Care Home: Burlington Hall Care Home

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What the care home does well What has improved since the last inspection? A new hairdressing salon has been introduced and residents can enjoy manicures as well as hairdressing. Some of the bedrooms have been redecorated as part of the ongoing maintenance and renewal programme. Air conditioning has been provided in the dining rooms and conservatory for the comfort of the resident. The exterior gardens are currently undergoing major redevelopment and when complete will make two very attractive areas for residents to enjoy. What the care home could do better: Staff would benefit from regular structured supervision with trained senior staff. CARE HOMES FOR OLDER PEOPLE Burlington Hall Care Home 9 Station Road Woburn Sands Milton Keynes Bucks MK17 8RR Lead Inspector Sue McGrath Unannounced Inspection 11:30 17 December 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burlington Hall Care Home Address 9 Station Road Woburn Sands Milton Keynes Bucks MK17 8RR 01908 289700 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) burlington.hall@rochmills.co.uk Burlington Care Homes PLC Maureen Cox Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability (1) of places Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 53 older people with 1 person with a physical disability over the age of 65. 30th January 2007 Date of last inspection Brief Description of the Service: Burlington Hall is a care home for Older People in Woburn Sands it is ideally situated for access to the local amenities. Burlington Hall has 52 bedrooms all with en-suite facilities; the home has four lounges, all with small kitchenette facilities. The home has six bathrooms, which provide disabled bathing facilities. An assistant manager and a senior team, as well as a well-trained group of care staff assist the Manager with the management duties. The current fees are between £437.00 and £458.00 per week, the Manager submitted these figures on the 17th December 2007 and are the most up-todate figures held by the Commission. Relevant information is made available to service users and families prior to admission with copies of the Service Users Guide and the Statement of Purpose available at the home. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 17th December 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. Additional information was also obtained through the Annual Assessment Quality Assurance (AQAA) review, which all services registered with the Commission for Social Care Inspection (CSCI) must now complete on a yearly basis. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Judgements have been made based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the CSCI to be able to make an informed decision about outcome areas. Further information can be found on the CSCI website with regards to information on KLORA’s and AQAA’s. No requirements were made at the last inspection. Overall this was a positive inspection with generally good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the manager and her staff for their assistance and hospitality. What the service does well: The home provides a welcoming and homely environment in which to live. The internal décor is of a high standard and the individual bedrooms are comfortable and nicely decorated. All the bedrooms are en-suite. The staff were seen to be friendly and very caring, all residents spoken with on the day of the inspection were very complimentary about the care they received. They commented on how nice the food was and said they could have drinks and snacks at any times if they wanted. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 6 Several families confirmed they were happy with the care offered and one visitor stated she could leave her Mum there and know she was in safe hands. Residents views as to the running of the home are sought and residents meetings are chaired by elected residents. Care planning is of a high standard and health needs are well met. A robust system for the safe administration of medication protects residents. There is a varied and enjoyable programme in place, which supports residents to continue with their preferred hobbies as well as enjoy new experiences. The practises undertaken in the home promotes the health, safety and welfare of the residents and staff. The home was very clean and hygienic on the day of the inspection. What has improved since the last inspection? 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. Burlington Hall Care Home DS0000015049.V346597.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 Burlington Hall Care Home DS0000015049.V346597.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): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed choice about where to live prior to admission and are provided with a statement of terms and condition of residency. Residents’ benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home has recently updated the statement of purpose and service user guide. The service user guide was also available on audiotape for residents with sight impairment. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 9 The home undertakes a comprehensive needs assessment prior to admission to ensure they can meet the assessed needs of the prospective residents. Residents and their families are encouraged to visit the home to assess the facilities on offer and after admission a trial period is available. There are no restrictions on admission based on ethnicity, cultural or religious views or gender. The home endeavours to meet the diverse needs of its residents and ensure any such needs are identified prior to admission to aide a smooth transition. Families spoken with on the day of the insection and comments made in the comments cards confirm that residents and families are well supported during the admission process and this process helps to minmise the trauma of moving home. All residents are protected by a contract stating terms and conditions and this is normally signed by the resident or their families. Burlington Hall Care Home DS0000015049.V346597.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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides high quality individual plans of care, which highlights any medical, health and welfare issues of residents. Risk assessments are in place, which support the residents to maintain their levels of independence in a safe and supported manner. Robust medication procedures are in place, which protect the health and welfare of residents. Residents are treated with dignity and respect with their privacy maintained throughout the implementation of personal care. EVIDENCE: Each resident has a comprehensive care plan which outlines assessed needs. The home is currently using the Standex system for storing and recording careplan information. The information held was extremely informative and was Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 11 reflective of the personal preferences and needs of the service user. Five care plans were assessed and all where found to be informative and gave good directions to staff to enable them to offer a high level of care. Evidence was seen that key workers regularly review these plans and evidence was also seen that adjustments are made where changes have occurred. The deputy manager regularly carries out an audit of the plans to ensure they remain current. He stated that they would be rewritten every six months or sooner if required. In depth risk