Inspection on 08/06/06 for The Beeches

This inspection was carried out on 8th June 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 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

The Beeches 29/07/08

The Beeches 10/07/07

The Beeches 06/01/06

The Beeches 06/07/05

The Beeches 21/02/05

The Beeches 19/07/04

The Beeches 20/01/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Beeches 163 High Street Hanham South Glos BS15 3QZ Lead Inspector Odette Coveney Key Unannounced Inspection 8th June 2006 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 The Beeches DS0000003332.V296168.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. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches Address 163 High Street Hanham South Glos BS15 3QZ 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) 0117 9604822 0117 9857190 Miss. Julie Alexandra Windows Ms Janet Margaret Windows, Mr. Mervyn Roy Windows Ms Sheila Margaret Windows Care Home 23 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (23) of places The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: The Beeches is an extended, detached Victorian building situated in Hanham High Street. There is parking to the front and a small parking area to the side of the house for three or four cars. There is a small garden to the rear with a patio area. The larger of the gardens has been built upon and the former garden has been reinstated. The home is close to local shops and amenities and is also on a main bus route between Bristol and Bath. The home is arranged on two floors. The home has two double bedrooms, both with en-suite facilities and nineteen single bedrooms, seven of which are ensuite. There are two lounges and two dining rooms one of which has a small conservatory leading from it. The home is managed and owned by three generations of one family. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was undertaken to review the requirements of the last inspection that took place in January 2005, and to also review care practice in line with legislation (The Care Homes Regulations 2001 or CHR) and best practice (National Minimum Standards or NMS). Time was spent with the registered provider of the home, residents, staff and also visitors to the home. A number of records were examined which include residents care documentation, staffing records and health and safety documents. This inspection found that all of the previous requirements and recommendations had been met. Five requirements were made at this inspection and covered areas such as staff records, equipment and hygiene, further information in respect of these are recorded within the main body of the report. Since the previous inspection there has been a number of new admissions to the home. The inspector reviewed the admission process for the most recent individual who came into the home, they had settled well and had been well supported by those living at the home and the staff team in order to facilitate a smooth transition. What the service does well: What has improved since the last inspection? Residents living at the home can be assured that staff are aware of their needs with information in place to direct staff how to meet these as the home has introduced new care plans and these reflect individual’s needs and wishes and record how these needs will be met. Staff have ensured that care plans are kept updated and have incorporated an appropriate use of language with staff signing records which they have completed. Residents living at the home can be better assured that their health care needs are being monitored and reviewed with appropriate support being provided when required as the home has better maintained these required records. Residents can be confidant that records in respect of stock held medication and records of returned medication are better maintained since the home has improved recording in this area. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 6 Residents can be assured that manual handling equipment in place for their use is safe and has been checked by an appropriate contractor. Residents can be assured that the home has the relevant information in order to support their mealtime requirements as the home has expanded upon their nutrition and meals policy and this now covers specific areas such as ill health and special dietary requirements. Residents at the home can be assured of the competence of the management at the home as Mr Mathew Windows has submitted an application to the Commission and will be interviewed by the registration officer in order to determine his ‘fitness’ to manage the service. 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 Beeches DS0000003332.V296168.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 The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. There is a well-established admissions procedure with appropriate information in order that prospective residents may make an informed decision on whether the home is able to meet their needs. Clear contractual arrangements are in place. EVIDENCE: Both Julie and Mathew Windows have a very clear and consistent approach about the home’s admission procedure and whom the home is able to provide a service for. Clear policies about the home’s admission procedure are also in place, this records that individuals are given the opportunity to visit the home prior to admission and when admitted have a months trial to ensure the placement is an appropriate one. Julie Windows was also able to give examples of when this trial period could be extended if this was in the best interests of the individual concerned. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 9 In place were assessments that had been completed by the placing care manager prior to individuals being admitted to the home and the home had used this as a basis upon which to base their care plan on. The inspector saw that since the individual’s admission to the home clear information has been recorded by staff at the home. This recorded areas of identified need. Also in place was health information and a profile sheet providing additional information in order to direct and guide staff. The inspector saw that staff had maintained clear records on the wellbeing of the individual recently admitted to the home, their level of support and how they had settled at the home. Information given by the individual and staff confirmed that the individual had visited the home prior to admission in order to ensure that the placement was appropriate and for the home to demonstrate that they are able to meet the needs of the individual. All residents and/or their representatives are provided with a copy of a contract between themselves and the home this outlines the terms and conditions of the placement and provided other information about the services provided at the home. It was seen that the most recently admitted person to the home had been given a copy of this document. The management and many of the staff at the home have worked in the care profession for many years and have a wealth of experience in caring for older people The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The aspirations, health, personal, social, end of life preferences and individual needs are well documented and clearly show how these needs are to be met. Medication systems are well managed and recorded. EVIDENCE: Since the last inspection the home has introduced new care plans for all residents. The plans covered areas such as personal history, past and current health care issues, physical, social and emotional needs. Plans have been written with the involvement of the resident and their relative had also contributed in order to gain a full picture of the resident’s needs, preferences and choices. A requirement was made at the last inspection that care plans must fully reflect individual’s needs and wishes and must also record how these needs will be met. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 11 The care records of four residents were reviewed at this inspection and the inspector is satisfied that this requirement has been met. As part of the review of the care records held the inspector also reviewed individuals’ personal profile information, risk assessments, healthcare records and daily-recorded information, all had been sufficiently detailed and well written. A requirement was made at the previous inspection that daily records must contain factual information and staff must ‘own’ entries. It was evident that this had been discussed and addressed with staff and records seen contained only appropriate required information and staff had initialled all entries confirming what they had written. Another requirement was made at the last inspection that care plan monthly reviews must contain sufficient information. Care plans were found to contain up to date well-recorded information with a system in place to monitor and review plans on a monthly basis as required. A recommendation was made at the last inspection that care staff attend care-planning training, Julie Windows explained that due to a new care planning tool being used that all staff have received training in this area ‘in house’ in order that they understand and are able to complete the documents, due to the level of detail and information seen within these new plans the inspector is satisfied that through support, staff are competent in this area. Systems of medication administration, storage and recording were reviewed at this inspection. Medication is stored in a locked metal trolley with only senior staff who hold a key. There are no controlled drugs held at the home and all residents are supported with their medication. Risk assessments are in place to ensure the safety and wellbeing of residents within this area of care. The home has clear policies and procedures in place to ensure that medication is dealt with correctly. A requirement was made at the last inspection that the medication returns book must contain the signature of a staff member of the home. This book was viewed and demonstrated that medication is routinely retuned when it is no longer required and both a staff member and the pharmacist sign for all unwanted medication. A recommendation was made at the last inspection that the home must ensure that stock held medication records must be dated when audited, a review of this system found that this was being completed. The home maintains healthcare charts for those residents who require this; weight records are in place and are kept up to date. The home has improved their recording of fluid and meal intake and therefore the requirement that was made at the last inspection that health care charts must be maintained has been met. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 12 All residents are registered with a local GP and the inspector saw in healthcare records that residents are supported to access specialist healthcare services that are required by them, examples seen included hospital outpatient appointments, a community psychiatric nurse and a psychiatrist. A district nurse was visiting a patient during the inspector, they said that staff were always welcoming and followed the care plan as set out by the community nursing team. Two comment cards were received from two GP’s prior to the inspection, these recorded; that the home communicates clearly with them, that there is always a senior member of staff on duty to confer with and that staff demonstrate a clear understanding of the care needs of the residents. The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Individuals are able to maintain contact with family and friends and can make choices about aspects, which affect their life. EVIDENCE: The home has developed a system for displaying information and attention to social events being held at the home. Family and friends can visit residents at any time at the home. The design of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their rooms. At the time of the inspection a number of resident received visitors, including a representative of the church. Those living at the home are supported and encouraged to maintain contact with friends and family, two residents told the inspector that they go out with their relative on a regular basis. Most of those living at the home receive regular visitors. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 14 Lunch being served on the day of the inspection was roast chicken, cabbage, potatoes and carrots with macaroni for dessert. Residents spoke favourably of the food saying that meals were tasty and that they ‘have plenty’. The meals record book was seen at this inspection and this showed that a hot lunch is provided each day with a light tea being provided later in the day, drinks are available at regular intervals throughout the day. A recommendation was made at the last inspection that the home’s policy on meals and nutrition be expanded. A review of this document at the inspection found that this had been completed. The document had been re written and covered areas such as resident’s refusal of meals, menu planning, special needs and information for staff about nutrition. The Beeches DS0000003332.V296168.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Complaints are handled objectively and individuals can be confident that their concerns will be taken seriously, listened to and actioned. The home does have in place measures to ensure that individuals are protected from abuse. EVIDENCE: On duty at the time of the inspection were seven members of staff. The home has a complaints procedure that is up to date, very clearly written and is easy to understand. Training of staff in the area of protection is arranged by the home. Since the last inspection there has been a serious allegation of neglect and issues in respect of nutrition and care service given to a resident who no longer resides at the home. This resulted in two inspectors visiting the home at night to review staffing levels and a further visit to the home by one inspector to review the care and healthcare records of the resident concerned. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 16 A protection of vulnerable adults meeting was held and involved representatives from social services, the home and healthcare staff. The outcome of this was that the home had supported the resident appropriately and their had been no neglect; however, it was required that record keeping at the home must be improved. These documents have been reviewed as part of the inspection process and it was clear that the home had worked diligently to meet the requirements. Prior to the inspection the Commission received a call from a healthcare worker about protective clothing. This person had been led to believe that staff members were responsible for providing their own alcohol gel, gloves and aprons, this is not the case. Staff spoken with said that the home provides these and there are always plentiful supplies. Ms Julie Windows told the inspector of an individual who had required infection control barrier care with clear guidelines provided to staff in order to support the resident effectively and to eliminate the likelihood of cross infection to themselves or others. The inspector reviewed the record of the resident concerned who had been in isolation in their room and spoke with them about their experience. This person said ‘staff have been very supportive to me and have helped me get better’. It was further noted that gloves and gel were seen by the inspector in the home and some staff are currently progressing through a distance learning pack which focuses on good practice issues in respect of hygiene and infection control. No staff at the home are on the protection of vulnerable adults list. No areas of concern were recorded on care documentation. All of those spoken with during the inspection were positive about the care they receive and said they were happy with no complaints or concerns raised to the inspectors. Relationships with the registered manager and staff are well established. The registered manager has contacted the Commission for Social Care Inspection to inform of incidents that have affected the wellbeing and safety of those living at the home. The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 25, 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a site visit to this service. The home is suited for its intended purpose, however there are areas within the environment which must be improved in order to ensure that the home is clean, odour free with equipment which is provided being safe. EVIDENCE: The Beeches is a well-established residential care home for older people. It is located within a residential area of Hanham and is within close distance to local amenities such as shops, public houses and the church. The home has an ongoing programme of maintenance and renewal of the fabric and decoration of the home with rooms being decorated when required. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 18 During this visit the inspector had the opportunity to spend time in both of the lounge areas and also spoke with residents within their own rooms. As a result of looking around the home a number of areas were identified which require improvement. In a resident’s en-suite area a handrail was rusting and had the potential to cause injury, a requirement was made that this must be replaced. It was noted that in some residents rooms they had wooden commodes for their use, as wood is permeable it was evident that the wood had soaked up urine, causing odour. Other rooms had metal-framed commodes and it was seen that some of these were rusted. A requirement was made that the four commodes identified must be replaced. The home has a number of accessible toilet areas for residents use; these are located within close proximity to communal area. Some residents have ensuite facilities and it