CARE HOMES FOR OLDER PEOPLE
Broadleigh 213 Broadway Peterborough PE1 4DS Lead Inspector
E Boismier Key Unannounced Inspection 9th October 2007 11:10 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 Broadleigh DS0000024317.V352566.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. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Broadleigh Address 213 Broadway Peterborough PE1 4DS 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) 01733 562328 01733 895551 info@peterboroughcare.com www.peterboroughcare.com Peterborough Care Ltd Mrs Shamshad Bano Marjara Care Home 32 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (32), of places Terminally ill over 65 years of age (32) Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 29th January 2007 Brief Description of the Service: Broadleigh is a large converted and extended house, situated on a main road near the centre of Peterborough. The care home provides care and support, including nursing care for up to 32 residents over the age of 65 years. The home has 3 places for people over the age of 65 years, who have a formal diagnosis of dementia. The home has 24 single rooms and 4 double rooms; all rooms have en suite facilities. Resident accommodation is on two floors, the upper floor being accessible by stairs or lift. There is a large communal area available to service users on the lower floor, with smaller areas on the lower floor and upper floors. Residents have access to the gardens surrounding the home, which are tidy and attractive. The home is situated within one mile walk of the centre of Peterborough, where there is a wide range of shops, pubs and public amenities. Current fees for the home range from £450 to £687 per week. Additional costs include those for hairdressing, toiletries and private chiropody. A copy of the inspection report is available at the home or via the CSCI website. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection of Broadleigh was unannounced and carried out between 11:10 and 15:15 and took just over 4 hours to complete. At the time of the inspection representatives of the registered company, including the Registered Manager, were present. For the purpose of this inspection report these representatives will be referred to as the Management Team. On the day of the inspection there were 32 people living at the home and a number of these were spoken with and were observed also. We saw staff interacting with the people and whilst they, the staff, were carrying out their duties. We looked at documentation, spoke to the Management Team and carried out a tour of the premises. Before the inspection we received completed surveys from both relatives and from the people living at Broadleigh. We received also information, known as the Annual Quality Assurance Assessment (AQAA) that had been completed by the Management Team. Broadleigh has been assessed to continue to provide an adequate standard of care. The home has the potential to provide a good standard of care. This can be achieved by meeting the requirements and for any improvements, that have been made, sustained by the Management Team, rather than any reliance on regulation to drive up such improvements. For the purpose of this report people who are living at Broadleigh are referred to as “people”, “residents” or “service users”. What the service does well:
Broadleigh offers a homely, comfortable, safe and friendly place for people to live in. There is a low turnover of staff, ensuring that people receive care in a consistent way. Staff are well trained and supervised. People said that they were cared for by staff who are kind. There is a commitment to maintain an excellent standard of management of the home and residents’ best interests are considered a priority. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 6 We have received positive comments, from relatives and residents, in surveys and during the inspection, about the home. Such comments included that Broadleigh is “Very good” and ““We have had a few minor points to raise, but these have always been dealt with courteously and efficiently by the staff” and “… not needed to complain in the years my (relative) has been a resident”. All the surveys from residents said that the food was good and we received similar comments from people during our inspection. What has improved since the last inspection? What they could do better:
The home could improve in the following areas: Care plans must be in place to enable people’s changing and complex conditions to be monitored and their assessed needs are met. A requirement has been made about this. People must be actively consulted about their care plans. We expect the home to manage this, rather than we make this a requirement on this occasion. Action must be taken when people have been weighed and it has been found that there has been a significant weight gain or weight loss. We expect the home to manage this, rather than we make this a requirement on this occasion.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 7 We also expect the home to ensure that records are accurate, rather than we make a requirement on this occasion. Medication must be stored at correct temperatures. A requirement has been made about this. The controlled drug register must contain the name and address of the dispensing pharmacy. We expect the home to manage this, rather than we make this a requirement on this occasion. Any food that is provided must be recorded. We expect the home to manage this, rather than we make this a requirement on this occasion. A requirement was assessed as not been met following the last two inspections of the home. This requirement was made with regards to information about staff. This requirement has not been met in full and has been carried forward with a new timescale for action. 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. Broadleigh DS0000024317.V352566.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 Broadleigh DS0000024317.V352566.