CARE HOME ADULTS 18-65
38 Dagger Lane West Bromwich West Midlands B71 4BE Lead Inspector
Mr Patrick Wright Unannounced Inspection 23rd November 2005 13:30 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 Adults 18-65. 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. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service 38 Dagger Lane Address West Bromwich West Midlands B71 4BE 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) 0121 580 0666 0121 580 0752 N/K Lonsdale (Midlands) Limited Samantha Ganderton Care Home 8 Category(ies) of Learning disability (6), Physical disability (8) registration, with number of places 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. One service user (female) accommodated at the home may be in the category DE. This will remain until such time that the service users placement is terminated. One service user (male) accommodated at the home may be in the category DE(E). This will remain until such time that the service users placement is terminated. 29/6/05 Date of last inspection Brief Description of the Service: 38 Dagger Lane is an eight bedded nursing home for people with learning/physical disabilities, including two places for people with a Dementia related illness. The home is owned by Lonsdale Midlands Ltd. The property is situated near to West Bromwich, and has local shops and amenities close by. The home is accessible by public transport and offers on road parking to the front and side and limited off road parking. Accommodation consists of eight single occupancy rooms and communal areas. The home offers shared bathing/toilet facilities, as none of the bedrooms are en-suite. Aids and adaptations are provided which meet the assessed needs of the service users. There is a passenger lift available. The home provides a range of in house and community accessed activities, plus a healthcare programme, which utilises various resources within the local area. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was conducted as a statutory unannounced inspection. The purpose was to assess progress and compliance in meeting the National Minimum Standards and towards addressing issues identified as needing attention at previous inspection visits. A range of inspection methods was used to make judgements and obtain evidence, which included a tour of the premises, including some of the service users bedrooms. There are eight service users currently living at 38 Dagger Lane. Since the last inspection one person has been re-accommodated at an alternative service as the home was no longer suitable to meet their assessed needs. The vacancy has been allocated following referral from a local authority. The home is registered to provide nursing care for adults with learning and physical disabilities, and other complex needs. One of the service users was out shopping with a member of the qualified team during the inspection. Another service user was about to visit her family home with relatives who had called to escort her there. The relatives who were present, offered favourable comments about the home and the quality of the service being provided. Other service users were present during the inspection, but formal interviews were not appropriate. Therefore the inspector relied upon body language, responses and other observations of interaction between staff and residents. A number of records and documents were also examined. Other information was gathered through discussion with the Registered Manager. What the service does well:
38 Dagger Lane provides a homely environment which offers service users choice and provides continuity of care. The home offers support to a group of individuals with a range of complex needs and strives to promote ordinary living principles and include social inclusion in their lifestyle. Each service users’ file is well maintained and continues to provide a range of comprehensive individual plans of care incorporating specialist requirements and procedures designed to meet the needs of the person. The comprehensive care planning system assists staff and supports service users. The home uses and continues to develop a risk assessment system with interventions and guidelines for staff clearly described. The home provides stability and is run by a professional enthusiastic management and staff team, with a clear emphasis on service users expressing their own personalities and encouraged to make decisions that affect their daily lives. Staff actively support service users to enjoy a wide range of community based and in-house activities that are geared towards their own wishes and needs. Service users can choose what they want to eat and staff make efforts to help residents make their preferences known through different methods.
