Inspection on 16/02/07 for Maesbrook Nursing Home

This inspection was carried out on 16th February 2007.

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

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

Other inspections for this house

Maesbrook Nursing Home 17/08/09

Maesbrook Nursing Home 22/08/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Maesbrook Nursing Home Church Road Meole Brace Shrewsbury Shropshire SY3 9HQ Lead Inspector Pat Scott Key Unannounced Inspection 09:15 16th February 2007 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 Maesbrook Nursing Home DS0000068099.V325003.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. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maesbrook Nursing Home Address Church Road Meole Brace Shrewsbury Shropshire SY3 9HQ 01743 241 474 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) Maesbrook Care Home Limited Mrs Rosalind Wade Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (2) of places Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: Maesbrook Care Home is situated in a tranquil village setting on the outskirts of Shrewsbury. It has good transport links to the town and local amenities. The home is set in well maintained grounds that are accessible to service users and car parking facilities are provided for visitors. Maesbrook Care Home Ltd make their services known to prospective service users in an information brochure. The inspection report can be made available. The care home rates are reviewed annually and service users are notified one month in advance. Fees for Maesbrook are: £470-£650. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. Comments within the 14 service user survey forms and 23 relative/visitor survey forms were taken into account. The home is still operating with two multi-occupancy bedrooms, one three bedded and one four bedded. Agreement had been given by the new provider to reduce occupancy as circumstances allow. This has not been upheld and the provider must now comply with the agreed conditions of registration that no new service users are admitted to either the triple or quadruple bedded rooms should beds become vacant. What the service does well: What has improved since the last inspection? Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 6 It is considered that this home is currently performing well, setting its own objectives for improvement. What they could do better: 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. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Key Standard 3 National Minimum Standards 1.2 Prospective service users and their representatives have most of the information needed to choose a home which will meet their needs They have their needs assessed but may not have a contract so they are unclear about the service they will receive. EVIDENCE: Prospective service users are given the opportunity to spend time in the home. Records show that the staff team are qualified and experienced to work with the needs of the service user. Documentation and training logs show that specialist areas of work have been explored and that staff have access to detailed guidance and training materials. The home has an information document that provides information about the home. This details what the prospective service user can expect and gives an Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 9 account of the quality of the accommodation, qualifications and experience of staff and how to make a complaint. It does not, however, contain recent CSCI inspection findings or comments and experiences of residents living at the home. Neither does it comply with the changes in the Care Home Regulations as amended in September 2006. It must include the current fee levels and state whether the terms and conditions (including fees) would be different in circumstances where a service user’s care is funded, in whole, or part, by someone other than the service user. The manager stated that each service user is provided with a statement of terms and conditions prior to moving to the home, which are being reviewed because of the new ownership of the home. These were unavailable for examination to ascertain if compliant with the change in Regulations. Out of the service user surveys returned, all stated they had received information about the home. One comment included they were shown around the home and were introduced to the staff. Four service users stated they had not received a contract. Admissions are not made to the home until a full needs assessment has been undertaken. The home is then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the information. For people whom are self funding and without a care management assessment the assessment is always undertaken by a skilled and experienced member of staff. Evidence seen in care files confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the service user. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 7.8.9.10. National Minimum Standard 11 The health and personal care, which a resident receives is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The home has a strong ethos of involving service users in all aspects of their life. All service users have a robust care plan. The home has effective systems in place to ensure the care plan is reviewed and updated monthly and arranges additional reviews when changes take place. Service users are enabled to participate and communicate their views to the development of the care plan and the review process. Feedback and involvement is a continuous ongoing process as the home participates in the Gold Standard Framework for end of life care. Staff were seen to spend time with individual service users to ensure they understand decisions and actions. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 11 The care plan is used as a working tool and is understood by all staff. It is written in clear language and can be used in an emergency by people who are not familiar with its content. Each care plan includes a comprehensive risk assessment element. Management of risk takes into account the needs of service users balanced with their aspirations for independence and choice. The staff keep up to date with training, professional research and literature, in both the social care and clinical fields, and ensure that care plans are informed by the relevant social and clinical guidance. Staff actively promote the service users’ right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure service users are reminded and appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each service user has the necessary aids to improve their quality of life. Service users have choice over their personal care and are encouraged to be independent and responsible for their own personal hygiene where possible. Comments from the service users survey include “I am very well supported and able to lead a normal life as much as possible”, “overall this is a