Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/03/08 for Ashlea Grange Residential Home

Also see our care home review for Ashlea Grange Residential Home for more information

This inspection was carried out on 12th March 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.

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

What the care home does well

All parts of the home were found to be clean and maintained to good standards. There is good attention to health and safety matters, ensuring that all health and safety issues are promptly addressed. The home ensures that people`s religious needs are met. There are regular visits to the home by Catholic and Methodist priests to give communion and offer pastoral care to those who want it. The motivational classes offered by an outside agency is well attended and residents commented very positively on this and other recreational activities that take place in the home. New care plans have only recently been put in place and therefore there hasn`t been sufficient time to assess their effectiveness. The effectiveness of the new care plans would be assessed at the next inspection visit. The residents commented positively on the care the get from the home. The comments include: "You have to be picky to find any faults with this place". "The food is excellent and there is always plenty to eat". " We are well looked after here". "The staff are very kind and nothing is too much for them". The "Expert By Experience" who accompanied the inspection on the visit commented positively on the improvements in the standards of care since her last inspection visit.

What has improved since the last inspection?

Since the last inspection the had increased the activities coordinator`s hours 21 hours per week, enabling her to engage in more social activities with the residents. The manager has arranged for all the care staff to receive dementia awareness training. The long distance learning materials are not available and the training is to begin shortly. The manager has reviewed the medication system to ensure that the record of medication on the premises are kept and accounted for. The manager started to compile Life Histories for all the residents, which would inform that new care plans that have been introduced.

What the care home could do better:

The statement of purpose should be reviewed to take account of the changes in personnel. Where possible the resident and or their relatives must be consulted on the care plans and their views sought to ensure that the care plans reflect their care needs.The AQAA was extremely late in arriving in time for the inspection. The manager failed to complete this legal document in time for the inspector to review the activities of the home before the date of the inspection. Some staff still need an update on statutory training.

