Inspection on 13/11/07 for Brookside Care Home

This inspection was carried out on 13th November 2007.

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 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

Brookside Care Home 22/06/09

Brookside Care Home 06/08/08

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOMES FOR OLDER PEOPLE Brookside Care Home 39-41 Chestnut Grove Borrowash Derby Derbyshire DE72 3JP Lead Inspector Brian Marks Unannounced Inspection 13th November 2007 09:00 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 Brookside Care Home DS0000069765.V354631.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. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookside Care Home Address 39-41 Chestnut Grove Borrowash Derby Derbyshire DE72 3JP 01332 666522 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) Mrs Josephine Olaide Adesanya Olugbolahan Adesanya Mrs Josephine Olaide Adesanya Care Home 11 Category(ies) of Dementia (11), Mental disorder, excluding registration, with number learning disability or dementia (11) of places Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr and Mrs Adesanya may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories:, Dementia, aged 54 years of age and over - Code DE Mental disorder, excluding Learning Disability or Dementia aged 54 years of age and over - Code MD The maximum number of service users who can be accommodated is: 11 This service has not been inspected since reregistration in June 2007. 2. Date of last inspection Brief Description of the Service: Brookside is situated in a quiet cul-de-sac in a residential suburb on the outskirts of Derby, and is a home that is converted from two semi-detached houses. Residents are on two floors, with lounges and dining areas situated on the ground floor along with one of the bedrooms; all other bedrooms are on the first floor and include two shared rooms. Lift access to the first floor is available. The home is registered as a care home for 11 people with Dementia or mental disorder aged over 54 years and not falling within any other category. This was changed when the current providers, who were registered on 26 June 2007, took over the home and decided to target their activities on a younger age group, the previous registration being for people aged over 65 years. Nursing care is not offered at the home. County Council fee rates are charged at the home, these were currently reported as being £352.00 per week. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key unannounced inspection that took place at the home over a period of a day. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a structured plan for the inspection. For administrative reasons an annual quality assessment had not been prepared by the manager before the inspection, and no questionnaires were sent out to residents, family members or care workers of the home. At the home, apart from examining documents, care files and records, time was spent with the registered manager of the home and the staff working on the day shifts. The care records of two people who live at the home were examined in detail and these were interviewed along with a number of others who were living there on the day of the inspection. No other inspection visits have been made to the home since the last Key unannounced inspection on 11 June 2007. At the time of the inspection visit only one of the residents was in the younger age group referred to above and all of them have lived at the home for some time. For this reason this report is written using the National Minimum Standards for Care homes for Older People. The manager is aware that the companion set of Standards for Care homes for Adults (18-65) will also have equal bearing on the running of the home and, where relevant, outcomes for the younger age group have been included in this report. This inspection was an assessment against the key National Minimum Standards (NMS), identified at the beginning of each section of the report, as well as other standards felt to be important. What the service does well: Brookside is a home that is undergoing changes with new proprietors taking over earlier this year. The new proprietors bring experience in working with mental health services as well as business administration, and the manager was able to describe how she wants the home to improve over the next year. The home is generally well managed and provides a safe and comfortable environment for the people living there. It is a small operation and offers ‘family style’ care with a core of staff and residents who have been present for some time. Staff have positive relationships with the residents and this was evident on the day of the visit. All of the residents spoken to felt they receive a good standard of care and fell that the staff are very caring and helpful when they need anything. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 6 The home has a clear complaints procedure, which is on display in the hall of the home. Staff have received training in Safeguarding Adults and the home has adequate procedures in place to ensure their safety. What has improved since the last inspection? What they could do better: Although the practices employed in recruiting and employing staff are structured, the required background checks are not being properly carried out and unsuitable staff could be employed at the home because of this. A notice requiring urgent action in relation to this was left at the home at the end of the inspection. Systems to check how well the home is providing its care and to give staff formal support have been allowed to slip so that the home’s management are not in a position to fully review the home’s operation and to monitor the work of its staff. The documentation that is in place to support assessment of needs and planning of care has been in place for some time and much of the information contained in care records is out of date and does not support consistency of staff activity. The manager was able to demonstrate a new set of documents that she is planning to introduce shortly that will improve this situation. 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. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are given the required information about the home before they come to live there but lack of up to date information about how they need to be helped may prevent staff from supporting them in a comprehensive and safe way. EVIDENCE: The providers had prepared satisfactory copies of the Statement of Purpose and Service Users Guide for the registration process earlier this year; a copy of the first is in the entranceway of the home and copies of the second have been given to all the residents. As all of the current residents are financially supported by Social Services to live at the home, copies of their standard contract were noted on the residents’ files looked at during the inspection. Most of the current resident group have been living at the home for some time and the care files looked at did not contain any recent documents that indicated needs had been broadly re-assessed since admission. There are documents in place that indicate assessment of needs in a number of areas – mental health, physical health, nutrition, pressure sores, falls and mobility Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 9 assessment – but these are related to assessment of risk and hazards affecting people’s lives rather than indicating strengths as well as needs and do not provide a full picture to help staff work consistently. The manager was able to demonstrate a replacement range of care documentation that will be completed for all residents in the near future should be much more effective for staff to use. The home is not providing intermediate care. Brookside Care Home DS0000069765.V354631.