was noted in one of these areas that a toilet was badly stained; a requirement was made that this identified toilet must be cleaned. Residents’ private rooms were seen to be well furnished and had been personalised to reflect the lifestyle of residents with photographs, ornaments and plants in place making for a homely environment. However there was an odour in two residents’ rooms. It is required that the home source and eliminate the source of odour in residents’ rooms. A comment card received from a relative prior to the inspection recorded about their relatives clothes being unkempt and other peoples’ clothing had been found in their mother’s wardrobe, a random check of this found the comments to be validated, the home should ensure that residents’ clothing is put away correctly and is well laundered and maintained. Lighting within the home is domestic in style and of a good standard, emergency lighting is provided throughout the home, at the inspection the inspector saw that this has not been checked on a monthly basis by staff at the home. A hand test of the water temperature found the temperature was not excessive and was at a safe level, the temperature in the home was cool and comfortable. The home has a very pleasant rear garden; this was seen to be well tended. The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to this service. There are sufficient numbers of staff with the appropriate skills in order to support the residents however the home must ensure that all required recruitment and selection documents are in place. EVIDENCE: The service recognises the importance of training, and delivers where possible a programme that meets statutory requirements. All staff spoken with were clear regarding their role and what is expected of them. Residents told the inspector that staff working with them know what to do and that they received the care and attention they require. The home has a recruitment procedure that is adequate and generally meets the regulations and the national minimum standards however from a review of four staff members records it was found that although criminal records checks and protection of vulnerable adults checks had taken place two staff did not have two references in place. The home is required to ensure that full recruitment and selection documents are in place to ensure the safety and protection of the residents. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 20 The last staff meeting held at the home took place on June 7th, areas of discussion included infection control measures, care planning, and staff training and development. These meetings take place on a regular basis and provide a forum for staff to air their views, exchange ideas and set future team goals in order to provide a good service for those living at The atmosphere at the home at the time of the inspection was calm and relaxed with individual’s looking clearly at ease and ‘at home’. The Beeches DS0000003332.V296168.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. There is a well-established management team at the home. Health and safety and record keeping at the home are well maintained. EVIDENCE: A requirement was made at the previous inspection that the home must have in post a registered manager with the appropriate qualifications. Following the last inspection a manager’s application was been forwarded to Mr Mathew Windows in order that he may submit an application to be the registered manager. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 22 The inspector viewed the fire logbook for the home. The home was completing the appropriate checks on the fire equipment and the recording of training, fire drills and the testing of equipment were satisfactory. The inspector saw the fire panel in working order. One comment card stated that management can be brusque and unapproachable and information is not forthcoming. This was discussed with the management of the home who felt these comments were unfair; Julie Windows feels that the home has an open management style and welcome feedback and comments from relatives and residents if this improves the service. Other comment cards recorded that owners/staff make them welcome at the home, that they are kept informed of important matters affecting their relative and that they are satisfied with the overall care provided at the home. A requirement was made at the last inspection that the certificate of maintenance, by a contractor of the hoist equipment must be forwarded to the commission this was received. The inspector saw at this inspection that the passenger lift and the hoist had been serviced in May 2006. Records required by regulation for the protection of the residents and for the effective running of the business are maintained. The home was clearly displaying the certificates of insurance and registration. These were satisfactory and reflected the nature of the business The Beeches DS0000003332.V296168.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 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 1 1 X X 3 1 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 3 The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 24 No 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. 2. 3. 4. 5. Standard OP22 OP22 OP21 OP26 OP29 Regulation 23(2) c 13(3) 13(3) 13(3) 19 (1) b Requirement The handrail identified at the inspection to be replaced. Identified commodes to be replaced. Identified toilet to be cleaned. Home to source and eliminate odour in resident’s rooms. To ensure that full recruitment and selection documents are in place. Timescale for action 08/07/06 08/09/06 15/06/06 08/06/06 08/06/06 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 OP26 Good Practice Recommendations The home to ensure that residents’ clothes are put away correctly and are better maintained. The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 The Beeches DS0000003332.V296168.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!