Care Home: Brooklands Nursing & Residential Home

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What the care home does well Brookland House is a well maintained and furnished home that is clean and tidy. During the inspection the residents made comments about how they liked living at the home and gave positive comments about the staff. One relative said, " the care could not be better". A relative told us, " my wife is very well looked after, when she first came here she could not move her hands now she knits and walks". The service has a core group of staff who showed they are committed to caring for people they look after, one member of staff said " I really love it here". A visitor told us that the staff were good and " treated their relative with respect". The management team are committed to offering a friendly and caring service and also responds well to observations made in inspection reports and during the inspection process.The service is exceptionally good at facilitating activities and outings for the residents, one resident said, " there is always something going on here, last week we visited a Rural Museum and we rode on a tractor and trailer". The home offers a good balanced diet for the residents and the staff try hard to make mealtimes enjoyable. What has improved since the last inspection? The care planning has improved especially on the dementia unit, as has the assessment process of needs that is done prior to admission to the home. The provider has ensured, by appointing a deputy manger that the home is better managed in the absence of its manger. The service now offers more opportunities for activities at the weekends. A new call bell system has been installed in the main lounge. What the care home could do better: The ground floor of the home could be better staffed to ensure all assessed needs of the residents are met and assistance given for those who need feeding is unrushed. The process for supervision of staff needs to be improved. Staff training could be extended to include sessions relating to individual`s specific diagnosis. The service needs to address the issue of using too many agency staff especially at the weekends. CARE HOMES FOR OLDER PEOPLE Brooklands Nursing & Residential Home Costessey Lane Drayton Norwich Norfolk NR8 6HB Lead Inspector Mrs Marilyn Fellingham Unannounced Inspection 25th July 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brooklands Nursing & Residential Home DS0000015620.V369454.R02.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. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brooklands Nursing & Residential Home Address Costessey Lane Drayton Norwich Norfolk NR8 6HB 01603 262666 01603 261155 jenny.sharp@carebase.org.uk 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) London & West Investments Ltd Jennifer Carol Sharp Care Home 70 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (55), Physical disability (2) of places Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The two Physical Disability (PD) service users must be over the age of 50 years. 25th July 2007 Date of last inspection Brief Description of the Service: Brooklands is situated in Drayton on the outskirts of Norwich and consists of a detached property built on three floors. A bus service is available to the village but does not run past the Home, the nearest train station is Norwich. There is a lawned area and a patio for Service Users use; this is accessible to wheelchair users. The Home is registered, as a Care Home with Nursing, which also accommodates Service Users without any nursing needs. There are a variety of activities in and outside the Home and an activity co-ordinator facilitates these and is employed to work every weekday afternoon. There is a hairdressing facility for all Service Users. The Home is suitably adapted to provide accommodation for people with handicaps and a range of appropriate equipment is available to meet the needs of the Service Users. Work has finished on an extension to the Home with the provision of further communal space a new kitchen, laundry room and accommodation for sixteen service users with dementia. The fees charged by the home are from £550 to £800 per week. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. the service experience good outcomes. This means that the people using This was an unannounced inspection that took place over 12.30 hours. The key inspection for this service has been carried out using information from previous inspections, information from the Annual Quality Assurance Assessment (AQAA), some residents, relatives, visitors to the home and people who work in the home. The AQAA is a report that the manager has to fill in and send to us to tell us how the service is operating. We use the information provided to help us plan our inspection visit. The main method of inspection used was ‘case tracking’. This involved selecting individual care plans and information available about people who live in the home and tracking the experience of people and speaking to them about the outcomes they experience as a result of the support provided. During our visit a tour of the premises was undertaken and resident’s records and staff files looked at. What the service does well: Brookland House is a well maintained and furnished home that is clean and tidy. During the inspection the residents made comments about how they liked living at the home and gave positive comments about the staff. One relative said, “ the care could not be better”. A relative told us, “ my wife is very well looked after, when she first came here she could not move her hands now she knits and walks”. The service has a core group of staff who showed they are committed to caring for people they look after, one member of staff said “ I really love it here”. A visitor told us that the staff were good and “ treated their relative with respect”. The management team are committed to offering a friendly and caring service and also responds well to observations made in inspection reports and during the inspection process. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 6 The service is exceptionally good at facilitating activities and outings for the residents, one resident said, “ there is always something going on here, last week we visited a Rural Museum and we rode on a tractor and trailer”. The home offers a good balanced diet for the residents and the staff try hard to make mealtimes enjoyable. What has improved since the last inspection? What they could do better: The ground floor of the home could be better staffed to ensure all assessed needs of the residents are met and assistance given for those who need feeding is unrushed. The process for supervision of staff needs to be improved. Staff training could be extended to include sessions relating to individual’s specific diagnosis. The service needs to address the issue of using too many agency staff especially at the weekends. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 7 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. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.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 Brooklands Nursing & Residential Home DS0000015620.V369454.R02.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. The detailed personalised assessment of needs means that people’s diverse needs are identified and planned for before they move into the home. EVIDENCE: We looked at two records of residents admitted to the Dementia unit since the last KI. These written records were good and most informative which allowed the formation of plans of care to ensure that all social, emotional physical and psychological care needs could be met. We also looked at four records for newly admitted residents on the main unit; these confirmed good practice with details of care needs that were used to plan care to meet these needs. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.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 good. This judgement has been made using available evidence including a visit to this service. The improved practice regarding the planning and delivery of care now means that the residents can be sure that their health, personal care needs will be met. EVIDENCE: We looked at care plans for six residents, two from the dementia unit and four from the main unit. Service user care plans were good with evidence of service user involvement where possible and review. It was noted that for most of the care plans there were detailed instructions for care needs and nutritional and skin integrity assessments had been carried out and regular weight monitoring had also been recorded. However we did note that for one resident a Waterlow assessment to establish the risk of this resident developing pressure sores had not been fully completed, and two resident’s plans of care lacked prescribed care for a chest infection and pressure sore Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 11 and also a urine infection. The records for the residents had good risk assessments in place for falls and these are monitored monthly and also records made of the results. We noted there were good life histories in place that are useful particularly in the care of people with dementia. The care plans had clear guidelines for care in relation to mobility needs and manual handling; they also contained relevant information with regard to meeting the needs of those people who have confusion. The home’s medication policies and procedures are being put into practice. An audit for medicines has been carried out by the company who own the home, this discovered a number of anomalies which have been addressed by the home and we saw evidence of this and records of action taken. We undertook a random check of medicines, the records were found to be in good order with clear indication for refusal or when medication had not been given. We did note only one place on the medicine records for one resident where it had not been recorded if eye drops had been inserted and we also noted that the eye drops did not have a date for opening. Case tracking identified that medications for P.R.N. use, (to be given when required) did not have plans of care in place to justify continued use or rationale. We spoke with one G.P. one visiting Community Nurse and eleven relatives on the day of inspection. All were happy with the way the home cared for the residents. One visitor remarked that they visited every day and always found their relative “ always clean and well cared for. Another visitor said that their relative was “very well looked after, when they came in here they could not do anything for themselves, now they can even walk and used their hands”. A resident told us that they thought that they were “ living in the Ritz”, another visitor told us that “we are always offered tea or coffee when we visit and the staff are very good at creating a social atmosphere”, they went on to say “staff are very good and our relative is treated with respect and we know that the optician and dentist have visited”. Staff have an overall understanding of the care needs of the residents and this was demonstrated on both the main unit and the dementia unit. The registered nurses felt that the care plans were much improved and found it easier to pick up and facilitate care when it had been changed. The staff on the dementia unit were seen to be patient and kind when interacting with the residents and we also noted verbal and non-verbal communication with these residents not only with the staff but also with each other. Those care plans that we looked at on the dementia unit had improved greatly and the staff were found to be enthusiastic about the care that they give and the improvement of the care planning system. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 12 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. A wide range of activities within the home means that the residents have many opportunities to participate in stimulating and motivating activities. Meals and mealtimes are unrushed and appear to be a social occasion for all the residents. EVIDENCE: We were able to discuss with a number of residents, staff and visitors about the activities within the home, we also were able to observe many social interactions and activities. On the day of our visit a number of the residents from the dementia unit were sitting in the garden for coffee, fresh fruit had also been prepared for them along with plenty of cold drinks. A member of staff was sitting with them and chatting with them and making sure that they were drinking plenty. We noted that even those residents who were unable to converse were responding to touch and taking note of their surroundings, we also noted that staff included them in all conversations. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 13 Nine residents were in one of the lounges taking part in a music and craft session facilitated by the activities coordinator; there was quite a lot of gaiety and we noted that some of the visitors were joining in as well. We learnt that the residents from the dementia unit had had a day out in Cromer accompanied by staff members who were able to give one to one care to them all; we saw photos of this visit and also other outings that had been enjoyed by all residents who chose to participate. There were good records in place for all activities and comments for those in the dementia unit indicated their involvement. One resident told us “I enjoyed the trip to Gressenhall Rural Life Museum and we went for a ride in a tractor and trailer”; another resident said, “ most days something going on and I choose what I do”. The activity organiser told us about a number of activities that have so far been organised over the year; the home held a very successful fete that a number of staff and relatives were involved with; the residents had been to see the local production of Annie, there are flower arranging sessions and one relative visits the home and plays the piano. A number of the residents have been enjoying pottering in the garden; some have grown tomatoes, which we were shown by one of the residents. Other activities included extend exercises, art classes and music for health. The service now offers activities at the weekends and another person has been employed to ensure that these take place. Menus that were seen offered a variety of well-balanced meals and one resident commented that they have “real food, the best part of the home”. We observed lunch being served in all areas of the home; some residents chose to have their lunch in their rooms others in the dining room. The lunchtime appeared to be unrushed, we also noted that those residents who needed assistance were being helped in an empathetic way and the whole period seemed totally unrushed. The staff seemed to be very familiar with the likes and dislikes of each resident and what assistance they needed. We noted on the dementia unit fresh bowls of fruit and snacks for the residents to eat when they felt hungry. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 14 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. Residents feel safe and listened to. The staff have been given knowledge to recognise all aspects of abuse, this means that every effort is made to protect the residents. EVIDENCE: A complaints procedure is in place and available to the residents and relatives, it was easy to read with clear instructions. We spoke with some residents who stated they knew how to air their concerns and who to go to. One resident told us “ I know how to make a complaint, but I do not have any”, a relative said “ we never have any cause for concerns and the staff always handle small concerns at once”. We looked at the home’s records for complaints that they had received, these were very comprehensive and how each complaint was dealt with and the outcome. We also noted that the manager also keeps a record of any small concerns expressed by the residents or their relatives and the action taken, these were very informative. The staff we spoke with were aware of the complaints procedure. We spoke with seven staff members and all were aware of issues related to abuse and their responsibility to raise any concerns with the management of the Home. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 15 We checked the records for staff training and these indicated that staff have had training in issues relating to abuse. We also noted that meetings are held with the residents that is used as another forum for airing their concerns, we saw minutes for these meetings and how concerns raised at these meetings have been dealt with. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 16 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. The overall enhancement and refurbishment of the home and the willingness of the manager to ensure the premises remains safe means that the residents live in an adequate environment. EVIDENCE: The home was found to be clean and tidy and no offensive odours were detected. The home has a dedicated team of domestic staff led by a housekeeper who organises the workload. One resident told us that their room was always clean and tidy and that they were happy with their room. The extension and refurbishment that has taken place has considerably enhanced the overall environment. The dementia unit has been decorated in Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 17 a way that actively stimulates the residents with memorabilia and special touch equipment. There are various communal areas for the residents with allocated quite areas; the garden looked lovely on the day of inspection with many areas where the residents can sit and also their visitors. Some of these areas have overhead protection from the rays of the sun. We noted that some parts of the premises outside had elevated gardens where the residents with mobility can enjoy gardening if they so wish. There is an enclosed garden where some of the residents from the dementia unit can be safe but still enjoy being outside. Those residents we spoke with said they enjoyed being in the garden and one resident said “ I come out here every day and I just love it out here”. When we were seeing staff in the small lounge upstairs we noted that a window did not have a restrictor in place as it was broken and constituted a hazard. We informed the manager and the maintenance man mended it immediately and made it safe for residents using the room. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The improvements that have taken place in relation to training means that there are better outcomes for people using the service. Staffing levels could be improved which would result in even better outcomes for those people using the service. EVIDENCE: The duty rosters were examined and showed that although the home had taken on new recruits there were periods when agency staff had been used especially at weekends. Those staff spoken with felt that it was difficult to maintain continuity of care for the residents when agency staff are used. We noted that there were residents on the ground floor that had a high dependency level, yet after 11am there were only 3 carers left to care for residents, 3 of which are bedridden and many residents who need feeding, the care ends up being very rushed and not a relaxed situation. It was generally felt that it was difficult to adequately meet the needs of these residents. One member of staff commented, “ weekends are difficult, but morale in the home is good”. Another member of staff we spoke with said “I really love it here, Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 19 but some of the agency staff are not appropriately placed and the residents suffer”. The manager explained to us that the service has employed more staff but unfortunately due to injury there numbers had been reduced somewhat. Records for all newly appointed staff were looked at, these were seen to reflect a robust checking system before staff are employed. Discussions with staff show that they have a good understanding of their roles this also included the staff on the dementia unit; they also told us that they felt well supported by the staff and that the new care services manager had helped them with their care planning skills. We spoke with two new members of staff who felt that they had had a rigorous induction; we looked at record for this and noted that all mandatory subjects had been covered in this induction. All the staff we spoke with confirmed that they had training in infection control, manual handling, and health and safety, hygiene, medication, first aid, dementia and safeguarding adults. We looked at the training plan for the staff. this was up to date and reflected the training that had taken place since the last inspection; we did note however that the training in part lacked sessions that would give knowledge in relation to specific care needs with regard to peoples medical conditions. Records show that only 20 of staff have a NVQ qualification, the service is aware of this and the manager is hoping to increase the numbers. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. 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. The management arrangements are meeting the needs of the residents and improvements have taken place. EVIDENCE: Records were in place for formal supervision, these showed that these sessions need to take place more regularly, the manager was aware of this and attempting to reverse the situation to ensure they were carried out more frequently. The manager told us that some staff are opposed to the idea of supervision but is aware that they have to manage the system for supervision more effectively. Our discussions with staff confirmed that formal supervision Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 21 was not always taking place. The manager told us that she has instigated yearly appraisals. Those residents and visitors we spoke with knew the management arrangements for the home, they felt that the home was better managed since the return of the registered manager from sickness: they also said that the senior staff were approachable. We noted whilst we were in the manager’s office many visitors and residents felt able to pop in and speak with the manager. The service has carried an audit for monitoring the quality of the services it offers, we looked at this survey and noted that a number of the issues raised in this survey have been addressed. We looked at records for servicing appliances; these were good and up to date. We carried out a random check of resident’s monies that are held by the home, the receipts and balances all tallied we did note however that no random audit of the monies is done by the home. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 3 x 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 3 3 Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 OP27 Good Practice Recommendations It is recommended that consideration be given to the deployment of more staff and in sufficient numbers to ensure needs are met in a safe manner especially on the ground floor. 2. OP30 It is recommended that staff be provided with more training in relation to specific needs related to diagnosis. Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Brooklands Nursing & Residential Home DS0000015620.V369454.R02.S.doc Version 5.2 Page 25 - 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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