Inspection on 16/10/05 for 26 Beltinge Road

This inspection was carried out on 16th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

26 Beltinge Road 19/01/09

26 Beltinge Road 25/03/08

26 Beltinge Road 26/07/06

26 Beltinge Road 13/05/05

26 Beltinge Road 21/09/04

26 Beltinge Road 29/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 26 Beltinge Road 26 Beltinge Road Herne Bay Kent CT6 6DB Lead Inspector Kim Rogers Unannounced 16/10/05 at 09:50 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 26 Beltinge Road Address 26 Beltinge Road, Herne Bay, Kent, CT6 6DB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 375210 01227 740371 Care Management Group Limited Registered Care Home 11 Category(ies) of Learning Disabilities x 11 registration, with number of places 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13/05/05 Brief Description of the Service: 26 Beltinge Road is a care home providing personal care and support to 11 adults from 18 to 65 years with learning disabilities.The Home is owned and managed by the Care Management Group who own two smaller homes close by and others throughout the southeast.The property is a large Victorian detached building with gardens to the front and rear. Parking is restricted to the road at the side and front of the property. Accommodation consists of single rooms on various levels accessed by stairs making the home unsuitable for people with limited mobility.The Home is situated close to Herne Bay town centre where there are shops, bus stops and a railway station. Other local amenities are easily accessed. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out on a Sunday. The Inspector spoke to service users and staff. The manager and deputy were on duty and assisted the Inspector. The Inspector looked around the home and viewed documentation and records. The house is a large Victorian house set over several levels situated in a conservation area. This home was last inspected on 13/5/05. For standards not assessed in this report please refer to the report of 13/5/05. The Inspector observed lunch being served and spoke in private with one service user and informally with others. There are currently 10 service users living at the home. All but one were at home during the visit. The atmosphere was relaxed. The Care Management Group runs this home. The acting manager, Audrey Emmett plans to apply to the Commission for Registered manager status, as there has been no Registered manager for some time. Since Mrs. Emmett has been in post staff say the home has been more settled. ‘Staff are working as a team.’ Some of the requirements made at previous inspections remain unmet. These requirements relate to the environment (building) including windows, the laundry and the kitchen. It seems that delays by fund holders of the Care Management Group in releasing allocated monies have lead to the requirements remaining unmet. Service users said ‘I like it here’ ‘Staff are nice people’ Staff said ‘Training could be better’ ‘I would like Makaton training and other learning disability training’ ‘The delays in maintenance should be improved’ ‘Staff are working more as a team’ What the service does well: Service Users said the food is good. Staff said the Manager leads by example and is approachable and supportive. The management of the home is more stable and the acting manager plans to apply for registration as manager with the Commission. Service User plans are regularly reviewed. Key workers carry out monthly reviews and six monthly more formal reviews are held. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 6 Staff enable Service Users to access community facilities. Service Users are supported to choose from a wide range of college and adult education courses. What has improved since the last inspection? What they could do better: When the Inspector arrived at 09.50 the second lounge was locked. The deputy said this was because it had just been cleaned by the night staff. Shortly after arriving the Inspector looked around the home and one WC was locked and a bathroom with WC was locked. The deputy said the WC was waiting to be cleaned and the bathroom was locked due to the needs of one service user. The Inspector required that a less restrictive strategy be used in the future rather than locking off communal parts of the home. Medication practices must be audited against the Royal Pharmaceutical Society Guidelines, which the home must obtain a copy of. Parts of the environment are in need of repair and remedial work. This includes the windows, fascias, laundry floor and kitchen floor. This is outstanding from previous inspections. Requirements outstanding from the last inspection must be met. The leaking drain outside en route to the laundry must be repaired. The flytrap in the kitchen needs cleaning. The home should be suitably fragranced. Fire doors must not be propped open with wedges. Results from any quality assurance audit must be published and a report with outcomes and actions supplied to the Commission. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 7 More person centred approaches should be used when assessing and developing plans with service users. More accessible formats should be develop for individuals. 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. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,4 Prospective service users have some information to help them make a decision about this home. Prospective service users have the opportunity to visit the home before they make a decision to stay. EVIDENCE: The home has a Statement of Purpose and Service User Guide. These documents provide prospective service users with information about the services and facilities on offer at the home. The Statement of Purpose and Service User Guide are reviewed corporately. Both documents are available at the home along with the last inspection report. The manager said that trial visits are planned to suit service users needs. There is currently one spare room at this home. Service users said that a prospective service user has been to stay and gone home again. The manager confirmed this. There have been no admissions or service users moving out since the last inspection. Please see the last inspection report of 13/5/05 for standards not assessed here. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 Service users know their changing needs will be recognised and assessed. Service users will benefit from the implementation of more person centred approaches. Service users are supported to make decisions about their lives. Limitations on facilities are not made in the best interests of all service users. EVIDENCE: Each service user has an individual service user plan. The Inspector looked at one service user plan in detail. One service user told the Inspector about how they were involved in developing part of their plan. A service user showed the Inspector part of their plan which they asked the Inspector to read out. Following this the Inspector recommended that the home develop more accessible person centred formats suitable for service users for example photographs and pictures so that plans are recorded in a way that is right for the person. The Inspector noted that the service user plan sampled was in the main needs lead. Aspirations had been assessed initially but were not included in the service users plan. Person centred planning approaches must be introduced and implemented to establish service users aspirations and establish and support what lives service 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 11 users want. The Inspector recommended person centred approaches (and essential lifestyle planning) and tools be researched. The gifts and capabilities of the person should be highlighted and celebrated. Key workers carry out monthly reviews and formal reviews are held with care managers and stakeholders regularly. Behaviour management guidelines were seen and are based on positive approaches. During the visit one service user chose to go out with some friends. Another service user was at church. Other service users chose to spend time relaxing in one of the lounges watching television or out in the garden. Service users were given a choice about Sunday dinner. As mentioned in the summary of this report, some communal parts of the home were locked when the Inspector arrived including the second lounge, a bathroom and a separate WC. Although the manager and deputy give reasons for this the Inspector required that less restrictive strategies be used in the future so facilities are not restricted. The manager said that regular service user meetings are held and gave examples of issues service users have raised that have been addressed. 2 service users asked said if they had a problem they would talk to Audrey or Steve (Deputy). 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,14 Service users know they will have opportunities for personal development. Service users enjoy a range of leisure activities. EVIDENCE: The home has links with local colleges, day centres, adult education facilities and churches. The home is situated near the centre of Herne Bay within easy reach of these facilities. Staff have use of company vehicles to enable community access. Each Service User has an activity planner in their Service User plan. Activity plans included daily living skills for example, ironing and cleaning. One to one time with staff was detailed on these planners. Service Users have support to access local clubs, pubs, shops etc. One service user told the Inspector that staff help them with their laundry and with cleaning their room. Service users socialise with the residents of a neighbouring home who visited during the visit. Some service users enjoyed a recent holiday to Spain. The manager showed the Inspector some photographs. One service user said he would like to travel more independently. The manager said this would be supported and incorporated in to the service user plan. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 13 The Inspector observed lunch being served. An alternative was offered as the main choice was ‘off. Service users were given a choice of meat pie or chicken in batter. The meal is served through a hatch from the kitchen to the dining room. Lunchtime appeared relaxed with staff eating with service users and service users given the time they need. The kitchen floor requires attention as previously required. The electric flytrap in the kitchen needs cleaning. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20,21 Medication practices must be in line with relevant guidelines to protect service users. Service users wishes are sought about illness, ageing and death. EVIDENCE: The Inspector looked at medication storage and observed medication administration. Medication is stored in a lockable wall mounted metal cupboard in the staff duty office en route to the staff WC. The staff room was very hot on the day of the visit. Administration of medication was observed and was not in line with the guidelines from the Royal Pharmaceutical Society. The manager said that the home does not have a copy of the guidelines from the Royal Pharmaceutical Society (RPSG) relating to medication in care homes. The medication administration records (MAR) were seen. Some codes had been entered, for example, x and /. The deputy said this meant the service user had not had their medication. In this case the MAR should be left blank as per the RPSG. The Inspector required that the home get a copy of the relevant guidelines and audit their practice to ensure they comply. Some staff have attended training relating to supporting service users through illness, death and bereavement. Most service users have their wishes in the event of illness and death recorded. The manager said she is in the process of gaining the wishes of all service users. Families and friends are involved in this 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 15 process where appropriate. The Inspector recommends that this work be complete so all service wishes are recorded. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users know their views will be listened to and acted on. EVIDENCE: The home has a complaints procedure. A copy of this procedure is included in the Service User Guide. Service users said they would talk to Audrey or Steve if they had a problem. The manager said that regular service user meetings give the opportunity to discuss any issues as well as monthly meetings with key workers. The manager gave examples of issues raised by service users at meetings that have now been addressed. The home keeps a record of all complaints. There have no complaints about the home since the last inspection. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,29,30 Service users lives would be enhanced with investment in the environment. Service users know they will have the equipment they need to maximise independence. This home is generally clean although hygiene is not assured. EVIDENCE: The large lounge has been decorated since the last inspection and has new larger sofas. The second lounge has new chairs and a sofa although this room was locked as mentioned when the Inspector arrived. There is a large dining room accessed by some steps down. A comfortable seating area with television has been provided at the end of the dining room. As required at previous inspections, the kitchen and laundry floor need attention and must be impermeable. The window frames, windows and fascias are in need of repair or replacement. The laundry is in a separate building to the main house. Staff and service users have to leave by the back door to access the laundry. There was a pool of water on this walkway. Staff thought the drain or pipe work was leaking. This is a slip hazard especially with cold weather on the way. The Inspector required this be rectified. Spikes have been fitted to external window frames to deter pigeons as noted at the last inspection. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 18 During a tour of the home with the deputy the Inspector noted that one WC was smelly and in need of cleaning. The rest of the home was clean and orderly. One WC and one bathroom with WC were locked when the Inspector required as mentioned in the summary. The manager agreed to use a less restrictive alternative. All bedrooms at this home are for single occupancy and have wash hand basins. Service users spoken to said they are happy with their rooms. Furniture is of good quality and domestic in nature. Grab and hand rails are fitted where necessary. Some radiators are covered. Referrals are made when service users need equipment to maximise and maintain independence. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35,36 Service users are protected by robust recruitment checks. Staff competency would be improved by more service specific training. Staff are supported by regular one to one and staff meetings. EVIDENCE: The Inspector sampled staff files. Prospective staff complete an application form and of short listed are invited to attend an interview with 2 staff from the care management group. Recruitment checks are carried out which was evident in the staff files. The documentation required was present in staff files. Staff are issued with a contract and job description. Staff felt that training could be improved as had been limited recently. Staff said they had attended mandatory training but would like more specialist training. The manager agreed but hopes this will now be addressed following the recruitment of a training manager. The training manager has purchased external training and organised venues. The Inspector noted that some places had been booked for medication training. Training relating to eth homes aims and individual plans would be useful for staff especially an awareness of person centred planning and essential lifestyle planning. An induction record for one staff was seen, which is in line with the standards. Supervision contracts were seen in staff files. Staff have the opportunity to meet on a one to one basis with a line manager every 6-8 weeks. One staff had a one to one meeting with the deputy during the visit. Supervision records 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 20 are held securely. Regular staff meetings are held and daily handovers between the staff team, which the manager and deputy usually attend. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42,43 Service users know their views about improving the home will be listened to. Health and safety is not fully assured. Delays in allocating funds has lead to unmet requirements. EVIDENCE: The company uses a quality assurance tool for gaining the views of service users and stakeholders. A yearly report is produced across the organisation. The manager said that questionnaires have been sent out this year but no report has been produced with the outcomes and necessary actions. The Inspector required that the results about 26 Beltinge Road be collated and a report produced and published so service users and stakeholders can see how the home is doing. A copy of this report should be sent to the Commission. The manager gave examples of improvements made following suggestions by service users including the purchase of a new music system and providing comfortable seating in part of the dining room. This home has a health and safety policy. Staff attend health and safety training as part of their induction. Some issues were noted relating to health 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 22 and safety. 2 fire doors automatic closures were not working so the doors were propped open with wooden wedges. Fire doors should be kept closed unless automatic closures are fitted and working. As mentioned the environmental issues in the kitchen and laundry must be addressed to ensure the health and safety of staff and service users. Incidents and accidents are recorded and reported appropriately. There has been a delay at this home in meeting requirements made at inspections. The manager and deputy said this is due to delays by the company in releasing the funds for necessary work. The Registered Provider and the care management group must ensure that there is effective financial planning and budgets in place to cover the cost of necessary update and maintenance works. Competent and accountable external management is necessary to ensure service users benefit and are protected. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 2 Standard No 11 12 13 14 15 16 17 3 x x 3 x x 2 Standard No 31 32 33 34 35 36 Score x 2 x 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 26 Beltinge Road Score x x 2 2 Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 2 2 H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard YA30 YA30 YA24 Regulation 23 23 23 Requirement The Registered person must ensure that the laundry floor is impermeable. The Registered person must ensure that the kitchen floor is impermeable. The Registered person must ensure that windows and fascias are repaired or replaced in line with the homes action plan. Results of the quality assurance audit must be published with outcomes and actions. Fire doors must not be propped open unles fitted with an automatic closure. The leak must be fixed so there is no water by the laundry door. The home must get a copy of the RPSG and audit medication practices. Less restrictive alternatives must be used rather then locking off communal parts of home to all service users. Timescale for action 31/10/04 NOT MET 31/12/04 NOT MET 31/12/04 NOT MET 30/1/06 31/10/05 31/10/05 31/10/05 31/10/05 4. 5. 6. 7. 8. YA39 YA42 YA24 YA20 YA7 35 12 12 13(2) 13 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 25 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. 4. 5. 6. 7. 8. Refer to Standard YA37 YA32 YA35 YA35 YA6 YA21 YA30 YA17 Good Practice Recommendations The Manager should be qualifed to level 4 NVQ in care and NVQ level 4 in management by 2005. 50 of care staff should be qualified to at least level 2 NVQ by 2005. Training linked to the homes aims and individual plans should be provided. Staff would benefit from training covering person centred planning approaches. Service users plans should be produced in a format suitable for the individual. Service users wishes in the event of illness and death should be recorded. The home should be suitably fragranced and free from offensive odours. The fly trap in the kitchen should be cleaned. 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 26 Beltinge Road H56-H05 S23302 26 Beltinge Road V246413 161005 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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