Inspection on 18/09/07 for Brook House Nursing Home

This inspection was carried out on 18th September 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

Brook House Nursing Home 07/07/09

Brook House Nursing Home 13/12/08

Brook House Nursing Home 28/09/06

Brook House Nursing Home 01/03/06

Brook House Nursing Home 09/06/05

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Brook House Nursing Home 28 The Green Wooburn Green Buckinghamshire HP10 0EJ Lead Inspector Ms Julie Willis Unannounced Inspection 18th September 2007 09:30 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 Brook House Nursing Home DS0000062534.V351378.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. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brook House Nursing Home Address 28 The Green Wooburn Green Buckinghamshire HP10 0EJ 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) 01628 528228 01628 529892 brookhousecare@gmail.com Centurion Health Care Ltd Mrs Elizabeth Ann Hilsdon Care Home 35 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Dementia (DE) 2. Physical Disability (PD) The maximum number of service users to be accommodated is 35. Date of last inspection 28th September 2006 Brief Description of the Service: Brook House is a care home providing care with nursing for up to 35 elderly people. The home is situated in the village of Wooburn Green, with several small shops located nearby. The home consists of a renovated older building that was extended in 1980 and 1997. Of the homes thirty-one bedrooms, twenty-seven are single and four are shared. Fourteen of the single bedrooms in the modern extensions have en-suite facilities. An additional six bathrooms and six toilets are provided. The home has two lifts and is equipped to meet the needs of those with disabilities. There are three lounge areas, one of which also provides a dining area A registered nurse is on duty twenty-four hours a day, and a team of carers, caterers, laundry and housekeeping staff are employed. The services of the local Primary Healthcare team are available to residents via a general practitioners referral. The fees for this service vary between £550 and £850 per week depending on service required. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspection took place on Tuesday 18th September 2007 between 09:30am and 4.15 pm. and covered all the standards for older people. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents and four relatives that were visiting at the time of the inspection. The inspector also spent time talking individually to staff and observing how care was being delivered to the residents. Within the service there is good understanding of equality and diversity. Staff are able to translate their understanding of these issues into positive outcomes for residents in the areas of race, ethnicity, age, sexuality, gender, disability and belief. The inspector gave feedback about her findings to the homes Manager at the end of inspection. There were no outstanding requirements from previous inspections and no legal requirements were made as a result of this inspection. The Commission has not received any information about complaints about this home since the last inspection. What the service does well: The home is well run and managed by a caring and competent manager who is accessible and supportive. Brook House Nursing Home is clean, homely and pleasantly decorated and furnished throughout. Residents are encouraged to personalise their own rooms and these are warm and comfortable. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 6 Residents and visitors to the home say that the staff are thoughtful, warm and caring and provide personal care to the residents with sensitivity & kindness. Recruitment practices are well carried out and the staff files contain all information needed to ensure the safety of residents. The staff team are well trained and professional and there is sufficient staff on duty to effectively meet the needs of residents. Written records are well kept and up-to-date and provide staff with the information they need to provide good quality care to the residents 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 Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Brook House Nursing Home DS0000062534.V351378.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 Brook House Nursing Home DS0000062534.V351378.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): Standard 3 Quality in this outcome area is good. Service users are fully assessed prior to admission to ensure their needs can be effectively by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of documentation and case tracking of three people it is clear that residents were fully assessed before they were admitted to the home. The pre-admission assessment was very detailed and included all essential information about the persons health and personal care needs. The use of clinical tools to assess the residents nutrition, communication needs, mobility needs, risk of falls, continence and mental state were well developed. The Manager confirmed that admission only takes place if the management and staff are confident that they possess the skills and abilities to meet the needs of the prospective resident. On the day of inspection a new admission came by ambulance from a local hospital. It was evident that the home was fully prepared for the admission Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 10 and had prepared the residents bedroom in advance. A basic care plan had been developed from the pre-admission assessment and further information was due to be entered later in the day, when the resident had settled in. The inspector had the opportunity to meet with the new resident who seemed cheerful and relaxed. They said that they had enjoyed lunch with the other residents. At all times staff were close by to ensure that the resident settled into the routines of the home and could be directed to their bedroom and other facilities. After lunch the resident joined the activities organiser and other residents in a card game which they enjoyed and which helped to ‘break the ice’ with other residents. The resident told the inspector “People have been so kind and welcoming, I think I am going to like it here”. Brook House Nursing Home DS0000062534.V351378.