Inspection on 18/01/07 for Brookwood Manor Ltd

This inspection was carried out on 18th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brookwood Manor Ltd 20/01/10

Brookwood Manor Ltd 30/11/09

Brookwood Manor Ltd 13/03/09

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

CARE HOMES FOR OLDER PEOPLE Brookwood Manor Ltd Holbrook Hall Park Little Waldingfield Sudbury Suffolk CO10 0TH Lead Inspector Claire Hutton Unannounced Inspection 18th January 2007 10:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brookwood Manor Ltd DS0000068498.V323583.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. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brookwood Manor Ltd Address Holbrook Hall Park Little Waldingfield Sudbury Suffolk CO10 0TH 01787 248062 01787 247525 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) Brookwood Manor Ltd Mrs Samantha Jane Okeh Care Home 28 Category(ies) of Dementia - over 65 years of age (28) registration, with number of places Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th January 2006 Brief Description of the Service: 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 for residents’ personal clothing. Fees for this home range from £480.00 to £560.00 per week. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over eight hours on a weekday. This was a key inspection, which focused on the core standards relating to older people. The report has been written using accumulated evidence gathered prior to and during the inspection, including information from 10 residents ‘Have your say about’ comment cards and 3 relative comment cards. Time was spent talking with three residents, some staff and the manager. The new owner of Brookwood, who bought the business in December 2006 was also met with and feedback given. Additionally a number of records were inspected including those relating to residents care plans, staff personnel and training, medication, quality assurance and polices and procedures. What the service does well: What has improved since the last inspection? What they could do better: There are two areas for development. The first is around the environment. Over the last year there appears to be less investment in the environment than was needed. Therefore a plan of development to maintain and upgrade the Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 6 environment needs to be developed. The new owner was quite clear of his commitment to the home and was on board with this idea. Secondly medication matters need to be improved. The security of medication must be improved along with a purchase of a medication fridge. Updates and medication training must be available to staff. 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. Brookwood Manor Ltd DS0000068498.V323583.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 Brookwood Manor Ltd DS0000068498.V323583.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 4. Standard 6 does not apply. Quality in this outcome area is good. Prospective service users can expect to be provided with information to help them make a decision to move into the home. Service users can expect to have a contract with the home and a needs assessment undertaken before admission to ensure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users guide and statement of purpose was in the process of being updated with the new owners information, along with new photographs being taken. The manager agreed to send a copy to the Commission. Information was available at the home. Information relating to three service users was assessed and each person was found to have a contract and terms and conditions signed and in their file. The same three service users files demonstrated that the manager had completed an assessment of need before the person moved into the home and that formed the basis of the care plan that was developed. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 9 Of the ten returned service users survey eight stated they received enough information about the home before they moved in and all had a contract. One person suggested more information on meals and menus would have been helpful. Brookwood Manor Ltd DS0000068498.V323583.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. Residents can expect to have care plans that reflect their individual needs. Access to healthcare is facilitated and residents are treated with respect. Residents may not be protected as far is possible by safe administration and appropriate storage of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of three residents were case tracked. Care plans were developed using a system known as Standex. This system had been added to by developing falls risk assessments and strategies for staff to follow. Manual handling assessments were seen in place. A life history of residents was written up and laminated with their photograph. Daily records were kept and visits from health professionals were recorded. There was evidence of review. The three residents spoken to were happy with their care. All three of the returned ‘relatives/visitors comment cards’ said they were satisfied with the overall level of care provided. Four of the ten residents returned ‘have your say about’ said they always receive the care and support they need. The other six said they usually did. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 11 A Doctor was visiting the home at the time of the inspection and spoke with the Inspector. The doctor was happy with the home and feedback they received from other professionals was that appropriate referrals were made to their service. Medication procedures, storage and recording was examined. Storage for medication was appropriate, but was not totally secure, as the trolley was no longer secured to the wall. The manager agreed to see to this immediately. At the last inspection a recommendation was made to purchase a fridge. This is required by the home to store insulin at the correct temperature. A local chemist supply a blister pack system. This was stored in a locked draw in the trolley. Access to blister packs and ease of use could be improved if the appropriate storage racks were purchased. Medication received and returned is recorded, therefore audit of medication is possible. The medication administration record (MAR) showed that staff regularly record medication being given and the coding system is used. One gap was seen on the current months MAR. The medication was not in the blister pack, therefore it could be assumed that the medication was given, but the staff member forgot to sign. Weekly quality checks on the system could be designated to one responsible person to follow up such matters. Staff spoken to said that their medication training needed updating. The manager confirmed this was the case and had planned to have the chemist up date all staff in medication training. Observations between staff and residents were friendly and appropriate. A comment from a relative was “ Staff are always welcoming and have the welfare and dignity of residents in mind.” Another comment from a relative was “Staff always very attentive – if unable to answer a query will get a senior who can.” Where as another relative said “It is difficult to get a straight answer sometimes”. Comment form service users included “staff are very kind”. Brookwood Manor Ltd DS0000068498.V323583.