Inspection on 14/09/06 for Appletree Court Care Home

This inspection was carried out on 14th September 2006.

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

The inspector 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

Appletree Court Care Home 05/03/09

Appletree Court Care Home 19/04/07

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

CARE HOMES FOR OLDER PEOPLE Appletree Court Care Home Carebase (Burnt Oak) Ltd 158 Burnt Oak Broadway Burnt Oak Middlesex HA8 0AX Lead Inspector Tony Brennan Key Announced Inspection 14th September 2006 10:00 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 Appletree Court Care Home DS0000067333.V303320.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. Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Appletree Court Care Home Address Carebase (Burnt Oak) Ltd 158 Burnt Oak Broadway Burnt Oak Middlesex HA8 0AX 020 8381 3843 020 8952 8704 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) Carebase Ltd Ms Rosalind Frances Ben-Edigbe Care Home 77 Category(ies) of Dementia - over 65 years of age (77) registration, with number of places Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection N/A Brief Description of the Service: Appletree Court is owned by Carebase Ltd. Appletree Court is a purpose built care home designed to provide care for service users with nursing and dementia needs. Appletree Court is located close to shops, local amenities and public transport links. There are three floors. All bedrooms are en-suite and there are sitting and dinning rooms on each floor. The home has a small landscaped garden to the rear. The home aims to provide nursing and dementia care in a homely environment. The fees are between £550 and £850 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of Appletree Court since it was registered. This announced inspection was undertaken as part of the annual inspection programme. The inspection took place over one day. The registered manager, Rosalind Ben-Edigbe, assisted the inspector. The inspector spoke with eight people who live at Appletree Court, three relatives and five staff. The inspector toured the building and examined a number of records relating to the care, health and safety and management of the home. The inspector found that generally the care and support provided was good and the registered manager is developing the service and its focus on dementia care. The registered manager explained that working with young people with dementia was being considered as an area for future development of the home. The inspector would like to thank the registered manager and staff who assisted him by answering questions about the running of the home. The inspector would also like to thank those people who live at the home who discussed their views of the service they receive. What the service does well: A relative and a person who lives at Appletree Court confirmed that they had been shown copies of the statement of purpose and service user guide. The inspector found that the service user guide and statement of purpose contained all the required information and accurately described the service and its aims. A person who lives at the home said, “staff understand my ways.” The inspector found that people who live at Appletree Court had detailed assessments from care management and also from the home. These gave a description of the care and support required to meet their needs. The records for medication administered and returned were complete. A person who lives at the home said, “the staff treat me with respect.” The inspector observed that staff treated service users with respect by listening to what they had to say. A person who lives at the home said, “I like the activities they do here”. The inspector found that a programme of activities was planned. The inspector spoke with relatives who confirmed they could visit when the chose. A person who lives at the home said, “ they ask who you want to see, its your choice whether you see someone”. People who live at Appletree Court confirmed that the food was very good. A person who lives at the home said, “staff ask you what you want to eat”. People who live at the home confirmed they are confident that if anything is not right they can talk to staff. A person who lives at the home commented, Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 6 “the manager deals with any problems quickly”. The home is appropriately decorated and furnished. Appropriate health and safety policies are in place to ensure the safety of service users. 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. Appletree Court Care Home DS0000067333.V303320.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 Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12345 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective service users have information and are able to visit the home prior to admission. Service users have a statement of the terms and conditions stating their rights in the home. Service users needs are assessed prior to admission to the home to ensure they receive the care and support they require. Service users dementia care needs to be fully supported. EVIDENCE: A relative and a service user confirmed that they had been shown copies of the statement of purpose and service user guide. The inspector found that the service user guide and statement of purpose contained all the required information and accurately described the service and its aims. Service users files had contracts that stated the terms and conditions for living in the home. Service users and a relative confirmed that they had visited the home prior to any decision to come and live at Appletree Court. The inspector observed the registered manager showing a prospective service user round the home and explaining what the home offers. Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 9 A service user said, “staff understand my ways.” The inspector found that service users had detailed assessments from care management and also from the home. These gave a description of the care and support required to meet the needs of service users. The inspector found that the assessment covered areas such as dementia care needs and manual handling needs. These needs were identified in the service users’ care plans. Care plans did not provide details of the action to meet service users needs and their personal preferences. The inspector observed interaction between staff and service users and found that there were periods of time when no staff were interacting with service users. The home can meet the physical needs of service users. There should be further work on ensuring all staff have the necessary skills to meet the dementia care needs. These issues need to be addressed in order to ensure that service users are supported in a person centred way. Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 11 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users personal, social and medical care needs are not fully planned for and met. There needs to be clear guidance on the use of homely remedies in the home to ensure that service users are fully protected by safe procedures for handling medication. Service users’ right to privacy is supported. Service users wishes regarding their death are recorded. EVIDENCE: A service user said, “they do care for you here.” The inspector found that service users had care plans but these were brief and did not provide guidance on how to meet the needs of service users. One service user had a brief statement saying that there was a history of falls. The accident record showed that the service user had had a fall. But there was no falls risk assessment. Another service user had a key plan that highlighted that the service user had needs relating to continence. However, this did not give guidance on how regularly the service user needed to be assisted to the toilet. The records showed that service users had received medical care from General Practitioners, dentists and the chiropodist. Diary notes showed advice from health professionals was acted on and service users had received the medical Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 11 attention they required. The inspector found the dementia care needs of service users did not provide detailed or personalised information. The descriptions used were not person centred. For example, one care plan referred to a service user as having “a diseased condition” that resulted in the service user being prone to wandering. There was no guidance on purposeful activity or what might trigger the service user wandering. Life histories were brief and not used to develop care strategies. These issues were discussed with the registered manager. The inspector emphasised the need to develop more person centred planning to support service users in ways that were appropriate to them. There were nutrition assessments in place and service users were being weighed in line with their assessed level of risk. Service users were therefore supported to maintain a healthy balanced diet. Assessments of the risk of developing pressure sores were in place. Medication is held on each floor in a room for that purpose. The medication policy was complete with the exception of the homely remedies policy. No agreement had been made with the home’s General Practitioner regarding the use of homely remedies. The records for medication administered and returned were complete. The inspector checked the medication records for a number of service users and found that these were consistent and corresponded with the medicines held for these service users. The home has an agreement with a company to dispose of any used medicines. Training records and discussions with senior staff showed that the pharmacist had recently carried out training on the safe handling of medication. A service user said, “the staff treat me with respect.” The inspector observed that staff treated service users with respect by listening to what they had to say. Staff were observed to knock on bedroom doors and always asked service users how they wanted things done. The inspector saw that service users wishes regarding how they should be treated on their death were recorded. Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are provided with varied activities to meet their needs. Service users are supported to maintain contact with relatives and other representatives of their choice. Service users are able to make choices about how they live in the home. The menu reflects the preferences of service users and offers a balanced diet. EVIDENCE: A service user said, “I like the activities they do here”. The inspector found that a programme of activities was planned by the home’s activity coordinator. The activity co-ordinator explained that she had tried to develop activities that were suitable to the service users’ needs. The inspector observed activities taking place. The inspector did find that there were occasions when service users were left to watch television with no staff to talk with them. A service user observed, “a lot of the time there is not much to do”. This was discussed with the registered manager who agreed that staff need to spend more time interacting with service users to make their lives meaningful. The inspector spoke with relatives who confirmed they could visit when they chose. A service user said, “they ask who you want to see, it’s your choice Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 13 whether you see someone”. The inspector observed that staff treated visitors well and were given information on the needs of service users. A service user said, “the food is very good”. Another service user said that the staff ask you what you want to eat”. The inspector observed staff asking service users what they would like for their lunch the following day. The cook explained that staff ask service users daily what they would like to eat. The menus showed that a range of meals was offered. The inspector saw that meals were well presented and they were provided in a relaxed environment. Sufficient staff were available and when necessary service users were observed being assisted to eat. Appletree Court Care Home DS0000067333.V303320.