CARE HOMES FOR OLDER PEOPLE
Brincliffe Towers Brincliffe Edge Road Sheffield South Yorkshire S11 9BZ Lead Inspector
Sue Turner Key Unannounced Inspection 8th May 2007 07:10 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 Brincliffe Towers DS0000046508.V331766.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. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Brincliffe Towers Address Brincliffe Edge Road Sheffield South Yorkshire S11 9BZ 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) 0114 255 2821 0114 255 2821 walker-jean@btconnect.com None Ash House (Yorkshire) Limited Ms Moira Elliss Layne Care Home 35 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (11) Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. All 24 DE(E) beds are registered `or MD(E)` and are sited in a separate wing. Service users may also be aged 60-65 years. Date of last inspection 11th May 2006 Brief Description of the Service: Brincliffe Towers is a care home providing personal care and accommodation for thirty-five older people, including care for twenty-four service users with dementia. The home is privately owned, and is located in a residential area of Sheffield with nearby access to public transport. The home is a large old detached house with a modern annexe attached and has very pleasant well-established gardens, which overlook Chelsea Park. There is a small car park to the front of the house. All of the bedrooms are single although two are registered, as doubles should there be a request to share. Seven rooms have an en-suite facility. There is a passenger lift. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of monthly fees from 10th April 2006 were £318 - £359 per week. Additional charges included newspapers, hairdressing and private chiropody. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Sue Turner regulation inspector. This inspection took place between the hours of 7.10 am and 3:00 pm. Moira Elliss Layne the registered manager was present during the inspection and the provider Mr Zahur visited to receive feedback. The manager had submitted a pre inspection questionnaire and five service users; four professionals and four staff members had returned care home surveys to the CSCI prior to the actual visit to the home. Their views and some information from the questionnaires are included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to six service users, seven staff, one relative and two visiting district nurses. What the service does well:
Service users said that the care they were receiving was good. Service users made comments such as “I’m pleased with the care I get” and “staff are very good and listen and act on what I say” and “I can’t complain”. Service users were seen well dressed in clean clothes and had in the main received a good standard of personal care. Service users said that they had a choice of food and that the quality of food served was good. One service user said the food was “satisfactory plus”. The home was clean and tidy. No unpleasant odours were noticeable in the home. One relative and service users said that the home was always kept clean. Staff were able to verbalise how they maintained the dignity and respect of service users on a daily basis and service users spoke positively about the staffs attitude. Service users were able to maintain contact with family and friends. Some relatives visited the home daily and in the main were positive about their observations of the care provided. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 6 There have been no complaints made directly to the home or to the commission for social care inspection since the last inspection. What has improved since the last inspection? What they could do better:
The information recorded in care plans and the health and safety risk assessments need further work to ensure that the service users current health, personal and social needs are fully met. Staff need to ensure that they sign the medication administration records (MAR) sheets at the time of administration and that any “codes” used are clearly identified. The service users would benefit from a further range of activities, including trips out of the home, which would suit their preferences and capabilities. Staff training in adult protection procedures must be prioritised. The planned programme of maintenance and refurbishment should continue to ensure that service users live in pleasant and comfortable surroundings.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 7 Competent and experienced staff are required to be employed, in sufficient numbers at all times. Staff trained to NVQ Level 2 or equivalent should be increased to at least 50 . Following the Regulation 26 visit to the home, the provider should forward their written report to CSCI. Staff, service user, relative meetings and staff supervisions were not taking place. These meetings would offer the opportunity for the manager and providers to receive feedback about the service they are providing and aid improvements. To fully ensure the health and welfare of service users, heated trolleys used to transport meals must be kept clean and hygienic, 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. Brincliffe Towers DS0000046508.V331766.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 Brincliffe Towers DS0000046508.V331766.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): Standards 1 and 3. Standard 6 is not applicable to this home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided sufficient updated information to inform service users about their rights and choices. Service user assessments prior to admission took place. These enabled staff to be aware of service user needs and to ensure that they could be met. This home does not provide intermediate care services. EVIDENCE: Since the last inspection the home had updated their combined Statement of Purpose and Service User Guide. This contained information to prospective service users about the home and the service provided.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 10 Copies of service user contracts were seen on the files checked. Each clearly stated the terms and conditions of the home and funding arrangements. Staff spoken to said that assessments were undertaken prior to admission to ensure the home could meet prospective service user needs. The home’s manager or senior staff carried these out. Copies of care management assessments were seen on the files checked. Brincliffe Towers DS0000046508.V331766.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): Standards 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users care plans did not fully detail their emotional, personal and social care needs. This resulted in service users assessed need (in some areas) not being met. In the main service users health care needs were met. This ensured that service users received the support they needed to stay healthy and receive treatment from health care professionals were necessary. Service users and/or their family and friends were not invited to be involved in the care planning and evaluation process, which would have contributed to ensuring that service users specific needs were met. Medication procedures did not fully provide protection to service users. Service users spoken to said they were treated with respect and their right to privacy upheld.