Inspection on 20/06/07 for Alexandra Care Home

This inspection was carried out on 20th June 2007.

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.

Other inspections for this house

Alexandra Care Home 10/06/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Alexandra Care Home Park Road South/Wargrave Road Newton-le-willows Merseyside WA12 8EX Lead Inspector Miss Diane Sharrock Key Unannounced Inspection 20th June 2007 11:30 20/06/07 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 Alexandra Care Home DS0000068316.V329881.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. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alexandra Care Home Address Park Road South/Wargrave Road Newton-le-willows Merseyside WA12 8EX 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) 01925 220963 01925 220964 alexandra@fshc.co.uk Tameng Care Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability over 65 years of age (3) of places Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 48 Old Persons and up to 3 Physical Disabilities (PD(E). Date of last inspection 17/03/07 Brief Description of the Service: Alexandra Care Home is a purpose built home, The home provides nursing and personal care. for 48 elderly persons over 65 The home is situated on a busy road, within a residential area of Newton-le -Willows and is located close to local transport, shops and community facilities. There are 48 single bedrooms, 20 of which have en-suite facilities. The home has 2 hydraulic passenger lifts. The Registered Manager is Mrs Karen Byrne. The fees supplied by the Manager state they range from £360.10 to £445 per week. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over one day. Inspections involve measuring a number of standards considered as important by the Commission for Social Care Inspection, and looking at the homes records and undertaking a tour of the building. During the visit discussions took place with 4 Staff and some of the Residents that were in the lounge and in their bedrooms. Selections of Comment cards were left in the home to offer people further opportunity to give their opinion about the home. In total 3 comment cards have been returned to the Commission, all being positive in their comments about the home. Feedback of the visit was given to the Manager at the end of the inspection. What the service does well: What has improved since the last inspection? Both Staff and Residents were very positive about the new Manager. There were many positive and complimentary comments both from Residents, and Staff, including comments such as, “there’s not much to do , but we did make cakes yesterday though that was good…” “the food is very good,” another said ,”its ok,” “The food was very nice.” The 3 comment cards received all responded positively about living at the home, the food and knowing who to speak to if they were unhappy. Most people said they would speak to the Staff or the Manager if they had concerns. Staff felt they could air their views with the Manager and could openly speak up at Staff meetings. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 6 What they could do better: Full feedback was given to the Manager at the close of this inspection. A review of medications must take place to improve their management; This review should make sure the management of medications is safe and well maintained. Training and development of Staff should be updated and evidence should be in place to show that all Staff are given at least 3 days training a year. This should include mandatory training for fire training, abuse awareness, dementia and food hygiene. An action plan should be developed to identify what plans are in place to eventually exceed at least 50 of Staff having a qualification in care(NVQ). New Staff should have planned induction so that they are fully trained and enabled to care and support the Residents, Care plans need to identify how staff will meet the social needs of each Resident,and activities should be developed to meet all of the residents preferences so they have a regular programme of events that they can choose to be involved with. Health and safety issues include the need to review some practices seen throughout the home including doors being wedged open. This was an issue identified at the last inspection and shows unsafe daily practices that need to be reviewed to improve the safety of everyone at the home. Bathrooms need repair and refurbishment to improve the current facilities for the residents own comfort and to provide covers to windows to offer privacy to these areas. Finances should be developed and actions taken to provide clear and accurate information for all residents regarding the management of their monies. This will give residents added safety in showing how their funds are managed in their best interest. The company must be clear in identifying if the account used to store residents money is interest generating and if so what policies are in place to deal with this. They should also be clear in identifying exactly how many residents they act as appointee for and make sure residents have clear information to their entitlement to a standard personal allowance each week. residents must be supported to have their own bank accounts or given informed choices and support in choosing how they want to manage their finances A review of current practices and routines in the home should take place, including the current practices of some residents remaining seated in their armchairs in the lounge for meals rather than socially sitting at the dining table with other residents. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 7 Some isolated incidents were noted were Staff were heard shouting across a lounge to colleagues rather than talking quietly to colleagues so as not to disturb residents. The issue concerning a resident being upset due to not having a blanket on at their request should also be reviewed so that all Staff are clear in respecting residents rights and promoting rights in all their practices. 