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Inspection on 24/04/06 for Ashlee Care Home

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

This inspection was carried out on 24th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 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

The home is a family run business and centres its care on residents needs and daily routines, which are flexible to ensure independence and choice are maintained. The meals are home cooked with varied choices available and residents reported that the meals were enjoyed. The home provides a comfortable environment for residents. Bedrooms demonstrated residents` individual tastes and were furnished with their own personal belongings. The relationship between staff and residents was observed to be positive and open. The provider/manager works in the home most days and supervises the care and services provided.

What has improved since the last inspection?

The home has purchased a new care planning system, which will better demonstrate how resident`s needs are being met following admission to the home and will enable the staff to clearly outline the resident`s preferences regarding social activities. A risk assessment has now been produced that will effectively determine a residents capacity/ability to self-administer their medication. On the day of inspection there were no residents living at the home that self-administered their medication. All staff have now received the required training in order to safeguard and protect residents from harm or abuse. Since the last inspection 2 staff employed at the home have achieved a National Vocational Qualification in Care at level 2. Application forms, interview forms and request for reference forms regarding staff employment now provide the required detail to ensure residents are safeguarded from harm or abuse. The homes policy and procedures relating to the protection of vulnerable adults reflects the fact that the home works in line with the local authority guidance. Staffing rotas now clearly demonstrate all the staff on duty and the hours worked. The home has now produced a report following the results of residents` satisfaction questionnaires and although not available to see on the day of inspection have agreed to forward a copy to the Commission for Social Care inspection.

What the care home could do better:

Screening within shared rooms must provide complete privacy to resident to allow for personal care to be given, this matter should be rectified as a matter of priority. The home did not have adequate storage facilities for equipment, which has resulted in moving and handling equipment being stored within resident`s private accommodation. However this should be resolved once the homes planned building work is undertaken. The ramp from the conservatory into the garden area is quite steep and not suitable for wheelchair users, again this should be resolved once the planned building work has been undertaken.