CARE HOMES FOR OLDER PEOPLE Ashlea Grange Residential Home Philadelphia Lane Newbottle Houghton-le-spring Tyne And Wear DH4 4ES Lead Inspector Sam Doku Key Unannounced Inspection 10:00 12 and 25th March 2008 th 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 Ashlea Grange Residential Home DS0000034293.V355598.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. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlea Grange Residential Home Address Philadelphia Lane Newbottle Houghton-le-spring Tyne And Wear DH4 4ES 0191 584 8159 0191 512 0089 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) Winnie Care Limited Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (40), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (3) Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The SI(E) and MD(E) service user categories relate to current service users only. The service may from time to time admit person(s) who are under the age of 65, but who fall within the currently registered service user categories. 12th January 2007 Date of last inspection Brief Description of the Service: Ashlea Grange is a large modern, purpose built care home that provides 40 places for older people some of whom may have dementia care needs, physical or sensory disabilities. The accommodation is within 40 single rooms, all with en-suite facilities. There is a good range of sitting areas and sufficient bathrooms, some with specialist lifting equipment, to meet the needs of the people who live here. There is level access into the home, and wide corridors allow easy access by people who use a wheelchair. The accommodation is over 2 floors, which are served by a passenger lift. The home has good links with the local community. It is close to local amenities such as shops, pubs and churches and is on a direct bus route to Sunderland. The Provider, Winnie Care Limited, operates a number of other homes for older people in Sunderland and the North East region. The fees charged at the home range from £381 to £414 per week. Ashlea Grange Residential Home DS0000034293.V355598.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 inspection was unannounced and started on 12 March 2008 and completed on a second visit on 25 March 2008. Before the visit the inspector looked at: Information we have received since the last key inspection visit on August 2007; How the home dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQUAA); • The views of the residents who use the service and their relatives. During the visits the inspector: • talked to the residents, the acting manager and care staff; • considered the views of the “Expert by Experience”; • looked at information about the residents and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the residents; • looked around the building to make sure it was safe & secure; • checked what improvements had been made since the last visit; • the inspector told the provider what he found. All of these activities contributed to the inspection findings. What the service does well: All parts of the home were found to be clean and maintained to good standards. There is good attention to health and safety matters, ensuring that all health and safety issues are promptly addressed. The home ensures that people’s religious needs are met. There are regular visits to the home by Catholic and Methodist priests to give communion and offer pastoral care to those who want it. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 6 The motivational classes offered by an outside agency is well attended and residents commented very positively on this and other recreational activities that take place in the home. New care plans have only recently been put in place and therefore there hasn’t been sufficient time to assess their effectiveness. The effectiveness of the new care plans would be assessed at the next inspection visit. The residents commented positively on the care the get from the home. The comments include: “You have to be picky to find any faults with this place”. “The food is excellent and there is always plenty to eat”. “ We are well looked after here”. “The staff are very kind and nothing is too much for them”. The “Expert By Experience” who accompanied the inspection on the visit commented positively on the improvements in the standards of care since her last inspection visit. What has improved since the last inspection? What they could do better: The statement of purpose should be reviewed to take account of the changes in personnel. Where possible the resident and or their relatives must be consulted on the care plans and their views sought to ensure that the care plans reflect their care needs. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 7 The AQAA was extremely late in arriving in time for the inspection. The manager failed to complete this legal document in time for the inspector to review the activities of the home before the date of the inspection. Some staff still need an update on statutory training. 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. Ashlea Grange Residential Home DS0000034293.V355598.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 Ashlea Grange Residential Home DS0000034293.V355598.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, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out care needs assessment and also obtains full assessment from the social worker before admission are arranged. This ensures that the care needs are clearly identified and care plans put in place to meet the needs of the individual. The home supports and encourages pre-admission visits to the home by prospective residents and or their relatives. This provides the opportunity for them to assess the home for themselves before making their decision about coming to live there. EVIDENCE: The home adheres to its policy of obtaining full assessments from a social worker or the nurse assessor before admissions are arranged. The home also Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 10 carries out their assessment of the individual in their own setting to make sure that they can meet the prospective resident’s needs. Residents and relatives commented positively on the admissions process and they said they found the assessment process and visits to the home before admission reassuring. Two relatives said “The social worker visited mum in her home and also met with the family”. Another relative said, “our visit to the home gave us the opportunity to ask many questions which we found useful”. Relatives confirmed that they had the opportunity to visit the home when they considered looking for a care home for their loved ones. One lady described the visit to the home with her daughter. The manager and staff stated that it is the policy of the home to ask prospective residents and their relatives to visit the home and assess the place for themselves before making up their minds. The manager stated that in the case of people suffering from dementia, it had not always been possible for them to come and visit the home before hand as this tends to upset them. Relatives however, are encouraged to visit on their behalf and to use the opportunity to speak with staff and other service users. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs of the residents are generally met but the newly introduced care plans have not been in operation for long enough time to make an assessment of their effectiveness. The home has good procedures in place for the safe administration of medicines. This promotes and health and welfare of the service users. The residents are treat with respect and dignity, thus enhancing their sense of wellbeing. EVIDENCE: All service users have care plans, which set out their care needs and action plan for meeting these needs. These care plans have just recently been Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 12 introduced for all the residents. These have not been in place long enough for a proper assessment to be made about how effective they are. There are suitable arrangements in place for meeting the healthcare needs of the residents. Record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services are maintained. The daily report records contain details of contact with medical practitioners and other professionals. There are suitable arrangements in place for the storage and administration of medicines in the home. The drugs administration system was examined and there were no discrepancies. Copies of prescriptions are maintained in the home to ensure medicines can easily be traced. The home carries out a weekly check of medicines to make sure that any mistakes are corrected in time. The residents confirmed the view that the staff treat them with respect and dignity. Staff were noted to treat service users with respect and dignity. Staff were observed to knock on service users door before making entry thus promoting their privacy and dignity. Assistance with personal and intimate care was provided in a discreet and dignified manner. Ashlea Grange Residential Home DS0000034293.V355598.