38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 6 As a specialist service for people with a learning disability, 38 Dagger Lane continues to be able to demonstrate it offers care based on current good practice and reflects professional and clinical guidance. This overall judgement is based on the information available at the time of inspection, that included formal discussion, observations, and from evidence in the form of documentation and records supplied. What has improved since the last inspection? What they could do better:
With the exception of minor shortfalls the home is meeting the majority of the National Minimum Standards for Younger Adults. With this in mind, the management need to ensure that the current service is maintained and progresses with regard to further good practice initiatives. One of the service users requires an adaptation to assist with safety and enhance dignity. This must be provided as soon as practicably possible. Monthly visits to the home, under Regulation 26 of the Care Homes Regulations, by the organisations `Responsible Individual` or nominated representative must be conducted. A record of interview, including the panel, questions asked of candidates and the outcome, and exploring employment history, must be maintained and available. The Registered Manager is now intending to adopt an Essential Lifestyle Plan system of person centred planning. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 7 The side gates to the premises do not offer sufficient privacy to the occupants of the home, and should be enhanced with screening, or replaced. Also the storage bins for household and clinical waste should be stored for safety reasons, in a designated area and screened from direct view in the communal lounge. 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. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 the following standard(s): N/A EVIDENCE: None of the standards from this section were assessed at this inspection. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 the following standard(s): 6,7 Service users assessed needs are reflected in their personal plan. However, this will be developed further with the introduction of Person Centred Planning. Service users are encouraged and supported to make decisions about their lives. Staff will assist as needed and can demonstrate why decisions have been made on a service users behalf EVIDENCE: Some of the service users care plans were examined as part of case tracking. The files examined provide individual plans based on their assessed needs and designed to meet the needs of the person. The documentation is being reviewed as required and whenever possible the care plans are compiled with the service user and/or their representative, and are dated/signed. The Registered Manager is now intending to adopt an Essential Lifestyle Plan system of person centred planning. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 11 Staff continue to provide service users with the information and assistance they need to make decisions about their lifestyle whilst at living at Dagger lane. The home provides ample evidence of how they support service users to make individual choices and decisions. This was confirmed during discussions with staff and examination of documentation. Where restrictions are made, these are appropriately risk assessed and recorded within the individual service user file. Care plans contain information regarding service users communication needs. Information relating to Advocacy Services has previously been obtained and literature secured. The `People First` group has been actively involved with the Lonsdale organisation and this has included sessions within 38 Dagger Lane. None of the service users self manage their financial affairs. The Registered Manager is not an appointee or agent for the service. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 the following standard(s): 12,13 Service users are enabled to become part of the local community by using local facilities including educational and training facilities. The home provides access to a range of socially, culturally and age appropriate activities in accordance with the assessed needs and individuals plans of care. EVIDENCE: 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 13 Service users are provided with a comprehensive timetable of `training` events combined with leisure/personal development opportunities. There was ample evidence that service users were being enabled to attend further education opportunities. Staff regularly evaluate the appropriateness of activities and outcomes for the group. An activity timetable is in each of the service users files and notice boards in the office show the weekly and daily plans. In addition, information is provided about places of interest and of resources used previously. Some of the service users have access to a planned activity programme in conjunction with a local college. Staff enable and support service users to access the local community and social inclusion is an important part of the service users lives. The events vary from a walk to the local shops, local parks, pub meals, personal shopping trips, cinema, discos and bowling. Staff at Dagger Lane ensure that service users have access to and choose from an appropriate range of leisure activities and are supported to pursue interest/hobbies. Individual outings, and group trips are arranged and include day trips and holidays. Individuals make choices, with support as needed, with regards to community inclusion and daily notes provide evidence of the resources accessed. 38 Dagger Lane continues to be part of the local community and neighbourhood. With regard to accessing amenities, information about the Disability Discrimination Act 1995 has been obtained. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 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 the following standard(s): 18 Staff provide sensitive and flexible personal/nursing care, ensuring service users privacy, dignity and control over their lives. EVIDENCE: Service users receive appropriate personal support in the way that they prefer, and staff provide a sensitive and flexible caring service for them. Service users can choose their own times for rising and retiring, for bathing, taking meals or pursuing activities. Service users individual likes, dislikes and preferences in terms of daily routines have been recorded in their individual service user plans. Service users receive a range of additional, specialist support as and when required. Staff do not always rely on their knowledge of service users’ preferences, they also regularly review service users needs. Service users can, and do, indicate who they wish/do not wish, to carry out specific or personal tasks. Discussion with relatives and one of the service users confirmed that personal support continues to be carried out in a dignified and sensitive manner with all service users. A key worker system is in operation with written guidelines for staff to be aware of their responsibilities. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 15 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 the following standard(s): N/A EVIDENCE: None of the standards from this section were assessed at this inspection. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 24,29 and 30 The premises and the standard of the environment within this home are good, providing service users with an attractive and homely place to live. Relevant Infection control measures are in place. EVIDENCE: The environment at 38 Dagger Lane continues to be pleasant, and generally well maintained. The homes furniture and fittings are domestic in style, homely and comfortable. There were no offensive odours and the premises offered adequate light and ventilation. Service users rooms were seen to be well decorated and personalised by the occupants. The premises are in keeping with a local community, and offer access to local amenities and transport. The home is accessible in all parts to service users. A passenger lift is provided. The Registered Manager continues to audit the premises regularly. Any concerns/issues have been raised with the Service Managers and confirmed in writing to the companies maintenance department. The side gates to the premises do not offer sufficient privacy to the occupants of the home, and should be enhanced with screening or replaced. Also the storage bins for household and clinical waste should be stored for safety reasons, in a designated area and screened from view.