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three care plans were sampled. The care plans seen did not provide enough detail of the service users specialist needs. The service users personal, health and social care needs were not recorded in sufficient detail to ensure that their wishes and preferences could be met. For two service users there was no information about the person’s fluid and food intake, which had been identified in the care plan as a necessity. For one service user the health and safety risk assessment had, in the main remained the same since 2005, however it was evident from speaking to the staff that the service users needs had changed considerably during that time. The inspector observed that service users were, in the main well dressed in clean clothes and had received a good standard of personal care. One service user was in need of a shave, when this was brought to the attention of the manager she said that his behaviours were such that this was difficult. Evidence of the service users behaviours and difficulties were not recorded in his care plan and a management plan had not been drawn up. One relative said that the staff were “helpful”, “friendly” and “nice” and provided a good of standard of care. The plans contained detail of all health care contacts, appointments and treatments, and the home supported access to these. Access to dentists, chiropodists and opticians was available. One service user was receiving treatment for a pressure sore from the district nurse, in his/her care plan there was no information or reference to this, however this was fully documented in the district nurses notes. A visiting district nurse was spoken to; she said that in the main the staff were responsive to her requests when she visited the home. She said that the training given to staff by the POPPS Team had been of great benefit and she could see that care practises were much improved. One relative said that he/she had not been asked to contribute or review his relatives care plan. Medication was securely stored and there were systems in place for receiving the medication into the home. There were medication administration (MAR) sheets for each service user; these recorded the type of medication, the dosage and how it was to be administered. There were reasonable stock levels in the home. Two team leaders interviewed said that they had been assessed as competent and safe to administer medication.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 13 Medicine Administration Records (MAR) checked were not fully completed with staffs’ signatures. The code ‘O’ represented medication not being given for “other” reason, however records did not specify what this reason was. Service users said that staff at the home respected their privacy and dignity by knocking on their doors and waiting for a response before entering. The inspector saw staff consistently treating service users in respectful and friendly way. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users would benefit from a further programme of activities, including trips out of the home, which suited the capabilities and preferences of the service users. Service users had a choice of lifestyle within the home and were able to maintain contact with family and friends. The home had an open visiting policy, which assisted in maintaining good relationships with service users family and friends. Meals served at the home were of a good quality and in the main offered choice to ensure service users receive a healthy balanced diet. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 15 EVIDENCE: Six service users were spoken to. They were all able to say that they felt well cared for and that staff looked after them well. In the main service users spoken with looked clean and were dressed smartly in clean clothing. Service users spoken to said that there were activities on offer at the home. An entertainer came once a month and there was an exercise class once a fortnight and a knitting and sewing club each week. All service users spoken to said they would like more activities to be available, above all they would like more activities and trips outside of the home. One relative said that he had asked the manager about trips outside the home, as his relative would benefit from this, he was not aware that any trips outside the home had been planned. On the day of the inspection there were no activities offered and for the service users in the EMI wing there were very few activities that appealed to their specialised needs and preferences. Relatives were seen freely visiting the home on the day of the inspection. Relatives spoken to said they were able to visit at any time and could see their loved ones in private if they wished. Service users said that they were able to get up and go to bed when they chose to. Staff said they offered service users choices about many things in their daily life, for example, what clothes to wear and when they wanted a bath. The inspector observed breakfast and lunch being served in two dining rooms. Tables were nicely set and the ambience was pleasant and relaxed. Service users described the food provided as “good”, “nice” and “we enjoy eating”. The cook said that she was providing diabetic diets for two service users, it was encouraging to see that these service users were served the same dessert, which had been adapted, as served to those not on a special diet. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service Complaints procedures were in place to enable service users and relatives to feel confident that any concerns they voice would be listened to. Staff had not been provided with essential training in adult protection procedures to ensure service users were safe, and to inform staff of the procedures to follow if an allegation was made. EVIDENCE: The homes complaints policy was on display in the entrance area of the home and available in the Service User Guide. It contained relevant information and informed the reader who to contact external to the home, should the complainant wish to do so. The manager said that there were no outstanding complaints and since the last inspection CSCI have not received any complaints about the service. The homes adult protection policy included information on local procedures. Some staff spoken to were aware of their responsibilities in reporting any complaints or allegations. Other staff were unsure about the procedure to