good home and the staff are good at their job”. The home operates an efficient medication policy. Staff all have access to the written information and understand their role and responsibilities. Qualified staff receive extra training where required. Medication records are seen as key to the efficient management of health care matters. These were in good order. The home strongly promotes independence and those service users assessed as being able are encouraged and facilitated to keep, and take their own medication. The home has a sustained record of full compliance with the administration, safekeeping keeping and disposal of controlled drugs. The need to respect service users’ privacy and dignity when delivering health and personal care is a key principle of staff practice. Staff are aware that this also applies to all areas of the service user’s life. Service users are consulted and can decide which staff members they want to help them with their personal care and a keyworker system is in operation. The staff group is balanced to enable choice of male, female and age related preferences. A recent concern raised by a family regarding privacy in a shared room had been appropriately addressed by management. A relatives comment on the survey stated “I have not been able to visit in private as he/she is in a shared room and there is no privacy in the lounge. I would imagine if I asked something would be arranged”. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 12 The registered manager routinely observes staff attitude and approach to privacy and respect and constantly seeks and values service users’ views and experiences. The wishes of individual service users about dying and terminal care, and the arrangements they want after death are openly and sensitively discussed with both the service users and their family during the development of the care plan. These are recorded, respected and known to the staff delivering the care. All staff receive in house training and practical advice in caring for these service users, and have continuous support and opportunities to discuss any areas of anxiety and concern. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 12.13.14.15 Service users are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet service user’s expectations. Service users receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: From information seen and talking to service users the home is able to enable a full and stimulating life style with a variety of options to choose from. The home seeks the views of service users and considers their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and service users can make choices in all areas of their life. The routines, activities and plans are service user focussed, regularly reviewed, and can be quickly changed to meet individual service users’ needs. A service user stated that they receive a newsletter that includes forthcoming events as well as a months events calendar. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 14 The home employs an activities coordinator who is responsible for creating meaningful activities and experiences both in the home and the wider community. Service users are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the service user. Service users can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. The system in place and the practice and attitude of the staff team give service users the opportunity and support to remain independent. They are encouraged to be responsible for their own money for as long as they wish, and are able to maintain their independence, for example, collecting their own pension, paying for shopping and managing their own bank accounts Food is considered to be highly important and meal times considered a social occasion. Records show that kitchen staff are qualified and experienced in cooking for older people, and are important members of the care team and are well aware of the recorded dietary and cultural needs of each service user. The menu is varied, balanced and nutritious. Food is served to meet the need of all service users including those who have swallowing or chewing difficulty. Service users stated they appreciate the good quality food they are served and being able to have a drink when they wish and the availability of snacks. They also enjoyed being able to eat in their own room when they wish. There is a small, well equipped, service user kitchen in the home. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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. 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. Key Standards 16.18 Residents have access to a complaints procedure and initial training provided ensures that service users are protected from abuse and have their legal rights protected. EVIDENCE: The service has a complaints procedure that meets the national minimum standards and regulations. The complaints procedure is available within the home. Survey results showed that service users and others associated with the provision mostly understand how to make a complaint. The policies and procedures regarding protection of service users are satisfactory and are reviewed and updated in line with regulations and other external guidance. The induction process and NVQ training includes adult protection training, but the home does not provide updates/refreshers following this. A recent complaint received re communication and privacy in a shared room had not been recorded in the complaint log. The complainant had not been notified in writing of the action to be taken regarding the complaint. However, verbal reassurance had been given to the persons concerned at a care management review and thereafter. Complaints are not audited to identify any failings within the home. Service users who are able and others associated Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 16 with the home state that they are generally satisfied with the service provision, and feel safe and supported. Service users are supported to live as independently as possible, exercising their rights to make choices and decisions with assistance when needed. The home facilitates the right for all service users to vote in elections when ever possible. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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. 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. Key Standards 19.26 The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home has a well-maintained environment, which provides aids and equipment to meet the care needs of the service users. They have the choice to bring small personal items of furniture into the home as was seen in some rooms entered. The shared areas provide a choice of communal space with opportunities to meet relatives and friends. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 18 The home has two multi-occupancy rooms (one of 3 bed and one of four) which were fully occupied. A service user had been admitted onto a vacant bed in one of these rooms which is a breach of the agreed conditions of registration with the new owners. The manager gave full reassurance that this would not occur again and beds will be left vacant to bring each room down to no more than two beds. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 27.28.29.30 Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. EVIDENCE: The service has a robust recruitment procedure that has the needs of service users at its core. The recruitment of good quality carers is seen as integral to the delivery of this service. The service is highly selective, with the recruitment of the right person for the job being more important than the filling of a vacancy. The manager prioritises training and facilitates staff members to undertake external qualifications beyond the basic requirements. The service empowers staff to share skills and knowledge with colleagues. Records of all training undertaken are kept, are accessible and demonstrated that a wide variety of topics are available. Service users and relatives stated that staff are very skilled in their role, and are able to meet their needs. The manager sees induction and any probationary period as being an extension of recruitment. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 20 Staffing rotas seen show that an adequate number of staff and skill mix are on duty each shift. It is considered, given the current dependency and complexity of service users and the level of clinical and personal care input required, that the current levels on the rota provide a safe number for meeting service user need. Comments from the relative survey include: “Maesbrook is exceptional in its standards of care, compassion and love shown to patients. Many other homes would benefit from their expertise and I hope it does not change with the new owners”, “Caring, kind and better than we dared hope”, “We have not been disappointed, it is the little things they do to make the quality of life as good as it can be”. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 31.33.35.38 National Minimum Standard 37 The management and administration of the home is based on openness and respect. Implementation of its quality assurance system will confirm that practice reflects the policies, procedures and guidance of the home. EVIDENCE: The registered manager has the required qualification and experience to meet the key standards and is competent to run the home and meet its stated aims and objectives. The manager is committed to providing a quality service and is able to demonstrate through formal qualification, and experience and ability that she is highly competent in the following areas: care of older people, conditions and Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 22 diseases associated with old age, development and implementation of the services policies and procedures, good people skills, strong leadership of staff which leads to confident workers, responds to need and provides an excellent role model for her staff. The manager ensures that the policies and procedures are followed by staff. Staff have practice handbooks and easy access to all documents, which are discussed during supervision, staff training and team meetings. Quality monitoring systems are not yet in place to provide management evidence that practice reflects the homes policies and procedures. Records are clearly written and up dated. Fire records were sampled and were in order. The owners are present on a regular basis and converse with service users regularly about the service in the home. By implementing a quality assurance system and recording the outcomes, the provider will be able to demonstrate that it learns from mistakes and plans for improving the service where shortfalls have been identified. The service provider does not comply with Regulation 26 whereby a monthly report is made to the manager concerning the overall conduct of the home. No such report was available for inspection. When balancing these pieces of evidence against other more positive parts of this outcome group an overview of the management is seen as good. The CSCI are confident the provider will manage outstanding areas. A quality assurance system would confirm that the findings from risk assessments have been actioned. Discussion with the manager demonstrated that the ethos of the home is open and transparent with the views of both staff and residents listened to, and valued. The home has the support of a qualified accountant and business advisor. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. The home actively encourages service users who wish and are capable, to manage their own money and valuables, making sure they have the facilities to do this safely. The home has very efficient systems to ensure effective safeguarding and management of service users’ money including record keeping. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X 2 3 Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? New service 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 OP1 Regulation 5A Requirement SI No. 1493. The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2006. The registered person shall amend the service user guide to provide the detail required by the amendment Regulations 2006. SI No. 1493. The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2006. The registered person shall include the fee level in the terms and conditions where a service user’s care is funded in whole or in part by someone other than a service user. SI No. 1493. The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2006. The registered person DS0000068099.V325003.R01.S.doc Timescale for action 16/05/07 2 OP2 51(b) 16/05/07 3 OP33 24(1)(2)( 3)(4)(5) 16/08/07 Maesbrook Nursing Home Version 5.2 Page 25 4 OP37 26(4)(c), 26(5)(b) 5 OP37 17(2) shall implement and maintain a quality assurance system. The system shall provide for consultation with service users and their representatives. The registered provider shall 16/04/07 ensure that the person conducting the visits in accordance with this Regulation shall prepare a written report on the conduct of the home. The registered provider shall supply a copy of the report required to be made to the registered manager. The registered person shall 16/04/07 maintain in the care home the records specified in Schedule 4. The registered person shall 16/04/07 ensure that the records referred to 17(2), (a) are kept up to date; and (b) are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. 6 OP37 17(3) 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 OP28 Good Practice Recommendations Staff should receive regular updates in adult protection. Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Maesbrook Nursing Home DS0000068099.V325003.R01.S.doc Version 5.2 Page 27 - 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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