38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 17 Aids and adaptations are provided which meet the needs of the existing residents, and service users have access to all parts of the communal /private space within the home. The home provides hoists, grab rails, level access, and doorways to communal rooms are accessible for wheelchairs. A call system is available in every room, and a passenger lift provides access to the first floor. An overhead tracking hoist is provided in one of the bathrooms. It was identified through casetracking that one of the service users required an adaptation for use in the toilet area. An accident had occurred which has resulted in an Occupational Therapists assessment of the persons needs. The report recommends an alternative seating and support mechanism to prevent further accidents and possible injury. The adaptation required by one of the service users, to assist with safety and enhance dignity, must be provided. Laundry facilities do not intrude on service users routines, and washing machines have a specified programme to ensure certain laundry is washed at appropriate temperatures. A commercial washing machine provided has the appropriate sluicing facilities and temperature controls. Hand-washing facilities are located in the laundry room, although access to this area needs to be maintained to ensure staff can wash their hands after dealing with dirty laundry rather than walking through the home to use a sink elsewhere. A supply of liquid soap and paper towels, and personal protective clothing was available. Staff are been provided with Infection control training. COSHH products, (Control of Substances Hazardous to Health Regulations 1999) including Laundry items, (washing powder and fabric conditioner) are kept in a locked cupboard and the room is fitted with a digit coded lock. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 18 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34,and 35 The home has a stable staff team with sufficient numbers and skills to support the service users. There is a thorough recruitment procedure in place, which ensures the protection of service users. Staff are appropriately trained and benefit from a planned development programme. EVIDENCE: The staff duty rota was inspected and showed that the home continues to meet the minimum staffing requirements. The home operates at staffing levels of one qualified nurse and three support workers during wakeful hours, and one qualified nurse and one support worker during the night time. These staffing levels are the minimum the home must operate at. The Registered Manager is advised of the need to monitor and adjust staffing levels to ensure the needs of service users are being met and where necessary contact the appropriate health professional to conduct a reassessment. A sample of staff files were viewed as part of this inspection. The home operates the company recruitment procedure, which includes securing two written references prior to appointment. Information contained in staff files included application forms, (and statement of health/convictions) copies of two written references, job description and contract, and proof of a Criminal Records Bureau check and Identity. The management continue to work well to
38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 19 secure this information. The Registered Manager was advised that all records of interviews must be held and available. This should include who is on the interview panel, questions asked of candidates and the outcome, and exploring employment history. The Registered Manager has produced a training and development plan and is striving to demonstrate that each member of staff is provided with the relevant training. It is acknowledged that the Registered Manager continues to collect evidence of this in the form of certification on staff files. Staff are generally being provided with the relevant mandatory training/updates. A programme of completed training and required updates was available at this inspection. The Registered Manager must now review the staff training and development programme for 2006. This must clearly identify programmed dates of training, for completion for the coming year. The induction system is produced through the Black Country Partnership for Care organisation and is referenced to the `Skills for Care` induction standards. There was also further evidence that staff are enabled to access the Learning Disability Award Framework accredited training, (LDAF). The Registered Manager and Deputy Manager are LDAF assessors. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 20 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The Registered Manager is competent and qualified to run the home and meet its stated aims and objectives. There are elements of a Quality assurance system, but this needs to be formalised to ensure it is based on the outcomes for service users, in which standards and indicators to be achieved are clearly defined and monitored on a continuous basis. The Registered Manager is seen to ensure as far as reasonably practicable the health, safety and welfare of service users and staff. EVIDENCE: The Registered Manager has appropriate qualifications and experience for the post, and undertakes periodic training and development to maintain her knowledge and skills, and evidence of this was available. She is a Registered Nurse (Learning Disability), holds an NVQ level 4/Registered Managers Award qualification, is an NVQ A1 and Learning Disability Awards Framework