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 17 follow and were not able to describe types of abuse that service users could be susceptible to. Staff had not received training in adult protection procedures, as required at the previous inspection, this requirement is therefore carried forward in this report. The manager was informed of the urgency for this training to be undertaken by all staff. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A programme of refurbishment is necessary to ensure that service users live in a comfortable and well maintained home. Controls of infection procedures were in place, which promoted service users health and welfare. EVIDENCE: The homes location was very impressive, with many rooms looking out over Chelsea Park and pleasant gardens. Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 19 Since the last inspection the outside of the home had been repainted and outbuildings had been demolished. As the home is an “older build”, there were a number of areas within the home that require redecoration and refurbishment. The provider visited on the day of the inspection and agreed to continue improving the aesthetics of the home. On the day of the inspection the handyman was decorating a bedroom and said that he had a long list of jobs that needed completing. There was new furniture in some communal areas, the laundry had been redecorated and the kitchen had been professionally cleaned. No unpleasant odours were noticeable in the home. Relatives and service users said that the home was always kept clean. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Brincliffe Towers DS0000046508.V331766.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): Standards 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. During some shifts, staff were not employed in sufficient numbers to meet the service users needs. Recommended levels of NVQ trained staff had not been achieved, however staff had mandatory training and refreshers, which helped to ensure staff had the competencies to meet the service users needs. The details held and recorded in staff recruitment files were complete and therefore assisted to ensure the protection of service users. EVIDENCE: On the day of the inspection one staff member was off sick and another had to escort a service user to a hospital appointment. There remained four staff caring for 33 service users, of which about half required specialised EMI care. This was totally inadequate. The inspector checked staff rotas, which confirmed that numbers had dropped to four on a few other occasions. The manager acknowledged that the needs of the service users were increasing and that this level of staffing was not acceptable.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 21 Of the 23 care staff, 10 staff had achieved NVQ level 2 in care, a further 3 staff were undertaking the training. Although improved, this remains below the recommended 50 of the care staff trained to NVQ level 2 in care by 2005 to ensure the staff team were qualified and competent to carry out their duties. Three staff records were checked. The files contained Enhanced Criminal Record Bureau (CRB) checks, photographs, evidence that ID had been checked, personal details and two written references. Gaps in employment records had been explored or explained and employment histories were included. The manager said that the POPPS team had provided a number of short courses to staff at the home. They included courses about diabetes, pressure care, MRSA and catheter care. Staff spoken to said they had benefited from this training and were looking forward to other topics being covered. Brincliffe Towers DS0000046508.V331766.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): Standards 31, 33, 35, 37 and 38. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager’s leadership approach benefited service users and staff. The lack of quality assurance systems, staff supervision and service user/relative meetings means that the home cannot be run in the best interests of the service users. Service users monies were safely handled, which ensured that finances were accurate and safeguarded. The service users health and safety had in the main been promoted and protected in several areas.
Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 23 EVIDENCE: All of the service users, staff and relatives spoken with said the manager was approachable and supportive. Recorded quality assurance visits by the registered provider had been carried out each month, as required by the regulations. Reports were seen in the home for visits that were undertaken however these had not been forwarded to the CSCI. The manager and staff said that there had not been any recent service user, staff or relative meetings. Staff interviewed said they had not received formal supervision from their line manager, however they were able to speak to the manager and team leaders on an informal and as required basis. The equipment at the home was serviced and maintained. Fire records evidenced that weekly fire alarm checks took place. Staff said fire drill training took place on a regular basis. At the last inspection the heated trolleys used to transport food to the dining rooms were in need of a thorough clean. These were checked again and found to be unclean and unhygienic. The kitchen assistant was asked to clean them as soon as possible. Following the visit made to the home by the Health Protection Agency, the recommendations made in the letter dated the 5th January 2007 had been complied with. Brincliffe Towers DS0000046508.V331766.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement Information within all care plans must be reviewed and updated to reflect each service users current health, personal and social needs. (Previous timescale of 15/01/07 not met). Health and Safety risk assessments must be updated to reflect the changing needs of the service users. MAR (Medication Administration Records) sheets must be signed at the time of administration. Codes used on MAR sheets must clearly identify the reason medication has not been administered. Service users must be consulted regarding the variety of activities offered. Further activities and trips out of the home must be provided. (Previous timescale of 15/01/07 not met). To further ensure the protection of service users all staff must be trained adult protection procedures.
DS0000046508.V331766.R01.S.doc Timescale for action 21/06/07 2. OP8 15 21/06/07 3. 4. OP9 OP9 13 13 08/05/07 08/05/07 5. OP12 16 21/06/07 6. OP18 18 21/06/07 Brincliffe Towers Version 5.2 Page 26 7. 8. OP19 OP27 16 23 18 9. OP28 18 10. OP33 26 11. OP33 26 12. 13. OP36 OP38 18 13 (Previous timescale of 15/01/07 not met). A planned programme of maintenance and refurbishment must continue. To ensure that service users care needs are fully met there must be sufficient numbers of competent and experienced staff on duty at all times. There must be 50 of the care staff trained to NVQ Level 2 or equivalent. (Previous timescale of 15/01/07 not met). So that the home is run in the best interests of service users staff, service user and relatives meetings must be held. Minutes from these meetings must be recorded in writing. (Previous timescale of 15/01/07 not met). Following the Regulation 26 visit, from the provider, the written report must be forwarded to CSCI. Staff must receive formal supervision at the required frequency of 6 times a year. Heated trolleys must be kept clean and hygienic. 31/12/07 08/05/07 21/06/07 21/06/07 08/05/07 21/06/07 08/05/07 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 Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Brincliffe Towers DS0000046508.V331766.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
