Inspection on 03/07/08 for Airedale Residential Care Home

This inspection was carried out on 3rd July 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Airedale Residential Care Home 12/07/07

Airedale Residential Care Home 31/01/07

Airedale Residential Care Home 14/12/05

Airedale Residential Care Home 20/05/05

Airedale Residential Care Home 03/02/05

Airedale Residential Care Home 24/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Airedale Residential Care Home Church Lane Pudsey Leeds West Yorkshire LS28 7RF Lead Inspector Sean Cassidy Key Unannounced Inspection 3rd July 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Airedale Residential Care Home Address Church Lane Pudsey Leeds West Yorkshire LS28 7RF 0113 257 2138 0113 236 3935 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) www.bupa.co.uk BUPA Care Homes (GL) Ltd Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 40 The maximum number of service users who can be accommodated is: 40 12th July 2007 2. Date of last inspection Brief Description of the Service: Airedale Residential Home is a former vicarage situated between a park and the church grounds in the small town of Pudsey on the outskirts of Leeds. It is accessible by public transport and is close to a whole range of good local amenities. Although the home does not have its own garden residents are able to sit out on paved areas overlooking the attractive park gardens. The home is registered for forty places to provide personal care for older people. Nursing care is not provided. Accommodation is provided over three floors. There are thirty-six rooms with four shared rooms. Twenty-one have en-suite facilities. There are a number of shared communal sanitary facilities situated around the home. Every room is equipped with a staff call system. There is a passenger lift to access the majority of the areas and a stair lift to access one area. Written information about the home is available in the form of a statement of purpose and a brochure. A copy of the most recent inspection report and other useful information was also available in the entrance area. The current range of charges is from £421-£655 per week. Additional charges are made for chiropody, hairdressing, toiletries, and newspapers and for escorts. This information was provided during the inspection of July 2007. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes The accumulated evidence in this report has included: • • A review of the information held on the home’s file since the last inspection. Information obtained from residents, relatives, staff and other health care professionals. One inspector conducted an unannounced visit to the home and lasted one day. The majority of this time was spent speaking to residents, management, staff and relatives. A number of documents were looked at during the visit and some areas of the home used by the people living there were also looked at. A proportion of time was spent speaking to the manager, staff and visitors. The information required from the service in the form of the Annual Quality Assurance Assessment was obtained at the time report was written. Feedback was provided at the end of the inspection to the manager. What the service does well: The home ensures that they pre assess prospective service users before making a decision as to whether they can meet their care needs. People said they are offered a warm welcome into a friendly homely environment. People were quick to point out that the staff working in the home were very helpful and friendly. The standard of staff recruitment and induction is good. This helps to ensure people receive a good standard of care. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. People who use the service experience good quality outcomes in this area. People spoken to said they were provided with enough information to help them with the decision making process of taking a place at the home. People are appropriately assessed prior to being admitted. This process enables the home to identify whether they can meet that person’s needs or not. We have made this judgement using available evidence including a visit to the service. EVIDENCE: ‘Welcome packs’ are available to all. These are provided for people at the first point of contact. Two relatives said they did receive the information when they visited. They said the information contained was helpful but not very specific to Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 9 the home itself. One said, “The information pack could have been more personal to the home. That would have gave us a better feel for it.” The packs were seen in people’s bedrooms during the inspection. Not all knew what the information packs were or what was contained in them. People have the opportunity to come and visit the home when they are making their decision to take a place there. One lady came for the day and was assessed in the home itself. Her family said this was a good idea as it helped them to form their opinion of the home and it helped the staff get a better assessment of their mum outside the hospital environment. Two files of the most recent admissions contained evidence that showed a thorough assessment was taken prior to offering them a room at the home. This is good practice and helps the home to ensure they are able to meet the needs of the individual. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. Although people said their health and personal care needs were met, the care documentation did not reflect this. This means evidence is not in place to show the correct care is given. Staff were seen to be respectful and dignified when providing hands on care. Some areas were identified that compromised people’s privacy and dignity. People living at the home are protected by safe medication practices. We have made this judgement using available evidence including a visit to the service. EVIDENCE: BUPA has introduced a new care planning system called QUEST. This provides a full and ongoing system for assessing and planning the individual care of Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 11 people living in the home. I looked at the care documentation belonging to three people living in the home. This documentation had not been completed following the QUEST guidance, which was clearly set out. Risk assessments in areas such as nutrition, falls and pressure areas had not been written or had not been completed. Care plans for some care needs had not been written and there was no evidence to show people or their representatives had been involved with consenting to the assessments and care plans. The new manager has already identified these problems and has started to audit the care files so that improvement can be made. The audits for some of the care files were seen and these identified the same concerns highlighted above. The files showed evidence that people’s health needs are met. Records showed GP’s, district nurses and chiropodists visited regularly to provide care. Four residents spoken to and five visitors gave positive feedback about how the home responds to health needs. The manager is quick to identify the changing care needs of individual residents. There are some that may need more specialist care packages and she is working closely with other professionals to assist this process. This is good practice as it ensures people’s care packages are regularly reviewed to ensure they receive the right care. The staff were observed performing their roles over the course of the day. They were seen to be kind and polite at all times. People in the