CARE HOMES FOR OLDER PEOPLE
Broome Park Nursing Home Station Road Betchworth Surrey RH3 7DF Lead Inspector
Mrs Pauline Long Announced 18 July 2005
th 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 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. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Broome Park Nursing Home Address Station Road Betchworth Surrey RH3 7DF 01737 843333 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Michael Law Hing Choy Mr Michael Law Hing Choy Care Home 56 Category(ies) of DE - Dementia (1) registration, with number DE(E) - Dementia over - 65 (43) of places LD - Learning Disability (3) LD(E) Learning Disability - over 65 (3) MD - Mental Disorder (9) MD(E) - Mental Disorder - over 65 (43) PD - Physical Disability (9) PD(E) - Physical Disability - over 65 (12) TI(E) - Terminally Ill (4) Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1.) Age/age range - up to 9 (nine) service users within the categories, dementia DE(E), learning disability LD(E), Physical disability PD(E) - over 65 years. 2.) Of the 56 service users accommodated up to 43 may fall within category of either mental disorder MD(E) or dementia DE(E) - over 65 years. 3.) Up to eight service users within all categories (except category TI(E)) may be accepted on a day care basis. 4. One (1) terminally ill person over 65 years of age (TI(E)) within category (MD(E)) or (DE(E)) may be admitted to the annex. 5. Three (3) persons with physical disability over 65 years (PD(E)) within categories (MD(E)) od (DE(E)) may be admitted to the annex 6. One person with Mental Disorder, excluding learning disability or dementia (MD) over 60 years of age may be admitted to the annex. 7. One (1) person with dementia (D) over 60 years of age may be admitted to the annex. Date of last inspection 21st January 2005 Brief Description of the Service: Broome Park Nursing Home is a private Care Home which specialisies in the care of older people with enduring mental health disorders and dementia. Service provision includes placements for residents with physical or learning disabilities. The home operates from a converted country manor house and stables, set in 10 acres of mature well maintained grounds. The accommodation consists of single and twin bedrooms, some with en-suite facilities, communal lounges, sitting rooms and seperate dining rooms. Access to the upper floors is via stairs and a lift. The home is situated in a semi rural location and is accessible by major road and rail networks. It is convenient for Dorking and Reigate town. The home has its own vehicles and drivers who convey residents to appointments and other community resources. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first Inspection of the CSCI year April 2005- March 2006 and was announced. The inspection was carried out by one inspector and lasted for seven hours. One the day of inspection, the proprietor, manager and head of care were present. The service had a homely and welcoming atmosphere. Some of the residents and staff on duty were involved in the inspection process. All spoken with were happy to talk about life in the home. During the inspection process, evidence was gathered in the following ways: • • • • • • • • Discussions with the proprietor, manager and head of care Discussions with the direct care and domestic staff. Direct observation of care practice and interactions between the resident’s and staff. Examination of resident’s, staff and service records. Feedback from the last inspection reports. Feedback from a significant number service user comment cards. Information gleaned from the pre-inspection questionnaire. A tour of the buildings. The feedback from some of the residents was limited in view of their communication difficulties. CSCI would like to thank the residents and staff for their hospitality and cooperation during the inspection. What the service does well:
This home presents a homely environment and atmosphere for the residents. The staff demonstrated a good knowledge of the residents care needs and this was reflected in the wellbeing of the resident’s who were in the home on the day. One resident stated that, “the food is very good and I quite like living here”. Staff retention at this home is good. There is a good match of well trained and qualified staff, offering consistency of care within the home. Many of the
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 6 members of staff on duty on the day of the inspection had worked at the home for some time. One of them said the training at the home was good and that “ I enjoy working here there is good team work” and that, “we are well supported by the management team” Residents were keen to discuss the staff at the home, one stated that, “the staff are good here, I can have a shower when I want one” another resident stated that, the “the people are very nice, very helpful and supportive” Staff training has a high priority at this home, there are many training courses offered to staff on a weekly basis through out the year. The home is committed to ensuring that the residents maintain contact with family one family member commented that, “I am always made to feel most welcome whenever I visit”. There are various activities offered inside the home. A visitor to the home stated that, “my father used to live here, the staff are all caring and kind people”. What has improved since the last inspection? What they could do better:
Failure to comply with these may result in CSCI seeking legal advice, if these continue to remain unmet.
