Care Home: Copper Beech House Nursing Centre

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What the care home does well The Management team is well qualified, experienced and has high expectations of the standards of care for residents. There is an open and friendly atmosphere with good interaction between residents, staff and visitors. Staff are well supported, enjoy working at the home and have a real commitment to the resident group. Personal health care needs are well supported and residents` individual preferences are catered for where practicable. Good quality meals are cooked using fresh ingredients and choice is offered. Residents are protected by good systems for the monitoring of the medication records. There is some encouragement for residents to partake in activities suited to their preferences and capabilities. Copper Beech House provides a clean and well-maintained environment. Information about the home is easily accessible and staff are good at helping residents to settle in. Staff recruitment process are robust to ensure only appropriate people work at the home. Residents and/or their representatives are regularly asked for their views about the home. What has improved since the last inspection? A new care plan system has been introduced to identify residents` care needs and how they are to be met. Staff are receiving formal supervision on a more regular basis. The monitoring of care practices is improved with regular guidance and mentoring being offered to staff. There is ongoing redecoration of the home and the ground floor has new carpeting. The Activity Co-ordinators` hours are now being used over five days instead of four. The home does not have to use agency staff to cover shifts. In March 2007, the home was awarded the "Only the Best for Excellence in Food Safety and Customer Care" by Wealden District Council. What the care home could do better: The treatment rooms should be refurbished as soon as possible. Better storage facilities should be provided for moving and handling equipment to minimise risk to residents, staff and visitors. The planned upgrading of the extractor system in the main kitchen should be completed and the kitchen then deep cleaned. CARE HOMES FOR OLDER PEOPLE Copper Beech House Nursing Centre Eastbourne Road Ridgewood Uckfield East Sussex TN22 5ST Lead Inspector Gary Bartlett Unannounced Inspection 09:00 19 February 2008 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 Copper Beech House Nursing Centre DS0000013975.V359255.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. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beech House Nursing Centre Address Eastbourne Road Ridgewood Uckfield East Sussex TN22 5ST 01825-769947 01825 769259 highpat@bupa.com www.bupa.co.uk BUPA Care Homes (ANS) Ltd 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) Mrs Patricia High Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fortyeight (48). Service users must be older people aged sixty-five (65) years or over on admission. 14th November 2006 Date of last inspection Brief Description of the Service: Copper Beech House is a purpose built home that was opened in 1998, and is one of a large group of homes owned and operated by BUPA. The home is registered to provide care with nursing for forty-eight residents in the older person category. The home is staffed twenty four hours a day, by registered nurses and care staff. There are additional staff for activities, cleaning, laundry, catering, maintenance and administrative support. The accommodation is on two floors and comprises of forty-eight single rooms all with en-suite facilities. There is a small kitchenette, good-sized dining room and separate lounge on each floor. The home is situated on the outskirts of Uckfield, and has a pleasant garden with a patio area, which is accessible to wheel chair bound residents. The current fee is £898 per week, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Copper Beech House Nursing Centre DS0000013975.V359255.R01.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 stars. This means the people who use this service experience good quality outcomes. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Copper Beech House from 9.00 a.m. until 5.00 pm. During that time the Inspector spoke with some residents, 2 visitors and some staff. Parts of the home and some records were inspected and care practices observed. The Manager had completed an Annual Quality Assurance Assessment in May 2007, from which information was used to inform the inspection process. A number of survey forms were received prior to the inspection. Residents, their relatives and health care professionals generally responded that they like the home and think there are good standards of care. Survey forms included the comments: • “The costs of all nursing homes is very expensive but I would have no hesitation what so ever in recommending Copper Beech”. • “All the staff make Copper Beech feel like a home from home”. Other statements made are quoted in the text of the report. The Manager and staff gave their full co-operation and help throughout the inspection. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at Copper Beech House prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. What the service does well: Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 6 The Management team is well qualified, experienced and has high expectations of the standards of care for residents. There is an open and friendly atmosphere with good interaction between residents, staff and visitors. Staff are well supported, enjoy working at the home and have a real commitment to the resident group. Personal health care needs are well supported and residents’ individual preferences are catered for where practicable. Good quality meals are cooked using fresh ingredients and choice is offered. Residents are protected by good systems for the monitoring of the medication records. There is some encouragement for residents to partake in activities suited to their preferences and capabilities. Copper Beech House provides a clean and well-maintained environment. Information about the home is easily accessible and staff are good at helping residents to settle in. Staff recruitment process are robust to ensure only appropriate people work at the home. Residents and/or their representatives are regularly asked for their views about the home. What has improved since the last inspection? What they could do better: Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 7 The treatment rooms should be refurbished as soon as possible. Better storage facilities should be provided for moving and handling equipment to minimise risk to residents, staff and visitors. The planned upgrading of the extractor system in the main kitchen should be completed and the kitchen then deep cleaned. 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. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are appropriately placed due to good preadmission assessments and benefit from being able to visit the home prior to admission. Copper Beech House does not provide intermediate care. EVIDENCE: The Deputy Manager described how a pre-admission assessment is made of each prospective resident to ensure the home can meet his or her needs. A member of the management team would usually visit the prospective resident in their home or hospital to ensure the necessary information was current and Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 10 accurate. Records show that prospective residents, their families, advocates, and relevant health care professionals are involved in the assessment process. Specialist advice is sought from external sources where required. Residents said they or their families had been able to visit Copper Beech House before moving in. A relative who was visiting confirmed this and said staff are very helpful in assisting new residents to settle in. Intermediate care is not offered at Copper Beech House. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents’ personal health needs are assessed and maintained through their individual care plans and with good liaison with relevant health care professionals. Residents are protected by staff adhering to good practice guidelines in the administration of medicines. Staff treat residents with respect and maintain their privacy and dignity. EVIDENCE: Each resident has a care plan and four were inspected in detail. Since the last inspection, the home has implemented the “QUEST” system. Those seen are up to date and comprehensive. The Deputy Manager is regularly reviewing the Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 12 care plans to ensure they are detailed and accurately reflect the resident’s current needs. The standard of daily record keeping is generally good. At present, the qualified nurses, using information given to them by the care staff, write the daily records. There was some discussion about the advantages of encouraging care staff to write daily records with the necessary training and mentoring to assure their confidence and competency. Accident records are completed appropriately and risk assessments are written/reviewed in response to incidents and accidents. There is a key worker system to ensure a good exchange of information about residents’ health and welfare. Visiting relatives said staff are very good at keeping them informed. A survey form completed by a relative included the comment: • “The nursing care is excellent”. A survey form completed by a health care professional included the comment: • “I have no issues with the already excellent standards of nursing care”. The treatment rooms are clean and well maintained. It is planned to refurbish them, which is needed as some fittings have become worn and damaged. Records show that all staff administering medications have been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets inspected are completed appropriately and very well monitored. Medicines were seen to be given in accordance with good practice guidelines. The home has a good working relationship with the specialist and local health care professionals. This greatly assists in supporting residents in their health care needs. Residents feel that staff are kind and gentle, this was confirmed by observation and discussion with visitors. Staff are considerate of the age and dignity of residents and treat them with courtesy. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents can enjoy a fulfilling lifestyle with good outside links maintained and have as much choice and control over all aspects of their lives as their individual abilities allow. Dietary needs of residents are well catered for with a balanced and varied selection of food that meets their tastes. EVIDENCE: Thirty hours of activities are provided over five days a week by two Coordinators and continue to provide an important part of life at Copper Beech House. The activity programme consists of group activities, outings and one to one sessions. The home hires a minibus for outings. The Manager stated residents are supported to manage their own affairs for as long as they wish and are able. Where a resident can no longer manage their Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 14 own money, family or an advocate will be used. Staff spoken with are aware of the rights of residents to have the opportunity to have choice in daily routines and activities. Family and friends feel welcome and know they can visit at any reasonable time. It was also mentioned that they were able to stay for lunch or tea and overnight if the circumstances indicated a need. During the inspection a number of visitors were seen in the home and the visitors book records regular visits by families, friends and others. The design of the Copper Beech House provides seating areas within the communal areas where residents can entertain their visitors, in addition to the privacy of their own room. Visitors can meet in private or have a meal with a resident in “The Snug” on the first floor. Residents’ wishes in respect of any religious observances are ascertained at time of admission and regular religious services of three different denominations are held at the home. On the day of the inspection some residents were having their hair done by a visiting hairdresser. Meal times are set for practical reasons but can be flexible when necessary. Account is taken of the large number of residents who need assistance with eating. Residents are complementary of the food served and say their tastes are met as best possible with a choice of menu always being offered. A menu offers a choice of main meal and ensures that the evening meal is varied. The meals are generous in portions and look appetising. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. Hot and cold drinks are available through out the day, as well as snacks. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know their complaints are listened to and acted on. There are systems to protect residents from abuse. EVIDENCE: The complaints procedure is readily available to residents and their relatives. They said they feel confident that they would be listened to and any necessary action would be taken. A visitor said: • “If there are any problems, it is always quickly resolved”. The Home keeps a record is of all complaints received by them. There have not been any formal complaints received by the home in the last 12 months. The Commission has not received any complaints about the home in that time. There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The staff induction and NVQ training have elements of adult protection training and the Manager is in the process of arranging for staff to receive specific training so they have Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 16 a sound understanding of adult abuse and protection procedures. The Manager stated any allegation of abuse would be referred to the concerned agencies without delay. There have not been any alerts in the last twelve months. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 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. Residents have a homely, clean and comfortable environment in which to live. EVIDENCE: Copper Beech House provides a well-maintained and comfortable environment for its residents. A full time maintenance person is employed and there is a rolling plan of decoration and repair. The home is purpose built and bedrooms are situated on two floors of the home and each floor has its own lounge area, dining room and kitchenette. The standard of furniture, fixtures and fittings is good and appreciated by the residents and their families. On the lower ground floor there is the kitchen, an activities room, hairdressing facilities and staff room and changing rooms. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 18 All bedrooms are designed for single occupancy and have an en-suite facility. The bedrooms are clean, comfortably furnished and pleasantly decorated. Residents are encouraged to personalise their rooms with their own belongings and some furniture. Each bedroom door can be locked to maintain the occupant’s independence and privacy. All three floors can be accessed by a shaft lift, which was out of action on the day of inspection. The fault would take a while to repair, so a stair lift has been fitted for the interim period. An assessment as to who could use this safely was being made. Staff say the bathing and toilet facilities are adequate with specialist equipment which for frail physically frail residents. As residents’ frailties have increased, the home has had to use more aids and equipment. There are not dedicated storage rooms for lifting hoists etc when they are not in use. Consequently, the hoists are kept in the corridors during the day and bathrooms at night. More appropriate storage areas should be provided. Staff are being as diligent as possible in minimising risks within the available space. The home is comfortably warm; the central heating being under floor. A thermostat, thereby giving residents’ individual choice, can individually control each room temperature. Hot water temperatures are controlled and a record kept of regular monitoring. Random temperatures were taken and were of the recommended level. The staff are to be commended for the standard on cleanliness around the home and in keeping it free from offensive odours. The laundry is well maintained and clean. There was some discussion about hanging drying washing in the “clean” area of the laundry to better maintain infection control. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and offer protection to people living at the Home. Training is available to the staff so they have the skills to meet the needs of the residents. EVIDENCE: Resident’s and their relatives speak very highly of the staff, saying they are hard working. People applying to work at the home have to complete an application form, provide two references and have a POVA and Criminal Records Bureau (CRB) check,(for which they have to pay), and attend an interview. The files of the most recently recruited staff show that appropriate checks are made prior to them commencing duties. The deputy manager explained that all new members of staff receive induction training in line with Skills for Care, and staff are encouraged to undertake NVQ training. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 20 A training matrix is used to give a management overview of staff training needs, and the Manager said this is currently being updated to include recent courses attended. The staff rosters seen indicate staffing levels are geared to peak times of activity. Residents and visitors say staff are generally to hand if needed. Survey forms completed by relatives and returned to the Commission included the comments: • “I think there could be a case for more staff”. “If the care staff had the time maybe they could spend a little time each day just having a chat with the residents rather than only when they are dealing with washing, toileting and meal times”. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from a management team that is experienced, accessible and supportive. Residents’ financial interests are protected. The home is reviewing its performance through a programme of self-review and consultations, which includes the opinions of residents and relatives. EVIDENCE: Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 22 The Manager is a registered nurse, has extensive experience in residential care and is close to completing the Registered Managers Award. She is also close to finishing a Masters in Gerontology. The Deputy Manager is a registered nurse, has a Diploma in Management, and is an NVQ Assessor and Manual Handling Trainer and Assessor. They share the same values and principles in regard to the high standards of care they expect to be delivered. During the inspection, the Manager and Deputy Manager were heard to give resident’s’ relatives very good support and guidance during telephone conversations. A survey form completed by a relative included the comment: • “The Manager of Copper Beech is always very willing to listen and advise where necessary”. There is a sound system of holding and recording service users’ cash, which is checked by the organisation as part of their audit process. The residents spoken with say they have no worries regarding their finances and feel they are supported in managing their affairs efficiently. Regular staff meetings and resident/relative meetings are held and records of the meetings are kept. Annual residents/relatives questionnaires are sent. The Manager is planning to replace the bound “RGN” books used for hand-over of information with loose leaf binders so that residents’ personal information recorded collectively can be destroyed after a set period of time. This will assst in complyin with current data protection legislation and the Freedom of Information Act. All other records seen are kept in a manner that preserve confidentiality. The arrangements to ensure all staff receive the supervision necessary to ensure good standards of care practice have been firmed up recently and staff are now receiving formal supervision regularly. There are records of fire systems checks and fire drills/training and staff spoken with have a sound understanding of emergency procedures. In March 2007, the home was awarded the “Only the Best for Excellence in Food Safety and Customer Care” by Wealden District Council. The Manager described how it is planned to upgrade the extractor system in the main kitchen and then deep clean the kitchen. The Manager believes all records of maintenance and safety checks are up to date. These were not inspected on this occasion. Copper Beech House Nursing Centre DS0000013975.V359255.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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 2 3 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 4 X 3 X 3 X 3 3 Copper Beech House Nursing Centre DS0000013975.V359255.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. 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. 2. 3. Refer to Standard OP9 OP22 OP38 Good Practice Recommendations It is recommended the planned refurbishment of the treatment rooms is implemented as soon as possible. It is recommended better storage facilities should be provided for moving and handling equipment to minimise risk to residents, staff and visitors. It is recommended the planned upgrading of the extractor system in the main kitchen should be completed and the kitchen then deep cleaned as soon as possible. Copper Beech House Nursing Centre DS0000013975.V359255.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office 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 Copper Beech House Nursing Centre DS0000013975.V359255.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. 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