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. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home makes sure they are able to meet resident needs and choices prior to them moving in and are clear in giving residents enough information to make an informed choice EVIDENCE: A review of one residents records showed a detailed assessment carried out prior to their admission. This helped the Staff to assess that they could meet the person’s needs. There was enough detail for Staff to support the resident with their needs. The documentation in place covered all diverse needs of potential residents to the home ensuring the persons individual’s needs and requests could be met prior to moving into the home . Alexandra Care Home DS0000068316.V329881.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): 7/8/9/10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff managed residents health and personal care needs well through detailed care plans. Medication practices need to be safer to protect residents EVIDENCE: Four care plans were reviewed for case tracking. All of the care plans gave good details of the residents needs and the care and support required, especially with certain needs such as, a catheter, bedrails, choking, eye surgery, pressure areas, poor appetite and confusion, The care plans seen were personalised and well maintained. General comments from residents were very positive about the Staff. During interviews with Staff they were able to discuss the personal, nursing and social care needs and individual routines of residents and explained how they gave that care. Positive interactions were observed with Staff supporting residents throughout the day, Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 11 Some residents felt there wasn’t much to do and some residents were not even facing the television they were sat in a row of chairs along one wall. They each had a small table in front of them and were waiting for their lunch. They said they just chat to each other mainly. Staff discussed one resident being upset due to not having a blanket on when she requested it. This request must be reviewed so that all Staff are clear in respecting residents rights and promoting these in all practices. One person said, “the food is very good,” another said ,”its ok,” One Staff member when asked about serving the meals at the dining table, she said that Residents are asked but most liked to stay in their armchairs all day. She said they do usually have menus but she couldn’t find it that day. The Carer explained that care Staff try to do some activities like dominos but felt there wasn’t much else really. Care plans and daily records did not give details about how the residents social needs would be met General discussion followed with Staff and the Manager regarding the need for developing care plans to show how they would support Residents with their social needs. A sample of medication records and storage of medicines was seen during this visit. A number of issues around the management of medicines identified that some areas needed actions taken to improve the current practice. In reviewing medication records it was noted that one resident had not received their pain relief for a few days due to them being out of stock. Staff provided care records showing where they had been chasing this issue up with both the pharmacy and the Doctor. This was discussed with the Manager as it was of concern that this resident had not received pain relief due to it being out of stock The Manager made assurances during this visit that they received the medication that day and would look further into this matter to make sure nobody else ends up without medications. She agreed that she would arrange a medical review so the Resident had a thorough assessment of their condition and pain relief management. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 12 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): 12/13/14/15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home sometimes provide adequate support for residents with their social needs . EVIDENCE: Most Residents were unsure of what activities were on offer for the week. One Resident said “.there’s not much to do , but we did make cakes yesterday though…that was good…” The Manager explained that the activities organiser was currently off sick but they were hoping to rearrange and develop the activities so they had more events available in the day rather than the night. Currently the care Staff are trying their best to organise events. while she is off ,but its very much when they are able to. It was noted that there was an old activities programme displayed by the lift but it was established that these activities were not carried out. The Manager has been able to set up an activities committee and some staff, residents and relatives are looking at suggestions for developing events and activities at the home. Recently they had a red nose day and they are hoping to have a summer fair. They have also set up a gardening committee who are Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 13 looking at developing the area with suggestions from residents relatives and staff. By the lift there was a poster saying a residents meetings was organised for the 16th June 07, and a residents/ relatives activity meeting also organised for the 26th June 07 with an offer of everyone welcome .There was also a notice advising people of an open surgery organised by the Manager 24th June Sunday afternoon. These were examples of good communication in trying to involve everyone at the home in being kept up to date and given the opportunity to express their views. The cook caters for different dietary needs e.g. diabetic diets and liquidised meals. During meal times, Staff were observed providing support to residents with their meals. One Resident said, “The food was very nice.” An audit file was seen for the kitchen one audit was seen dated 16/3/07. This showed regular management checks to ensure good standards are offered in the kitchen environment. The kitchen area was mainly clean and tidy however, one disused fridge needed cleaning out. