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Inspection on 13/10/06 for Abba Care Home

Also see our care home review for Abba Care Home for more information

This inspection was carried out on 13th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Abba Care Home provides service users with a comfortable, safe, homely environment to live in. The registered manager and staff team successfully meet the service user needs within a family orientated environment. Service users are able to move freely around the home and can use their bedrooms at any time. The home has a no smoking policy and has a high standard of furnishings, decoration and cleanliness throughout. Sheep, goats and poultry are kept in the fields attached to the home. The homes unique environment enables service users who are interested in outdoor pursuits and the care of animals to also be involved in cultivating plants and vegetables in the greenhouse. The atmosphere at the home is friendly and service users made positive comments about their home and the staff. One service user said, "I`m very comfortable here. I always have a hot drink before bed, check on the animals then retire around nine o`clock". Another service user said, "We all had a good time on holiday in Llandudno. We stayed in a hotel and there was a swimming pool".

What has improved since the last inspection?

A new fire procedure has been introduced at the home and fire drills are carried out regularly. This means that service users and staff at the home are protected by the homes fire and evacuation procedure. The registered manager now operates a thorough recruitment policy ensuring the protection of service users. Service user bedrooms have been redecorated and furniture updated to suit the needs of the service users

What the care home could do better:

Risk assessments relating to the health and safety and wellbeing of service users must be included in service users individual plans of care. This will ensure that where there is greater risk to the service user particular attention to those risks are identified, recorded and as far as possible eliminated. Staff have yet to be trained in the protection of vulnerable adults. The number of staff to receive this training must increase to prevent abusive practices being unrecognised and therefore unreported. Service user records and management systems must be stored securely and kept up to date and in good order to ensure service user and staff best interests are safeguarded.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Abba Care Home Wesley Old Hall New Row Weir Bacup Lancashire OL13 8RA Lead Inspector Mrs Christine Mulcahy Key Unannounced Inspection 10:30 13th October 2006 X10029.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 Abba Care Home DS0000009594.V302681.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 and 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. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abba Care Home Address 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) Wesley Old Hall New Row Weir Bacup Lancashire OL13 8RA 01706 879042 01706 879565 Mrs Rosemarie Nash Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Statement of Purpose, Service User Guide, written policies and procedures and all administrative tools and record systems of the home must be reviewed, and revised where necessary, to reflect the change of name. The home is registered for a maximum of 4 service users to include: up to 4 service users in the category of MD (mental disorder under 65 years of age excluding learning disability or dementia) up to 4 service users in the category of MD(E) - mental disorder over 65 years of age, excluding learning disability or dementia. 22nd November 2005 2. Date of last inspection Brief Description of the Service: Abba Care Home is registered with the Commission for Social Care to provide care and accommodation for 4 service users with a mental disorder. The property is a detached house set in a rural area, set back from the road and situated within five acres of fields, farms and gardens. It is reached via an unmade road near the village of Weir. The home has views of the surrounding hills and valleys of the Rossendale Way. Accommodation is provided in 3 single bedrooms and one double. Bedrooms are on the first floor of the house. Within the home, there are lounge areas and a kitchen diner on the ground floor. Prospective service users can have a copy of the statement of purpose a service user guide and colour brochure to inform them of what to expect if they decide to live at the home. The current fee at Abba Care Home is £395 per week. Items not covered by the fees are hairdressing, chiropody, holidays, meals out and some toiletries. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection,including a visit to the home, took place over one day on 13th October 2006. Information was obtained from care plans, records, management systems and observations. The inspector spoke to all service users, and 1care staff. There have been no complaints about the service made to the Commission for Social Care Inspection since the last inspection. What the service does well: What has improved since the last inspection? A new fire procedure has been introduced at the home and fire drills are carried out regularly. This means that service users and staff at the home are protected by the homes fire and evacuation procedure. The registered manager now operates a thorough recruitment policy ensuring the protection of service users. Service user bedrooms have been redecorated and furniture updated to suit the needs of the service users. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 3 & 6 and YA 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are admitted following a full assessment and staff know what their needs are. Care plans are based on these assessments to ensure staff can meet these needs. EVIDENCE: The care plan of one service user was examined and showed that the registered manager had carried out a needs assessment before the service user moved into the home. The assessment documentation formed part of the Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 9 care plan and was available to staff which helped familiarise them with the service user. One staff spoken to was aware of the service user assessment and knew that these formed the basis of the care plan. The service user guide did not include the details of CSCI. The registered manager said that this document would be reviewed along with the statement of purpose. Intermediate care is not provided. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9 & 10 and YA 6, 9, 16, 18 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and safety of service users was not fully promoted. Service users were protected by the homes medicine policies and procedures. Care practice observed showed service users privacy and dignity was respected. EVIDENCE: Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 11 Case tracking and discussion with service users confirmed they had an individual plan of care that included sufficient details for staff to meet those need that had been identified. Their care plans, however, lacked robust risk assessments and did not fully protect them from risk of harm. The registered manager ensured that care plans included appropriate information that enabled staff to meet service users cultural and diversity needs. Care plans had been reviewed regularly with service users, relatives and appropriate professionals. Changes in service user needs were identified, recorded and acted on immediately. Other health needs were identified and access to other health professionals was given. Evidence of contact with other services like GP and optician were seen. A record of service user daily activity was kept, including records of service users evening and night activity. All areas of medicines handling were well managed and medication was stored securely. All staff had completed basic medication awareness training. Health and personal care arrangements ensured service user privacy. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 13, 14 & 15 and YA 12, 13, 15 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visiting from relatives and friends is flexible and enables contact to be maintained. Service user autonomy and choice was maximised in relation to financial affairs, meals and activities. Meals served were varied and appealing ensuring variety and nutrition and were enjoyed by residents. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 13 EVIDENCE: When asked service users confirmed that wherever possible they were able to make choices about aspects of their lives including waking and going to bed times and handling their own finances. Case tracking, examination of records and discussion with service users confirmed that only 1 service user was responsible for their own finances. Other service users finances were handled by their relatives or the registered manager. Service users religious and cultural needs were assessed identified and recorded when they moved into the home as part of the admission process. Service user activities were varied to suit their preferences and capabilities. There were regular service user meetings to discuss activities and one service user told the inspector about the recent holiday in Llandudno indicating his satisfaction with the current arrangements. Menus were changed regularly and service users were to become involved in menu planning and include items they liked on the shopping list. There is always a choice if people don’t like the main meal and 2 service users when asked confirmed they could have what they like. Hot and cold drinks were available throughout the day and service users were observed using these facilities in the home. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16 & 18 YA 22 &23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints made by service users and relatives were acted on and recorded according to the homes complaints policies and procedures. The lack of staff training in protection of vulnerable adults may result in abusive practices being unrecognised and therefore unreported. EVIDENCE: The homes complaints procedure specifies how complaints may be made and who will deal with them. There is an assurance that complaints will be responded to within a maximum of 28 days. Although there have been no complaints to the CSCI since the last inspection the registered manager said that complaints made would include details of the investigation and any action taken. There were procedures for staff to follow if they suspected an incident of abuse had taken place. According to information on the pre inspection questionnaire no staff had been given abuse awareness training. This meant that the staff might not be aware of abusive practices and would not know to report them. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19 & 26 YA 24 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home was comfortable, homely and was decorated and furnished to a high standard. The home was clean and free from offensive odours. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 16 EVIDENCE: A tour of the building showed the home was safe and well maintained. The location of the home was suitable for it’s purpose. The registered manager had purchased new bedroom furniture for the service users. Discussion with the registered manager confirmed that the local fire officer had made requirements relating to the homes fire procedure and the registered manager had met these. The home was clean, hygienic and free from offensive odours throughout. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27, 28, 29, 30 and YA 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment process ensured the protection of service users. Staff were employed in appropriate numbers and skill mix and were competent to do their jobs. The lack of staff training in protection of vulnerable adults may result in abusive practices being unrecognised and therefore unreported. EVIDENCE: The staffing levels were adequate to meet the needs of service users. The duty rota was examined and showed which staff were on duty and at what times. Since the last inspection two new staff had been employed at the home. Case tracking of staff and examination of employee records showed that the Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 18 registered manager had followed the homes recruitment procedures and all pre employment checks had been carried out. Discussion with one new employee and records examined showed the employee had completed an induction so they could learn important procedures about the home. A record of training and development by all staff was not available for inspection. This meant that it could not be shown that staff had the skills, knowledge and competency to do their work. Discussion with the registered manager and records of correspondence showed the registered manager was taking steps to purchase relevant training including POVA and this would safeguard service users. The care staff spoken to was qualified to level 2 NVQ in care and had received training in 1st Aid, food hygiene, moving and handling, medication awareness and fire safety. There was planned training in dementia awareness in November. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31, 32, 33, 35, 38 and YA 37, 38, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run in the best interest of the service users. The homes policies and procedures ensured the health, safety and welfare of service users and staff were promoted and protected. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 20 The lack of secure storage for service users and staff records meant that service users rights and best interests were not safeguarded. EVIDENCE: The registered manager has many years experience of working with the service user group and regularly updates her knowledge, skills and competencies while managing the home Examination of service user records showed they were not maintained in good order and it was difficult to find the required information quickly. These records must be maintained for the protection of service users and efficient running of the service. There were safe working practices around the homes fire safety policy and a recent visit from the local fire officer showed adequate precautions against the risk of fire were in place in line with recommendations from Fire officer. The registered manager had completed individual service user risk assessments on evacuating the home in emergency. Fire and evacuation procedures were reviewed regularly. Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 21 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 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 x 37 x 38 3 Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 4(1)(c) Schedule 1 Requirement The registered manager must ensure that the service user guide includes details of the CSCI. Please forward a reviewed copy of the homes statement of purpose and service user guide to the CSCI by the date shown. The registered manager must ensure that risk assessments are included in all service user care plans. The plan must be reviewed regularly to reflect changing need. The registered manager must ensure that all staff are trained in the Protection of Vulnerable Adults. Please forward a copy of the homes staff training programme that identifies the dates when this training will be available to staff. The registered manager must ensure that records required for the protection of service users and for the effective and efficient running of the business are secure, up to date and in good order and maintained in accordance with the Data Protection Act 1998. Timescale for action 08/01/07 2. OP7 Reg 13(4)(b,c) 23/10/06 3. OP18 Reg 13(6) 08/01/07 4. OP37 Reg 17(1,2,3) 20/10/06 Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abba Care Home DS0000009594.V302681.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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. Abba Care Home DS0000009594.V302681.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. 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. 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