care home spoke highly of the help and assistance they received from the staff working in the care home. Positive feedback was given from all people spoken to about how the staff respect their privacy and dignity needs. The following comments were given: “The staff are very attentive to me and others. They always seem to have a laugh and a smile.” “They always help me when I need it. Nothing seems to be too much trouble for them.” “When they say they are going to do something for you they do it. That’s good for me.” “I get up when I want and go to bed when I want. The staff are good in this way.” Relatives also spoke highly of the staff group and said they worked very well with their relatives and others. Some negative feedback was given in relation to privacy and dignity. There was a lack of chairs in people’s room and people said relatives had to sit on commodes and their beds. There were no portable chairs for people to use when they visited. People were not satisfied with the bathroom/shower facilities. The majority of the rooms are en suite but only a small percentage of the resident group can actually use these facilities due to the space restrictions and lack of mobility aids. Two people said they don’t have a bath/shower because they don’t want to be wheeled through a lounge with wet hair and in their dressing gown. One person said, “I have a strip wash every day because the it is not safe to have a bath or a shower. The bathroom is new but I can’t use it as I don’t feel safe.” “ Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 12 I don’t use the bathroom as I have to be pushed through the lounge in my dressing gown and its undignified.” The lack of appropriate bath/shower facilities and aids restricts the independence of people who already have identified physical disabilities. There have been problems with the call bell system in the home. Two people raised concerns about this, as there were difficulties with getting attention at the time. The Commission for Social Care Inspection (CSCI) was not informed of this matter. The manager was encouraged to notify the CSCI when a problem such as this occurs. People were well dressed and their appearance was neat and tidy. The home arranges for the hairdresser and a manicurist to call on a regular basis. Residents spoken said they use these services regularly. The home has a medication policy, which has recently been reviewed. All senior staff have been trained in medication administration. The staff were observed administering medications in accordance with good practice guidance. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. People are provided with a structured activity programme, which they choose to involve themselves in when they wish. More organised access to places outside the home would provide people with opportunities to leave the home. We have made this judgement using available evidence including a visit to the service. EVIDENCE: People spoken to said they were able to spend their time as they wished. They said that there are activities provided and they were able to choose whether they wanted to get involved with them are not. The Annual Quality Assurance Assessment (AQAA) completed by the manager of the home stated ‘we have a structured activities programme that is tailored to the individual needs and preferences of our residents.’ There was a programme of activities displayed and there was also picture evidence of around the walls of people involved with previous activities. The care plans seen did not provide evidence to show how the activities were ‘tailored to individual needs.’ Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 14 People spoken to said there was little access to areas outside the home. They said they would very much like to have access to days out of the home. The manager highlighted this in the AQAA as an area that needs to be improved. Two different relatives said that they were informed at the time of choosing a place that there were regular visits to places outside of the home. This has not yet been provided. People said they were enabled by the home to vote in recent local elections using postal votes. Many chose not to be involved in the process. There is a public telephone that can be used to make private phone calls. The manager said they order papers for people to be delivered daily to the home and this was evidenced over the course of the visit. Three people said there were no meetings for residents or relatives. They said there had been in the past but they have not had any recently. The manager said that these are now in the process of being implemented. This will be seen as good practice as it will provide evidence of ensuring people’s choices are promoted within the home environment. The menus have been reviewed and a ‘Nite bite’ menu has been introduced which means there are snacks available overnight should anybody be hungry. The manager was aware that people needed to be encouraged to use this service. People were observed eating their meals and this appeared to be a social event. Staff chatted and assisted people during the mealtime. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. A complaints procedure is available to people at the home. The people who live at the home feel confident that they will be listened to and can be assured that action will be taken when necessary. There are robust adult protection procedures and staff have received training. People are assured that they are safe at the home. We have made this judgement using available evidence including a visit to the service. EVIDENCE: The complaints procedure is clearly displayed in the entrance area of the home. There are also leaflets available about how to make a complaint. The ‘Welcome packs’ seen in bedrooms also include information about how to complain. It was recommended that the complaints policy displayed was written in larger format and also made more accessible for people with physical disabilities. This will ensure all people are able to read and understand the policy. People at the home were confident about discussing any concerns with the staff and feel that they are listened to. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 16 The complaints recorded since the last inspection showed the policy is followed. However, two people said they were extremely unhappy with the service they were receiving from the home over the last few months. They said their complaints were not dealt with properly and that they were unhappy with the process. This information was passed on to the manager who gave assurances that the matter would be properly looked into. The staff spoken to provided a good understanding of safeguarding vulnerable people. They understood the policy and procedure that was to be followed if a safeguarding issue was identified. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience adequate quality outcomes in this area. The environment was clean and odour free. Redecoration and refurbishment is needed to make sure that people live in a pleasant and well-maintained environment. We have made this judgement using available evidence including a visit to the service. EVIDENCE: The manager identified a few areas that have been refurbished since the last inspection. Although there is a homely feel with regards to the environment, nearly all people spoken to said the decoration of the home was ‘tired looking’. The manager confirmed that there is a plan for refurbishment and this was relayed to the inspector at the last inspection. Three people said they knew Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 18 redecoration and refurbishment was planned but they had no idea when this was going to take place. Not all rooms were inspected but there were at least four that had very strong malodours in them. These rooms were identified to the manager so that action could be taken to eradicate the odours. The home was clean and tidy at the time of the inspection. Positive feedback was provided from people who use the service about the cleanliness of the home. The doors to people’s rooms were heavy and closed very quickly behind you. This was highlighted as a risk as it could cause a frail person to fall if the door hit them. The environment has some issues where it does not assist people with disabilities. One person in a wheelchair was observed opening doors with her feet. It would be more appropriate if a sensor to assist people in wheelchairs automatically opened specific doors. It was recommended that the home be assessed by an occupational health professional to identify areas around the home that could be altered to assist people more with their disabilities. The laundry is situated on the second floor adjacent to the lift and is housed in two small rooms on either side of the corridor leading to people’s bedrooms. Due to the limited space there continues to be the need to have clothes on the corridor near to the lift. These are now hung appropriately on a clothes rail designed for the purpose. The staff on night duty have to be involved with the laundering service due to staffing issues. This should be audited by the manager to ensure peoples hands on care is not neglected as a result of this work being carried out. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. The number and skill mix of staff is sufficient to meet the needs of the people living at the home. People living at the home are protected by robust staff recruitment procedures. We have made this judgement using available evidence including a visit to the service. EVIDENCE: The duty rotas indicated that there is enough staff to meet the needs of the people living at the home. The care staff are supported in their role by a team of ancillary staff over the full seven day period. People spoken to said that there were enough staff to meet their needs. Six people said that there could be more staff on duty because they are always busy. The home has a comprehensive set of policies and procedures and all new starters are provided with an employee handbook that provides them with an overview of the main policies and procedures in the home. The new manager said that staff training is an area that is currently being reviewed and training programmes are being planned to ensure staff are equipped to fulfil their roles. A training matrix is also being developed to assist Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 20 with monitoring training that is provided. The manager said mandatory training has not been provided, as it should have been. NVQ training is still being encouraged within the staff group. The recommended 50 of all carers having this training has not yet been reached. The recruitment documentation for the most recent employee was inspected and all the required information needed before that person could start work was obtained. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The home is well managed. The interests of the people who live there are seen as very important to the manager and her staff and are safeguarded at all times. There are some areas of health and safety that need reviewed to further improve the safety of people in the home. We have made this judgement using available evidence including a visit to the service. EVIDENCE: The Manager has just recently been employed in the role. She is currently applying to become registered with the CSCI. She is an experienced nurse who has held various management roles in the past. She showed a good awareness Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 22 of management systems and processes and has already identified the areas where she feels the most work is needed in the home. She has already implemented quality assurance tools to help identify how well the home is performing and work is needed to improve. Care plan audits are currently being carried out and this evidence was seen. The BUPA team audited health and safety recently and work is being carried out to rectify problems identified. The manager said a quality survey was carried out the previous summer but the results of this have not been made available to all stakeholders. There are safe systems in place for handling people’s money at the home. Records are kept of all transactions and receipts are kept. Records are kept of accidents involving people living at the home. The manager now has an audit system in place that identifies the frequency/ causes of accidents to help identify any issues or trends. Accidents that were recorded were followed up in the persons risk assessment. The risk assessments were not reviewed as a result of the accident. This means people could still be at risk if changes have not been made as a result of reviewing this document. Some health and safety issues were identified with the manager that needed her attention. • • • • Storage of equipment was blocking a fire exit on the ground level near the lift. The environmental risk assessment was out of date. Fire exits were potential risks as people had access to these steep stairwells and potential falls could occur. Boiler room was not locked when not in use. This posed potential risk. The manager agreed that these issues would be assessed as a matter of urgency. Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1) Requirement People must be provided with care plans and risk assessments that reflect a clear picture of each individual’s care needs. This will mean staff are fully informed about the care each person needs. The documents must show evidence that either they or their representative have agreed to the care set out. People must be provided with a personal care package that promotes their privacy and dignity at all times. This will provide people with a sense of well - being. Complaints must be recorded and investigated as set out in the complaints policy. This will help providers to improve the quality of the service that they provide and empower people who use them. All areas that present a potential risk to people’s health and safety must be appropriately risk assessed and action taken to minimise any identified concerns. This will help minimise risk of harm to all stakeholders. Timescale for action 30/09/08 2 OP10 12(4)(a) 31/08/08 3 OP16 22 31/08/08 4 OP38 13(1)(a) 31/08/08 Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 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 Refer to Standard OP19 Good Practice Recommendations The redecoration and refurbishment of the building should continue to make sure that people live in a comfortable and well-maintained environment. NVQ training should continue for care staff to ensure that the target of 50 trained members of care staff is. This will help ensure people receive care from trained and competent staff. The manager should continue to develop the quality assurance procedures making sure that those people who use the service and other interested parties are consulted and involved. The results of which should be provided to all stakeholders 2 OP28 3 OP33 Airedale Residential Care Home DS0000001408.V367550.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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