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): Quality in this outcome area is good. Residents can expect to have social opportunities presented and expect to receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence that residents do arts and crafts at the home as this was displayed upon the walls. After lunch ‘sing-along-Bob’ came and played the organ. Residents and staff spoken with really enjoyed these regular visits. Some residents sang whilst others got up and danced. From the ten ‘have your say’ questionnaires, three people stated there was always activities arranged that they could take part in. Three others said activities were usually arranged, one person said sometimes and two people chose not to comment. Residents’ interests and hobbies were recorded in their care plans as were visits from relatives and friends. Visitors are welcomed to the home at any reasonable time. All three returned comment cards from relatives stated that staff welcome them any time and that they can visit in private if they wish. One resident was very pleased to have a sherry before lunch and was very pleased that the staff knew and catered for their special diet. Residents complimented the food. Lunchtime was informal with residents being encouraged to use the dining room over the extended lunchtime period. One resident chose to have her lunch in the lounge on a tray. There was a choice Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 13 of different main meal each accompanied by fresh vegetables and potatoes. Teatime was macaroni cheese or sandwiches, cake, fruit, yogurt and crisps. The daily meal was written on a wipe board in the dining room. Brookwood Manor Ltd DS0000068498.V323583.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): Quality in this outcome area is good. People who use this service can expect that complaints and matters of protection be taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place. There is a copy in the service users guide which all residents or their representatives have a copy of. The log of complaints was examined and found to have appropriate recording of concerns raised and action taken by the home to address these matters. The Commission has not received any complaints about this service. Nine of the ten returned ‘have your say’ forms stated they did know how to complain. One did not comment. Two of the three relatives comments cards stated that they were aware of how to make a complaint. One said they were not aware of how to complain. The home subscribes to the local policy and procedure developed by Suffolk Social Services on protection of vulnerable adults (POVA). The staff files seen showed that staff had received training in complaints and POVA. Brookwood Manor Ltd DS0000068498.V323583.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): Quality in this outcome area is adequate. People living in the home can expect the communal areas of the home to be clean and comfortable, however decoratively the home is not well maintained and a number of bedrooms have an odour. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From the surveys returned the feed back around cleanliness of the home was that four people thought the home was always clean, three people said it was usually clean, two people said it was sometimes clean and one person did not comment. Written comments included ‘toilets are not clean’. ‘My husbands bedroom is not clean’. And ‘The laundry is sometimes a problem as it builds up and my mothers bedroom needs a good spring clean.’ Therefore a full tour of the environment was undertaken. All but one bedroom was visited. (A resident was sleeping) The décor, furniture and personal belongings differed from room to room. Some rooms were very comfortable and homely with several personal belongings and other rooms were comfortable but sparse and did not reflect the person whose room it was. Out of the twenty-three bedrooms visited seven had an odour problem. This was discussed with the manager, who agreed this was a situation that the housekeeping staff try hard Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 16 with, but are not always successful. In each room there is a thermometer to record the room temperature. In two rooms this read 20°c. The radiators on all rooms were covered to prevent any resident from accidentally burning themselves, however the thermostat control had also been covered, therefore the temperature of the room could not be controlled by the resident or staff. Room 115 had an en-suite however this was locked as the toilet was not functioning and the wash hand basin in the bedroom had a wooden board over it as the drainage was not working. The sluice rooms were unlocked and did not have washable walls. The home processes all laundry on the premises. The laundry room is two rooms and both well used with a lot of clothing being cleaned. There is an industrial washing machine and two tumble dries in one room and a drying, storing and mending area in the other room. There was a staff member processing laundry and she was ironing clothing. There was not an undue backlog of dirty clothing. The laundry room floor was not completely washable as there was a hole in the floor covering. The walls were not washable as wallpaper was missing. Two other rooms in the home that are very well used are the dishwashing room and the bathroom nearest the communal areas. The dishwashing room had been decorated since it was last inspected, but it requires painting with a washable paint, metal pipes painted too and deep cleaning. Food should be removed from this room. The bathroom is well worn with usage. Given this room is used so heavily compared to any of the other bathrooms in the home, then this room should be refurbished to bring it up to a high standard. The manager spoke of improving the storage in the room. Two other bathrooms were visited. The bathroom in room 217 had low water pressure; therefore it would have taken a very long time to run a bath. The other bathroom on the second floor was locked and used for storage. The ratio of bathrooms to residents is one bathroom per eight residents. Therefore Brookwood must have four fully functioning assisted bathrooms to meet the needs of the residents. The communal areas and the remainder of the home were in generally good decorative order and clean. The manager spoke of plans to decorate and have a colour coding to doors. All bathrooms and toilet doors will be blue. One bedroom had been redecorated. Brookwood Manor Ltd DS0000068498.V323583.