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 14 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): 16/18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes policies and training regarding abuse and complaints procedures. EVIDENCE: The homes complaints procedure is available in the Statement of Purpose. Most people said they would speak to the Staff or the Manager if they had concerns. Staff felt they could air their views with the Manager and could openly speak up at Staff meetings. During discussions with Staff most had attended some mandatory training and were happy with the training on offer. Some had received abuse awareness training helping Staff safeguard residents at the home. Some staff had still not received this mandatory training and some updates were noted to be needed for the training and development of Staff, which included new Staff. Residents are protected by the homes policies regarding abuse and complaints procedures. The homes complaints record book was seen and showed what actions had been taken for all previous concerns and complaints. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is adequately managed and kept clean and tidy. EVIDENCE: The home was noted to be generally well maintained. An inspection of a sample of living areas in the home showed a very clean and pleasant area to live in. Residents said they were very happy with the facilities. Those bedrooms seen showed personalised rooms were some residents had brought some personal items in to help them settle into the home. The home was very clean and tidy in the sample of areas seen and there has been some redecoration and refurbishment to the home since the last inspection. A number of bedroom doors were noted to be wedged open and were not linked to any fire release mechanism. Individual risk assessments had detailed Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 16 a number of risks with actions to be taken to reduce the risks however they did not include the bedroom doors seen wedged open. Some discussions took place with the Manager in how they plan to continue developing the environment to meet the needs of residents. The Manager explained that further redecoration and refurbishment was still to be carried out in some of the lounge/dining areas so they will all offer the same standards of decoration. The Manager also explained that they are also hoping to refurbish and decorate the current bathrooms so they will be able to offer a better standard of décor. One bathroom window which had frosted glass, it did not have any covering or blind which means residents privacy could be affected. One bathroom panel was observed to be loose and in need of repair. The enamel on the bath was scraped and the flooring in part was coming up at its seams. This showed a number of health and safety and maintenance issues that needed attention to improve the environments for residents to live. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 17 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): 27/28/28/30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Resident’s needs are adequately met by the skill mix of Staff at the home EVIDENCE: Observation of staff and discussions with them indicate that most of the Staff know the needs of the residents well and know their likes and dislikes. It was evident they had a good understanding of how to support residents and how to ensure their needs are met and their individuality respected and catered for. However some isolated incidents were noted were Staff were heard shouting across a lounge to colleagues rather than talking quietly to colleagues so as not to disturb residents. Another issues around a resident being upset due to not having a blanket on their request should also be reviewed so that all Staff are clear in respecting residents rights and promoting this in all practices. Relatives and residents were very positive about the Staff and all comment cards sent to the Commission offered good comments about the Staff. A sample of Staff training records showed some to be up to date and Staff stated they were enjoying all the training offered by the company. This showed evidence of experienced Staff to meet the residents needs. However some Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 18 Staff had still not received mandatory training in fire training, abuse awareness, dementia and food hygiene. Some Staff files had limited details for the training needs of Staff especially for 2 new Staff who had started work as Carers. One file for a new Staff member had no evidence of appropriate induction to support them in their role as a Carer. Some training records did not seem to be up to date, with details of training in 04 then there was a large gap in the training record until 2007 with just one record of health and safety training and no details of any training in between which indicated a large gap of time without mandatory training?. The homes pre inspection questionnaire gave details that 8 Staff had achieved a care qualification but it gave no percentage of how many Staff overall had achieved this qualification. The basic standards advise that at least 50 of Staff will have achieved a qualification in care. The Manager had developed her own visual training matrix displayed in her office which enabled her to identify what training was still needed and which Staff were due. It was recognised that it would be a useful tool to try and help her to forward plan an ongoing training