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): Standard 7, 8, 9, 10 Quality in this outcome area is good. Clear information is in place to enable staff to effectively meet the health & personal care needs of residents effectively. Residents are encouraged to participate in the care planning and review process from the outset. Residents are provided with care in the way the wish to be cared for and in a manner, which maintains their right to dignity, privacy, independence and choice. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of four residents care plans the home was able to demonstrate how it involves residents in the planning of their care. Where possible people had signed to say that they agreed with the content and there was evidence of regular review. All risks to residents had been fully assessed and there were guidelines in place to reduce the likelihood of occurrence. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 12 In the case of one resident there was evidence of the homes involvement in multi-disciplinary meetings to meet the residents assessed needs. Speech & language therapists, physiotherapists and occupational therapists had been assisting the home to care for the resident who was suffering from a debilitating illness. The resident had been provided with the necessary equipment to aid their independence and comfort including a profiling bed, pressure-relieving equipment, slide sheets, a handling belt and Oxford hoist to aid safe manual handling operations. The resident required support with feeding and was on thickened fluids to prevent the risk of choking. It was clear that the home had prepared for the persons current and future care needs. The home has adopted the ‘Liverpool Pathways’ And ‘Gold Standard Framework’ for people with a life limiting illness and work with local doctors and nurses to ensure residents are treated with the utmost dignity and respect at all times whilst receiving palliative care. The use of clinical tools to identify risks to residents in relation to tissue viability, nutrition, dependency rating, environmental risks, bathing and falls were fully developed. Care plans, treatment plans and appropriate equipment were in place to reduce the risks identified. There was evidence in the files that body maps & photographs were used when necessary to evidence resolution of wounds. From examination of the medication administration system and discussion with senior staff it is clear that the home follows best practice guidance in relation to medication needs. The storage systems for medication are effective and disposal systems are safe. The ‘Doom box’ system has been adopted by the home for the disposal of waste medication and the home has an appropriate contract with a registered disposal company. The inspector had the opportunity to speak with 12 residents and 4 visitors during the inspection they made the following comments about the quality of care “Mum always looks smart and clean”, “The staff can’t do enough to help, they always have a smile for me”. “You can’t fault it here, this is my home and I’m quite settled”. Brook House Nursing Home DS0000062534.V351378.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, 13, 14, 15 Quality in this outcome area is good. A range of activities is offered that provide opportunity for mental and physical stimulation. Service users are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of users This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a part-time Activity Organiser to provide residents with a range of stimulating activities. At the time of inspection the Organiser was engaging several residents in card games. The Organiser had purchased a set of extra large playing cards to aid those people with visual impairment and a special cardholder for those residents with dexterity problems. Residents were obviously thoroughly enjoying themselves and laughter and chatter could be clearly heard around the lounge. Residents confirmed that they enjoyed the activities on offer and felt part of the local community. The local churches provide visits to the home and children from local schools provide musical entertainments and other activities. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 14 Visitors confirmed that they are always welcome at the home and are offered appropriate hospitality. One visitor told the inspector that they liked to come at meal times and had been offered meals in the past. The routines of the home are planned around resident’s needs and wishes but the service is flexible and can be changed to meet the specific needs of individuals. People may rise and retire at a time of their choosing and may spend their time alone in their rooms or in the communal areas. Most of the residents sit in the dining room for their meals. The tables were set with tablecloths, mats and condiments. Several of the residents choose to sit in lounge chairs eating their meals from cantilever tables. The staff team were on hand to support residents that required assistance at mealtimes. Lunch on the day of inspection was meatballs in onion gravy with fresh carrots and mashed potatoes followed by jelly and ice cream. There were a number of special diets prepared, including diabetic meals and pureed foodstuffs, for those people that required it. Supper was chicken soup followed by ham & cheese omelette or a choice of ham, tuna or cheese sandwiches followed by yoghurt or strawberry mousse. The cook told the inspector that the night staff offers hot drinks and biscuits before bedtime. The inspector was informed that a new chef was due to start in October and a review of the 4-week revolving menu would follow. Residents would be asked to input into the new menu to provide a larger choice and variety. Residents said that they had enjoyed their meal and that it was pleasantly presented and well cooked. Brook House Nursing Home DS0000062534.V351378.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): Standard 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistleblowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Regulation and Standard. Residents are provided with information on how to make a complaint and the stages and time scales for action. Examination of the complaint records indicated that there have been no complaints made to the home since 1st January 2007. The CSCI has received no information about complaints in the home since the last inspection. Residents said that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. There was evidence in staff files and from discussion with staff, that they receive training in the protection of vulnerable adults as part of their formal induction to the home. Their learning is later consolidated when undertaking NVQ training in which it forms a core module. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 16 Staff interviewed understood the importance of protecting residents from abuse and exploitation at all times and understood the implications of the homes the ‘whistle-blowing’ policy. Brook House Nursing Home DS0000062534.V351378.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): Standard 19 & 26 Quality in this outcome area is good. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector undertook a tour of the premises. The communal lounges and dining area are pleasantly decorated and furnished in a homely manner. Lighting is domestic in character and bright enough to meet the needs of residents with visual impairment. A large number of bedrooms in the extension area have en-suite facilities. Elsewhere in the home there is a choice of bathing facilities with a number of assisted baths and showers and strategically placed toilets. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 18 The home was odour free and clean and hygienic throughout. The home has an effective infection control policy and staff have undertaken training in infection control and health & safety. The home operates the red-sack system for soiled linen and staff are aware of the need to wear protective clothing when dealing with contaminated materials. Residents confirmed that the communal areas of the home are always clean and tidy and their bedrooms are kept well maintained and free from dust. Brook House Nursing Home DS0000062534.V351378.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, 28, 29, 30 Quality in this outcome area is good. The staff were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of residents in their care. Staff recruitment procedures are robust and transparent and protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of the recruitment files for four staff indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. Residents confirm that the staff team are caring and kind and they are confident that the staff are able to care for them effectively being well trained and committed. Staff interviewed by the inspector appeared to have a good understanding of how their individual role benefits the work of the team and a thorough knowledge of the key values that underpin their work with the frail elderly residents. There was evidence that care staff have been properly inducted to Skills for Care Standard and have received training in core skills such as fire safety, first aid, manual handling, food hygiene, health & safety, COSHH and infection Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 20 control. All staff have received training in safeguarding adults as part of their induction and as a core module in NVQ training. All staff at the home are well motivated and have either achieved or are working towards a National Vocational Qualification at level 2 or 3. The home is part of a ‘cluster’ of 6 homes that share their expertise, skills, knowledge and training. The home offers itself as a venue for training events held by Buckinghamshire County Council training department and the homes staff visit other homes to participate in other training events. All staff receive on-going support and are formally supervised at least six times a year. They have additional opportunities to air their views and to have a say in the way the home is run in the regular team meetings. Residents and their relatives commented to the inspector “you can trust the staff here, they keep us informed of what’s going on”. “When we leave we know Mum is going to be cared for”. “The staff and management are always on hand when you need them”. Brook House Nursing Home DS0000062534.V351378.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): Standard 31, 33, 35, 38 Quality in this outcome area is good. The resident’s benefit from living in a well managed home, where there is evidence that their health welfare and safety is of primary importance. The registered manager is qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager Liz Hilsdon is a qualified nurse who is currently undertaking the RMA (Registered Managers Award) to further enhance her knowledge and skills. Residents, visitors and staff say that she is a competent Manager who is supportive, caring and kind. Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 22 The Manager is highly experienced and continuously strives to improve the quality of life for the homes residents. Staff say that the Manager is an effective leader who tends to ‘lead by example’ and is someone that likes to be ‘hands-on’. Staff confirm that they have the opportunity to express their opinions openly in staff meetings, supervision sessions and staff handovers. They say that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. The home carries out its own regular quality assurance audits. The Proprietor carries out a monthly visit to the home the outcome of which is recorded. A drug audit is carried out at frequent intervals and nurses undergo regular reassessment to ensure their skills are current. The Manager carries out regular bedroom audits, maintenance checks and care plan monitoring as part of normal routine. Records are kept of the outcome. A formal survey is carried out twice a year. All residents and visitors to the home are asked for feedback. The information is used to ensure that the home is effectively meeting the needs of residents. The inspector checked financial records. The home does not hold funds on behalf of residents. Anything bought or paid for on behalf of residents is invoiced to the next of kin or advocate. This includes the purchase of hairdressing, chiropody and newspapers. Examination of a sample of the health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. All risks to residents are effectively risk assessed and managed. Residents and their relatives spoken with during inspection confirmed that they felt confident in the management of the home. They made comments such as “We know we can always speak to the Manager, if she is not in, one of the nurses will listen to what we have to say”. “I have never needed to make a complaint, the home is kind to Mum and I know they care for her well”. Brook House Nursing Home DS0000062534.V351378.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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brook House Nursing Home DS0000062534.V351378.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Brook House Nursing Home DS0000062534.V351378.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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