Inspection on 09/01/07 for Broadmeadow Court

This inspection was carried out on 9th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Broadmeadow Court 25/11/08

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Broadmeadow Court London Road Chesterton Stoke On Trent Staffordshire ST5 7JG Lead Inspector Peter Dawson Key Unannounced Inspection 9 January 2007 08:45 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 Broadmeadow Court DS0000067381.V318185.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. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadmeadow Court Address London Road Chesterton Stoke On Trent Staffordshire ST5 7JG 01782 561398 01782 563889 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) Sanctuary Care Mrs Ann Stanyer Care Home 30 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (10) Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Brief Description of the Service: Broadmeadow Court that was purpose built and previously managed by the Beth Johnson Housing Association. From 1st April 2006 the home has been in the ownership of Sanctuary Care. The home is registered for 30 elderly residents 10 of whom may be physically frail and 6 may be mentally frail. The home is located in Chesterton, close to local shops and community facilities. There is good public transport access to the home. The property was built to a high specification and provides a well maintained, spacious and attractive environment. All bedrooms are for single use are equipped with a small kitchenette and have en-suite facilities. The home has a good record of providing care to older people. The facilities are spacious and attractive. Throughout, standards of furnishings and décor are maintained to a very high standard. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home was purchased and in new ownership of Sanctuary Care from 1st April 2006. This is therefore a new registration for inspection purposes. This being the first key inspection since 1st April 2006. This unannounced key inspection took place on one day from 8.45 am – 2.30 pm on one day. All areas of the home were inspected including a sample of bedrooms. Many residents were seen and some spoken with. Two visitors were seen and spoken with and also a visiting GP. A pre-inspection questionnaire was completed by the service prior to the inspection and provides a basis of information in this report. Records relating to inspection were inspected including: care plans, staff files & rota’s, medication records, fire records. Seven residents returned written feedback directly to the Commission and all indicated a high level of satisfaction with the service. Comments included “Thank you all staff at Broadmeadow Court for your help and support” and “ I am very happy here and have always been made welcome by everyone”. A relative in written feedback was satisfied with the overall care. The GP for the home was seen during the inspection and also provided written feedback. He feels there is a positive working relationship with staff who have a good knowledge of the health care needs of residents and make early referrals if there are concerns. He is satisfied with the care provided to his patients. The environment is to a very high standard and there are similarly high standards of care. This view is established from inspection and observations, verbal and written feedback from residents, relatives and GP and supported by the fact that the home is constantly full and sometimes there is a waiting list. The weekly fees at Broadmeadow Court are £310 - £450 What the service does well: Very high standard environment exceptionally well maintained. High standards of care provided by a committed and well trained staff group. Staff morale is high and there is a thirst for training. Flexibility of routines allowing residents choice of lifestyle. There are examples of residents having care and service in their bedrooms and others enjoying the social advantages of the communal areas. There are options between the two also. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 6 High standard of food provision, confirmed in discussions with residents during inspections and previous complaints about food quality. Continuity of staff and management in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Broadmeadow Court DS0000067381.V318185.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 Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 - 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission procedures and information available to prospective residents is good allowing prospective residents to make an informed decision about the suitability of the home. EVIDENCE: The statement of purpose/service users guide have been updated to reflect the change in ownership of the home and other changes. This provides adequate information for prospective residents and their families. Good pre-admission procedures were evident from discussions with staff and records seen. A recent admission from another home had been well prepared Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 9 with an assessment completed by the Manager prior to admission. Visits to Broadmeadow Court by the family and offer of visit by prospective resident but this not followed through by the family. The person was seen in the previous setting and discussions with staff there established the basis for providing a continuity of care. A care plan had been established based upon the pre-admission assessment and also the Care Management assessment and care plan. A visiting relative in discussion stated that the family had visited 20 homes prior to placement, had narrowed this to 3 including Broadmeadow Court, her mother visited with the family and effectively chose the home saying “I would like to live here, will you put my name on the list”. The home does not have category to admit people with a mental disorder (MD). Two current residents fall into this category at this time and it is recommended that Sanctuary Care make application for a variation of registration to provide care in this category. Until such application is made people with mental health needs must not be admitted to the home. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7 - 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new owners have introduced a new care planning format. There is considerable work in transferring information to this system but progress is positively being made. Health care needs are closely monitored and actioned. Some areas of medication should be monitored. EVIDENCE: Care plans were sampled for new and long-standing residents. