Inspection on 21/08/06 for Broadlands Park

This inspection was carried out on 21st August 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Broadlands Park 20/03/09

Broadlands Park 10/12/07

Broadlands Park 17/07/07

Broadlands Park 24/11/05

Broadlands Park 18/05/05

Broadlands Park 01/03/05

Broadlands Park 27/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Broadlands Park The Green Upton Norwich Norfolk NR13 6AZ Lead Inspector Mrs Ginette Amis Unannounced Inspection 21st August 2006 10:15 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 Broadlands Park DS0000027357.V309368.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. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadlands Park Address The Green Upton Norwich Norfolk NR13 6AZ 01493 751521 01493 751833 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) Mr Raymond Hollyman Mrs Susan Hollyman Mrs Michelle-Lee Hemaz Care Home 22 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (21) of places Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old age not falling within any other category 21 Dementia 3. One person with mental disorder who will be named within the NCSC records. Overall number not to exceed 22. 24th November 2005 Date of last inspection Brief Description of the Service: Broadlands Park is a care home providing personal care and accommodation for 22 older people of whom up to 4 may also have dementia. It is a privately owned and run residential care home. The home is located in the rural Norfolk village of Upton. The service is long established and is based in a period house, with accommodation on the ground and first floor. The home has large gardens to the front and rear, although only those at the front of the building are used by residents. The home has single and double bedrooms all of which are ensuite. The current scale of fees charged are from £262 - £338 per week. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. What the service does well: What has improved since the last inspection? The provider has succeeded to gaining planning permission to extend the premises with the intention of providing alternative accommodation for residents then improving that within the existing house. The manager has ensured two references are obtained for staff appointed to the care home. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 6 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. Broadlands Park DS0000027357.V309368.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 Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 The quality rating for this group of standards was good. Prospective residents and their relatives or representatives had access to a comprehensive service user guide and were given the opportunity to visit the care home. Residents’ needs were assessed prior to admission being agreed upon. EVIDENCE: The care home had a comprehensive service user guide and this was made available to anyone interested in coming to live there. Residents’ personal files contained evidence of their needs having been fully assessed prior to admission being agreed upon. The manager recounted how she had turned down applicants with needs she thought too complex for the care home to meet. One resident conversed with in the course of the inspection was staying there temporarily while waiting for sheltered accommodation to become available. This resident’s file contained as detailed an assessment as did those of permanent residents. Almost all the current residents had been placed at Broadlands Park by social services. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 11 The quality rating for this group of standards was overall good. Those recommendations made were for relatively minor concerns. Evidence suggested that residents’ personal needs were well cared for and that any health care issues were promptly and appropriately dealt with. EVIDENCE: Each of the 5 residents’ files examined in the course of this inspection contained useful assessments as to residents’ needs together with care plans detailing how these would be met. Care planning took account of all aspects of residents’ needs, including health care, social and recreational interests together with some accounts of past histories. Risk assessments had been undertaken. Residents had been asked their wishes in the event of their death. It was however noted that not all residents had signed their care plans and it was recommended either they or their representatives should be asked to, so as to signify their agreement with the content of the plans. Residents’ files were kept in the managers’ office but made available to members of the care team as required. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 10 In the course of the inspection it was noted how some residents’ beds had been fitted with cot sides. The manager said residents had been asked their agreement over this but a recommendation was made for their permission for this form of restraint to be put in place to be recorded. Residents’ permission to have medication administered for them was noted in their care plans. The majority of medication was administered by monitored dose system, records correctly maintained and by persons who had been trained to do so. Medication was stored in a locked cabinet in a locked room and a fridge was provided in case of need for drugs requiring temperature control. The care home lacked storage dedicated to controlled drugs, although there were none on the premises at the time of this inspection and a recommendation was made for an appropriate storage unit to be put in place. In the course of discussion with all the members of staff on duty it was noted how each staff member was aware of the importance of residents’ care plans and believed these to be useful working documents. Members of the staff team also explained the steps they would take to safeguard residents’ privacy (but see requirements made in the section of this report dealing with environmental issues). Residents spoken with expressed the view that members of staff were kind and caring with one resident of many years describing a senior member of the team as “like a daughter to me”. The relative of one resident commented on how diligently staff performed their caring duties saying that “what ever is needed (from health care professionals) it always gets dealt with right away.” Another said “They’re like one big family.” This view was echoed in the responses made in the Care Home surveys issued to residents by CSCI. The manager reported how the care home always received a good level of support form the one health centre serving that geographic locality. District nurses had been calling in twice per week to give treatment to one resident. Of the care home’s residents, none had any problem with pressure sores and none were bed bound. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 The overall quality rating for this group of standards was good. The care home had a friendly atmosphere and residents and their relatives appeared to be comfortable there. EVIDENCE: The atmosphere within the care home was friendly and cheerful and residents were observed interacting with staff in a relaxed informal manner. Residents spoken with described having been taken on an outing to the coast just the week before and a coffee morning, one of 3 to be held in the course of the year had been arranged for the following day. With members of the staff team drawn mostly from nearby, the care home reportedly enjoyed good links with the immediate local community. Staff and residents said that musical entertainment was frequently arranged. Reminiscence sessions were held for those who wished to take part as were some holistic therapies such as aromatherapy and manicures. Three residents had pets staying with them at Broadlands Park, these being two cats and one dog. Residents’ relatives reported they visited whenever they wished and were always made very welcome. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 12 All the residents who responded, by questionnaire or in person, said they thought the meals were good. Lunch being served during the course of this inspection appeared of good quality and quantity and drinks were regularly made available. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality rating for this group of standards was good. Although a recommendation was made for the complaints procedure to be more prominently displayed, residents and their relatives expressed confidence in the manager and provider’s desire to ensure any concerns were promptly remedied. EVIDENCE: The care home had a suitable complaints procedure and the manager stated this had been passed to all residents and their relatives. However a recommendation was made for the procedure to be displayed in the care home as it was found most residents had forgotten about its’ existence. Both the residents and their relatives when asked responded though that they would have no hesitation in approaching the manager with any concern they might have. During the last year there had been 3 complaints made direct to the manager and each had been promptly dealt with. All members of staff had been CRB checked and were given training regarding the protection of vulnerable adults from abuse. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24 and 26 The quality rating for this group of standards was poor. Broadlands Park was at a critical stage in its’ history as a care home and it was considered essential for the provider’s stated plans for changes to the premises to be advanced as soon as possible for the future of the care home to be tenable. While the staff team did their best to keep the care home clean and tidy their efforts were diminished by the general poor state of the premises. A larger proportion of residents were sharing rooms and many of the double rooms were of unsuitable proportions. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 15 EVIDENCE: At the time of the previous inspection a requirement was made for the provider to submit to CSCI by 31/08/06 detailed and timed proposals regarding their plans to change and improve the environment. During this inspection, the provider was able to report that planning permission had been granted for an extension to the property to include rooms to which existing residents could be transferred. The plans for this work had already been sent to CSCI. Once the extension was completed further work to the main house was planned with a view to adapting the property and making it more suitable to the needs of its residents. The plans included installation of a shaft lift. The provider reported being currently engaged in costing the project with a view to inviting building contractors to submit their tenders to undertake this work. The provider was unable to indicate when she believed the actual work might commence. While the Commission accepts that it is the intention of the provider to follow through with the planned improvements, such is the extent to which improvements to Broadlands Park are essential, a requirement was made for the provider to submit to CSCI concrete evidence that the proposed work is underway before the end of 2006. The provider should in addition regularly advise their CSCI inspector of progress in this respect. A former private period style residence, Broadlands Park failed to meet many of today’s minimum environmental standards. In particular the layout of the premises was unsuitable. Access to many of the residents’ rooms was convoluted, required negotiation of narrow corridors and split levels with steps up or down into their rooms. There was no shaft lift to aid access to upper levels. Many of the residents housed on these upper floor levels were obliged to use the stair lift. The presence of the stair lift significantly reduced the width of the stair treads and staff related how, while they always accompanied a resident making use of this lift there was no room for them to stand beside the resident while using the stairs. While it was understood that only relatively mobile residents had rooms on the upper levels, given the inevitable increase of residents’ frailty as they aged, this situation was hardly acceptable. The size and shape of residents’ rooms was extremely varied, with some rooms so irregular as to make it hard to place furniture in a pleasing manner. Two rooms had been fitted with ramps as their occupants were no longer able to negotiate the step in the doorway. While all the rooms had en suite facilities, in some cases the door widths into toilets was so narrow as to make it impossible to access by anyone using a wheel chair or walking frame. As a result, many rooms had been supplied with commodes. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 16 It was evident that some residents had brought their own furniture with them into the care home, and had around them many personal effects to help them in feeling at home there. Some rooms though were very poorly furnished. It was noted how in several rooms curtains had become unhooked from the glide rails and in one room the sash window could not be opened due to a broken cord. A requirement was made for this to be attended to. Radiators in residents’ rooms were unguarded and a further requirement was made for the manager to conduct a risk assessment regarding the safety of each resident in relation to the radiators in their rooms and to take any protective action the assessment indicated necessary. (This being a short term measure in light of the main conclusion of this section of the report.) The hot water temperature in the sinks in residents’ en suites had been governed to safe levels. The problematic nature of the building was in many ways compounded by the fact that so high a proportion of residents were being accommodated in double rooms (12 of the 21 residents). In some cases double rooms were small or so inappropriately shaped as to make double use difficult with one resident needing to pass through the personal space of another to reach their own area of the room. One resident who described herself as otherwise extremely happy living at the care home said that she disliked having to share and the manager was asked to investigate this issue. Concerns over the number of double rooms generally were also discussed with the manager and in addition the question was raised over how the proposed building works would affect existing residents. A requirement was made for a plan regarding the management of the transition to be drawn up and for this to include some temporary reduction in numbers, with a view to both easing the transition process and bringing to an end the era of double room occupancy at Broadlands Park. While it was evident that efforts were made to keep the care home clean and tidy, with 2 housekeepers employed to manage this, the task was not made easy due to the age and general decorative order of the premises. Some unpleasant odours were detectable in a number of areas, particularly in the corridors at the back of the house. The care home has 3 main communal areas and these were generally clean and comfortable. It was understood the dining room had recently been redecorated but it was somewhat unfortunate this area doubled as the care home’s smoking room. Though not closely inspected the kitchens appeared clean and tidy and well appointed. The environmental health officer had indicated satisfaction with the premises on 23/5/06 though on the understanding that changes were to be implemented in the near future. The manager’s office could only be reached by passing through a series of doors and passing behind the kitchen which meant the manager was somewhat cut off from the main areas of the care home. Bathrooms were also kept clean. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 17 The care home had an adequate laundry room. A ‘conservatory’ was being used as a store-room. The top floor of the house was not open to residents neither were the stairs at the rear of the house, these being extremely steep. A full fire risk assessment had been undertaken on 30/1/06 and recommendations had since been implemented or were scheduled for action. Staff received regular fire training and all those interviewed were able to recount what action they would take in the event of a fire alarm. Alarms and equipment were regularly serviced and tested. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 The quality rating for this group of standards was good. Sufficient staff were available to care for residents’ needs and were well trained and supervised. However, it was suspected that working in difficult conditions must have some effect on staff morale. EVIDENCE: At the previous inspection a requirement was made for the care home to improve its recruitment practices in relation to the references it sought on appointing staff. From examination of the files of those two members of staff appointed since then this guidance has been adhered to. Staff files contained a good level of documentation. It was also evident how staff had access to a good range of training courses. All those members of staff interviewed said they enjoyed working at Broadlands Park, felt well supported and well trained to undertake their work. While only 15 had completed their NVQ accreditation a further 6 members of the care team were currently engaged on the accreditation programme. The care home being one in a group operated by the same provider benefited from ‘resident’ NVQ assessors and its own team of trainers though specialist external trainers were also called upon as necessary. Staff spoke about their residents in a knowledgeable and respectful manner and turnover was low. The care home was well staffed in line with its rota on the day of the inspection. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 19 It was noted how in a recent Regulation 26 Inspection Report, one of the routine internal inspections conducted by the provider, some concerns were raised over staff attitudes and steps had been taken to correct this. Members of staff were aware of the plans to make improvements to the care home and agreed this would benefit not only residents but their own working practices as well, easing problems currently encountered in preserving residents’ privacy and moving and handling. Members of staff said they were ‘used to’ the problems of working in confined spaces and with a problematic environment, and ‘just had to get on with it’ but were never the less well aware their situation was far from ideal. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 35 and 36 The quality rating for this group of standards was adequate. The manager appeared competent and concerned for the future of the care home. However that future would only be assured once the essential alterations to the premises had been completed. EVIDENCE: The manager of Broadlands Park was well qualified having completed her NVQ Level 4 accreditation. She had a long association with the care home, was well acquainted with the needs of residents, the strengths and abilities of her staff team, the essential documentation and the problems of the building. Like other members of the staff team she was resigned to making the best of things in difficult circumstances. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 21 Residents’ meetings had been introduced by the manager 3 months prior to this inspection and were being held on a monthly basis. This was done with a view to gathering residents’ views about the care home and acting upon their suggestions. As yet, this process had not been formalised and it was recommended that residents’ views should be recorded as part of the quality assurance process. Only relatives had so far been sent questionnaires to gain insight into their views about the care home, and these had not yet been returned. Of the questionnaires sent out by CSCI, 5 had been returned, completed by both residents and their relatives and all were positively complementary about the care home in all respects. The provider inspected the care home in line with Regulation 26 once a month, and the manager stated she too regularly toured the premises with a view to monitoring its’ condition, to safeguard the health and safety of all who used it. Never the less, a recommendation was made for this to be done with increased vigilance in light of the concerns already noted about the premises, its general poor condition, the safety of residents and staff and existence of bad odours. The manager had a time-table for regularly supervising members of staff and continued to meet frequently with the provider who took an active interest in the day to day progress of the care home. Some residents had money kept for them in safe-keeping and this was carefully accounted for. Records were available that showed equipment in the care home to be regularly serviced. Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 1 X X X 1 1 X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X X Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 23 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 OP19 Regulation 23(2) Requirement Timescale for action 31/12/06 2. OP24 23 (2) The provider must submit to the registration authority evidence that the proposed extension and remedial works to the property are underway. This plan must show how the residents will be accommodated during the building transition period and how they will begin to reduce the number of residents in the process with a view to the gradual elimination of double rooms. The manager must risk assess 31/10/06 the safety of residents in relation to unguarded radiators in their rooms The broken sash window must be repaired The manager must regularly check the premises re safety and the elimination of bad smells 31/10/06 31/10/06 3. 4. OP19 OP19 23 (2)b 23 (2) Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP7 OP9 Good Practice Recommendations Residents or their relatives should be asked to sign care plans When residents give permission for bed rails to be put in place this should be recorded in their file A controlled drugs cabinet should be put in place in case of need Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broadlands Park DS0000027357.V309368.R01.S.doc Version 5.2 Page 26 - 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!