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): Quality in this outcome area is good. Residents can expect to be supported by sufficient numbers of staff that are adequately recruited, well trained and can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rota was seen and this reflected the staff on duty, five carers including one senior in the morning, four carers including a senior in the afternoon and three carers on at night. In addition there is the manager who is usually there Monday to Friday 9 – 5 and a person on call out of those hours. There are additional catering staff, housekeeping staff and an full time administration person at the home. From the ten ‘have your say’ five people said staff were always available when needed, four said staff were usually available when needed and one person said staff were sometimes available when needed. Written comments included ‘staff are always cooperative and helpful’. One staff ‘is particularly good, his manner and the way he behaves with residents is excellent’. However two other people said ‘There is a lack of staff’ and ‘there is poor communication between shifts’. Staff spoken with and observed on the day were found to be supportive and understanding of the residents. Staff had a good knowledge of the residents who were tracked as part of the inspection. It was observed that the carers on duty were calm and carried out their duties well. A Doctor, relatives, the new owner, ‘sing-along-Bob all visited as well as the Commission inspector. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 18 The recruitment process was reviewed and three staff records were seen. All the necessary checks were in place before these staff started work at the home. Training matrix had been completed that highlighted training staff required. Dates for updating manual handling had been planned. There are seventeen care staff and eight staff have completed National vocational Qualification (NVQ) in care level two and one is currently undertaking the course. Two staff have NVQ level three in care and one person is currently undertaking the course. There is a clear commitment from the home to staff training. Brookwood Manor Ltd DS0000068498.V323583.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): Quality in this outcome area is good. Residents can expect to live in a home that is managed by an appropriately qualified manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is Ms Sam Okeh, she has been at the home a number of years, but became the registered manager at the of 2004 upon completion of her Diploma of Higher Education in Mental Health Nursing. This makes her RNMH qualified. She also holds the advanced GNVQ in Health and Social Care along with the registered manager award. These qualifications make her suitable for the role of managing Brookwood. The managers’ approach to inspection and management of the home has been positive and progressive. She is keen to work with the CSCI and improve standards at the home. Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 20 The home has a quality assurance system in place that seeks the views of those interested in the running of the home. The manager had sent information about this process to the Commission earlier in the year. The consultation includes relatives, professionals from multidisciplinary settings and staff. The staff questionnaire was in the process of being completed and the results will be analysed. In terms of residents finances the home does not act as appointee to any resident at the home. The home do however keep small amounts of money for those residents and family who with this to happen. This was seen to be kept safe and separate. There is a record of each transaction with a receipt in place. Staff spoken with said they were well supervised with regular formal supervision as well as having regular access to a team leader. The records examined showed that staff did receive formal supervision and appraisals. There are regular team leader meetings held and the last team meeting was December 2006. The minutes were kept. Records of servicing and checks were seen for gas, hoists, bath hoists and fire. These were all in order. Bath temperatures were taken and found to be around 43°c. Windows above ground were seen to be restricted. Radiators were seen to have covers. Brookwood Manor Ltd DS0000068498.V323583.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 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X 3 2 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Brookwood Manor Ltd DS0000068498.V323583.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. 2. Standard OP9 OP30 OP9 Regulation 18 (1)(c ) 13(2) Requirement Care staff must be appropriately trained to administer medication. Medication storage must be secure. Therefore the trolley must be secured against the wall and a medication fridge purchased. The home must be in reasonable good decorative order. Therefore a plan of refurbishment must be developed setting out all matters to be addressed with timescales and sent to the commission. The toilet and wash hand basin in room 115 must be reapired. The premises must kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection. Therefore the seven bedrooms (24, 113, 115, 116,212, 213 and 215) must have the carpets cleaned or replaced and systems of prevention must be considered individually. The home must supply sufficient numbers of fully functioning assisted bathrooms to meet he DS0000068498.V323583.R01.S.doc Timescale for action 12/03/07 12/03/07 3. OP19 23 (2) (b)(c)(d) 12/03/07 4. 5. OP19 OP19 OP26 23 (2) (b)(c)(d) 13 (3) 16 (2)(k) 12/03/07 12/03/07 6. OP21 23 (2)(j) 12/03/07 Brookwood Manor Ltd Version 5.2 Page 23 7. OP25 23 (2) (b)(c)(d) 8. OP25 23 (2) (b)(c)(d) 9. OP26 13(3) 10. OP26 13 (3) 11. OP26 13 (3) 16 (2)(j) needs of the residents. The heating of service users’ accommodation must meet the health and safety requirements and the needs of individual service users. Therefore the radiator covers must allow for each radiator to be accessed to adjust heating. The water supply of service users’ accommodation must meet the relevant safety requirements and the needs of individual service users. Therefore the supply of hot water to the bath in room 217 must be addressed. The premises must be kept clean, hygienic with systems in place to control the spread of infection therefore the sluice room walls must be made washable either with tiling or washable paint. The premises must be kept clean, hygienic with systems in place to control the spread of infection therefore the laundry room walls must be made washable either with tiles or washable paint. The floor covering must be replaced with a sealed floor that is washable. The premises must be kept clean, hygienic with systems in place to control the spread of infection therefore the dishwashing room must be deep cleaned and either tiled or painted in a washable paint. This must include the pipe work. 12/03/07 12/03/07 12/03/07 12/03/07 12/03/07 Brookwood Manor Ltd DS0000068498.V323583.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. Refer to Standard Good Practice Recommendations Brookwood Manor Ltd DS0000068498.V323583.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Brookwood Manor Ltd DS0000068498.V323583.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. 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!