assessment were seen and covered such areas as nutrition, manual handling, skin integrity and falls management. Other areas were covered as required. All risk assessments were reflective of reviews, signed and dated. In additon the residents cultural needs have been identified and details on how the home were going to support the resident to continue to meet these needs were included. All health care needs are well meet and visits from G.P’s and District Nurses are well recorded. The home has developed good working relationships with local GP surgeries and the Pharmacist. A chiropodist regularly visits the home and visits by an optician and a dentist can be arranged. The home has a robust medication procedure in place. All staff received inhouse training before they are able to administer medication and are regularly assessed by the Deputy Manager to ensure continuing competency. Several staff members have completed an Assett three-month Safe Handling of Medications course. The home has purchased two new medical trolleys and a new safe for the storage of any controlled drugs. There were no out-of-date or excessive stocks held in the home. All records were well maintained and accurate. There was a good system in place for the ordering and return of medication and residents can feel confident in the procedure. Residents and family members spoken with during this inspection were complimentary of the care provided and the sensitive and friendly approach of the staff. There were no issues of concern raised with service users feeling their privacy and dignity was respected when implementing personal care. Throughout the inspection positive interactions were observed between the residents and staff, with a friendly and relaxed atmosphere evident. Staff showed respect to residents, calling them by their preferred name and were very knowledgeable of their individual likes, dislikes and routines. Burlington Hall Care Home DS0000015049.V346597.R01.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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an age appropriate activities programme which is enjoyed by the residents. The home provides a varied, tasty and nutritious menu, which supports residents dietary requirements. Residents are supported to maintain contact with family and friends with no restrictions in place on visiting. EVIDENCE: The home has a designated activity co-ordinator who ensures the recreational needs of residents are met. There is a varied and enjoyable programme in place, which supports service users to continue with their preferred hobbies as well as enjoy new experiences. Activities are recorded by the co-ordinator who makes changes to the programme, which takes into consideration the needs of the present service user group. Evidence was seen that many of the residents enjoy going out on trips and one was undertaken on the day of the inspection. Several residents spoken with stated they really enjoyed the trips out. It is Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 13 recommended a realistic budget be provided for activities to ensure the home is able to maintain the high level of activities both in and out of the home without relying solely on monies accumulated through fundraising projects. There are no restrictions on visiting in place with families reporting feeling welcomed to the home. Visitors spoken with at the time of inspection were complimentary of the support they are also offered and the open communication they experience with management and staff. Some of the comment cards received from relatives displayed some concern over the food, however on the day of the inspection the food looked wholesome and appetising. None of the residents raised any concerns over the quality or quantity of the food. Many stated it was very good. The manager explained that in the New Year she has arranged for a meeting with all residents and relatives to discuss the menus and would be inviting then to assist in drawing up new menus. A recent visit from the Environmental Health Office awarded the home a four star rating. Burlington Hall Care Home DS0000015049.V346597.R01.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates a complaints procedure, which is reflective of current guidance and timescales for action, thus ensuring residents and significant others are able to raise their concerns appropriately. The home follows the local authority Protection of Vulnerable Adults Policy and its reporting systems to ensure the ongoing protection of residents. EVIDENCE: The homes complaints procedure is comprehensive and information on how to make a complaint is included in the Service Users Guide and the Statement of Purpose. The home has received one complaint since the last inspection. All outcomes and correspondence in relation to this concern was recorded and stored appropriately. The recording of concerns received is evidence of good practice and has supported the home to ensure concerns can be actioned with positive outcomes before they become a formal complaint. Any sensitive or confidential information relating to complaints received are stored in a lockable cabinet with reference to the complaint number and where information is stored noted on the complaints log. The home is presently using the counties Inter Agency policy for the Protection of Vulnerable Adults (Safeguarding Vulnerable Adults) and its reporting systems. All staff had recently attended POVA training to support them in their Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 15 practice and ensure the ongoing protection of the residents at the home. When speaking to staff they were able to demonstrate a good understanding of Adult Protection. Burlington Hall Care Home DS0000015049.V346597.R01.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): 19, 20, 21 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a good standard to ensure the health, welfare and safety of service users is protected. EVIDENCE: The internal environment is good with good quality furnishing and fittings. The lounges are large, pleasant and well decorated. Five bedrooms have been re-decorated since the last inspection and the manager conformed they liked to redecorate for a new resident prior to arrival. The bathrooms are spacious and very clean. The home now has a new dedicated hairdressing salon and plans are in place to use this as a pamper room to offer manicures as well as hairdressing. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 17 A ramp has been fitted onto the new landscaped garden area at the front of the building to enable easy access for wheelchair users. Air conditioning is now fitted to all the dining areas and the main conservatory to ensure comfortable temperatures are maintained. At the time of this inspection the home was having the gardens landscaped to the front and rear of the premises. A grant was allocated from Milton Keynes Council to fund this work. When finished the front garden will have a patio with a water feature for residents to enjoy and the rear will have a very large patio area again with a water feature. The rear garden design has been based around the existing trees and will provide a lovely area of the residents to enjoy in the summer. Several residents said they had enjoyed watching the project develop and were looking forward to using the gardens next summer. The home was found to cleaned to a high standard on the day of inspection with all items of C.O.S.H.H. (control of substances hazardous to health) kept in lockable storage facilties when not in use. The home has sufficient laundry facilities to meet the needs of the service users with adequate numbers of staff availalble to ensure washing is kept up to date. The home has infection control policies in place with sufficent hand washing facilities provided. Burlington Hall Care Home DS0000015049.V346597.R01.