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care arrangements at the home generally promote safety and consistency and care is given in ways that respect individuality and privacy, but care plans are being used that have not been updated recently and care may be given using information that is out of date. EVIDENCE: The residents’ files looked at had care plans in place, and these covered a range of care needs including personal care, nutritional needs, domestic skills, mobility skills, communication, physical and mental health but little relating to social and general lifestyle interests. These had been written from the assessments, including those related to risk in their lives, prepared at the times of their admission but not updated recently. Review meetings had been held with staff from Social Services annually but these were arranged to look at the broader aspects of the people’s lives rather that the daily activities of staff at the home. Not all the files indicated that residents had been consulted within the process of planning and reviewing care and the actual care being given by staff could as a result be out of date and possibly inappropriate. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 11 The medication practices at the home were looked at and were found to be generally satisfactory. Medication administration records were seen and corresponded accurately with individual prescribed doses and instructions on the medication. All staff responsible for residents’ medicines had received training form the Boots pharmacist and there was no one at the home who was taking responsibility for their own medication. The home benefits from good levels of support from local specialist and general healthcare services and one of the care records looked at indicated that regular support is given to a resident with her appointments with the diabetic service. All of the residents spoken to confirmed that staff were respectful and maintained their dignity both when assisting with any personal care needs and at any other time. Brookside Care Home DS0000069765.V354631.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 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The range of social activities at the home does not provide residents with a varied lifestyle or sufficient stimulation to counter the impact of their mental health problems. The catering service at the home is organised on a ‘family’ style arrangement and feedback was positive. EVIDENCE: Whilst little evidence was offered during the inspection that a structured approach to meeting the social needs of residents, those who were able to speak for themselves said that they had enjoyed a happy life at the home and were able to look after their own amusement and create their own routines. One said that ‘there is always staff around when you want them and they are my main company’ and that ‘you can get up and do what you want’. There was little information in the resident care plans that were looked at to indicate that any assessment of social and leisure interests had been made as part of an ongoing review process. There was not any structure in place for providing in house activities and there were not any records to demonstrate what had been offered. There was a gallery of photographs on the wall that had been taken of a recent craft activity; a number of residents had joined in with this. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 13 Those that have retained contact with family members are encouraged to do so and one goes out from the home very regularly with her mother and an outside support worker as part of a planned programme to help her regain her confidence when in community settings. Two visitors were seen in the home during the morning of the inspection. Feedback from residents was positive about the quality of meals at the home and a visit to the kitchen indicated that purchasing, storage, stock managing and cooking arrangements are satisfactory. The three-week menu indicated that choice is available for the lunchtime meal if they do not want the main option, and most days there is a cooked option at breakfast and for the afternoon tea. The menu indicated that residents are being provided with a varied and nutritious diet, that includes some ‘cosmopolitan’ options such as pasta and curry, and the special arrangements for the one person with diabetes and one who needs a softened diet are satisfactory. Hot drinks are available for residents in the morning and afternoon, but no one at present is in the practice of preparing their own. Brookside Care Home DS0000069765.V354631.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect residents from harm. EVIDENCE: There has been one complaint since the last inspection and this has been dealt with properly. The complaints procedure was displayed in the entrance hall and feedback from residents indicated that they knew how to make a complaint if necessary but none had had any reason to do so. Appropriate procedures are in place to safeguard and protect residents from harm, and these have been supported through a staff training programme, with the recently appointed staff booked to attend an outside course in the near future. There have been no recent incidents at the home that required the use of any statutory procedures, which underlines the need for the home’s management to remain alert to the needs of the particularly vulnerable people in their care. Brookside Care Home DS0000069765.V354631.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s new proprietors have completed substantial improvements to the home’s decoration and furnishing and residents live in a safe, clean and wellmaintained environment. EVIDENCE: A tour of the building was undertaken and a number of bedrooms visited with the manager who identified changes and improvements that had occurred since the last inspection. A substantial programme of redecorating has been undertaken and this is planned for completion within the next few weeks; woodwork and doors throughout the home need completing. Similarly the programme of replacing all carpets is nearing completion with most of the bedrooms visited refurbished and all corridor and communal areas to be completed before the end of this year. The bathrooms have been redecorated and the manager highlighted the options available to residents when these are completed. Resident feedback was positive about the improvements that have taken place and about the comforts of their own space. No structural problems Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 16 were noted around the building. The home had been visited by the Environmental Health Officer earlier in 2007 and had been awarded 4 stars. The Fire Officer has not visited recently but should do so early in 2008. The laundry area is secure and has one washer and one dryer, which are industrial style equipment and suitable for purpose. Residents’ feedback about the laundry service of the home was positive and all residents observed in the home wore clean and well-presented clothing. Brookside Care Home DS0000069765.V354631.