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Inspection on 05/01/06 for Broome Park Nursing Home

Also see our care home review for Broome Park Nursing Home for more information

This inspection was carried out on 5th January 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home presents a homely environment and atmosphere for the residents. The managers, nursing and care staff team demonstrated a good understanding of the residents care needs. This was reflected in the discussions observed between residents and staff and in the resident`s wellbeing on the day. Care plan documentation is comprehensive, with clear instructions for the care provided. Record keeping relating to resident`s care needs and progress was of a good standard. The home encourages residents to maintain contact with family/friends and the local community. One visitor to the home commented, I come almost every day and was invited to spend time over Christmas, and the staff are very good, I take my hat off to them. Another visitor commented "I don`t think you could get a better home". This home benefits from a stable, well trained staff group, who provide a consistent level of care to both residents and their relatives.

What has improved since the last inspection?

All but one of the requirements made following the last inspection have been met. The home had recently undergone an "Investors In People" inspection and were pleased with the positive outcome. The home has now implemented a formal staff supervision process and one of the managers commented that this was a very positive development. The home is now routinely notifying the CSCI under regulation 37. All of the dining room furniture has been replaced, making a more attractive environment for the residents to eat their meals in. Two of the bedrooms were in the process of being refurbished and were awaiting new carpets. Many of the armchairs in the main building had been steam cleaned. Several paintings had been purchased, and one in particular had generated much discussion between a relative and the staff. A new telephone system had been installed.