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported to maintain contact with their families, friends and the local community. Such support promotes close relationship with relatives and the community in which they live. The residents generally enjoy good social and recreational activities but at times the planned programme of activities on display in the home is not always followed. The residents receive nutritious diet, which contributes to their health and wellbeing. EVIDENCE: The residents’ religious and recreational needs are generally met. There are notices in home of the activities that is planned for the coming months for the residents. Some of the residents spoke of the Easter activities and how they Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 14 enjoyed those activities. The role of the activities coordinator was commented on positively by the residents and staff. However, some staff and visitors commented that the programme of activities is not always followed by staff. The residents stated that they are free to join in social activities if they wish and that they are not made to join in activities if they do not want to. A number of art and craft materials and board games are available for the residents to use. Relatives stated that there are no time restrictions on visiting the home and that this has made it easier for them to visit more frequently to suit their domestic circumstances. Some residents confirmed that the daily routines are organised flexibly to allow them to express their preferences. There is a four-week rotational menu in operation in the home. Past menus indicate that the home provides wholesome and nutritious meals for the service users thus promoting good health. Service users were very complimentary of the food. They confirmed that they are provided with good choice and that there is always plenty of food for them Ashlea Grange Residential Home DS0000034293.V355598.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, 17, 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Relatives and friends are confident that any concerns they raise would be appropriately dealt with. However, the home needs to ensure any concerns raised by families are dealt with. This would instil confidence in the home’s complaints procedure. The service users’ rights are not fully protected by the lack of understanding of the Mental Capacity Act 2005 by most staff. EVIDENCE: The complaints book shows that the last recorded complaint received by the home was in August 2005. The manager was asked to review what is classed as complaint and what is a concern. One family discussed with the inspector a number of concerns that they have raised with the manager. These concerns were confirmed by the manager although these were not recorded as complaints from the family. The home’s complaints procedure is written in plain English and provide useful information to the residents and their relatives on how to make a complaint and to whom. Copies of these were found in some residents’ bedrooms in the form of information pack. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 16 Ashlea Grange has an appropriate protection of vulnerable adults policy, which is in line with Sunderland Social Services Department guidance. There is little understanding amongst staff of the implications of the Mental Capacity Act 2005 (MCA). The manager confirmed that two senior staff have received training the MCA. This knowledge must be cascaded to the rest of the staff or appropriate training must be provided to all staff to ensure they understand their role in relation to the MCA so that they can be aware of their responsibilities in promoting the rights and welfare of the residents in their care. Ashlea Grange Residential Home DS0000034293.V355598.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, 20, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers an accommodation and an environment that is safe, clean and well-maintained. This promotes the general welfare, dignity and comfort for the service users. EVIDENCE: The home provides good standard of accommodation. This meets the needs of the service users. Bedrooms are individually decorated and reflect individual taste. Service users are encouraged to furnish their rooms with personal items, making it pleasant and familiar environment for the occupants. The bedrooms are large and spacious and allow service users to accommodate their personal belongings. Access into and within the home is good and meets the Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 18 needs of those service users who have mobility difficulties or have use of walking aids. Window restrictors have been fixed to all windows and all radiators have suitable coverings, which ensure security and safety for the service users. Checks of hot water at randomly selected bathrooms confirmed that hot water did not exceed 43°c. thus protecting the service from accidental injuries. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. The home was noted to be clean and free from offensive odour. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. The laundry room was well organised and all appropriate health and safety notices were on display. Ashlea Grange Residential Home DS0000034293.V355598.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, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing complements are adequate in meeting the needs of the residents. This promotes the safety and welfare of the residents. The company adheres to good recruitment practices, which safeguards the welfare of the residents. The company provides training for staff but some staff training need to be updated to ensure staff have up-to-date knowledge in best practice. EVIDENCE: Past rotas show that the home employs sufficient number of staff to meet the needs of the service users. The service users and visitors commented that there are always sufficient staff on duty. Care staff also stated that they feel that there are sufficient staff on duty at all times. There are also sufficient domestic and catering staff to meet the needs of the service users and the home. Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 20 The staff have had appropriate training to equip them for their roles. The manager confirmed that the training provided include moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. However, some of the staff need re-fresher training to update them on the statutory training. The manager has arranged for dementia awareness training for all staff by distance learning. The learning materials have been received and the first round of training was scheduled for 20 March 2008. Staff files contained evidence of good recruitment procedures being followed. However, the staff induction programme should be reviewed to ensure that the training meets the Skills for Care induction standards. All the staff have had enhanced CRB and ID checks done and were all in order. The staff retention rate is good. Ashlea Grange Residential Home DS0000034293.V355598.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, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are generally good arrangements for the general management of the home, which safeguard the health, safety and welfare of the service users. EVIDENCE: The manager has been managing the home for the past six months. She is not yet registered with the Commission for Social Care, but informed the inspector that she is in the process of submitting an application to the Commission for registration. The Commission requested a questionnaire to be completed by the manager and forwarded to the by a set date but this did not happen. The Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 22 manager need to be aware of her legal obligations with regards to information requested by the Commission. The home has a good system in place for managing the personal allowances for the service users. There are good control systems in place for accounting for the personal allowances for the service users. Details of purchases and receipts are available for those whose monies are held by the home. The company’s Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. The company has a quality assurance system in place. There are three monthly audit checks conducted. Ashlea Grange Residential Home DS0000034293.V355598.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 X X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 2 18 2 3 3 X X 3 3 X 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 2 X 3 X 3 X X 3 Ashlea Grange Residential Home DS0000034293.V355598.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 12(3) Requirement Where appropriate, residents or their relatives must be consulted on the content of the care plans and the review process. All complaints received must be recorded showing details and outcome of the investigations. All staff must be given training in the Mental Capacity Act 2005 to ensure that they have the knowledge and understanding of their responsibilities care staff. All staff must have up to date statutory training. The home’s induction training programme must be reviewed to ensure that it is in line with the Skills for Care induction standards. Timescale for action 15/05/08 2 3 OP16 OP17 22 13(6) 15/05/08 30/06/08 4 5 OP30 OP17 13(6) 18(1)(c)(i ) 30/06/08 30/06/08 Ashlea Grange Residential Home DS0000034293.V355598.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. Refer to Standard Good Practice Recommendations Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Ashlea Grange Residential Home DS0000034293.V355598.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!