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 11 The new owners (Sanctuary Care) have introduced their standard format for care planning. This has meant that all information has had to be reviewed and transposed to the new format and with additional information. This is timeconsuming and a considerable task for 30 residents. Considerable progress is being made in this operation but the task needs to be shared/delegated to staff to ensure a swift completion. The records seen that had been transferred to the new format were good. There was information about Life Story (no previous social history), monthly dependency profiles, plan for night care and record of activities. Risk assessments were in place for falls, moving & handling, waterlow and nutrition. All are reviewed monthly or less. There was evidence of detailed review of care plans - records of a recently admitted resident showed that mobility had improved, reducing dependency which meant non-use of wheelchair and 1 staff to assist with mobility rather that 2. The care-planning format in place previously was satisfactory but the new format has extended and identified in more detail required information to meet assessed need. Staff felt the new system was good. Annual reviews are held for all funded residents and the Manager is now arranging reviews for self-funding residents to ensure the same level of service. Health care records were in place and recorded diagnoses and chronological record of interventions by health care professionals. A pro-active approach to health care issues was evidenced by a resident having an adverse allergic reaction – the cause not known the GP had prescribed anti-histamines which had not improved her condition. The paramedics had been called over the weekend and on the day of inspection the GP was asked to visit as the condition had flared up and there were concerns. Staff had removed potential items from her bedroom which may have contributed to the allergic reaction and reviewed changes and use of toiletries etc. The GP visited during the inspection and was spoken with. He confirmed that staff swiftly and appropriately referred any concerns about the health care of residents, there was a positive and open dialogue with the home and his advice/instructions were followed. He had also returned a written feedback to the Commission prior to the inspection indicating his satisfaction with the care provided at Broadmeadow Court. In relation to a recently admitted person who is registered blind staff had spent considerable time in discussions about the home, explaining routines and assisting her to map her bedroom and communal areas with safety and making any necessary changes. All required care was provided in care planning information e.g. very discreet oversight when eating. Night care plans are part of the new care planning system and it was noted that residents are checked at 2 hourly intervals throughout the night. There Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 12 are 3 waking night staff on duty and coupled with a relatively low demand for care during the night it is recommended that the home consider checking residents at hourly intervals and recording checks and interventions. A request for the reassessment of a resident is presently in process. This follows verbal aggression by the resident towards residents and visitors. A consultant Psychiatrist is involved and CPN. The medication system had been changed from the former NOMAD system to Blister Pack monitored dose system 3 weeks prior to the inspection. Staff were adjusting to the changed system and there were the inevitable initial queries, but staff were clearly ultra diligent in using the new system. Inspection of the medication system showed a gap on MAR sheet (although medication had been given) and eye ointment had not been removed/replaced after 28 days from opening (although all are dated when opened). Medication refused by a resident had been placed in a bottle for return to the pharmacy and labelled but without the name of the medication. These matters will be addressed. Generally the system of medication was to a good standard. Only Senior staff administer medication and all have had training in the Safe Handling of Medicines and also recent training on introduction of the new system. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 – 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is evidence of chosen lifestyles being met. Visitors commented about the welcome and relaxed atmosphere. Food provision has traditionally be good in this home. EVIDENCE: Care planning information defined the care and routines required to facilitate chosen lifestyles. Facilities are good. Bedrooms well-appointed, all for single use and have ensuite facilities. Meals are taken in bedrooms as residents wish. Most enjoy the social interactions of the dining room and the open-plan pleasant and well appointed lounge area. Some prefer the social aspects of the communal areas, others the privacy of bedrooms. Both were instanced during the inspection. A visiting relative said her mother likes socialising and spends all her time (as she wishes) in the Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 14 communal lounge area, using her bedroom only for sleeping. In contrast another resident was seen entertaining her friend who is a weekly visitor, in her bedroom where there is comfortable seating, TV, telephone etc. She prefers to spend her time in her bedroom where she has her social routines including entertaining her visitors. Visitors are welcomed into the home at all times. During this inspection the inspector was able to speak with a visiting relative and also visiting friend of a resident. Both said that they were welcomed into the home and encouraged to move freely around as they wished. There was evidence of chosen lifestyles being applied. There are a range of internal and external activities. The usual range of indoor activities are provided and there are visits from choirs, school, clergy etc. Two resident access local church group activities for crafts sessions, bingo and coffee evenings. During the summer months there have been visits to garden centres, pubs, restaurants, shopping trips etc. Residents and visitors spoken to said that they were satisfied with the activities provided. All activities are now recorded in central diary and also in care plans to provide evidence of meeting social need. Entertainment is provided on a regular basis and particularly enjoyed by residents. Residents meetings are held regularly, monthly where possible and minutes taken (not seen on this visit). Residents said that they were satisfied with the food provided at Broadmeadow Court. A private company have provided a contract catering service here for several years. This has always been to a high standard and there have been no complaints from residents. Menus were forwarded to the Commission prior to the inspection and indicated a choice of varied and interesting diet. The Environmental Health Officer visited the home on 24/07/06 and there were no requirements arising from the visit. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 -18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives have access to the complaints procedures. There is adequate training and knowledge in place to ensure residents are protected from abuse. EVIDENCE: A complaints procedure is available in the home for residents and visitors. This has been amended to include the details and procedures of the new owners. An anonymous complaint was recently received by the Commission stating that police checks had not been carried out in relation to a member of staff. This was investigated during this inspection and staffing records showed that in the instance alleged appropriate POVA checks and subsequent CRB checks had been received in relation to the staff identified. The complaint was unfounded. No complaints have been received by the home since the last inspection. All staff have had training the protection of Vulnerable Adults. A recent course in December 2005 completed the training for all. