Inspection on 16/05/08 for Attwoods Manor

This inspection was carried out on 16th May 2008.

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

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

Other inspections for this house

Attwoods Manor 04/06/09

Attwoods Manor 11/05/07

Attwoods Manor 07/06/06

Attwoods Manor 16/09/05

Attwoods Manor 22/04/05

Attwoods Manor 24/11/04

Attwoods Manor 27/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Attwoods Manor Mount Hill Halstead Essex CO9 1SL Lead Inspector Neal Cranmer Unannounced Inspection 09:00 16 and 19th May 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 Attwoods Manor DS0000017756.V364678.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. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Attwoods Manor Address Mount Hill Halstead Essex CO9 1SL 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) 01787 476892 01787 477769 attwoods.manor@virgin.net Golden Age Management Limited Care Home 65 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (65) of places Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of service users accommodated in the home must not exceed 65 persons. 11th May 2007 Date of last inspection Brief Description of the Service: The owner of Attwoods Manor is Golden Age Management Limited and the registered manager is Gina Juniper. Attwoods Manor is situated approximately one mile from the town of Halstead. This is a large detached period property set within approximately three acres of grounds. Work was underway at the rear of the home on the construction of a large extension. This had resulted in the loss of two single bedrooms. The ground floor still comprises of twelve bedrooms (eleven singles and one double), with a reduced twenty-six bedrooms on the first floor (twenty-three singles and two doubles). Communal rooms have also been affected by the building works. This had not resulted in any reduction in the number of communal rooms (five), but one is now used as a combined lounge/diner as the original large lounge has been reduced in size. There is ample car parking facilities at the front of the house. The grounds are well maintained and pathways around the home are designed for the use of wheelchairs and other mobility equipment, although some areas were not accessible due to the building works. An attractive patio area at the front of the house is an ideal area for service users to use and to meet visitors. The home is registered for 65 older people who need residential care including 10 places for people who have dementia. As at 16th May 2008, the manager advised that the fees for accommodation ranged from £525.00 to £750.00 per week. CSCI inspection reports are available from the home and the CSCI internet website. Attwoods Manor DS0000017756.V364678.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 one star. This means the people who use this service experience adequate quality outcomes. This report follows a key unannounced inspection of the home, which took place over two days in May 2008. The report has been written using accumulated evidence gathered prior to and during the site visit. The registered provider, manager and a consultant were present available throughout the inspection. This inspection included discussions with residents, relatives, the registered provider, manager and members of the care team. Four resident’s spoken with, three were generally satisfied with the care they received and with the quality of the food and accommodation provided, although one of the four residents felt that the service had deteriorated significantly in recent months, with a significant decline in the quality of the food. A tour of the premises was undertaken during the course of the inspection, which included viewing of residents’ rooms, bathing and toilet facilities, communal areas and gardens. During the course of the inspection a range of records was sampled, most of which were in order. As part of all inspections carried out from the 5th of May to the 16th of May 2008. Nationally the Commission for Social Care inspection was carrying out a thematic probe. A Thematic Probe is how the Commission gathers additional information on a particular theme, the theme on this occasion being safeguarding. Evidence relating to the Thematic Probe on safeguarding can be found in the main body of this report under outcome group 16-18 Complaints and Protection. What the service does well: Discussion with residents of the home indicated a positive view about the home, and the standard of cleanliness. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 6 The home continues to provide care and support in an environment that is homely, and maintained to a high standard; residents spoken with were complementary about the rooms provided, as well as the general condition of the home. Visiting arrangements continue to be flexible with people able to come and go as they wish. A good range of social activities are provided by the home on a daily basis. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Attwoods Manor DS0000017756.V364678.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 Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 was not relevant to this service Quality in this outcome area is good. People who may use the service and their representatives have the information needed to choose a home that will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were case tracked, as part of the tracking process, all three of the plans contained needs assessments that were based upon the activities of daily living, and included information on the resident’s routine upon waking, any specific dietary needs, daily routine including activities they enjoyed, their routine on retiring to bed including whether there was any need for them to be checked upon during the night, what position they liked to sleep in, any preferred drink they liked before bedtime. Also included in the assessment was a record of the residents likes and dislikes, assistance required with meeting personal hygiene needs, general healthcare needs, social needs and important relationships. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 9 Admission assessments are carried out by the manager, and discussion with them indicated that they were experienced in carrying assessments out, having previously been registered as a manager in another home. Information from the assessment was then used as the basis for the development of the resident’s care plan. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is adequate. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As stated above three care plans were sampled. Each included background information, personal details, next of kin contact details, and copies of the daily living assessments. From this information there were objectives set, which included guidance to staff. Also included were daily care notes, (although for one of the three there had been no entry made since the beginning of December 2007). Other records included weight charts and risk assessments on pressure care, falls and dependency levels. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 11 There was evidence that two of the three care plans were being kept under review, but for the third, there was no evidence of any review having taken place since it’s implementation in December 2007. District nurses continue to support the home on a daily basis to assist with resident’s healthcare needs, and hold twice weekly surgeries on site. Discussion with two of them visiting the home on the day of the site visit indicated that staff were knowledgeable about the needs of the residents, and were always welcoming and friendly. They went on to mention that there were some residents in the home with pressure areas and skin tears, but that they felt these were not overly excessive. There was evidence in the care plans seen of residents’ pressure care needs being recorded. All of the residents residing in the home are registered with a local General practitioner, and records were kept in care plans of visits made. The home’s medication administration is a combination of a measured Dosage System (MDS) and individually named containers. The home does maintain medicines of a controlled type, and these were appropriately stored in a metal locked cabinet. Records relating to these medicines were sampled and found to be in order, with the practice in the home adequately protecting residents. Other routine medication was also sampled and found to be in order, with no evidence of any gaps or omissions in the administration records. Each resident’s medication record contained an identity photograph, a record of their date of birth and date of admission, a record of their prescribed medication which included what the medication was, the reason for its use, and any known side effects. The manager has put in place an in-house medication audit whereby each shift checks the administration records of the preceding shift, to ensure that the records are all in order. Medication is only dispensed by staff who are seniors and only upon completion of training provided by the supplying pharmacy, as well as completion of Essex County Councils medication workbook. Discussions with individual residents indicated that they were treated with respect by staff, as did observation of staff going about their duties and interactions with residents. Staff on duty were observed to be courteous, caring and professional in their dealings with residents, and residents spoken with said that staff were always polite and respectful. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 12 Visitors spoken with also spoke positively about the staff and their attitude, although concerns were raised about how rushed they often seemed. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. People who use the service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An activities co-ordinator continues to work in the home two afternoons a week. Records of the interests participated in had been kept and included: reminiscence, 1.1 chats, ball games, cards, games, puzzles, flower arranging, bingo, quizzes and table games, during both days of our visit residents were seen taking part in a small clay making class, and also playing dominoes, both activities they said they enjoyed. Evidence was seen on the walls of the hallway of work that residents had completed during an art class. A weekly plan of events was displayed in the entrance hallway. Residents spoken with said that they were generally satisfied with the range of activities offered. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 14 Four residents were spoken with about the food provided, three of who said that they thought the food was good, the fourth felt that their had been a decline in the quality of the food provided, although they confirmed that a choice was always made available. The home provides a four weekly menu, which covers breakfast, lunch, mid afternoon tea, tea and supper, those seen were varied and nutritious, and did as expressed by residents provide evidence of a choice being available. The food stocks seen on the day of the site visit were sufficient to meet the needs of the residents in residence, and discussion with the home’s cook indicated that the kitchen was well equipped. The lunchtime meal was discreetly observed, and looked to be pleasantly presented, evidence was seen of residents receiving different meals supporting the comments regarding choice. Some residents required their meals to be softened. Meals seen had had each of the items individually prepared and those who required assistance with their meals were observed to be supported on a 1.1 basis to eat by a member of staff. The dining room was quite large, but none the less the meal seemed to take place in a relaxed atmosphere. One resident did make a comment about how long they often spent from the time they were brought in to the dining room until they got served with their meal, which they often said could be up to an hour. Residents were seen being supported to the dining room from eleventhirty onwards by the inspector. Viewing of residents’ private rooms showed that they had been permitted to bring their own personal items with them into the home upon admission. Residents spoken with confirmed that they had brought personal item into the home with them. