Inspection on 05/10/05 for Bronte Park

This inspection was carried out on 5th October 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bronte Park 23/10/09

Bronte Park 12/06/09

Bronte Park 18/06/08

Bronte Park 07/11/07

Bronte Park 24/01/07

Bronte Park 13/06/06

Bronte Park 23/06/05

Bronte Park 14/02/05

Bronte Park 07/10/04

Bronte Park 29/04/04

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

CARE HOMES FOR OLDER PEOPLE Bronte Park Bridgehouse Lane Haworth Keighley West Yorkshire BD22 8QE Lead Inspector Gillian Sangster Unannounced Inspection 5th October 2005 09:45 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 Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bronte Park Address Bridgehouse Lane Haworth Keighley West Yorkshire BD22 8QE 01535 643268 01535 647468 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) Bronte Regency Healthcare Ltd Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: Bronte Park is a detached, converted property situated in the village of Haworth and is registered to provide nursing care for older people with dementia. The home is close to local amenities and public transport routes, although there is a long driveway leading up to the home. There is parking to the front of the property. Rear gardens are accessible to the residents but do not provide a secure area. A side entrance provides disabled access into the property. The main house is a listed building with an extension to the rear of the property. The accommodation is on two floors with access between floors via a chair lift. There are twenty-one bedrooms, fourteen singles and seven doubles. None of the bedrooms have en suite facilities. There is a lounge and separate dining room on the ground floor. There are three communal bathrooms, a separate shower room and seven toilets in the home. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two inspectors between 9.50am and 3.30pm. The registered manager was present during the visit and was joined by the area manager and proprietor for feedback at the end. Following the last inspection a meeting was held with the provider to discuss the lack of progress in meeting requirements and an action plan was agreed. The purpose of this visit was to follow up on those requirements and make sure that action had been taken as agreed. Not all the requirements have been fully met however the home has made significant improvements. This momentum must now be sustained so that the home continues to improve, and achieves the minimum standards, resulting in better outcomes for residents. This home cares for older people with dementia and many of the residents were unable to tell us if their needs were being met. Therefore much of our information has been gathered through observing practice, talking with a relative and staff and listening to residents. What the service does well: Staff are caring and considerate in their relationships with the residents. Adapting their approach according to the individual and giving the resident time to respond. Residents are given choices and there is no pressure to conform to routines. Residents made the following comments “ I like living here”, “she’s nice” and “ she looks after me she does” (referring to two of the staff). Other residents said that they felt well cared for and liked the staff. A visitor praised the care given to his relative and said he’d been given good information about the home before his relative moved in. The atmosphere in the home is relaxed and friendly and residents are able to walk around freely. Arrangements are in place to make sure that health care needs are met. Residents said they enjoyed the food. One resident said “the stew and dumplings were grand”. We saw that residents were offered choices about the food and where they wanted to eat their meals. Staff showed a good understanding of residents’ needs and seemed to work well together as a team. The home has a manager who is supportive and provides good leadership to the staff team. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The brochure (statement of purpose and service user guide) must be made available for current and prospective residents. Residents nutritional needs and the risk of falling should be assessed and recorded, so that safeguards can be put in place to meet the resident’s needs. The resident’s wishes regarding terminal care and arrangements after death should be discussed and recorded. The maintenance works identified in the report must be completed and the home should have a system in place so that maintenance works are identified and dealt with promptly. Parts of the home are looking shabby and a planned programme of redecoration and refurbishment must be produced for the next twelve months. The appropriate use of colours and signs throughout the home would help residents find their way round more easily. The standard of cleanliness is poor and must be improved. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 7 The provider must look at providing additional communal space for the residents and separate staff facilities. The home must provide secure outside space for the residents. Residents must have access to a telephone that they can use in private. Written references must be obtained for all new staff before they start work. All new staff must complete a thorough induction programme. 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. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2 and 3. Good information is provided about the home and this must be available to prospective residents to help them make a decision about moving in. Residents are issued with contracts that tell them about the terms and conditions of residency. Residents are assessed before moving in to the home to make sure that their needs can be met. EVIDENCE: Since the last inspection the statement of purpose and service user guide have been finalised. These are combined together in one document but only one copy is available in the home. Copies of this document must be available to current and prospective residents. One relative said sufficient information had been provided before admission to allow them to make an informed decision about moving in. This included written information about dementia that helped them understand the changes that were happening to their relative. Contracts had been given to twelve residents and/or relatives. This included the number of the bedroom occupied as required. As the majority of the service users have local authority contracts, the monthly charge is recorded ‘as Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 10 agreed’. For those who are self-funded the monthly charge must be recorded on the contract. Detailed pre-admission assessments were seen for two residents. These provided good information covering all the needs of the individual. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 10 and 11. Care planning has improved significantly since the last inspection and good information is now provided showing how individual needs are met. Residents’ health care needs are met. Residents’ privacy and respect are maintained. Residents’ wishes regarding terminal care and arrangements after death should be discussed and recorded. EVIDENCE: A new care planning system has been implemented since the last inspection. Three residents were case tracked which involved looking at care records and speaking to the residents. Care plans seen were detailed and covered all the needs identified in the initial assessment. There was good information describing in detail exactly what help the resident needed and any preferences about how this help was given. For example for one resident there was detailed information about the type of clothes he liked to wear and how he liked to have a snack if he woke up during the night. There was also good guidance provided for staff about managing aggressive behaviour and the safeguards in place to protect the individual as well as other residents. Two of the care plans needed updating and risk assessments for falling and nutrition are still required. However the care records have improved significantly since the last inspection. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 12 Due to their dementia the majority of the residents were unable to tell us about their care. However the following comments were made by residents we spoke with “ I like it here”, “she’s nice” (referring to one of the care staff), “the stew and dumplings were grand”, “she looks after me she does” (referring to another of the care staff). Those who were able to give an opinion said that they felt well looked after and liked the staff. Arrangements are in place for residents to access healthcare services as required. One care plan gave detailed information for staff about the different types of glycaemic attacks that can occur with diabetic residents and how to recognise these. Another gave clear instructions about infection control procedures in relation to MRSA. Staff were observed to treat residents with respect and ensured that their privacy and dignity was maintained when carrying out care tasks. Residents appeared well cared for. Residents still do not have easy access to a telephone that they can use in private. The only phone available is connected to the business line which limits the times that residents can make and receive calls. Only one of the care plans seen gave details about the resident’s wishes concerning terminal care and funeral arrangements. The manager acknowledged that issues around terminal care and arrangements after death are not discussed routinely with residents or their relatives. Staff need further training on this matter. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 14 and 15. The number of activities provided has improved and these are occurring more frequently. Residents are helped to make choices and decisions about their daily lives. Residents are offered different meal options and can choose where to eat their meals. EVIDENCE: The home has no activities co-ordinator and relies on care staff to meet the residents’ social care needs. Staff confirmed that activities have increased with more one to one with residents such as playing cards and dominoes. Activities are recorded in the care records and include music to movement sessions, communion and hand massage. One of the local churches visits the home regularly. A physiotherapist visits to provide exercise sessions. Some residents have enjoyed sitting in the garden this summer. One resident goes out into Keighley each week using the Dial-a-Ride bus. Discussions were held with the provider about the garden. This is in a lovely setting and has been enclosed with fencing but there is no gate to the drive to make the area totally safe. Most of the visit was spent talking with the residents in the lounge and observing practice. The television was on quietly in one corner and several residents were watching and chatting to one another about the programmes. Other residents were constantly on the move, walking around the home for a Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 14 while and then coming to sit back down. Staff were always present in the lounge chatting to the residents or walking with them. Staff knew how to approach the residents adapting their tone and manner to suit each individual. Staff spoke to residents calmly and patiently giving residents time to respond and offering them choices. These included what they would like for lunch, where they wanted to eat their meals and where they wanted to sit in the lounge. Lunch was observed and seemed well organised. The food looked appetising and residents were able to choose what they had. One lady had tea and sandwiches in the lounge while other residents enjoyed stew and dumplings in the dining room. Staff sat with residents who needed help and gave them the time they needed to enjoy their meal. