Inspection on 17/09/07 for Burlington Nursing & Retirement Home

This inspection was carried out on 17th September 2007.

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

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

Other inspections for this house

Burlington Nursing & Retirement... 18/03/08

Burlington Nursing & Retirement... 26/09/06

Burlington Nursing & Retirement... 18/01/06

Burlington Nursing & Retirement... 05/09/05

Burlington Nursing & Retirement... 17/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Burlington Nursing & Retirement Home 109-111 Victoria Drive Bognor Regis West Sussex PO21 2DZ Lead Inspector Mrs J Hough Unannounced Inspection 17th September 2007 09:30 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 Burlington Nursing & Retirement Home DS0000024125.V351144.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. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burlington Nursing & Retirement Home Address 109-111 Victoria Drive Bognor Regis West Sussex PO21 2DZ 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) 01243 821446 01243 830960 Burlington Nursing Home Limited Mrs Christine Jellett Care Home with Nursing 44 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of service users to be accommodated at any one time must not exceed 44. 26th September 2006 Date of last inspection Brief Description of the Service: Burlington Nursing Home is a privately owned company providing personal and nursing care for up to forty-four service users in the category of Older Persons. Burlington Nursing Home is a detached two-storey establishment in a residential area of Bognor, a seaside town in West Sussex. The home is situated approximately a mile from the centre of Bognor and all its amenities. It is about one mile from the sea front. Accommodation is provided in thirtysix single rooms and four double rooms. Twenty of the singles and two of the doubles have en-suite facilities. A lift gives access to most of the rooms. There is a large lounge/dining room and several other small lounges and quiet areas. There is a large well-maintained garden. The responsible person is Mr Mark Holden and the registered manager is Mrs Christine Jellett. Fees are from £400.00 to £513.00 per week. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. June Hough Regulatory Inspector carried out an unannounced key inspection on the 17th September 2007 from 09:30 hours to 17:15 hours. The Commission of Social Care Inspection (CSCI) sent an annual quality assurance assessment that was completed and information contained in this document and information received from the home since the last inspection in September 2006 was reviewed. Surveys from the Commission of Social Care Inspection were sent to residents and relatives to gain their views on the home. Four surveys from residents and four surveys from relatives were completed and returned and feedback gained from these surveys is included in the inspection report. Since the last inspection ownership of the company and the Responsible Individual for the home has changed. The Responsible Individual for the home needs to notify the Commission of Social Care Inspection (CSCI) of the change in order for the registration certificate to be updated. This issue was discussed with a director of the company and they will be submitting the Responsible Individual details next week. Mrs Jellett the Registered Manager was present at the inspection. We saw some residents in their rooms and in the communal areas. And we spoke with Staff, residents and visitors. A case tracking exercise from records of admission to care given was carried out for a number of residents. Staff records, medication records, complaints and accidents records were examined. Requirements from the last inspection were reviewed and three requirements and one recommendation remain outstanding. Two new requirements were made following this inspection. What the service does well: The home is comfortable and homely for residents and they can furnish their rooms with personal possessions of their choice. . Residents were complimentary about the staff and the way they care for them. A good choice of home cooked food is provided. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 6 There is a varied programme of activities for residents. The home is managed and run well by an experienced and qualified manager. What has improved since the last inspection? What they could do better: Records in relation to wound care are poorly documented. Staff do not have formal staff supervision. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 7 Medication records are not detailed in giving the reasons for omitting prescribed medication and the effects of medicines in relation to pain relief. Medication practices do not ensure all residents take their medication. All staff have not had updated mandatory training. Residents and relatives have not been sent a satisfaction survey in order for the home to gain their views of the services provided in the past 12 months. Some health and safety practices are considered unsafe. 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. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 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 Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient information available to ensure that prospective residents and their families can make an informed choice about the home. A full needs assessment is carried out to ensure the home is able to meet the individual needs of residents. EVIDENCE: Relatives of a new resident confirmed that they had been given sufficient information to allow them to make an informed choice about the home. Pre-admission assessments for two new residents contained comprehensive information about their needs and the support required. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 10 The home provides residents with a contract that is signed by the resident or their representative. The home does not provide intermediate care. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Resident’s care plans are not all up to date and records in relation to wound care are not maintained. Medication records for administration need to be detailed in giving reasons for omitting prescribed medicines, and monitoring the effects of medicines in relation to pain relief. Medication practices in the home do not ensure all residents take their prescribed medication. Resident’s privacy and dignity is upheld. EVIDENCE: Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 12 Care records of a number of residents were tracked and some care plans were not reviewed and updated to reflect current needs of residents and records were untidy. It was also noted that the mental health needs of residents were not included on care plans and gave no evidence that the care plan had been completed with residents or relatives. However care plans are being changed to a new format and during this process care needs will be reviewed and updated as necessary. Risk assessments were in place where relevant, but wound care was generally poorly documented. One care plan read that dressings are applied twice weekly although daily records show that the dressing was not changed for several days. There was no record made of the condition of wounds to monitor progress. District nurses are contacted for advice on wound care when needed. Residents are weighed each month unless otherwise indicated. Pressure relieving equipment is provided as necessary and residents nursed in bed had an appropriate air mattress and hospitals bed. Residents praised the staff and the way they looked after them. Residents said they worked very hard and were dedicated to their work. Observation of staff caring for residents showed they are considerate and understanding to the needs of residents. Care was undertaken in privacy and staff were observed knocking on doors before entering resident’s private accommodation. Medication is appropriately stored and the registered nurses administer the medicines. Medication administration records were all signed to date and signatures corresponded to the list of signatures at the front of the medication record book. A photograph of each resident is attached to the medication administration record to ensure medication is being given to the right resident. Medication records did not include the reasons for giving variable doses of medicines in relation to pain relief or reasons for omitting medication. It was noted that medication for one resident was prescribed for twice a day. Records showed the medicine was not given as prescribed and no reason for this was recorded. It was confirmed by a member of staff that the resident was becoming drowsy with the effects of the medication so it was omitted. However there was no record of consultation with the GP on this matter Errors were found in entries in the Controlled Drug book from 2006 where the book showed drugs are still being stored. Medication procedures for the home state that topical medicines such as prescribed creams and lotions must be signed for on the medication administration records when applied, but records showed this is not done. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 13 Feedback from a relative’s survey showed that on several occasions when visiting the home, several tablets were found in the resident’s drawer indicating that staff did not check the resident had taken their medication before signing medicine charts. This concern was raised at the last inspection in September 2006 when tablets were found in a container in a resident’s room. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. Activities are arranged to suit residents. Residents are given a choice of well-cooked and nourishing food. EVIDENCE: The home has an activity co-ordinator who works five days per week. A varied programme of activities is in place that includes musical entertainment, bingo, painting, flower arranging, nail care etc. Residents said how much they enjoyed the musical sessions and some liked the painting and flower arranging. Some residents attended the church services in the home. Residents confirmed they could choose what to do and some preferred to stay in their rooms. Menus showed a varied choice of food over a four-week period. Menus are developed with the cook and manager taking into account the likes and dislikes of residents. Recent discussions with residents had resulted in a change to the Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 15 menus and some residents being given a copy of the daily menu. Menus do not show an alternative choice of main meal although residents and the cook confirmed that an alternative meal was offered if residents did not like a particular meal. The home caters for special diets. Residents praised the food saying it was well cooked and there was a good choice. Lunchtime was observed in the dining room and the meal for the day was mince cobbler, green beans, cauliflower and mashed potato followed by lemon sponge and custard. The food was well presented and hot. Lunchtime was relaxed and a sociable occasion for residents. Staff assisted residents where needed and residents can choose to eat their meals in the dining room or in their rooms. The home employs two cooks and kitchen assistants, and both cooks have a current food hygiene certificate and one kitchen assistant is in the process of doing the course. The kitchen was clean and hygienic and has been equipped with a new grill and food mixer and new crockery. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and investigated. Staff have received training in recognising abuse and report according to procedures. However dates of training could not be confirmed. EVIDENCE: The record of complaints was checked and complaints received had been recorded and dealt with appropriately. The complaints procedure is displayed in the home. Residents spoken with were not all aware of the procedure but said they would speak with the manager should they have any complaints or concerns. Staff confirmed that they had undergone training in the Protection of Vulnerable Adults (POVA) and understood their responsibilities in the event of any allegation or suspicion of abuse. However dates for training could not be confirmed, as there was no records maintained of staff training. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 17 Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean and pleasant environment. EVIDENCE: We saw residents in their bedrooms and in the communal areas and found that all areas seen were clean although in some areas there was a slight odour noted. The home has a homely atmosphere and is comfortable for residents. Automatic door closures had been fitted to those resident’s bedroom doors that wished to have their door open but it was noted that some doors were still being wedged open. The manager confirmed that further door closures are being fitted. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 19 Some areas of the home have been decorated and new curtains and carpets fitted. The home has good communal space with a large lounge and dining area and several smaller lounges. The rear garden is well maintained and accessible to residents. There is a general lack of storage facilities in the home and vacant bedrooms were being used to store a variety of objects and equipment. It was noted that a fire escape required clearing of overgrown shrubs. We noted that a member of the care staff was seen carrying hot water in a bowl from the sluice to the bathroom to fill the bath for a resident. It was confirmed that the hot water supply to the bath was not hot and it was advised that the bathroom not be used until hot water is restored. The laundry is accessed from the garden and includes two washing machines and a drier. The home employs a laundry assistant during the week and care staff are responsible for the laundry at weekends. Soiled linen and clothing is put into red bags and placed directly in machines. Hand washing facilities are provided in the laundry. Staff understand the correct infection control procedures and wear protective aprons and disposable gloves as needed. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by staff although staffing levels in the mornings need to be monitored. Recruitment procedures carried out in the home ensure residents are protected. All staff receive appropriate training for their work but some training is due an update. EVIDENCE: Staff rotas were clear in showing the number and role of staff on duty during the day and at night. There are 28 residents accommodated and rotas showed that there was one trained nurse plus four care staff in the morning and one trained nurse and three care staff in the afternoon. During the night there is one trained nurse plus two care staff. On the day of the inspection there was a cook, a kitchen assistant, three domestics and a laundry assistant working in the home. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 21 The manager confirmed that there is flexibility with staffing numbers and when dependency and number of residents increases staffing levels are reviewed. Staff spoken with said the mornings are very busy and some days it was hard getting all the residents up and ready by lunchtime. Residents were complimentary about the staff saying they work extremely hard but confirmed that lunch is sometimes late due to pressure of work on staff. However other comments included that staff are always available when needed. The home has staff vacancies for two part-time care staff. The bank of nurses and care staff has recently been increased to reduce the use of agency staff. Information provided on the Annual Quality Assurance Assessment shows that eleven members of the care staff have achieved a National Vocational Qualification (NVQ) in care, with one working towards the qualification. Training information states all staff undertakes basic training on the Protection of Vulnerable Adults and manual handling. However the staff and manager were unable to confirm dates when training last took place and a training plan was not in place. Twelve members of staff are in the process of completing a certificate in dementia care. Five staff records were examined to check the recruitment procedures and all but one had the appropriate checks carried out prior to employment. A kitchen assistant started work in the home prior to a Protection of Vulnerable Adults (POVA) or Criminal Records Bureau (CRB) check being confirmed. However it was confirmed the kitchen assistant only worked weekends and was supervised during periods of work. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 22 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 adequate. This judgement has been made using available evidence including a visit to this service. Mrs Jellett is a qualified and experienced manager. Mrs Jellett must ensure the health and welfare of residents is protected particularly with regard to medication. Staff do not have formal staff supervision. A formal system for gaining the views of residents, relatives and other stakeholders needs to take place so the home is sure it is meeting its aims and objectives. EVIDENCE: Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 23 The registered manager has run the home for several years and is a qualified nurse with the registered managers award. There are clear lines of accountability in the home and residents spoken to knew the management structure in the home and said the manager and proprietor are around most days and available for residents and staff. Formal staff supervision is not taking place although new formats for recording supervision were seen. There has not been a resident’s satisfaction survey completed this year and there is a need to review this. It was confirmed that surveys are in the process of being changed. As previously mentioned residents do have opportunities to speak with the proprietor and manager about issues. Formal staff meetings are held and staff found them useful opportunities to raise and discuss any topics. The home has appropriate policies and procedures in place that were reviewed in 2007. A valid certificate of insurance is displayed in the hall. Systems and equipment in the home are serviced and well maintained. Maintenance records show that weekly checks are carried out on fire escapes, fire warning systems, and fire fighting equipment. However a fire escape was noted to need clearing of overgrown shrubbery and a door by reception did not completely close. Records did not show that water temperatures are regularly checked. The fire alarm panel in reception was indicating a fault and the manager confirmed that the fault had been checked and did not affect the function of the alarm system. Accidents and incidents are recorded and reported to the appropriate authorities. A number of health and safety issues were identified with some door wedges still being used, cleaning and disinfecting fluids being left around in bathrooms, and the problem with staff carrying hot water in bowls to fill the downstairs bath. Domestic staff must ensure that warning signs are placed in areas being cleaned as the cables of cleaners present a danger of falling. The manager and staff could not confirm they have had updated fire safety training. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 24 Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 25 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 1 3 2 Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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) Medicines must be administered as prescribed or reasons for not giving recorded. The effects of medicines for pain to be monitored and recorded on medicine administration records. Medicine practices must ensure residents take their prescribed medication at the times prescribed. 2. OP36 18(2) Staff to be appropriately supervised and records kept. Previous timescale of 31/10/06 not met. 3 OP38 13( c) Ensure staff follow safe working practices to eliminate risks to residents by ensuring safe storage of COSHH items. Previous timescale of 31/10/06 not met 4 OP38 23(4)c Make adequate arrangements for containing fires by discontinuing DS0000024125.V351144.R01.S.doc Requirement Timescale for action 01/10/07 30/11/07 01/10/07 31/10/07 Burlington Nursing & Retirement Home Version 5.2 Page 27 the use of wedges. Previous timescale of 31/10/06 not fully met 5 OP38 18(1) (c ) Arrangements be made to ensure all staff are updated for all mandatory training. 31/12/07 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 OP33 Good Practice Recommendations The views of residents, their families and friends need to be sought formally so the company have yet to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Burlington Nursing & Retirement Home DS0000024125.V351144.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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