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. People who use the service are generally able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is included in the Statement of Purpose. A complaints and compliments book is kept in the main entrance hall and was available for residents and visitors to use. The written procedures were comprehensive and included timescales for responding to complaints. One of the residents spoken with spoke of not being aware of who they should speak to in the event of them wanting to raise a concern or a complaint. As mentioned in the summary of this report a thematic probe was being undertaken as part of this inspection. As part of the probe the inspector spoke to the manager and staff about their understanding of safeguarding matters. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 16 In addition to this a range of records were sampled. The outcome of these discussions and sampling of records are as follows: Discussion with the manager indicated that they were aware of the preemployment checks that should be undertaken on staff before their commencement in employments. The manager’s responses included the need to undertake criminal records bureau (CRB) checks, protection of vulnerable adults 1st checks, obtaining two written references, one of which should be of the most recent employer and checking the application form for any evidence of gaps in employment history. However examination of some of the home’s staff recruitment practice, evidenced a number of gaps in respect of the documentary evidence that is required to be maintained under regulation, including references. Discussion with staff showed that they were aware of the types of abuse that may take place, e g physical, psychological, financial, sexual and institutional. They were also well aware of how and who they should report any suspicions too, and who were the lead agency in relation to safeguarding issues. Staff also confirmed that the home did have in place policies and procedures regarding safeguarding and whistle blowing. Since the last inspection of the service there has been one safeguarding referral made, which was managed appropriately, with all of the relevant agencies being notified. Sampling of the home’s staff training records indicated that all staff had received training in adult protection. Practice in the home indicates that residents are currently adequately protected. Attwoods Manor DS0000017756.V364678.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, 21 and 26. Quality in this outcome area is good. The physical design and layout of the home enables people to live in a safe, well maintained and comfortable environment, which encourages them to maintain their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is fit for it’s stated purpose, as set out in the home’s Statement of purpose, being set in extensive pleasant grounds, which on the day’s of the site visit all areas seen were tidy and accessible, to residents whilst at the same time maintaining a safe environment. Since the last visit to the home an area to the front and side of the building has been developed where service users are free to wander in an enclosed Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 18 environment. On both days of the site visit no residents were seen accessing this area, due to inclement weather. Communal space was adequate for the number of residents in residence, benefiting from a number of lounge areas where they could choose to go and sit and spend time. The lighting in all of the communal areas was sufficiently light enough to aid reading, knitting and other such activities. The furnishings and fittings in the home were domestic in nature and were of a good quality. The home is equipped with adequate toilet and bathing facilities, and these were situated in close proximity to all communal areas, to enable residents to gain easy access. The home’s laundry facility was well equipped with industrial style washing machines, dryers and facilities for washing hands. The home benefits from having in post laundry assistants who have responsibility for resident’s laundry. Cleaning materials and substances that may be hazardous to health (COSHH) were kept stored appropriately in the laundry when not in use. On both days of the site visit the home was found to be clean and tidy, and there was not any evidence of any unpleasant odours. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30. Quality in this outcome area is adequate. Staff in the home are not all trained, skilled and always available in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sampling of the home’s duty rota, as well as discussion with the manager and staff indicated that the staffing levels are six in the morning, made up of one senior and five care staff, and in the afternoons there are five, made up of a senior and four care staff. Five care staff provides waking night support, which consists of two seniors and three care staff. In addition to the above cited care staff, the home employs cooks, domestics, and laundry assistants. The manager’s hours are supernumerary to the care rota. Discussion with care staff, residents, and visitors indicated that the care staffing levels are felt to be at their very minimum level. This comment was reiterated by the district nurse who also raised comments about the staffing levels linked to the dependency level of the residents. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 20 The home employs forty care staff; of these ten hold a National Vocational Qualification (N.V.Q) at level two or above, this falls short of the requirement for at least 50 of the care workforce to be qualified. Evidence was seen of some of the certificates relating to these staff. Six staffs records were sampled in relation to the home’s recruitment process, and a number of gaps were noted in respect of the records being kept, these included evidence of written references, induction, supervision and training. These gaps need to be rectified to ensure that residents are adequately protected by the home’s recruitment practice. Attwoods Manor DS0000017756.V364678.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, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is adequate. The management and administration of the home is based on openness and respect, however it does not have an effective quality assurance systems. The home is managed by a manager who is experienced and competent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current manager of the home has been recently appointed, and has yet to be registered with the Commission for Social Care, although they were registered previously in another home. Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 22 The manager has eight years’ experience in care of the elderly and holds the registered manager award in management, although not care, although they did give a commitment to obtaining this part of the award. The manager is only responsible for the one establishment. Discussion with the manager indicated that they were well supported by the registered provider, and there were in place clear lines of accountability. Staff spoke of the manager, although only being new in post, providing them with a clear sense of leadership and direction. But felt that the overall management of the home could be managed in a more open and transparent manner. The home has a quality assurance (QA) system in operation, which includes the use of surveys used to gauge the opinions of residents. At the time of the site visit no surveys were available to assess any responses received back from residents. There was also no evidence to show how the home deals with responses received. Over the last few months the registered provider has been in day-to-day management of the home up until the appointment of the new manager, therefore regulation 26 report visits have not been completed over this period of time. The manager was reminded to ensure that these reports completed by the registered provider are available at the service. The home has in place a comprehensive policies and procedures file, which was well set out, and which staff spoke of being aware of, and of having access to if required. Discussion with the manager confirmed that the home does not manage any money on behalf of the residents. The procedure is that the administrator invoice’s the resident’s relatives direct for any expenditure owed. Discussions with both the manager and a number of staff indicated that currently formal staff supervision is not being provided. However the manager acknowledged this shortfall, and has already put in place mechanisms to ensure that all staff receive regular formal supervision every six to eight weekly. Attwoods Manor DS0000017756.V364678.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 X X N/A 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 3 X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 2 3 3 Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Residents care plans must be reviewed regularly. To ensure that any changing needs are recorded. This is now a repeat requirement; the previous requirement date of the 01/07/07 was not met. The registered person must ensure that all of the records specified under regulation 19, schedule 2, are kept in respect of staff employed in the home. This is to ensure that residents are adequately protected by the home’s recruitment practice. New staff must receive documented and structured induction training, which is based on the Skills for Care common induction modules. This is to ensure that care staff have the basic training they need to meet the needs of the residents. This is now a repeat requirement; the previous requirement date of the DS0000017756.V364678.R01.S.doc Timescale for action 31/08/08 2. OP29 19, schedule 2. 31/08/08 3. OP30 18 31/08/08 Attwoods Manor Version 5.2 Page 25 01/07/07 was not met. 4. OP33 24 Quality assurance surveys must 31/08/08 include resident’s views and the results of the whole quality assurance process must be made available to those taking part, and to the Commission. This is to ensure that the views of residents are taken in to account. This is now a repeat requirement; the previous requirement date of the 01/08/07 was not met. All staff must be appropriately supervised and receive regular formal recorded 1-1 supervision. This is now a repeat requirement; the previous requirement date of the 01/08/07 was not met. 31/08/08 5. OP36 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP16 Good Practice Recommendations It is strongly recommended that when residents express a view that they are dissatisfied with some aspect of the care being provided in the home, that time is set aside to listen to their concerns, and address as necessary. It is recommended that the home ensures that at least 50 of the staff team hold a National Vocational Qualification at level two or above. 2. OP28 Attwoods Manor DS0000017756.V364678.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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