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): 3 Quality in this outcome area is good. Prospective residents have a good standard of information about the home to assist them in their decision where to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the inspection report was available in a lounge of the home. People told us that their relatives, on their behalf, had visited the home, before the resident had moved in. A care plan of a person newly admitted to the home, contained evidence that showed the Manager had assessed the person before they moved into the home. This assessment was to ensure that the home could meet the assessed needs of that person.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 10 100 of relatives’ surveys said that they had enough information about the home to make decision whether it was a suitable place for their relative to live. 89 of the residents’ surveys said that the person had enough information to assist them in their decision about moving into the home. Broadleigh DS0000024317.V352566.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 & 10 Quality in this outcome area is adequate. People’s dignity is respected although they are put at some risk due to the standard of care records and storage of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People were spoken to and we observed also people. Following these actions we examined their care records. A requirement was made following the inspection in January 2007 for care records to provide evidence that any form of restraint is done so, based on risk and how the restraint was monitored. During this inspection we found no form of restraint used and consider this requirement has been met. A recommendation was made following the last inspection with regards to care planning. We examined a care plan of a person with dementia who experiences agitation. There were details of how to reduce the person’s agitation. This recommendation has been assessed as considered.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 12 Although there had been some improvement in the standard of care records with regards to details, such as how a person is fed, we noted that other areas of care had not been recorded: 1) We noted from the controlled drug register a person was prescribed morphine sulphate tablets, a strong painkiller. We found no care plan available to guide staff in how to monitor the person’s pain control and no care plan was available for staff to monitor any side effects of this strong painkiller. 2) A person told us that they had chronic pain following an injury to the hip. We found no care plan to guide staff in how to assess and monitor this area of care. 3) We noted that a person had a plaster dressing on the arm, above the elbow. The accident records and daily record notes showed that the person had injured themselves following a fall. There was no care plan to guide staff in how to care for the person’s wound, to ensure healing and the reduction of the risk of infection. A requirement has been made for care plans to be made available to guide staff in how to meet the assessed needs of the person and that these care plans are kept under review. We spoke to a number of people who, following our explanation of what a care plan is, told us that they were not aware of such a document. They told us that they were unable to recall if staff had consulted them about their care. We noted that, in one of the care plans that we had examined, the person and their relative had signed a record of an agreement to the care plan, although the person (who was able to give us a clear account of their views about the home) was unable to recall this signing of their agreement. We discussed this area of care that needs to be improved upon, with the Management Team. We expect the home to make improvements in this area, rather than we make a requirement on this occasion. Care records and people that we spoke to showed that residents have access to a range of health care services including community psychiatric and district nursing services, psychiatric and hospital departments and dentists and opticians. The AQAA informed us, and the Manager confirmed this at the time of the inspection, that no current resident has acquired a pressure sore whilst living at Broadleigh. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 13 Care records, for a person needing help with drinking, were examined and we noted that the person was offered drinks on a regular basis throughout the day. People are weighed on a monthly basis and records of these are maintained. We noted however for one person that there was a significant gain in weight, of just under 10kgs, between September 2007 and October 2007. There was no recorded explanation of such significant weight gain. We discussed this finding with the Management Team and have taken a reasonable view that this could be an error of recording. Nevertheless staff had taken no action and this leads us to form a belief that staff might not be analysing findings. This poses a risk to people who have changing and complex needs. We expect the home to take action to ensure that staff analyse findings, rather than we make a requirement on this occasion. We expect the home to take action also to ensure that records are accurately maintained. A requirement was made following the last inspection for the medication trolley not to be left unattended. We spoke to a member of staff, responsible for administering medication. They were able to give a satisfactory answer about how they would ensure that the medication trolley was not left unattended. We observed part of the medication round at lunch time and we saw that the medication trolley was always attended by staff. This requirement has been met. Medication administration records and stock levels of medication were satisfactory. Eye drops were labelled with the date of when they were opened and insulin pens were stored according to the manufacturer’s instructions. The controlled drug register was examined and details of the dispensing pharmacy, to include the name and the address, were not recorded following receipt of the controlled drugs. We accept the home to take action to ensure that there is a clear audit trial, that includes such a record of the dispensing pharmacy, rather than we make a requirement on this occasion. Temperatures of the drug fridge are recorded, generally twice each day. We asked a member of staff what temperatures of the drug fridge should be. The answer we were given suggests that the person had limited knowledge about safe storage of medication. We noted that the range of temperatures of the drug fridge, in September and October 2007, were between minus 6 degrees centigrade and up to 9 degrees centigrade. The temperature of the drug fridge from the 7th October to the 9th October 2007 was recorded between minus 1 and minus 6 degrees centigrade i.e.