programme. One Carer felt in her opinion the Staffing levels were good and that the new Manager always made sure they were covered especially if they had any sickness. General discussion with Staff took place and some said they had worked at the home for various amounts of time and discussed how they felt about the home. They felt they were happy and settled. They also said they were happy with their training and felt they had benefited from their courses A sample of four Personnel files were looked at and were noted to be very organised and detailed with all necessary records and checks including police (CRB) and Protection of Vulnerable Adults (POVA) checks. This showed a good recruitment and selection policy, which helps to safe guard Residents in the home. The pre inspection questionnaire gave details stating all Staff had their police check, which ensures the safety of Residents. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 19 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): 31/33/35/36/38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is generally organised and run in the best interests of residents., however the financial interests of residents could be compromised by poor procedures and poor practice. EVIDENCE: Staff reported that they attend regular team meetings. This was confirmed, as the minutes of some of these meetings were available. This showed that Staff had various ways to speak openly and were kept up to date with developments for the home. One Carer felt that things had improved a lot at the home. She felt that the Manager gets things done, eg when they needed new uniforms the Manager made sure she got them their uniforms. Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 20 The Provider carries out monthly-unannounced visits to the home and covers a lot of areas of the home, which measures against the national standards. A recent customer survey March 07 had been carried out for the home which was discussed with the Manager, it mostly looked very positive but the Manager said they had not yet fed the results back to everyone yet but were working towards that. The company have various procedures in place to show how the home is being managed e.g. a sample of maintenance certificates and fire safety checks which showed what actions were taken to ensure the safety of everyone at the home. Some areas of maintenance were noted to be in need of attention. One bathroom was noted to have a loose bath panel, and flooring up on its edges, which needed repair, and to be made safe. The home have detailed health and safety risk assessments, however a number of doors were ‘wedged open’ even though the homes risk assessments stated these should be kept closed unless they were connected to an “automatic door release.” This was an issue identified at the last inspection and shows unsafe daily practices that need to be reviewed to improve the safety of everyone at the home. A sample of financial records reviewed and managed on behalf of residents and relatives showed detailed accounts managed in the interest of the residents. Staff explained that they have a residents pooled account were the excess of residents monies goes into an account for safe storage of their funds. Staff were unsure if this account was interest generating and agreed to check this out. Discussion took place regarding one resident who had money paid each month to head office These records indicated that head office must be acting as appointee as they were paying personal allowances to the resident however the amounts kept changing each month and did not reflect £19 personal allowance entitlement each week. The Administrator and Manager agreed to review how many people the company act as appointee, check if the Residents pooled account is interest generating and if so how is this to be managed. They also agreed to check the entitlement to the full personal allowance for all Residents appointee ship that is currently managed by head office. Alexandra Care Home DS0000068316.V329881.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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X 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 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard Regulation 13 2 Requirement A review of the management of medications should be made to make sure the home offers suitable arrangements for the safe administration and management of medications to protect the residents. The issues identified that included the fire doors being wedged open.need to be resolved to make sure the home is safe in all areas.for the residents. The management of finances need to be clear and accurate and show that they are managed in the best interest of Residents. Staff must have necessary training to meet the needs of Residents at the home. Timescale for action 24/08/07 OP9 2 OP38 13 4 24/08/07 3 OP19 20 1)a b 24/08/07 4 OP30 18 1 c 24/08/07 Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 23 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 1 2 Refer to Standard OP10 Good Practice Recommendations To review all care practices and update staff in training of basic principles of care covering, privacy, dignity and choice. Activities should be planned and developed to meet Resident’s social needs To continue developing and updating training records and provide evidence of 3 days paid training for all Staff each year. To develop an overall training and development plan for the home based on both the identified Staff training needs and Residents needs. The Provider should continue with development of National Care qualification training so as to meet the target of 50 of Staff having this qualification. OP12 OP30 Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Alexandra Care Home DS0000068316.V329881.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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