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are confident that their complaints will be listened to, taken seriously and acted upon. Service users are able to access their political rights. Service users are protected from abuse. EVIDENCE: A service user said, “I am confident that if anything is not right I can talk to staff”. Another service user commented, “the manager deals with any problems quickly”. The complaints policy explained how to make a complaint and how it would be dealt with. The complaints record showed actions taken to resolve complaints. The inspector found that there is a monthly analysis carried out of complaints and how they had been responded to. There had been one complaint since the last inspection and these had all been responded to with the agreed time scale. The inspector spoke with service users and a relative who confirmed that the home had ensured that service users were registered to vote. There were comprehensive policies on handling abuse and protection. Staff spoken to were clear about the signs of abuse and how suspected abuse should be handled. The inspector found that staff have received training. Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a safe, accessible and comfortable environment. Service users bedrooms meet their needs and promote independence. Service users have access to sufficient and suitable toilets and bathrooms. The home has the necessary adaptations and equipment to promote the independence of service users. The home is a clean, safe and hygienic environment for service users to live in. EVIDENCE: Appletree Court consists of three floors. Currently service users occupy two of these. The home has two lifts and these provide access to all floors. The home is appropriately decorated and furnished. There is a landscaped garden to the rear of the property. The home is adapted with assisted bathrooms and toilets. These are located on each floor. The maintenance records showed that regular maintenance checks were carried out. The home has appropriate lighting and heating. All radiators are guarded. Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 16 A service user commented, “My bedroom is nice and I have all my things”. All bedrooms are en suite with a toilet and hand basin. The inspector saw that bedrooms were appropriately furnished and were personalised. The laundry and sluice rooms were clean. The laundry was organised so that soiled and clean laundry did not mix. The inspector saw that the home was clean. The inspector found that all bathrooms and toilets had liquid soap and paper towels in them. Staff spoken to understood how to prevent cross infection. Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Sufficient staff are available at all times to meet service users’ needs. Staff do not have the skills to meet all the assessed needs of service users. Service users are protected by the home’s recruitment practices. EVIDENCE: The rota showed that a consistent staffing level was maintained. Service users commented that they felt staff were always available to meet their needs. The registered manager explained that as the numbers of service users increase the staff level would be adjusted to meet the needs of service users. Staff spoken to, and training records confirmed that staff had achieved National Vocational Qualification at level 2 in care. The registered manager explained that 40 of staff have achieved the award. The registered manager agreed to ensure that the home achieves 50 of staff with National Vocational Qualification at level 2 in care to ensure that staff can meet the needs of service users. Training records also showed that staff did not have all the statutory required training. Training is required in the area of food hygiene. Staff had an introductory course on dementia. The registered manager explained that staff would be receiving further training on dementia. The inspector had observed that there were times when staff were not interacting with service users. This meant that their well being was not always maintained. The inspector spoke with the registered manager and recommended that training be provided on person centred dementia care and Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 18 dementia care mapping. The inspector examined staff records, which contained all the required information. Appletree Court Care Home DS0000067333.V303320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 37 38 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The registered manager does have the necessary qualifications to manage the home effectively and in the best interests of service users. Service users are consulted about the quality of the service provided and encouraged to make suggestions for improvement. Service users financial interests are protected by the home’s procedures. The financial system safe guards service users and ensures that the home has the resources to meet their needs. Staff are not supervised to ensure that they are able to meet the needs of service users. Records and procedures are in place that ensure that the home meets the needs of service users. Service users