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 14 below freezing. Medication that is to be stored in drug fridges must be stored between 2 and 8 degrees centigrade. No action had been taken to ensure that medication was stored at the right temperatures. A requirement has been made about this. We have received positive comments about staff from residents during the inspection. People considered that staff were kind. We observed staff interacting with residents and that their dignity was respected. Staff knocked on people’s doors before entering. A person told us that staff did not open their mail. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. People are offered opportunities to live a good quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA told us that activities are available on a regular basis. The surveys that we received from people indicated that 55 of people think there are enough activities they can participate in, but 45 said that only sometimes or never does the home provide suitable activities. Comments in the surveys included, “When we wish to take her out to Central Park they are always helpful in preparing her on time in a wheelchair”. Two people said in their surveys that they would like more activities or are not able to participate due to physical/mental disabilities. During the inspection people told us that the home provides activities but some of these people said that they chose not to participate.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 16 The record of activities was seen and this included entertainment in and out of the home. People told us that they were offered a choice of when to get up and when to go to bed. 80 of the relatives’ surveys told us that the home supports people to live the life of their choice. Observation and examination of care records and the visitors’ record book showed us that people receive their guests when and where they like. Everyone returning their surveys said that they like the meals. People told us, and the Management Team and our examination of the menus confirmed this, that people are not provided with a choice of menu. However, people told us that they liked the food and believed that should they want something that was not on the menu, then they could ask for this. The Management Team informed us that they are currently providing care for a person who prefers a different menu, due to cultural reasons. There was no record available of what food was provided to this person. We expect the home to take action to record all food provided, rather than we make a requirement on this occasion. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 17 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. People are listened to and safe from the risk of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People that we spoke to told us that if they were unhappy they would know who to speak to. None of these people had any concerns about the home and were happy living at Broadleigh. 100 of the service users’ surveys said that the person knew know how to/who to complain to or speak to if not happy. The same respondents said that staff listen and act on what’s said. 100 of relatives’ surveys said that they knew how to make complaint. Comments include, “We have had a few minor points to raise, but these have always been dealt with courteously and efficiently by the staff” and “But have not needed to complain in the years my aunt has been a resident”. The AQAA informed us that the home has received no formal complaint within the last 12 months. Examination of the record of complaints confirmed this to be the case. Staff records and discussion with staff indicated that staff have or are attending training in safeguarding procedures. The Management Team
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 18 reported that external trainers provide this training. We have received no allegations of abuse occurring at the home. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. People live in a comfortable and clean home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the tour of the premises it was noted that all areas are well-decorated and maintained. Gardens are accessible although on the day of the inspection it was raining and too cool for people to sit out of doors. The home was clean and there was no smell of offensive odour. Staff, including domestic staff, reported that they had attended training in infection control. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 20 100 of people said in their surveys that the home is always fresh and clean. Comments included, “Broadleigh is a very comfortable and pleasant home to be in”, “My daughter has asked to stress the cleanliness and tidiness always. No unpleasant smells…” and “The cleanliness of Broadleigh is of the highest standard obtainable”. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is adequate. People receive consistent and safe care from staff who are well trained. There is some risk of harm to people due to the current recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff roster was examined and staff were seen to be carrying out their duties in an unhurried manner. 100 of people in their surveys said that staff are usually available when needed. From this evidence it suggests that people receive care from a sufficient number of staff. According to the Management Team there is a low turnover of staff and the staff files that were requested evidenced this also. The request was for 3 of the most recently recruited staff. Only two staff have been recruited in 2007. According to the Manager there are no staff vacancies and the Management Team informed us that agency staff are not used. The home employs 15 care staff, of who 6 have the NVQ level 2 in care; the remaining staff are people from overseas who have qualified as nurses, but have chosen to work as care staff. As a result of these numbers the home has just over 73.3 of care staff with an NVQ level2 or equivalent in care.
