that all accidents had been clearly documented. Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 23 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 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 x 2 Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 24 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 OP28 Regulation 18 (c) Requirement The registered person must ensure that staff are provided with the opportunity to obtain NVQ level 2 or above in care. The registered person must ensure staff receive formal supervision at least six times a year. The registered person must ensure records are maintained for all fire drills including the names of staff attending. Timescale for action 31/05/07 2. OP36 18 (2) 31/03/07 3. OP38 26 Schedule 4, 14. 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brecklands Nursing Home DS0000024124.V325867.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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
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