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. There are sufficient numbers of suitably qualified and experienced staff to meet the needs of residents. The home operates a robust recruitment system, which ensures all relevant security checks are put in place prior to a start date, thus ensuring the ongoing protection of residents. The home provides ongoing training to support the staff to meet the needs of the residents. EVIDENCE: The home provides suitable numbers of sufficiently trained and skilled carers to ensure the ongoing and changing needs of residents are met. Staffing levels at the home on the day of inspection were sufficient to meet the needs of the residents with many of the residents commenting on the professional and friendly approach of the staff when implementing care and support. Feedback received prior to the inspection was complimentary of the staff team. As stated in the previous report the Manager is proactive in ensuring the staff team receive a full programme of training, which will support their professional development and maintain the standards of care in the home. There is an upto-date training matrix in place, the Manager has worked hard to ensure all Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 19 mandatory training is up-to-date and additional training is provided to staff to support them in their roles. There is a strong commitment to supporting staff to achieve their NVQ qualifications in care with support offered by the Manager to achieve this certificate. Over 50 of staff` have completed NVQ level 2 or 3 and more are currently working towards their awards. The Manager is hoping to be able to encourage staff that have completed level 2 to undertake level 3. The home operates a thorough recruitment system, which is in line with current legislation, which includes relevant security checks such as CRB (criminal records bureau) disclosures and two written references for all staff. Burlington Hall Care Home DS0000015049.V346597.R01.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): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A suitably qualified and experienced Manager is managing the home ensuring the home is run in the best interest of residents. The home operates a quality audit system, which supports them to make improvements, which will enhance the lives of residents. The home ensures it follows current health and safety guidance with an audit system in place to ensure the ongoing protection of residents. EVIDENCE: The current Manager has been in post since September 2005 and she has recently completed her Registered Managers Award. On the day of this Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 21 inspection she was extremely honest and open and it was evident she was capable and caring. She is supported by a strong management team which work well together and ensure an inclusive atmosphere remains in the home resulting in positive effects for outcomes for residents. Residents and family members reported the management team as approachable and proactive ensuring any changes in care delivery are reported quickly and in an open and transparent manner. Staff report finding her approachable and supportive. Qulaity assurance is currently being undertaken with update questionnaires being sent out. The manager confirmed the result would be analysed by the area manager before a report is produced. This report will then be made public. Although the home has e-mail access via Cool Blue systems it is still not connected to the internet as recommended in the last report. Th Manager is finding it difficult to access some training places because application for this service is normally done on line. The Manager would also like to access other information on line and currently has to do this on her home computer. It will remain a strong reccomendation that on line facilites are installed. Staff supervision is an area the home needs to improve on. Although the Manager is confident staff are well supported, the recording of such meetings is patchy. The Manager agrees that improvements can be made. It will be a requirement that staff receive regular and recorded supervision and that staff who carry out the supervision sessions receive appropriate training to enable the supervision to be effective Basic Regualtion 26 inspections are undertaken by the Organsiation with reports available in the home for inspection purposes. There still remains room for improvement as to the content of these inspectons which need to include the views of service users and significant others spoken with during these inspections. The home manages small amounts of personal monies for the residents if they wish. There is a sound system in place and the procedures used protect the residents. Several accounts were viewed and balanced perfectly. Relatives confirmed they can ask about balances at any time and the information is always forthcoming. The home has a small safe to store items of value in, including residents monies. The Deputy Home Manager has completed a three month health and safety course and is responsible for ensuring the ongoing monitoring and audit systems in realtion to health and safety are maintained. The home has generic risk assessments in place known as Working Environment Assessments which highlight any areas of concern and provide risk measures to minimise the affects of any identified risk areas. Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 22 All required maintenance checks are undertaken and all lifting equipment is regularly inspected. Fire safety is given a high priority and all the relevant checks are well maintained. Accident and incident recording is taking place, a monthly log is maintianed which contains copies of all accidents and incidents, this is then used for auditing purposes to look at trends and any identified risk areas. A recent visit from the Environmental Health Office awarded four stars to the kitchen. Burlington Hall Care Home DS0000015049.V346597.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X 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 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 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 3 X 3 Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP36 Regulation 18(2) Requirement The registered person must ensure that all staff are appropriately supervised. Timescale for action 29/02/08 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 OP12 Good Practice Recommendations It is recommended a realistic budget be provided for activities to ensure the home is able to maintain the high level of activities both in and out of the home without relying solely on monies accumulated through fundraising projects. It is recommended the Proprietors explore the option of installing Internet facilities at the home to support the Manager in fulfilling her duties. It is recommended that staff who deliver supervision are appropriately trained. 2. OP30 3. OP36 Burlington Hall Care Home DS0000015049.V346597.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Burlington Hall Care Home DS0000015049.V346597.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. 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