Inspection on 13/03/09 for Brookwood Manor Ltd

This inspection was carried out on 13th March 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brookwood Manor Ltd 20/01/10

Brookwood Manor Ltd 30/11/09

Brookwood Manor Ltd 18/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brookwood Manor Ltd Holbrook Hall Park Little Waldingfield Sudbury Suffolk CO10 0TH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Claire Hutton     Date: 1 3 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Brookwood Manor Ltd Holbrook Hall Park Little Waldingfield Sudbury Suffolk CO10 0TH 01787248062 01787247525 brookwoodmanor@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brookwood Manor Ltd care home 28 Number of places (if applicable): Under 65 Over 65 28 dementia Additional conditions: Date of last inspection Brief description of the care home 0 Brookwood Manor, Great Waldingfield, is registered to provide care for 28 older people with Dementia. The home is located between Sudbury and Lavenham on the B1071. The Home is a large period building set a distance back from the main road and can be reached by a single-track road. There is sufficient parking for several cars and the homes is surrounded by mature grounds and then open fields. The building has been converted into a care home and has a shaft lift to access the first and second floors. The home consists mainly of single bedrooms with three bedrooms being shared. There are two lounge areas and one dining room. There are ample bathroom and toilet facilities positioned appropriately around the home. On the second floor there is a small laundry. Fees for this home range from £500.00 to £650.00 per week. Care Homes for Older People Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection, which focused on the core standards relating to Care Homes for Older people. The inspection was unannounced and the visit was on a weekday, which lasted 7.5 hours. This report has been written using accumulated evidence gathered before and during the inspection, including information obtained from surveys. We received 11 completed Have Your Say surveys from residents. Also 5 completed surveys from staff at the home and 2 completed surveys from health professionals who visit the home. We met Care Homes for Older People Page 5 of 28 4 care staff during this visit and interviewed them. We also met and spoke with several residents. The inspection process included visiting all areas of the home, observations of staff and resident interaction, and the examination of a number of documents including residents care plans and associated documents, medication records, the staff rota, records relating to health and safety and records relating to staff recruitment. We also received a self-assessment completed by the manager. We also assessed the outcomes for the people using the service against the Key Lines of Regulatory Assessment (KLORA). What the care home does well: What has improved since the last inspection? What they could do better: This report contains 2 main areas for development. The first is in relation to the number of usable bathing facilities available to the residents. We found that 2 out of the 4 bathrooms were not working properly. This matter had been raised previously and has not been addressed, therefore we have asked the owners to consider how they will ensure residents have appropriate number bathing facilities and to send us a schedule that sets out timescales for this work. Secondly we found that the owners were not visiting the home on a regular basis and preparing a report of their findings. We want to ensure that the owners are aware of how this home is being conducted and be assured they are proactive in maintaining quality outcomes for people at Brookwood, therefore we have made a requirement about this matter. Care Homes for Older People Page 7 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can expect to be provided with good information about Brookwood and have their needs accurately assessed. Evidence: Brookwood has information available to people in the form of a service users guide and a statement of purpose. This clearly sets out the conditions of stay and what is included in the price. The manager told us that people can come and visit and have a trial period of 6 weeks to see if they wish to stay at Brookwood and if the home is suitable for them. The self-assessment told us: potential Service Users and their families are provided with last inspection report and we inform them how to access all reports on the internet. Invite families of potential Service Users to visit home prior to assessment. Service User to visit if appropriate. We provide a colour brochure on the home which Care Homes for Older People Page 10 of 28 Evidence: includes terms and conditions and sent out to potential Service Users. Full assessment by manager, team leader prior to admission. Give full tour of home answering any questions, anxieties they may have. The manager explained that she would receive information from a placing social worker then visit people at home or in hospital if that is where they are and she would conduct her own assessment to see if Brookwood could meet the needs. We looked at information for 5 individuals and found that the manager had indeed completed assessments of need and had visited individuals. In 2 cases people were admitted as emergencies and the manager had obtained information from Social Workers and Consultants. From the 5 surveys received from staff and 4 staff interviewed at the inspection all said there was always up to date information about the needs of people who used this service and this included when they were new. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to have an up to date individual care plan in place with good access to health care. Practice relating to medication at the home is safe. Evidence: The care plans and associated documents of 5 residents of differing needs and lengths of stay were examined. These had evidence of regular review and contained accessible information for staff to follow. The care plans included details of support that individuals required in all aspects of daily living. This included risk assessments on personal care, walking, bathing, use of the stairs. Staff recorded daily information on personal care given, records of professional visits and activities undertaken. Care planning was individualised as one person had a care plan that was constantly changing and being developed due to the complex nature of their dementia. Another person had a MUST tool completed. This stands for Malnutrition Universal Screening Tool. Care Homes for Older People Page 12 of 28 Evidence: We spent a considerable time observing and talking to residents and staff at the home and found residents to be well cared for. All residents looked smart and clean. A hairdresser was visiting and several of the ladies were offered the chance to have their hair done professionally. We spoke to residents about their care and support from staff and this was all very positive. One resident said they are all very good, they help me all the time. There are good links with health care and this was evidenced in records kept at the service of all the different health care professionals involved in the home. The District Nurse is visiting one resident to attend to a leg ulcer and no other resident has any other pressure sores or areas. We received 2 surveys back from health care professionals and the comments and feedback were very complimentary about Brookwood. One health professional wrote We have developed very good working relationships within this care service and find them willing to implement any advice we are able to offer, in the best interests of the resident involved. They went on to say privacy and dignity is demonstrated in this service by displaying infinite patience and consideration to individuals whose behaviour could be regarded as challenging...the residents are not discriminated against... the care service will work with other professionals to ensure such residents remain at this home. This is quite a rare achievement. A different health professional told us, care is provided in a dignified and sensitive way. residents are treated as individuals. We also looked at how the home manages medication. We observed a staff member completing the medication at lunch time. The staff member was careful to measure medication and was doing medication for one resident at a time. The staff member clearly spoke to each resident explaining what the medication was and encouraging them to take the medication. One resident needed a little coaxing so the staff member used different methods to enable the resident to accept the medication such as putting it on a spoon. We spoke to the staff member who said they had received training in medication as had all staff who administer it. The staff member showed us the list of staff who are designated and trained to administer medication. The staff member said they felt both competent and confident to administer medication. We looked at the records kept including those for controlled drugs and found these to be well maintained. We went on to have a discussion with the manager about the unusual occurrence of receiving controlled drugs to hold on behalf of the district nurse to administer. Records were maintained and were accurate, but we recommended that the procedure for staff to follow should be amended to take account of this possible occurrence. We also spoke about developing a more robust recording in relation to covert medication that was currently in place for one resident. A multidisciplinary Care Homes for Older People Page 13 of 28 Evidence: agreement and instruction would offer more protection to all involved. The manager agreed to action these 2 points immediately. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy a varied healthy diet. Residents may not be offered sufficient leisure and recreational activities to suit their needs. Evidence: On the day of our visit there were no structured activities planned. However residents were watching TV and listening to music. The hairdresser was visiting and several ladies were offered the opportunity to have their hair done professionally and most people asked wanted their hair done. We saw that several pieces of craft work were displayed around the home. Residents spoken with were very happy and satisfied with their life at Brookwood. Several residents commented upon how nice and kind the staff were. One person said they liked to keep fit and did this by walking each day. From the 11 surveys completed by residents 10 of them said there were activities arranged. Some people said they chose not to join in, but most people liked what was on offer especially the music man Bob. Another resident said I can take the dog for a walk when I like. The homes manager has introduced an old rescue dog to the home. Residents spoken with said how much they liked him and we saw several residents interact with the dog throughout the day. We were even able to see the care plan in place for the dog to ensure he was properly cared for. Care Homes for Older People Page 15 of 28 Evidence: The service previously employed an activities person and this person has not been replaced therefore there are not structured activities regularly on offer that residents are made aware of or can look forward to. We observed the lunchtime meal preparations and this was a very relaxed time staged over 2 meal settings. The manager explained that the 2 sittings had been developed to ensure those residents who needed longer and assistance as well as those who may be disruptive were able to have staff attention and time to ensure everyone had a satisfying meal. We saw that residents were assisted and encouraged to eat and drink. Equipment such as spouted cups and non slip mats were used. The main meal looked appetising, however we would recommend that the pureed meal be presented separately to show the resident that different meals were being offered. And that they were able to taste the different texture and taste and see colour for example carrot, sweetcorn, potato and the meat. The home did provide a gluten free diet for one individual. We know from the self-assessment that visitors are welcome at any time. We saw from the visitors book that relatives came regularly. One resident said how he looked forward to his sons visits. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a clear policy and procedure in place for making complaints and dealing with allegations or suspicions of abuse. People are protected and their views listened to. Evidence: Just before out visit to this service we were telephoned by an anonymous staff member who had concerns about the care of the residents at this home. We presented the concerns to the manager at the beginning of our inspection and said they would form part of our inspection process. The manager also fed back point by point on all matters during the inspection. We found no evidence to support the complaint. However some of the points raised were based upon fact e.g the lift had broken down and residents were sleeping temporarily on mattresses, however the manager had risk assessed the situation and this had been a limited timescale and the lift was now fully functional. The lift had been regularly serviced. There had been an outbreak of an infectious disease and the manager had responded appropriately and sought advice and followed this from the health protection unit. We came with the knowledge that this service has always been open to concerns raised and keeps good records. We found this to be the same on this visit. We were able to examine the log of complaints kept. There is not a high number of complaints about this service, nor are there repeat complaints. One complaint had been received Care Homes for Older People Page 17 of 28 Evidence: in the last 12 months. A relative had concerns around the care of her relative. This matters was looked into by the manager and responded to in writing in a timely manner. The relative was satisfied with the outcome. Staff spoken with about complaints were clear that they would listen to any concerns raised and try to resolve immediately, but would also take the concerns to the manager and record the matter. With regard safeguarding of adults 3 staff spoken with said they had received training and were clear that they would report immediately any concerns they had and they were aware of the whistle blowing procedure and would go outside their organisation if required to. The service has the local policy and procedures in place and the manager is well aware of how to use them should the need arise. The service has not made any safeguarding referrals in the last 12 months. The self assessment said Clear understanding and implementation of Mental Capacity Act. Good reporting of Protection Of Vulnerable Adult (POVA) issues. Be willing to take criticism and learn from it. Be willing to take suggestions from others. Reply in detail, offering explanations/apology etc within time limits stated in standards. Complaints procedure copy given to all parties. Keep a clear precise log of complaints. Observe daily life to ensure Service Users are not exposed to any form of abuse discrimination neglect of self harm. Be willing to talk directly with complainant not just reply in writing. We found that the manager and records kept showed that there was a good understanding of the Mental Capacity Act and this was relevant and used in documentation such as residents request or denial to be resuscitated if required. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a safe and generally well maintained home that is homely, clean, comfortable, pleasant and hygienic. However the lack of bathing facilities to meet the residents needs is compromising comfort, privacy and well-being. Evidence: At our last key inspection we made a number of observations around several of the bedrooms that required updating. We made a tour of all those bedrooms and found that they had been ungraded and decorated to a good standard and the painting was to a good finish. The manager said the owner was very supportive financially and had made the money available to maintain and improve areas. As we were looking around we saw the cleaning schedule for several rooms that showed what cleaning was done each day, time and who by. We found all areas of the home to be clean and fresh, save for one bedroom that had just become vacant. This room was in the process of being cleaned and a new carpet was to be ordered. Surveys from residents said that their view was that the home was always clean. At our last inspection we made a requirement that there should be sufficient fully functioning bathrooms to meet the needs of the residents. At this inspection we found that the 2 bathrooms on the 2nd floor were not functioning. One did not have any hot water, the other did not have a working bath seat, so neither could be used. The main Care Homes for Older People Page 19 of 28 Evidence: bathroom to be used was on the ground floor. There was a second bathroom available on the first floor. A discussion was held with the manager about potential solutions including installing a wet room with shower. We saw a variety of moving and handling equipment in the home, including a stand aid and several handling belts and slings. We were able to observe staff using the hoist and they were competent in what they were doing. Last time we were at the home we had concerns about the cleanliness in the dishwasher room. This had been painted with washable paint and pipes boxed in to make cleaning of the area easier. The communal areas of the home were clean and we found the chairs comfortable and clean. There is a well equipped laundry at the home. Staff employed there kept it clean and well maintained. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can expect to be supported by sufficient staff who have been appropriately recruited and well trained. Evidence: We spoke with 4 staff during our visit and had 5 staff surveys returned. All but one person thought the staffing levels were enough to meet the needs of the residents. Feedback included the team works well together, and I am very happy working at Brookwood. There are a combination of care staff, senior carers and team leaders employed at the home. In addition support staff include an administrator, a support manager who line manages the domestics, kitchen staff, gardener and maintenance. The home employ a total of 17 care staff and 8 of these hold the NVQ 2 certificate, 3 have NVQ 3 and another 3 are doing NVQ3. Staff spoken with spoke highly of the training they received confirming they had received training in manual handling, fire, medication, food hygiene, infection control. The manger had a training plan in place and confirmed that all seniors will have completed their training in the Mental Capacity Act and Deprivation of Liberty Care Homes for Older People Page 21 of 28 Evidence: Safeguards. In addition 5 staff are doing their dementia care training, another 2 are doing the falls champion course with the local falls prevention officer. Also 2 staff are doing the infection control champions course and 2 staff are doing improving nutritional care. The only training that did not appear to have been considered was 1st aid training. This was discussed with the manager in terms of risk assessment and type of training required at Brookwood and she agreed to ensure this was provided. We looked at the recruitment records for 3 staff and found that they had all the required checks in place before they started work at the home. All 5 completed staff surveys also said they had all the required checks completed before they started work. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can have confidence in the manager of this service as she has the interests, health and safety and well being of residents in mind. The lack of close monitoring of the service by the owner may compromise the quality and ability to consistently get things right. Evidence: The manager of this service is well qualified and has several years of experience in working with people with dementia. She is currently doing a degree module in dementia at Anglia Ruskin. All staff spoken with spoke highly of the manager. One staff member wrote My manager is always available and ready to discuss any questions I may have. This was a sentiment echoed by several staff who felt the manager was a source of sound information. Records for staff supervision and appraisals was examined. Annual appraisals were in place and so was supervision for most people. There was one individual that had a record of last receiving formal supervision in December 2007. This was brought to the managers attention and she Care Homes for Older People Page 23 of 28 Evidence: agreed to look in the matter. The manager was able to show that she was currently in the process of completing a quality assurance audit by seeking the views of residents, relatives, GP, District Nurses and Social Workers. The response was positive and we look forward to receiving a copy of the final report. In relation to visits by the owner of the home we requested to see written reports on the conduct of the home as required under the care homes regulation 26. However, the manager said the owners rarely visited and did not produce these reports and they were not available for inspection. This service does not manage any finances on behalf of any resident therefore we do not need to examine systems to see if this is being manged appropriately. The manager has recently reviewed all the policy and procedures within the service. With regard health and safety matters within the home we have already mentioned the appropriate manual handling equipment in place and training for staff. Also the need to risk assess 1st aid training for staff. The environment is satisfactory as we saw radiators were covered to protect residents. The hot water from 2 baths was tested and found to be within safe limits. On residents plans there are risk assessments in place with regard the use of the stairs. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 21 23 (2)(j) The home must supply 12/03/2007 sufficient numbers of fully functioning assisted bathrooms to meet he needs of the residents. Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 21 23 The service must provide 29/05/2009 sufficient working bathing facilities to meet the numbers and needs of the residents at Brookwood. Therefore we require a plan that sets out work scheduled with timescales. This will ensure the needs, privacy, dignity and well being of the residents is met. 2 33 26 The owners of the home are 29/05/2009 required to visit the home at least once a month interview people at the home and inspect premises and records and produce a report that is available for inspection. This will ensure that the owners are aware of how their care home is being conducted and allow them to take measures on the Care Homes for Older People Page 26 of 28 quality of service being provided. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 Residents should be given opportunities for stimulation through structured leisure and recreational activities which suit their needs, preferences and capacities. Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!