CARE HOMES FOR OLDER PEOPLE Broome Park Nursing Home Station Road Betchworth Surrey RH3 7DF Lead Inspector Pauline Long Unannounced Inspection 5th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Broome Park Nursing Home Address Station Road Betchworth Surrey RH3 7DF 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) 01737 843333 01737 842444 Mr Michael Law Hing Choy Mrs Muriel Law Hing Choy Mr Michael Law Hing Choy Care Home 56 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (43), Learning disability (3), Learning disability of places over 65 years of age (3), Mental disorder, excluding learning disability or dementia (9), Mental Disorder, excluding learning disability or dementia - over 65 years of age (43), Physical disability (9), Physical disability over 65 years of age (12), Terminally ill over 65 years of age (4) Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Age/age range - up to 9 (nine) service users within categories, dementia DE(E), learning disability LD(E), physical disability PD(E) over 65 years. 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. Up to eight service users within all categories (except category TI(E)) may be accepted on a day care basis. 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 Three (3) persons with physical disability over 65 years (PD(E)) within categories (MD(E)) od (DE(E)) may be admitteed to the Annex. One person with Mental Disorder, excluding learning disability or dementia (MD) over 60 years of age may be admitted to the Annex One (1) person with Dementia (D) over 60 years of age may be admitted to the Annex 18th July 2005 Date of last inspection 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 ensuite 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 DS0000013303.V273195.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this home under the Care Standards Act 2000 and the CSCI year April 2005- March 2006 and was unannounced. The inspection was carried out by one inspector and lasted for seven and half hours. On the day the service had a homley and welcoming atmosphere. Discussions were had with the registered manager, registered provider, head of care, nursing and care staff, some of the residents and two visitors to the home. Documents sampled, included service users files, care plans, residents contracts, health and safety documentation, staff communication records and some policies and procedures. A full tour of the home and annex took place. Feedback from the resident’s on the day was limited, in view of the their communication difficulties. CSCI would like to thank the residents, manages and staff for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 6 All but one of the requirements made following the last inspection have been met. The home had recently undergone an “Investors In People” inspection and were pleased with the positive outcome. The home has now implemented a formal staff supervision process and one of the managers commented that this was a very positive development. The home is now routinely notifying the CSCI under regulation 37. All of the dining room furniture has been replaced, making a more attractive environment for the residents to eat their meals in. Two of the bedrooms were in the process of being refurbished and were awaiting new carpets. Many of the armchairs in the main building had been steam cleaned. Several paintings had been purchased, and one in particular had generated much discussion between a relative and the staff. A new telephone system had been installed. What they could do better: The complaints policy posted in the annex did not reflect the current details of the CSCI. To ensure that residents and visitors have the correct information this document must be revised. Several rooms in the home were sampled, one of the bedrooms sampled had a soiled cot side protector on the bed. To minimise the risk of infection and to ensure that all areas of the home are kept clean, attention must be paid to the cleaning in all areas of the home. Opened foodstuffs in the fridge in the main building and the annex were not labelled or dated with the date of opening. To minimise the risks of food poisoning food hygiene regulations must be adhered to. The main kitchen in the home was not properly cleaned. In order to ensure that food hygiene regulations are adhered too, attention must be paid to the cleaning regime. The grouting in the upstairs bathroom in the annex was dirty and cracked. In order to minimise the risk of infection the grouting must be repaired. Please contact the provider for advice of actions taken in response to this Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 The home provides information to prospective residents in order that they can make an informed choice. Prospective service users are invited to view the home before admission. Residents needs are met. Residents were issued with a contract of care service provided. EVIDENCE: Discussions were had with a relative, who commented that he was given the homes statement of purpose and service user guide. This enabled him to make an informed choice about the home, as to whether or not the home could meet his relatives needs. He explained that he was given the opportunity to visit the home in order to view and assess the suitability, however he chose not to visit prior to his relatives admission. The care needs assessments sampled during the inspection were comprehensive and covered all aspects of daily living, physical and mental health needs, indicating that the staff at the home would have a good insight in to the residents needs. On the day of inspection residents needs were observed as being well met. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 10 Two of the resident’s files were sampled. One was a privately funded resident and one was a Social Services funded resident. Both files evidenced that residents had a signed contract of care services provided at the home. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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 the following standard(s): 9,10,11 Residents are not responsible for their own medication. Medication policies and procedures must be reviewed. On the day residents were treated with respect and their privacy was respected. Resident’s wishes regarding their death are discussed and documented. EVIDENCE: The home has recently undergone a CSCI pharmacy inspection, which identified areas for improvement. Two of the three requirements made at that inspection had been met. The manager commented that the areas identified were going to be discussed in a team meeting with the nursing staff and that the medication policy and procedures would be reviewed and updated. One member of staff was observed administering the resident’s lunchtime medication in the main house. The medication round was carried out in an unhurried and respectful manner, some of the medication record sheets were sampled. In the annex medication record sheets and medications were sampled. It was noted that two different doses of medication were recorded on the resident’s medication record sheet as one dose. This was discussed with the nurse in charge and with the managers. All medication records sheets Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 12 following the pharmacy inspection on the 6th December were in good order and signed by staff. Records relating to the disposal of medication were being kept. Through out the inspection process, staff were observed carrying out various aspects of personal care for the residents in a respectful manner. Bedroom and bathroom doors were not left open. A visitor and resident commented that staff were always polite and courteous. The homes policies around death and dying were discussed. The managers commented, that this was a difficult subject to approach. Discussions around death and dying would be had with a resident depending on their understanding and mental health well-being. One file sampled evidenced that a residents wishes regarding death and dying had been discussed, and his wishes clearly documented on file. Care of the dying training is offered to all staff at the home. Care staff are given the opportunity to attend residents funerals as appropriate. There is an outstanding requirement from the previous inspection. Please refer to page 24 and 25 of this report Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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 the following standard(s): 13,15, The home enables the residents to maintain fulfilling lifestyles in the home, and promotes contact with family and friends. The meals in the home are satisfactory, catering for special dietary needs. EVIDENCE: The home is committed to ensuring that the residents maintain their relationships with their family and friends. Some residents receive regular visitors. A visitor commented on all of the activities which the home offered over the festive period, “there was lots going on”. The manager commented that the home was due to have their Christmas party for the residents and their families. The home has recently had the input of a Healthcare Dietician, who discussed nutrition and dietetics with the managers, plans have been made to ensure that all of the staff have yearly nutritional training. The meals are freshly cooked in the home. The chef commented that whilst there was only one main choice of meal, special diets are catered for and if a resident wished, then an alternative meal could be provided. Several residents were observed as being on soft diet. This consisted of all of the food being pureed together and did not look particularly appetising. This was discussed with the chef, who stated that he would review the presentation Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 14 of the “soft diets” in order to provide a