CARE HOMES FOR OLDER PEOPLE Ashlee Care Home 89 Nottingham Road Long Eaton Derbyshire NG10 2BU Lead Inspector Angela Kennedy Unannounced Inspection 24th April 2006 10:30 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 Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashlee Care Home Address 89 Nottingham Road Long Eaton Derbyshire NG10 2BU 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) 0115 9721732 Mr Arjoon Rao Mahadoo Mr Arjoon Rao Mahadoo Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate on person named in the notice of proposal in the category DE/E for the duration of their stay. 22nd September 2005 Date of last inspection Brief Description of the Service: Ashlee is a care home for twenty-one people aged 65 years and over. It is a detached house in a residential area of Long Eaton close to the town centre and local facilities. The home has seventeen single and two shared bedrooms, five single rooms have ensuite facilities. The home is on two floors accessed by stairs and a passenger lift. Residents have access to a garden area. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a four-hour period. During the inspection a tour of the building was undertaken and 2 residents personal files were examined. Other records and documents relating to the care and health and safety practices of the home were also examined. Several residents were spoken to and two members of staff were spoken to in detail. The provider/manager and his son who is one of the homes directors were available to assist the inspector throughout the inspection. What the service does well: What has improved since the last inspection? The home has purchased a new care planning system, which will better demonstrate how resident’s needs are being met following admission to the home and will enable the staff to clearly outline the resident’s preferences regarding social activities. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 6 A risk assessment has now been produced that will effectively determine a residents capacity/ability to self-administer their medication. On the day of inspection there were no residents living at the home that self-administered their medication. All staff have now received the required training in order to safeguard and protect residents from harm or abuse. Since the last inspection 2 staff employed at the home have achieved a National Vocational Qualification in Care at level 2. Application forms, interview forms and request for reference forms regarding staff employment now provide the required detail to ensure residents are safeguarded from harm or abuse. The homes policy and procedures relating to the protection of vulnerable adults reflects the fact that the home works in line with the local authority guidance. Staffing rotas now clearly demonstrate all the staff on duty and the hours worked. The home has now produced a report following the results of residents’ satisfaction questionnaires and although not available to see on the day of inspection have agreed to forward a copy to the Commission for Social Care 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. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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): 3 The home undertakes an assessment of needs for each resident prior to living at the home to ensure the home can meet the needs of each resident. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Standard 6 is not applicable to this home. EVIDENCE: Two residents files were examined on the day of inspection. Both residents had in place a copy of the homes contract of residence. Of the residents files examined both contained an assessment of the residents’ needs and how these needs were to be met. This was a requirement that was left at a previous inspection and has now been met. Of the files examined one resident was funded by the local authority but there was no evidence within the residents file to demonstrate that their care needs had been reviewed by the placing authority. The manager confirmed that reviews had taken place for the resident and was recorded within the residents daily notes, however the home had not recieved copies of these reviews. This Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 9 was discussed with the manager and agreed that copies of reviews should be obtained for care management purposes. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 Residents health,personal and social care needs and how they are to be met are set out in a plan of care but further development is required to ensure careplans are validated. Residents are protected by the homes medication practices. The home strives to respect residents privacy and dignity further development is required within this area to ensure residents’ privacy is maintained as and when required. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Two residents files were examined and both files had detailed careplans which identified how there needs were to be met. This was a requirement from the last inspection which has now been met. Both residents files seen demonstrated that there health care needs were assessed and access to the relevant healthcare services was maintained. Of the careplans seen the majority did not contain the signature of the member of staff completing the care plan or the date on which this was done. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 11 This was discussed with the manager as without staff signatures and dates the care plan is potentially invalid. Of the files examined there was no evidence to demonstrate that the residents had been involved in their care plans, although the manager confirmed that residents were involved in this process. The providers son who is one of the directors of the home demonstrated the new care plan forms that are to be used at the home, staff at the home are in the process of transferring residents careplans onto these new forms. On the day of inspection there were no residents living at the home that self administered their medication, however a risk assessment is now in place for residents who in the future wish to self administer their medication which will assess the residents capacity to do so. Sufficient staff at the home had undertaken the required training in order for them to administer medication to residents . The homes procedures for the storage,administration and handling of medicines was examined and found to be satisafactory on the day of inspection. A requirement from a previous inspection was that a statutory warning notice be in place where compressed gas is kept, as one resident has oxygen as required. Notices are now in place within the home where oxygen cylinders are kept and used, this requirement has now been met. Residents spoken with confirmed that their relatives and friends were able to visit them when ever they wished. One relative was spoken