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides an adequate level of staffing that requires further development to meet the specialist needs of the current resident group. The latter are still not being fully protected by the home’s recruitment practices, about which concerns remain. EVIDENCE: With the change of ownership of the home there was some turnover of staff but the home has retained an established staff team, which means that the needs of longer-term residents are well known by them and continuity of care is maintained. The normal shift pattern is for two carers, including the manager, to be on duty through the day and one carer at night. Feedback from residents and staff indicated general agreement that residents’ needs were met and there were always staff in attendance within the communal areas where they usually spend their time. However the care staff are expected to prepare meals during the day and carry out cleaning duties at night and some activities such as social and leisure time may not taking place because of this. Information from the manager and from records indicated that three out of the six care staff had achieved at least a level 2 of the National Vocational Qualification (NVQ), which is the required standard. There has been little else in the way of training since the last inspection and the manager stated her plan to address this shortly with ‘refresher’ training in the key health and safety Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 18 subjects. Training in respect of the specific needs of this resident group has not occurred recently. The care staff on duty had been recently appointed by the new owners and she described how she had started work at the home and how established staff had help her get to know the needs of the residents and the way in which the home is run. The home has an organised approach to recruiting staff but the file of the last to be appointed did not contain a number of key documents and pieces of information. Specifically there was no evidence to show that a check had been made with the Criminal Records Bureau (CRB) and POVA1st system, there was only one written reference, her employment history did not contain sufficient information to make a judgement about her experience and skills and there was no record of her date of starting employment to check against the other information. Poor practice in this area could mean that people being employed at the home are not suitable. A notice requiring urgent action to rectify this matter was left at the end of the inspection. Brookside Care Home DS0000069765.V354631.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, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has satisfactory administration and management systems and is generally a safe place to live and work, although the impact of the new management has not been developed to the full and systems that formally monitor staff has been allowed to lapse. EVIDENCE: The manager was registered with CSCI when the new ownership of the home commenced and has a number of relevant qualifications including the Registered Managers (Adults) Award. She brings a good range of previous managerial and mental health experience and was able to describe a clear vision of improvement for the home. The reservations identified earlier in the report, particularly around staff practices, suggest that her job is very much in the early days of development. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 20 During the inspection the future of the home was discussed and the manager outlined her priorities for the next twelve months which are improved staff training, the introduction of new care plan documentation and the introduction of a key worker system which will give care staff greater responsibilities around supporting residents. These are included in an annual plan that was presented as part of the registration process and indicate a forward-looking approach to the home’s operation. Additionally a number of audits are planned for regular completion that will ensure good practice in relation to medicines management and broader aspects of health and safety. Resident and staff meetings are planned, as are surveys of the views of key people involved with the home. One area of the home’s management that has been allowed to lapse is the formal support and supervision of staff, which will give a more systematic approach to monitoring their work. The systems for recording practice regarding transactions involving residents’ money were assessed to be satisfactory at the last inspection and no further assessments was carried out this time. Documentation looked at during the inspection indicated that safety, including fire safety, standards at the home were generally satisfactory although, as noted above, staff training remains an activity that requires attention to make sure that residents are living in a fully safe environment. Brookside Care Home DS0000069765.V354631.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 3 3 2 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 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Newly registered service so does not apply. 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 OP3 Regulation 14(1-2) Requirement Timescale for action 31/03/08 2. OP7 15(1-2) 3. OP12 16(2) (m)(n) All people living at the home must have their needs for care and support fully and comprehensively assessed and this must be kept up-to-date so that staff can work consistently and safely and provide the proper support at all times. This must include any areas of their lives that present risk to safety and wellbeing. 31/03/08 Care plans must include information about service users social, emotional and health care needs, and how staff will meet these, in order that the full range of needs is met and so that their health is fully promoted and monitored. Care plans must be regularly reviewed and, where necessary, revised so that staff are caring for residents in ways that are based on up-to-date information. The social and leisure needs of 31/03/08 the people living at the home must be fully assessed and arrangements made to support them in achieving a satisfying and stimulating lifestyle that is DS0000069765.V354631.R01.S.doc Version 5.2 Brookside Care Home Page 23 4. OP29 19(1)(b) and Sch 2 5. OP36 18(2) aimed at reducing the impact of the mental health problems they are experiencing. The quality of life of the people living at the home would be enhanced by the assignment of specific periods of staff time. 16/11/07 The home’s management must ensure that no staff member commences work in the home without a certificate indicating a positive check by the Criminal Records Bureau (CRB) check being obtained. Evidence that this process has been carried out in respect of the named member of staff must be forwarded to the CSCI office by the due date so that it is clear that the safety of residents is not compromised. An immediate requirement notice was left at the end of the inspection. Additionally all the documentation and evidence about past employment, required by law to ensure safe and suitable recruitment of staff, must be obtained before new people are employed at the home and retained on file. The system of formal pre 31/12/07 planned 1-to-1 meetings of the home’s management with staff must be reinstated and should occur 6 times per year so that staff are given opportunities to be consulted in confidence and their work can be properly monitored. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP16 Good Practice Recommendations The contact details of the CSCI should be changed to reflect the latter’s new local address in Nottingham. Brookside Care Home DS0000069765.V354631.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Brookside Care Home DS0000069765.V354631.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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