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 22 A requirement was made from previous inspections and had been carried forward with a new timescale for action. This requirement was regarding staff information and the timescale was to be met by 15th March 2007. Three staff files were examined to assess compliance with the associated regulation. Two of the 3 files that were examined contained full and satisfactory information. For the third staff file all information obtained was satisfactory with the exception of the CRB. A CRB had been applied for by a previous employer for the person to work at Broadleigh as a volunteer. The registered owner for Broadleigh subsequently employed the volunteer. Examination of the staff file and discussion with the Management Team demonstrated that there had been no CRB applied for, before the person became an employee of the home. We explained to the Management Team that CRBs are not portable. We have taken the reasonable view not to proceed with enforcement action on this occasion. We have carried this requirement forward again with a new timescale for action. Staff reported to us, and staff training records indicated, that staff attend a range of training. Comments from the surveys include, “Most of the staff are young, many are foreign, but all appear to be well trained and competent. If in need of help or advice they have no hesitation in asking for it”, “There is always a trained member of staff on every shift. As far as I am aware all staff are kept professionally developed, and attend their mandatory study days” and “High standard of nursing skills. Care staff learning and constantly on training to improve their care skills”. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 23 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 & 38 Quality in this outcome area is excellent. People benefit from a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We have received very positive comments from the surveys including, “Broadleigh is the best run care home I have come across” and “Broadleigh Nursing Home is an excellent nursing home. The owners, Mr and Mrs Marjara, are first class and the staff very caring also”. The Registered Manager, who is a registered nurse, manages the home. She was able to provide clear information about people that she is responsible for
Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 24 and showed a caring and compassionate manner to all living, working and visiting the home. The home had a welcoming feel when entering and people that we spoke to considered that it was a good place to live. Surveys have been carried out asking residents, relatives and visiting professionals about their views of the home. An analysis of these surveys had been carried out. We noted, where people had made comments about the food, these had been actioned. Three people’s monies were counted and balances of these monies reconciled with the balances that were kept. Staff that we spoke to and examination of staff files indicated that staff receive supervision at least every two months. Records for PAT tests, temperatures of hot water checks, service checks for hoists, fire alarm and emergency lighting checks, staff training in food hygiene, fire safety and moving and handling were examined and all were satisfactory. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 3 x 4 Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 26 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 Care plans must be made available to ensure that people receive proper care and these care plans are detailed to guide staff in how to meet their assessed needs and this care plan is kept under review. People must be protected from the risk of harm from corrupted medication that has been stored at unapproved temperatures. A person must not be employed at the home unless: Full and satisfactory information is obtained and a CRB is applied for (Timescale of 31/12/05 21/07/06 and 15/03/07 not met.) Timescale for action 13/11/07 2. OP9 13(2) 16/10/07 3. OP29 19(1)(b) (i), (c) 26/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 27 No. Refer to Standard Good Practice Recommendations Broadleigh DS0000024317.V352566.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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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