Inspection on 10/06/08 for Brooklands

This inspection was carried out on 10th June 2008.

CSCI found this care home to be providing an Good service.

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

Brooklands 17/07/07

Brooklands 04/07/06

Brooklands 07/02/06

Brooklands 31/10/05

Brooklands 17/11/04

Brooklands 12/05/04

Brooklands 04/11/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Brooklands Wych Cross Forest Row East Sussex RH18 5JN Lead Inspector Rebecca Shewan Unannounced Inspection 10th June 2008 09:20 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 Brooklands DS0000013968.V363367.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. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brooklands Address Wych Cross Forest Row East Sussex RH18 5JN 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) 01825-712005 01825 713090 Mr Hadi Rajabali Mrs Shehnaz Rajabali Mrs Catherine Esther Sheil Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (29) of places Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated at any one time is twenty nine (29) That the care home provides general nursing care to older people aged sixty five (65) years or over on admission and can provide care to people with a physical disability. That one named service user aged 52 years to be accommodated. Date of last inspection 17th July 2007 Brief Description of the Service: Brooklands is registered to provide general nursing care for 29 residents and admits those who are either privately funded or funded by Social Services. The home is situated on the A22 at Wych Cross, approximately three miles south of Forest Row village. It is an old building that has been converted for its current purpose. Building extensions have been tastefully added to keep the atmosphere of the older building. The home comprises of 25 single and 2 double bedrooms. All except two of the rooms have en-suite facilities with additional toilet and bathroom facilities throughout the home. Rooms are located over two floors, accessible by a passenger shaft lift. There are extensive attractive gardens to all sides of the property that are accessible to residents. There are car-parking facilities to the front of the premises. Due to the rural location of the home, there are no local amenities within easy access of the home. No public transport is accessible, except for taxis. The ranges of fees charged (at the time of this report) are £850 - £875 per week. Additional charges are made for newspapers, hairdressing, private physiotherapy and chiropody. Potential new service users can obtain information relating to the home via the internet, CSCI Inspection Reports, Care Managers, Placing Authorities, by word of mouth and by contacting the home direct. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place during the morning and afternoon of the 10th June 2008. The Annual Quality assurance assessment (AQAA), incident reports and previous inspection reports, held by the Commission for Social Care Inspection, were read before the inspection. The inspection of the home took six and a half hours. Records such as care plans, staff files and medication records were also viewed. Twenty seven service users (known as residents) were accommodated at the home at the time of the inspection. A tour of the whole home was undertaken and the Registered Manager, six residents, two relatives and one staff member were spoken with. The CSCI also conducted Service User and Staff surveys. Of which six Service User and eight Staff surveys were received. The responses from the surveys received were generally positive in all areas relating to the home and the care provided. Comments received included: ‘It is always impressed on us that the resident must be first and foremost.’ ‘We are treated with respect and dignity – it is a happy home in all respects’ ‘There is very little stimulation from activities. Often I am bored and wish there were group activities.’ ‘They (Staff) attend to my physical needs but I have social needs too.’ ‘All carers work as a team, we all help each other, with good support from our manager.’ What the service does well: Potential new residents benefit from a through pre- admission assessment that allows for only those who needs can be met, being admitted to the home. The health needs of residents are well met with evidence of good multi disciplinary working taking place. Staff provide personal support to residents in such a way that promotes and protects resident’s privacy and dignity. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 6 Residents experience mealtimes that are unhurried, whilst all meals are home cooked with an alternative option being available for each mealtime. Residents can be assured that there is an efficient complaints procedure in place and that the homes processes and staff training should protect residents in the event of an allegation of abuse. The location and layout of the home are suitable for its stated purpose. All areas of the home are accessible to residents. Residents experience the benefits of a staff team that have the necessary skills and experience to the meet their needs. Staff training is on going and is appropriate to the level of needs of current residents. The management and administration of the home is good, with evidence of consideration being given to resident’s and/or relatives opinion at all times. What has improved since the last inspection? What they could do better: Care plans require some amendments to ensure that residents are involved in the care planning review processes. Such care plan reviews must also be written in a style that is reflective of a review process and detail any changes to care required by the resident. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 7 In order to improve the range and quality of activities provided records are to maintained of all activities attended by residents, with consideration being given to the comments made by residents (during the inspection process) relating to the quality and content of activities provided. To provide further evidence of effective quality monitoring the Registered Provider are require to generate a report for each Regulation 26 visit that is conducted. These reports should be consistent and produced on a monthly basis. Advise should be also be sought regarding the current approved Quality Assurance systems available. 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. Brooklands DS0000013968.V363367.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 Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has processes in place for assessing potential new resident’s with services being offered to only those resident’s whose needs can be met. EVIDENCE: The home’s Registered Manager or one of the two Deputy Managers carry out pre- admission assessments. Copies of care management assessments from the placing authority are obtained, where these exist. The Assistant Manager addresses any issues, which are highlighted within this assessment. Documented records are maintained of all correspondence with the placing authority. Records inspected showed that pre- admission assessments are carried out on all new and potential residents. Intermediate care is not offered by this home. Brooklands DS0000013968.V363367.