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 16 Staff spoken to were aware of the procedures to be followed in the event of suspected or actual abuse. Advocates are presently not used in the home, although there have been previous appropriate referrals to the Advocacy Service. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The environmental facilities at this home are exceptionally high and exceed the National Minimum Standards. The surroundings and safe, comfortable and pleasing. EVIDENCE: This home was purpose built 12 years ago to high specification and meets all the required National Minimum Standards. The location of the home is central to the community and suitable for its stated purpose. There are good public transport links to the home . The environment presents extremely well. All areas are bright and decorated with a mixture of pastel colours, both wallpaper and painted areas. There is excellent lighting in all areas - both the areas with considerable natural light and the corridor areas where there is no natural light. Bedroom areas are similarly bright, well decorated and furnished. Bedrooms are automatically Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 18 redecorated when they become vacant. Ongoing re-decoration and maintenance are good. The Manager reports that any maintenance issues referred to the new company owners are dealt with immediately and efficiently. There are no outstanding maintenance issues. There is an excellent dining and lounge area which is bright, well furnished and comfortable. There is plenty of natural light and this allows easy transition from eating to sitting areas. The dining area is presented extremely well with good quality furniture, table linen, crockery, glass and cutlery and has the hallmarks of a high standard restaurant. There are 3 bathrooms with shower and toilet and separate shower area with toilet. All are spacious, finished to give a homely feel and all baths have assisted facility. All bedrooms also have en-suite facilities. The standards of hygiene throughout the home were good. There were no mal-odours and domestic staff clearly having good cleaning routines resulting in very high standards. The laundry was inspected and satisfactory a keypad lock protects the area for residents. There were readily available protective items for staff use placed strategically throughout the home. The external garden and patio areas are easily accessed, pleasant and used considerably during the summer months. The area provides an attractive appendage to the home. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 – 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing numbers are satisfactory. A comprehensive staff training programme is available to all staff who are very enthusiastic about training. Recruitment procedures are satisfactory and protect residents. Staff skills are evident. EVIDENCE: The daily staffing levels for this home are 5:4:3. There is always a Senior Carer on duty throughout the 24 hour period. The staffing levels are adequate for the current dependency needs of the resident group. There are a total of 606 care staffing hours per week (including the Manager). There has been no change to the staffing levels by the new owners except that a maintenance person has been appointed on a part time basis. Training has been traditionally good in this home and remains so. Recent staff training has included 18 staff completed Protection of Vulnerable Adults course in December. There have also been training courses for Fire Safety, New Medication system, Stroke care and Parkinson’s disease care in the past 2 months. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 20 Staff spoken to clearly have a “thirst” for training. All have either completed are currently studying NVQ courses. The number of NVQ trained staff is over 90 . The Manager reports good responses from the Sanctuary Training Officer to requests for training. The only area of training requiring change is in Moving & Handling. This required annual updates for all staff and will be arranged by the Company. Staffing records inspected contained all required information under Schedule 2. All required checks and references had been obtained prior to employment. Staff knowledge, training and skills were evidenced to a high level in observations, discussions and documents seen during the inspection. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 – 33 and 37 – 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and operates effectively in the interests of residents. Procedures are in place to protect residents health, safety and welfare. EVIDENCE: The Registered Manager has the required experience and qualification to provide a service to Older People. She completed the Registered Managers Award in October 2005. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 22 The Manager takes a positive lead in the home. Staff said that she was helpful, approachable and had high standards. The changes to care planning and recording systems required initial considerable input to effect those changes. There are additional duties relating to staff recruitment. Some additional administrative hours are desirable and the new owners presently pursuing this possibility. Moving & Handling updates must be provided for all staff on an annual basis (see previous comments). The Company will arrange this. Fire records were seen. All checks and servicing of equipment had taken place as required. There was a fire risk assessment in place that had been reviewed and updated. A Health & Safety Audit is planned soon by the Sanctuary Care Health & Safety Officer. Some aspects of Health & Safety observed were in place and adequate. Regulation 26 visits by the Responsible Individual had taken place on a monthly basis and reports left in the home and forwarded to CSCI. The reports were detailed and helpful. All required notifications to the Commission under Regulation 37 had been made. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 2 Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 2 Standard OP9 OP38 Regulation 13(2) 13(5) Requirement Ensure there is regular review of the medication system. All staff must have annual updated training in Moving & Handling. Timescale for action 10/01/07 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP4 OP7 Good Practice Recommendations Application should be made for additional category of registration to include MD(E) – Mental disorder. Consider hourly checks of residents at night. Broadmeadow Court DS0000067381.V318185.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Broadmeadow Court DS0000067381.V318185.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. 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