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this visit. EVIDENCE: Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 16 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): Standards 19, 20, 22 and 26. General maintenance needs to improve so that any works are identified and dealt with promptly. A planned programme of redecoration and refurbishment must be implemented incorporating particular signs and colours to help the residents find their way around more easily. The standard of cleanliness is poor. EVIDENCE: The environment is shabby and many areas of the home are in need of redecoration and refurbishment. Several maintenance works were identified which are detailed below. Lounge - ceiling bowed above main door entrance. Lounge chairs showing signs of wear to the arms. Hall/stairs - paintwork damaged. Stair carpet worn in one area. Room 15 - vanity unit very rough edges to melamine. Room 7- access into this room is restricted by the radiator cover that prevents the door from opening fully. No headboard on the bed. The carpet in the corridor to the extension is taped in places. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 17 Room 4 – Window sash needs repair. Room 5 – the overgrown bushes outside the window make this room unnecessarily dark and they need cutting back. Room 24 – the window frame is rotten. Room 22 – No headboard on the bed. Upstairs bathroom has no door lock. Bedroom 17 - the bed table needs replacing. Bedroom 1 – the bedroom door needs re-hanging. Door locks on the toilets near the lounge need replacing as they are difficult to use and cannot be easily accessed in an emergency. Many of the commodes need replacing. Some carpets are stained and others need replacing. These issues were discussed with the provider at the feedback session. It was agreed that the provider will forward a planned programme of refurbishment and redecoration for the next twelve months. It was recommended that this programme also includes how the home can be made more accessible and suitable for the client group. As discussed at previous inspections we spoke about visual cues such as photographs or drawings to represent toilets or bathrooms and the use of different colours to help people find their way around the home. The manner is which the home is furnished and decorated can help to reduce confusion and improve orientation. One of the large double bedrooms on the first floor is being upgraded to provide en suite facilities. A new office is also being created. The toilets near the lounge have been redecorated since the last inspection. The standard of cleanliness has not improved since the last inspection. Many areas of the home were dirty and showed that only superficial cleaning is being carried out. It was evident that staff are cleaning around furniture rather than moving things out to clean around or underneath. Windows inside were dirty and there were cobwebs high on the walls and ceilings in several rooms. There was a strong malodour in one of the bedrooms. The home has two cleaners and discussions with one of them highlighted a lack of organisation and difficulties in gaining access to clean the lounge and dining room. Written cleaning schedules may help staff address these shortfalls. Staff confirmed that they had sufficient cleaning materials and equipment. A new carpet cleaning machine has been provided as required at the last inspection. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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): Standards 27, 29 and 30. The staff team has been strengthened by recruiting more staff which has meant more consistency for residents. Recruitment procedures have improved although written references must be obtained before staff start work. Induction training and support to new staff has improved. EVIDENCE: More staff have been recruited since the last inspection and the manager said the home is now fully staffed. No agency staff had been used in the last month. This is a good improvement. Recruitment files of six staff were reviewed. Four were qualified nurses from overseas who were working in the home as senior care staff. Written references were available for three of the staff. The operations manager had obtained verbal references for the other staff and said that she had sent for written references but not received them back. Written references must be obtained before new staff start working. All other recruitment checks had been carried out as required including Criminal Record Bureau (CRB) checks. Staff we spoke to told us about their induction into the home. They said this included fire safety, moving and handling and basic care procedures. They said that they had worked alongside more experienced staff during their induction. Staff showed a good understanding of residents’ needs and knew about individual preferences. They gave good examples to show how residents’ choices were respected. Staff showed a good understanding of aggression and how this could be dealt with to prevent further escalation. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 19 However it is recommended that further training is provided on managing aggression and challenging behaviour. The manager agreed. The TOPSS induction is being implemented for all staff in the home although evidence of this was only seen for one new staff. The manager said that two staff are booked on a four day dementia course. Four staff currently have NVQ level 2 or above and one is currently studying for NVQ. The home has arranged NVQ training with Keighley College. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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): Standards 31, 35, 36 and 38. The home is well managed. Residents’ money is safeguarded Staff supervision should be fully implemented. Safe working practices are observed. EVIDENCE: Since the last inspection the manager has been provided with administrative support and the staffing levels have stabilised. This has given the manager more time to address many of the shortfalls in the standards and it is hoped that this improvement will be maintained. Staff expressed confidence in the manager and spoke of the improvements made in the home over the last few months. The manager still needs to complete the registration process with the CSCI. At the last visit four residents’ personal allowances were held by the home for safe keeping. Transactions were well recorded and receipts are kept. The manager advised that she is still trying to sort out accounts for these residents so that they can gain interest on any large amounts of money accumulated. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 21 Staff supervision has started but is not yet fully implemented for all staff. During discussions staff showed a good understanding of infection control procedures such as hand washing and the use of aprons and gloves for certain procedures. Fire safety records were reviewed. Fire alarms are tested weekly. Emergency lights are tested but not recorded. This needs to be addressed. Fire drills are recorded but the names of staff attending must be recorded so that those who miss this essential training are included in the next. Staff induction includes going through the fire procedures. Maintenance records were available and up to date for moving and handling equipment. One bath hoist is currently not in use. Gas safety records and records for the risk of Legionella were not available and it was agreed copies of these will be forwarded to CSCI. Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 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 2 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 2 X 2 X X X 1 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 2 X 2 Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 23 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 OP1 Regulation 4&5 Requirement The registered person must make available copies of the statement of purpose and service user guide to current and prospective residents. The registered person must make arrangements for the residents to be able to access suitable telephone facilities and for them to be able to use these facilities in private. The registered person must complete the maintenance works identified in the report. The registered person must provide a planned programme of redecoration and refurbishment for the next 12 months and this should incorporate signs and colours to assist the residents in finding their way around the home more easily. The registered person must make the garden secure and safe for residents. The registered person must provide proposals for alternative communal space for residents and separate facilities for staff. DS0000050797.V255688.R01.S.doc Timescale for action 30/11/05 2 OP10 16 30/11/05 3 4 OP19 OP19 23 23 30/11/05 31/12/05 5 6 OP19 OP20 23 23 30/11/05 31/12/05 Bronte Park Version 5.0 Page 24 7 8 OP26 OP29 23 18 9 OP30 19 10 OP30 19 11 OP33 25 12 OP36 18 The registered person must ensure that the home is kept clean and hygienic at all times. The registered person must obtained two written references for all staff before they start working in the home. The registered person must ensure that 50 of the care staff are trained to NVQ level 2 or equivalent by 2005. The registered person must ensure that all new staff receive induction training that meets NTO specifications. The registered person must develop and implement a quality assurance system and annual development plan for the home. The registered person must implement a programme of formal supervision for care staff at least six times a year. 30/11/05 30/11/05 31/12/05 30/11/05 31/01/06 31/01/06 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 OP8 OP11 Good Practice Recommendations The registered person should assess each resident in relation to nutritional needs and the risk of falling and record the assessment. The registered person should discuss and record with residents and/or their representative their preferences and wishes regarding death and dying. The home should develop a policy for staff in dealing with dying and death. The registered person should arrange for an occupational therapist or other suitably qualified specialist to undertake an assessment of the environment. The registered person should make arrangements for resident’s personal money to be kept in their own bank account. DS0000050797.V255688.R01.S.doc Version 5.0 Page 25 3 4 OP22 OP35 Bronte Park Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Bronte Park DS0000050797.V255688.R01.S.doc Version 5.0 Page 27 - 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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