more attractive meal. On the day chicken curry with rice or potatoes was the choice for the lunch time meal, one resident was observed having an omelette. The food was served up from a hot trolley to the dining room table. Staff were observed encouraging the residents to eat their food and assisting those residents who required help. One resident stated that the food was nice, and appeared to be enjoying the chicken curry. The chef commented that he regularly talks to the residents about the meals, and he provides a comments book for the residents and staff to write their comments. This book was sampled, however there were no comments to note. The home has recently had a visit from the Environmental Health Department and some requirements were made as a result of this visit and some have been addressed. A tour of the main kitchen and freezer storage area took place, and there was evidence to suggest that these areas were not cleaned properly, for example many cobwebs were noted underneath the work surfaces and in the extractor hood, several of the electric sockets were dusty, the floors were dirty. This was discussed with the Chef and the managers, who agreed that a deep cleaning programme would be drawn up and implemented. Some foodstuffs in the main house and the annex fridge were not labelled or dated with the date of opening. Record keeping in respect of food hygiene regulations were up to date for example: fridge and freezer temperatures, hot and cold food temperatures. Requirements have been made in these areas. Please refer to page 24 and 25 of this report. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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 the following standard(s): 16,18 The home has satisfactory policies and procedures and training in place for addressing concerns and complaints. Staff have received Protection of Vulnerable Adult training. EVIDENCE: CSCI have received one complaint about this home since the last inspection. This was dealt with through the homes complaints procedure and has been resolved satisfactorily. The complaints procedure in the annex requires updating to reflect the current details for the CSCI. Various scenarios relating to protecting adults from abuse were discussed with the care staff. It was pleasing to note that they had a good understanding of the homes Protection of Vulnerable Adults Abuse policy (POVA). However two of the staff commented that they had not attended this training. This was discussed with the managers and head of care, who were able to evidence that this training had been provided for the staff in question. One referral has been made under the Surrey County Council Protection of Vulnerable Adult Multi Agency Procedures. Meetings have been held in respect of this referral and has been appropriately resolved. A requirement has been made in respect of the complaints procedure. Please refer to page 24 and 25 of this report. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 16 Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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 the following standard(s): 19,22,23,24,26 The standard of the environment within this home provides comfortable communal areas, and bedrooms which suit the resident’s needs. Specialist equipment is provided as needed. On the day the home was clean and free from malodours. Attention must be paid to cleaning in the main kitchen and to aids used in the bedrooms. EVIDENCE: On the day the home was decorated to a satisfactory standard through out and was free from any malodour. Resident’s bedrooms evidenced personal items, for example photographs of family members, soft toys, books and other personal items. Some of the armchairs were observed as being old and requiring repair or replacement. This was discussed with the managers, who stated they had identified those chairs which require replacement and that they would be replaced in due course. The home has a rolling programme for redecoration and refurbishment. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 18 The main sitting rooms had ample armchairs, which have recently been steam cleaned. Two of the bedrooms are in the process of being refurbished, new carpets had been ordered and were expected to be laid on the 9th January. Several of the residents require the use of specialist equipment. There was evidence to indicate that all of this equipment was routinely serviced and was safe to use. Water temperatures were checked in various rooms through out the home, and were found to be satisfactory. As discussed earlier in this report, attention must be paid to the cleanliness in the main kitchen. There were many cobwebs under the work surfaces and in the canopy over the cooker. Many of the electric sockets were dirty, floors had not been properly cleaned. One of the bedrooms sampled contained a bed with cot sides. The cot side protectors on this bed were found to be soiled. Requirements have been made in these areas. Please refer to pages 24 and 25 of this report. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The staffing arrangements in place on the day of inspection were sufficient to meet the needs of the service users. Staff training is give a high priority in this home. EVIDENCE: On the day staffing levels were adequate. The morning shift staff team consisted of 2 registered nurses and 6 care assistants, the afternoon shift, 2 registered nurses and 5 care assistants. The manager, head of care and responsible individual were on duty through out the inspection. The home has posted its training and development plan for 2006. This includes all of the statutory training and other training courses in line with current good practice for example: Protection of Vulnerable Adults, Manual Handling, Food hygiene. Staff talked about their job roles, there was clarity and an awareness of the different roles and responsibilities within the home. Staff also discussed the training opportunities in the home. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,36,38 Resident’s and staff benefit from the ethos and management approach at the home. A staff supervision process has been developed and implemented. Record keeping with regard to care records is good. On the day health and safety practices were good and records kept. EVIDENCE: Residents, staff and visitors spoken with on the day commented that the managers were approachable, and that the home was well run. Staff commented that all of the management team were very supportive and always ready to listen to their concerns. A visitor commented that the staff were always very welcoming and everyone seems happy. One resident commented, that he has to wait for a member of staff to provide him with a cigarette, but they were all very nice. The staff were observed working going about their work in a quiet manner, their Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 21 interactions with residents evidenced that there was an atmosphere of respect. The manager and head of care have worked at implementing a formal one to one staff supervision process. There were records, which indicated that some of the staff had received formal one to one formal supervision meetings, the home is working to meet the required 6 one to one meetings per year. Staff stated that they have regular staff meetings. The inspector sampled the minutes of the housekeeping meeting held on the 14/12/05. On the day there were no concerns around health and safety. The water temperatures were checked in many of the bedrooms and communal bathrooms, all were satisfactory. Several staff were observed transferring residents using the hoists provided, moving and handling practices were good. Kitchen records were kept in accordance with food hygiene regulations. As discussed earlier in this report, some opened foodstuffs stored in the fridge in both the main house and the annex house had not been labelled with the date of opening. There was a concern around the overall cleanliness in the main kitchen and some of the aids used in the bedrooms. Requirements have been made in these areas. Please refer to pages 24 and 25 of this report. Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 22 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 X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X 3 3 3 X 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X 2 X 2 Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 23 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 OP9 Regulation 13(2) Requirement 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 areas of the home are kept clean. Attention must be paid to ensuring the cot side protectors are kept clean. The registered person(s) must ensure that all areas of the home are well maintained. The grouting in the upstairs bathroom at Stable Cottage should be repaired or replaced. The registered person(s) must ensure that foodstuffs stored in the homes fridges are labelled and dated on opening. The registered person(s) must ensure that homes complaints policy and procedure reflect the current details of the CSCI. The registered person(s) must ensure that the main kitchen is DS0000013303.V273195.R01.S.doc Timescale for action 05/02/06 2 OP26 12(1a) 13(3a-c) 22(3d) 23(2)(b) 06/01/06 3 OP19 05/03/06 4 OP38 12(1)(a) 06/01/06 5 OP16 22(7)(a) 05/02/06 6 OP26 12(1)(a) 23(2)(d) 05/04/06 Broome Park Nursing Home Version 5.0 Page 24 properly cleaned. 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 Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Surrey Area Office 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 © 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 Broome Park Nursing Home DS0000013303.V273195.R01.S.doc Version 5.0 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. 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