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 7 The home has developed a new format and programme for formal staff supervision. However they have yet to implement this. In order to ensure the safety of the residents, the home must ensure that all staff receive formal one to one supervision meetings and that records of these meeting are kept. Water temperatures are routinely checked, however on the day of inspection the temperature of the water in one of the bedrooms was very hot. To ensure the safety and wellbeing of the residents and staff the water temperatures must be maintained at around 40 degrees. On the day of inspection most of the bathroom doors were locked. One bathroom had a bottle of shampoo and bath foam sitting on the bath. This indicated communal use and was viewed as poor practice. The home must ensure that all residents have access to their own toiletries. Resident’s bedrooms had various tubs of ointments stored in them. The names on the ointments did not correspond with the names of the resident who live in the rooms. This indicated that resident’s health needs were not being met appropriately. The home must ensure, that those residents who require specific creams are supplied with prescriptions in their names. The system for medication was sampled in the annex, “Stable Cottage”. Whilst the medication record sheets were mostly completed appropriately there were a few areas of concern. One resident was admitted from hospital without enough medication. The nurse on duty stated that medication had to be borrowed from another resident. To ensure that resident’s health care needs are met, the home must ensure that there is adequate medication. There was no reason given on the medication record sheets as to why a particular drug was omitted. This requirement remains unmet. Some of the bedrooms had a malodour. To ensure that the residents have a pleasant environment to live in the home must endeavour to eliminate these odours. On the day of inspection accident/incident reports were sampled. These indicated that a resident had sustained an injury. The home had not notified the CSCI. In order to protect the residents from abuse all incidents/ accidents must be reported to the CSCI. Requirements have been made in these areas. Please refer to page 24 of this report. Please contact the provider for advice of actions taken in response to this inspection.
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 9 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 Standards Statutory Requirements Identified During the Inspection Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 6, Arrangements are in place to ensure a full needs assessment takes place before any new admission. The home does not provide for intermediate care. EVIDENCE: Each resident had a comprehensive assessment of needs, which is carried out by the manager or head of care before a resident is admitted to the home. Three of the resident’s files were sampled. The pre-admission paperwork for all three residents was completed in a different format, which could potentially lead to confusion. This was discussed with the management team. All aspects of daily living needs were assessed, indicating that the managers and care staff would be fully aware of individual residents care needs. The home admits residents for respite care, however does not provide for intermediate care. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 On the day, the staff had a good understanding of the resident’s health and personal care needs. Personal care needs were well met. Health care needs were not well met. Privacy and dignity were respected. Residents do not administer their own medication. EVIDENCE: The residents care plans were comprehensive, and included needs assessments, communication assessments, risk assessments with regard to manual handling, falls and potential risks to pressure areas. There was documentation regarding changes in healthcare needs. As discussed earlier in this report, one resident had been admitted with out sufficient medication. This was discussed with the proprietor and nurse in charge, who stated that the hospital did not discharge the resident with the appropriate amount of medication. Resident’s bedrooms had various tubs of ointment/creams stored in them. The names on the ointments/creams did not correspond with the names of the resident who live in the rooms. This indicated that resident’s health needs were not being met appropriately. The home must ensure, that those residents
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 12 who require specific ointments/ creams are supplied with prescriptions in their names. There were records with regard to the activities and care being given, documented on each individual on a daily basis. These records were well written. All of the resident’s care plans sampled on the day had been reviewed. Through out the inspection process, staff were observed carrying out various aspects of personal care for the residents. This was carried out in a respectful manner, bedroom and bathroom doors were not left open, staff were observed knocking on doors, before entering resident’s bedrooms and bathrooms. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13,15 The Managers and staff enable the residents to maintain fulfilling lifestyles in the home. The home promotes contact with family and friends. EVIDENCE: The residents care plans, included information with regard to social, cultural, religious and recreational interests and needs. The home has recently introduced an activity organiser post into the staff team. A member of the present staff team has taken up this post and is working towards a person centred approach to activities, in order to plan appropriate activities for individual and groups of residents. During the inspection process, residents received visitors, who were able to come and go as they pleased. Some met with their visitors in the sitting rooms. One visitor was observed joining in the musical service. On the day of inspection, no restrictive practices were observed. Care staff were observed offering residents their own choices with regard to clothes and the plans for the days activities. One resident stated that, “ I can