with on the day of inspection and stated that he was always made to feel very welcome by the staff at the home and felt that he had a good relationship with the owner/manager of the home and found him to be very approachable. He also confirmed that he was kept informed of his mothers welfare and involved in any changes within her care at the home. A requirement from the last inspection was that privacy screening in shared rooms must ensure residents privacy for personal care. The manager stated that this has not as yet been resolved as the homes handy man is unable to attach tracking to the ceiling area where it is needed to provide total privacy. The manager stated that he intends to purchase mobile screening to ensure total privacy can be provided to residents for personal care. Within the home two residents have their own private telephone lines within their private accomodation. The manager confirmed that residents were able to use the homes telephone and a telephone socket was available within the dining area for residents use. The manager stated that a pay hone had been purchased for the home but as yet was not in use. The manager confirmed that once the planned building work had been undertaken a separate area will be provided for residents to make private calls Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 The home provides a wholesome diet which ensures that residents’ nutritional needs are met Residents are encouraged to exercise choice and control over their lives when able thereby promoting independence. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Discussions with some of the residents confirmed that they were able to spend their day as they wished and chose when to get up and when to go to bed. One resident at the home stated that she had recently moved into the home and found it to be very friendly and relaxed. She stated that the staff all seemed to be very friendly and caring and confirmed that the meals provided were very enjoyable. Evidence was in place that demonstrated that activities within the home took place, this was confirmed by some of the residents spoken with and also by one relative who was spoken with. The activities within the home included; keep fit classess,Arts and Crafts,Reminiscing sessions and monthly visits from the local school children which seemed to be very popular and enjoyed by many residents. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 13 On the day of the inspection a trainee social worker, who is on a placement at the home was on duty and on discussion confirmed that most of her time had been spent with the residents engaging in activities both within the home and on trips out with individual residents within the local community. Some residents spoken with confirmed that they liked to go out of the home and the general opinion of those residents spoken with was they were looking forward to the summer months when they would be happy to participate in day trips out of the home. One resident at the home was able to access the local community independently and staff encouraged this in order to maintain this residents independence. Residents spoken with confirmed that they were able to meet with their visitors within their private accommodation if they wished to do so. Residents relatives or their representatives managed their personal finances, on the day of inspection the majority of residents had a small amount of money in safe keeping at the home- please see standard 35 of the report regarding this. The choice of meals at the home was examined on the day of inspection and it was noted that additional choices were available at each mealtime. At the time of inspection a pleasant smell of freshly baked cakes was noted, the cook was baking and confirmed that all meals are home cooked. Residents spoken with were very positive regarding the quality of meals provided by the home. The presentation of the lunchtime meal was noted on the day of inspection and was presented in a manner that was attractive and appealing in appearance. Residents are able to bring their own personal possessions into their private accommodation and a tour of the building confirmed this. An inventory of residents’ property and possessions was also seen within the personal files examined these had been signed and dated. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 The complaints and Protection procedures of the home safeguard the residents from abuse. The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The homes complaints procedure was seen and found to be simple, clear and accessible. The record of complaints to home was examined and all complaints seen had been dealt with promptly and effectively.This demonstrates that any complaints from residents and/or their relatives/representatives are taken seriously and acted upon. All staff at he home have undertaken training to prevent residents from being placed at risk from harm or abuse, this was a requirement at a previous inspection which has now been met. The homes vulnerable adults policy and procedure now contains a copy of the Local Authoritys latest vulnerable adults policy and procedure this ensures the home is up to date with local procedures and thereby enhances the protection of residents. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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): 19,26 Residents live in a safe and well-maintained home, which ensures their safety and comfort, and once further planned developments are in place this will provide improved accessibility within the grounds of the home for residents. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A tour of the building was undertaken on the day of inspection.All areas of the home seen were clean,warm and well maintained. No obstructions to firedoors or handrails were noted during the inspection. Curtain screening in the shared room did not ensure residents privacy when personal care is given - please see standard 10 of the report regarding this. The laundry area was seen and found to be satisfactory. The home has limited storage for equipment and a mobile hoist was stored within a residents room. The manager stated that storage space would be resolved once the planned building work is undertaken. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 16 At present the ramp that leads from the conservatory into the garden is quite steep for use by wheelchair users, the manager stated that only residents that are mobile access the garden using this ramp. The manager confirmed that the planned building work will include a new enclosed garden area with improved ramp access. It was confirmed that this work is at present awaiting approval from the planning department. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 The skill mix of staff rostered onto duty and training provided to staff enables the residents needs to be met. The homes recruitement practices are robust and therefore protect the residents from harm or abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The duty rotas were examined and provided sufficient staff numbers and skill mix on duty to meet the residents needs, the rotas also showed the waking night staff hours. Since the last inspection 2 further care staff have achieved a National Vocational Qualification (NVQ) in care at level 2. The home employs 13 care staff this is not including catering or domestic staff. 4 members of the care team having a nursing qualification and one member of staff is undertaking nurse training.The home therefore now meets the national minimum ratio of 50 trained members of care staff(NVQ2 or equivalent)This was a requirement from the last inspection which has now been met.However as a matter of good practice it is recommended that further care staff undertake an NVQ2 in care. Other training that has taken place since the last inspection included; First Aid,Moving and Handling,loss and bereavement,dementia awareness, adult protection and management of medicines.Staff training files were seen which confirmed the training had taken place. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 18 Of the staff files seen all had a satisfactory criminal records disclosure certificate including confirmation against the Protection of Vulnerable Adults list. The home now has a new application form in place which asks for previous experience and skills and a full employment history. This information will assist the manager to confirm the reason for any gaps in employment with the applicant.This was a requirement from the last inspection which has now been met. Reference request form sent out by the home for new staff prior to employment now ask for verification of why the person had ceased to be employed in a position involving work with children or vulnerable adults. A new interview is now in place within the home which determines the applicants fitness to work in the home. 2 of the residents spoken with confirmed that the staff at the home were able to meet their needs well and said that staff were always available if they needed any help or support. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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): 31,33,35,38 Procedures have been strengthened to ensure the home is well managed and the health and safety of staff and residents is promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Disscussions took place with the owner/manager of the home who confimed that he completed an approved management course in November 2005. The manager has been approved as the Registered Manager by the Comisssion for Social Care Inspection in May 2004. Residents have completed satisfaction questionnaires and a report of the findings has been undertaken, however these were not available to see on the day of inspection therefore the managers son agreed to forward these to the Comission for Social Care Inspection. The results of these questionnaires must Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 20 also be made available to the residents at the home and prospective residents,their representatives and other interested parties. Residents meetings are held every three months at the home and the manager confirmed that residents are consulted and involved in any changes within the home. A relative spoken with confirmed that the home keeps him up to date with any changes and as an example discussed the building work that the home is planning. This was also confirmed with some residents spoken with. Residents relatives or independent representatives continue to manage the residents finances and personal allowance. On the day of inspection some of he residents had a small amount of money that was held for them in safe keeping at the home, only the owner/manager and his son had access to these monies. Transaction records for residents monies were held within the home and found to be satisfactory with the transaction record being signed on each transaction by the person completing it. As a matter of good practice it is recommended that two signatures are provided at each transaction, preferably the second signature being that of the resident. The owner/manager has facilities to receive communication by fax transmission, this was kept at the owner/manager private accomodation. The manager stated that following the building work the fax machine would be kept at the home as more space would then be available but confirmed that at the present time some one was available at his home to any facsimile transmissions. The home had received an inspection from the Environmental Health Department on the 10 April 2006, although a report of this inspection had not yet been sent to the home the manager reported that everything had been satisfactory. Records and documents were examined during the inspection and all were found to be satisfactory, these included: The homes maintenance book The Fire log book- which showed fire alarm systems check,emergency lighting check and fire drills. The Accident book for residents,visitors and staff. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Timescale for action 31/05/06 2. OP7 15 3. OP19 10 4. OP19 23 5. OP19 23 Residents care plans must be signed and dated by the person that has written the plan and signed and dated each time the plan is reviewed. Written evidence must be in 30/06/06 place to demonstrate that residents have been involved in the formulation of their care plans. Privacy screening in shared rooms must ensure residents 31/05/06 privacy for personal care. (Previous timescale 31/12/05) The registered person must 30/06/06 provide a timescale for providing suitable storage facilities for equipment.(Previous timescale has not as yet expired 30/04/06) The registered person must 30/06/06 provide a timescale for providing a safe garden area for residents and improved ramp access (Previous timescale has not as yet expired) Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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. 2. 3. 4. Refer to Standard OP1 OP28 OP29 OP35 Good Practice Recommendations Copies of resident’s reviews that have been undertaken at the home should be obtained and kept within the residents’ file for care management purposes. Further care staff should undertake the National Vocational Qualification in care. The registered person must provide appropriate facilities for communication by facsimile transmission. As a matter of good practice two signatures are provided on residents financial transaction records and if possible one of these signatures be the resident’s. Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ashlee Care Home DS0000044372.V289575.R01.S.doc Version 5.1 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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