and staff are protected by the home’s health and safety procedures, but there needs to be a cleaning programme for the kitchen and a record of when cleaning is carried out. EVIDENCE: The registered manager’s qualifications and experience had been checked at the time of her registration and were found to meet the required level for Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 20 registration. The registered manager is a qualified nurse and has a number of years of experience of managing residential services. Service users and staff confirmed that the registered manager was accessible and approachable. The inspector examined a number of staff files and found that these did not contain up to date supervision records to confirm that staff are receiving supervision six times a year. The registered manager explained that the nurses had not supervised the care staff. The home has a system for obtaining the views of the quality of the service it provides and ensures that any areas for improvement are addressed. A survey of the views of service users, relatives and professionals was in place. The registered manager explained that spot checks are carried out by the Company to ensure that the standard of care is maintained. The Company also has a system to monitor all areas of the quality of the home. Staff meetings are taking place to ensure staff are aware of aims for development of the service. The inspector examined a number of records relating to the care and management of the home that were found to be complete. All the required procedures, with the exception of the homely remedies were in place to ensure the safety of service users. The inspector saw that there were detailed records of the expenditure for the home. The registered manager explained that she had no problem in accessing finances for the home when these were required. The inspector found that the home’s insurance was sufficient and provided the appropriate cover. The home does not hold money for service users. The Company invoices their families or the relevant social service department for any expenditure made on their behalf. A system is in place to ensure receipts are obtained for any expenditure. Fire drills were taking place and the fire alarm was tested regularly. The system had been regularly checked. The inspector found that the fire risk assessment had been reviewed and now included an assessment of all the potential fire risks in the home. The inspector questioned staff on the fire safety procedures and found that they understood fire safety issues. All health and safety policies were available. Certificates for gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. The inspector discussed health and safety issues with staff and they demonstrated their understanding. The home has an effective system for monitoring accidents. The temperature of food delivered to and cooked was recorded. The temperatures of the fridges and freezers were recorded and within safe limits. The inspector spoke with the cook who said that a cleaning rota for the kitchen had not been put in place to ensure food hygiene for service users. Appletree Court Care Home DS0000067333.V303320.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 3 3 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 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 3 18 3 3 3 3 3 3 3 3 3 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 3 3 3 3 2 3 2 Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 22 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP4 Regulation 14 Requirement The registered provider must ensure that service users dementia care needs are supported. The registered provider must ensure that care plans provide detailed information on how the needs of service users will be met. Their personal preferences and choices must be part of the care plan. The registered provider must ensure that falls risk assessments need to be more detailed. A prevention plan needs to be put in place where risks are identified. The registered provider must ensure that continence plans detail the support that service users need to maintain their continence. The registered provider must ensure that there are assessments and planning to support service users who may wander. The registered provider must ensure that there is a policy on DS0000067333.V303320.R01.S.doc Timescale for action 01/12/06 2 OP7 15(1) 01/12/06 3 OP7 OP8 13(4)(c) 15(1) 01/12/06 4 OP7 15(1) 01/01/07 5 OP8 14 15 01/12/06 6 OP9 13(2) 01/12/06 Appletree Court Care Home Version 5.2 Page 23 7 8 OP30 OP36 18(1) 18(2) 9 OP38 13(3) homely remedies and that General Practitioners agreement is sought about the medicines to be administered as homely remedies. The registered provider must ensure that training is provided on food hygiene. The registered provider must ensure that all staff receive supervision six times a year and this is recorded. The registered provider must ensure that there is a kitchen cleaning rota in place and that cleaning is recorded. 01/01/07 01/12/06 01/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP12 OP30 OP30 Good Practice Recommendations The registered provider should ensure that staff support service users to engage in purposeful and meaningful activity. The registered provider should ensure that 50 of staff achieve the National Vocational Qualification at level 2 in care. The registered provider should ensure that staff are trained in person centred dementia care and dementia care mapping. Appletree Court Care Home DS0000067333.V303320.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Appletree Court Care Home DS0000067333.V303320.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. 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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