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): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are offered a good provision of health care and personal support by the home. The care plan review process needs improving to ensure that Residents are involved in this process. All care is administered in way that protects residents privacy and dignity. Medication procedures ensure that all necessary precautions are taken to ensure errors do not occur and that medications are stored and administered safely. EVIDENCE: Following the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that all care plans include detailed information on meeting nursing needs, in particular those relating to wound dressings. Care plans were sampled and it was evidenced that they were detailed in content and covered all aspects of resident’s needs. It was observed that there was no evidence to support that residents are involved in the care planning formation and review processes. Monthly review records Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 11 were noted. Of the records viewed it was observed that these were written in a daily recording manner and did not consistently reflect that the care plan have been reviewed appropriately. Entries observed included ‘had an episode of epistaxis today’ and ‘walked to the toilet today and has plenty of fluids’. Therefore requirements have been made. From the records sampled and surveys received, it was evidenced that the health needs of residents are well met with evidence of good multi disciplinary working taking place, on a required basis. All residents are registered with one of two GP’s from a local surgery. The Registered Manager reported that every two week a GP attends the home, whereby all service users are reviewed. Residents from the local vicinity can maintain their own GP. A Chiropodist attends the home every three weeks and as required, private appointments are also available. The dentist can be accessed via home visits or residents can attend the local surgery, where able. A visiting Optician attends the home six monthly and as needed. Audiology, Occupational Therapy, Stoma and Diabetic Nurse appointments are arranged via the GP. The home has access to pressure relieving equipment. Physiotherapy can be arranged privately or NHS referrals can be made via the GP. A Continence Nurse attends the home six weekly. Since the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that records of the administration of prescribed creams be made and that they are used solely for the service users they are prescribed for. The home has good procedures in place for the monitoring and recording of all drugs administered, disposed of and those entering and leaving the home. The stores for medication were viewed and these were found to be maintained in a clean and orderly manner. Medication administration records were viewed and these were found to be maintained appropriately. Staff were observed providing personal support to service users in such a way that promoted and protected residents privacy and dignity. Survey responses commented that ‘We are treated with respect and dignity’. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are able to enjoy a limited variety of activities to choose from, with some improvements required to improve the range of social, cultural and recreational facilities made available to residents. Resident’s choice and wishes are respected. EVIDENCE: Following the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that a planned programme of activities based on service users interests be devised and implemented. There is a weekly list of activities published. Activities are held in the afternoon, with some mornings, which is residents choice as they like the mornings to get dressed and relax. Activities include: PAT dog, reminiscence, walks in the garden, coffee mornings, sports related, birthday parties, Aromatherapy, songs of praise (Sunday eve TV programme), Radio 4 Saturday play, sing a longs with staff and manicures/pedicures. Residents spoken with and survey responses commented that they are bored, did not know activities existed and activities are lacking in ‘stimulation’. Therefore a recommendation has been Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 13 made. From discussions with the Registered Manager it was highlighted that there are currently no attendance of activities records maintained. Therefore a requirement has been made. Resident’s religious wishes are observed and arrangements are in place for residents to receive Holy Communion, if they wish. Discussions with the Assistant Manager highlighted that although the current residents had similar religious beliefs, the home would welcome any potential new resident who has special cultural/religious/spiritual beliefs and would make provision to accommodate their needs. The management of the home believes in promoting an equal and diverse culture among staff and residents. Contact with family and friends is positively encouraged with visitors being able to attend the home at any time and in accordance with the resident’s wishes. Residents are treated with respect and there is a good rapport between staff of the home and residents. Residents reported that the home assists them to maintain their independence with their daily living and daily routines. The home’s menus are devised on a four week rolling programme. All meals are home cooked with an alternative option available for each mealtime. Mealtimes can be varied upon request and residents guests are also welcome to have meals at the home. Meals can be taken in the residents bedroom or in the communal dining room. Medical, therapeutic or religious diets are provided as needed. Drinks and snacks are available at all times. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a robust and efficient complaints procedure, whilst the homes procedures, processes and staff training should protect resident’s in the event of an allegation of abuse. EVIDENCE: The home has an established complaints procedure in place. The home has received seven complaints within the past twelve months, all of which have been recorded as addressed. Each of the complaints have been resolved and appropriate action was taken by the Registered Manager to address the concerns raised. Following the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that all staff be trained in adult protection. Staff have attended training in the Protection of Vulnerable adults within the last twelve months. This was evident from the staff files were viewed. There have been no Safeguarding Alerts raised by the home in last twelve months. Criminal Record Bureau (CRB) checks have been carried out on all existing staff. Both CRB and Protection of Vulnerable Adult (POVA) checks are carried out on all new staff. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides accommodation for residents that is safe, hygienic and odour free, whilst infection control procedures are adhered to at all times. EVIDENCE: The location and layout of the home are suitable for its stated purpose. The home is well maintained and all areas of the home, including the garden, are accessible to residents. The home has an ongoing plan of refurbishment in place. The home has an infection control policy in place and staff are trained in infection control procedures, staff training records viewed confirmed this. Staff were observed adhering to infection control procedures. The home was clean Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 16 and odour free throughout. There is a daily cleaning schedule in place. It was evidenced that a clinical waste contract is in place. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a staff team that have the necessary skills and experience to the meet the needs of current residents. EVIDENCE: A competent staff team, sufficient in number, meets the resident’s needs. There is a staff rota in place, which details staff designations and hours of working. The home has a permanent staff team of the Registered Manager, two part time Deputy Managers, six Registered Nurses (RN’s), thirteen Care Assistants, two Cooks, three Kitchen Assistants, one Housekeeper, one Laundry person and one Maintenance person. Three care staff are National Vocational Qualification, level 2 or above, trained in care and three care staff are currently completing the NVQ level 2 or 3, in care training. One of the Deputy Managers is a trained NVQ Assessor. Staff recruitment files were viewed and it was evidenced that these files contain all items required under the Care Homes Regulations 2001. Some of the current staff team are from abroad. All necessary visa and Home Office related documents were found to have been obtained and kept on file for these Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 18 employees. Satisfactory Nursing and Midwifery Council (NMC) checks had been conducted for all nurses employed, documented evidence viewed confirmed this. The home has an Equal Opportunities policy in place and is an equal opportunities employer. Staff induction training is conducted in line with Care Skills Sector guidance. Mandatory training consists of Infection Control, Moving and Handling, Health & Safety, Protection of Vulnerable Adults, Induction (Skills for Care) and Fire Safety. Additional training is conducted in pressure area care, NVQ’s, Nutrition, continence, Eye care, and end of life training. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents experience the benefits of a home that is well managed and administrated. Consideration is given to resident’s choice and opinion in all aspects of provisions provided. The health, safety and welfare of residents and staff are protected at all times. EVIDENCE: The Registered Manager has been employed this position for eight years. She is an RN level 1, is NVQ level 4 qualified and has achieved the Mentorship certification for conducting overseas programmes and student nurse training. Staff, residents and relatives spoken with said that the Registered Manager Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 20 was friendly, approachable and always takes residents concerns or comments about the home seriously. Following the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that formal quality monitoring and quality assurance systems be created and implemented. Resident, staff, GP and relatives surveys have been conducted, the results of which are currently being correlated and will be published in the near future. The Registered Manager reported that residents have declined to have residents meetings. The Registered Manager is currently in the process of devising other ways of meeting and recording residents comments/feedback. Staff meetings are held twice a year and each morning staff have an hour long hand over to discuss residents needs and staff issues. Minutes are kept of the bi yearly staff meetings held. Discussions were held with the Registered Manager about seeking advise from other sources, regarding effective Quality Assurance systems that are available in order to provide a more cohesive monitoring system. Therefore a recommendation has been made. Since the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that the Registered Provider make monthly visits to the home and make the subsequent reports available to the CSCI. From records viewed it was evidenced that Regulation 26 visits are conducted. It was also observed that reports for Nov, Dec 07, Jan, Apr and May 08 were in place. The need for reports to be generated on a consistent monthly basis were discussed with the Registered Manager. Therefore a Requirement has been made. The home does not take any responsibility for many of the resident’s finances and most residents have family, friends or representatives who protect their financial affairs. Following the key unannounced inspection of July 2007, the Registered Manager has made improvements to ensure that That fire doors are not wedged open and appropriate self closing devices fitted as required. All doors were observed to have Dorguards fitted and it was evident that no doors had been inappropriately wedged open. At the key unannounced inspection of July 2007, it was required that improvements were made to ensure that all wheelchairs are fitted with footplates. All wheelchairs were observed and none were noted to have footplates not in place or being utilised inappropriately. The home’s maintenance files were viewed and it was evident that fire drills, fire alarm testing and fire equipment checks, health & safety checks and water checks had been carried out. There were no health & safety issues noted at the time of this inspection. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 21 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 X 3 X X 3 Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) & (2) (c) 15(1) (2) Requirement That care plans are reviewed with the involvement of residents and/or their representative. That care plan reviews are written in a style that is reflective of a review process and details any changes to care required by the resident. That records are maintained of all activities attended by residents. That the Registered Provider generates a report for each Regulation 26 visit that is conducted. These should be consistent and produced on a monthly basis. Timescale for action 10/07/08 2. OP7 10/07/08 3. 4. OP12 OP33 16 (2) 26 (1) (3) (4) (5) 10/07/08 10/07/08 Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 23 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 OP12 OP33 Good Practice Recommendations That consideration is given to the comments made by residents relating to the quality and content of activities provided. That advise is sought regarding the effective and approved Quality Assurance systems currently available. Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Brooklands DS0000013968.V363367.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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