38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 21 assessor, and is soon to commence working towards the Internal Verifiers award. At the time of this inspection the monthly visits by the company `nominated representative` under Regulation 26 of the Care Homes Regulations 2001 were not being conducted. The last visit was recorded as of 26/8/05. Monthly visits to the home, under Regulation 26 of the Care Homes Regulations, by the organisations `Responsible Individual` or nominated representative must be conducted and reports submitted to the Commission for Social Care Inspection. The Company holds the Investors in People Award and the Registered Manager has an annual development plan for the home. In addition, various audits take place in the establishments, for example, estates audits. The company complaints procedure is available to all service users and their representatives, and is in suitable formats. Regular reviews of care plans and systems are held, and various policies and procedures are being updated. The Registered Manager is aware of the need to involve the service users and staff at Dagger Lane in the quality assurance process, but should continue to explore ways and methods of demonstrating the quality of service is appropriate, and include other stakeholders. The organisation needs to consider formalising the quality assurance process for the care home. The home must evidence an effective system for Quality Assurance is in place based on the outcomes for service users, in which standards and indicators to be achieved are clearly defined and monitored on a continuous basis. Dagger Lane and its staff continue to show a good awareness regarding safe working practices. A random sample of maintenance and service records were examined, and were found to be available and well maintained. The standards were good. The Registered Manager is seen to ensure as far as reasonably practicable the health, safety and welfare of service users and staff. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 22 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 2 X X X X 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
38 Dagger Lane Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000004770.V269321.R01.S.doc Version 5.0 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 Requirement The home should implement a system of Person Centred Planning such as Essential Lifestyle Planning. a) The side gates to the premises do not offer sufficient privacy to the occupants of the home, and should be enhanced with screening or replaced. b) The storage bins for household and clinical waste should be stored for safety reasons, in a designated area and screened from view. The adaptation required by one of the service users, to assist with safety and enhance dignity, must be provided. A record of interview, including the panel, questions asked of candidates and the outcome, and exploring employment history, must be maintained and available. The Registered Manager must submit an updated staff training and development programme, to the Commission for Social Care
DS0000004770.V269321.R01.S.doc Timescale for action 30/06/06 2 YA24 23 31/03/06 3 YA29YA24 23 31/01/06 4 YA34 18,17 31/03/06 5 YA35 18 28/02/06 38 Dagger Lane Version 5.0 Page 24 6 YA39 24 Inspection, for all mandatory and foundation training commensurate with staff duties. This must clearly identify programmed dates of training, for completion. a) Monthly visits to the home, 31/12/05 under Regulation 26 of the Care Homes Regulations, by the organisations `Responsible Individual` or nominated representative must be conducted and reports sent to the CSCI. b) The service must adopt and evidence an effective system for Quality Assurance based on the outcomes for service users, in which standards and indicators to be achieved are clearly defined and monitored on a continuous basis. (By 30/6/06) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA32 Good Practice Recommendations The home should continue to work toward meeting Sector Skills Workforce targets of 50 of care staff having achieved an NVQ level 2 or above. 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 38 Dagger Lane DS0000004770.V269321.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