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 14 go out in to the grounds when I like, but I can not go out side the gates with out a nurse” On the day of inspection, the care staff on duty were courteous and respectful, at times there was spontaneous interaction between the staff and residents. It was observed that one member of staff did not explain to a resident, that she was going to transfer her from one chair to another. This indicated some difficulties with communication skills. This was discussed with the management team, who said the matter would be discussed with the member of staff involved. The lunch time period was not observed, residents spoken to were looking forward to their lunch. One resident stated that, “I like the food” another stated “the food varies, but it is always hot”. The chef had a good knowledge of individual residents needs, likes and dislikes. He stated that, he was trying to chat with the residents during and after meals, in order to get feedback as to how they enjoy their food. A food comments book was sampled, and contained several entries for example: nice home made pasties, the soup was a little watery, nice curry, the salads are much improved. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has satisfactory policies and procedures and training in place for dealing with the protection of the residents, and for addressing concerns and complaints. EVIDENCE: The home has a complaints policy and procedures. However this needs to be revised to reflect the correct details for the CSCI. CSCI have received no complaints about this home since the last inspection. The home has a complaints/compliments folder. There was no evidence to suggest that the home had received any complaints. One referral has been made under the Local Authority Multi Agency procedures for the Protection of Vulnerable adults. Meetings have taken place in respect of this referral and the matter appropriately resolved. The homes procedure for responding to reports or suspicions of vulnerable adult abuse was discussed with the management team. They stated that they would use their professional judgment in respect of any reports or suspicions of adult abuse. The manager stated that all of the staff have attended the Protection of Vulnerable Adult Abuse training. Two members of the domestic staff could not recall attending this training.
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 16 Requirements have been made in these areas. Please refer to page 24 of this report. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21, 26 The standard of the environment within this home is good, and currently meets needs of the residents, providing an attractive and homely place to live. There was a concern around the storage of hazardous substances. Areas of the home have a malodour. EVIDENCE: All of the resident’s bedrooms were personalised. They were clean bright and tidy. The quality of the furniture and decoration was good. There were photographs of family members and other personal items. All residents spoken with, were happy with their bedrooms. One bedroom in the main building and one in the annex had a malodour. The main sitting rooms and communal areas were bright, airy and uncluttered. The standard of decoration in the hallways and communal rooms was satisfactory. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 18 The one bathroom sampled, and communal toilet’s were, clean and odour free. As discussed earlier in this report, there was shampoo and bath foam in the bathroom. This was viewed as an unsafe practice, these items should be stored according to Control of substances hazardous to health (COSHH) guidelines. Water temperatures were checked in various rooms through out the home. The water temperature in one room was quite hot, this was brought to the attention of the management team. Records indicated that, water temperatures were regularly checked and recorded. On the day of inspection residents were sitting in the garden. It was a warm day and they were provided with ample shade. Requirements have been made in these areas. Please refer to page 22 of this report. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The staffing arrangements in place on the day of inspection were sufficient to meet the needs of the service users. Recruitment practices are good. Not all staff were aware of abuse training. EVIDENCE: The home has policies for staff recruitment. Four new members of staff have been recruited since the last inspection. Staff files seen on the day indicated that thorough recruitment and selection procedures were followed. All of the files sampled contained the required information. The dependency levels of the residents on the day indicated that the present staffing ratio was adequate. Agency staff are not used at this home. Staff talked about their job roles, there was clarity and awareness of the different roles and responsibilities within the home. Staff also discussed the training opportunities in the home. The domestic staff spoken to could not recall attending fire training or adult abuse training, they stated that they had attended the Control of substances hazardous to health (COSHH) training. This was discussed with the management team, who stated that they have had this training and that they may not have understood the question due to a communication problem. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 20 Training records indicated that training in the home is given a high priority with regular training courses offered to all staff. The training records provided evidence of the following training, for example: • • • • • • • • • Infection control. First Aid. Health and Safety. Moving and Handling Wound Dressing Fire Safety. Adult Abuse. Diabetic care. CPR. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33, 37,38 The home has clear Policies and Procedures and the standard of record keeping in the home is good. There was no evidence to indicate that staff receive formal one to one supervision. Whilst health and safety checks are routinely carried out at the home, on the day the practice around the storage of hazardous substances were unsafe. The home does not routinely notify the CSCI under Regulation 37. EVIDENCE: There are comprehensive policies and procedures in the home. Residents and staff can access them when they wish. There were no records, to indicate that the staff had received one to one formal supervision. This was discussed with the management team. The home has developed a new format and programme for formal one to one staff supervision. However they have yet to implement this.
Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 22 There were records to indicate that group supervisions were carried out on a month to six weekly basis. On the day of inspection accident/incident reports were sampled. These indicated that a resident had sustained an injury. The home had not notified the CSCI. In order to protect the residents from abuse all incidents/ accidents must be reported to the CSCI. Health and safety checks are routinely carried out at the home. All equipment in use on the day of inspection was properly maintained. On the day of inspection water temperatures were checked, the temperature of the water in one room was found to be unsatisfactory. As mentioned earlier in this report, there was a concern around the storage of shampoo and bath foam. On the day of inspection the management team stated that the home does not hold residents meetings, but they would be considering how best to gain the residents and families views on how the home is doing. Throughout this inspection the home records were accessed. The recordkeeping was of a high standard. Records were stored appropriately, securely and confidentially. Requirements have been made in these areas. Please refer to page 24 of this report. Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 x 3 x x x x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 3 x x x x 2 Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 24 Yes Are there any outstanding requirements from the last inspection? 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 12 (1) (a) 13(6) Regulation OP 18 Requirement The registered person(s) must ensure that the homes procedures for robustly responding to reports or suspicions of vulnerable adult abuse are in accordance and compatible with local multiagency adult protection procedures. Previous timescale of 22/01/05 not met The registered person(s) must ensure that the nurses record the code and reasons for omissions of prescribed medication on medication administration charts. Previous timescale of 7/12/04 not met. The registered person(s) must ensure that all staff receive formal supervision at least 6 times a year. Previous timescale of 21/3/05 not met. The registered person(s) must ensure that the Environmental Healthy Authority are consulted on the adequacy of the extractor fitted to the cooker canopy in the main kitchen. Previous timescale of 21/2/05 not met. The registered person(s) must ensure that all residents Timescale for action 18/8/05 2. 13(2) OP 9 18/8/05 3. 37(1) OP 37 18/8/05 4. 16(2)(g) OP 19,38 18/8/05 5. 12(1)(a) 13(1)(b) OP 8, 9 18/8/05
Page 25 Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 6. 13 (6) 18 ( c ) OP 18 7. 8. 16 (f) 13(4) (a(b(c 37 OP 26 OP 38 9. OP 37 admitted to the home have the appropriate medication, and that medication prescribed for a named resident is not used for another resident. The registered person(s) must ensure that all members of staff are aware of the Vulnerable Adult procedures. All staff must attend the appropriate training. The registered person(s) must ensure that all areas in the home are free from malodour. The registered person(s) must ensure that all hazardous substances are stored appropriatly and safely. The registered person(s) must ensure that accidents/incidents are reported to the CSCI. 18/8/05 18/8/05 18/8/05 18/8/05 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 Good Practice Recommendations Broome Park Nursing Home H58_s13303_Broome Park_v227862_180705_Stage4.doc Version 1.40 Page 26 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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