Inspection on 21/02/06 for Bonehill Lodge

This inspection was carried out on 21st February 2006.

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

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

Other inspections for this house

Bonehill Lodge 09/12/08

Bonehill Lodge 30/06/08

Bonehill Lodge 20/09/07

Bonehill Lodge 17/10/06

Bonehill Lodge 25/05/06

Bonehill Lodge 05/07/04

Bonehill Lodge 29/04/04

Bonehill Lodge 23/10/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Bonehill Lodge 62 Park Lane Fazeley Tamworth Staffordshire B78 3HZ Lead Inspector Mrs Mandy Brassington Unannounced Inspection 21 February 2006 09:50 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 Bonehill Lodge DS0000004919.V284031.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. Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bonehill Lodge Address 62 Park Lane Fazeley Tamworth Staffordshire B78 3HZ 01827 280275 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) Bonehill Limited Mrs Tina Joyce Boyland Care Home 26 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (26) of places Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2005 Brief Description of the Service: Bonehill Lodge is a residential home situated in the suburbs of Tamworth, Staffordshire, having access to local amenities and public transport. The home looks out onto open countryside and has a paved area to the rear and a small area of landscaped garden to the front of the home. The home provides a service for 26 older people and is also registered to care for 6 individuals who suffer with dementia. The three storey property provides residential accommodation on both the ground and first floor, having 22 single occupancy and 2 shared bedrooms, ensuite facility is provided within a number of bedrooms. The first floor is accessible via a passenger lift. Bathrooms and toilets are located throughout the home and in close proximity to bedrooms and communal areas. The property has a large lounge, divided into two separate areas which leads to a dining area equipped with essential furnishings to meet the needs of the service users. There is a conservatory which leads to a small paved garden. Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8 hours by one inspector. A tour of the home was undertaken. Nine service users, staff on duty, and the manager were spoken to in depth. Case tracking of three care plans was undertaken. Three staff records were examined and observation of planned activities took place. The inspector ate lunch with the service users and observed the staff administer medication. Documents, reports and records were requested and where available provided for the inspector. What the service does well: What has improved since the last inspection? The manager has met many of the long-standing requirements within the home including the guarding of radiators. Work has been completed to improve the care planning processes within the home, and there is now evidence of assessment of risk. The registered provider has begun to carry out Regulation 26 visits and work has been completed for the Quality Assurance review to enable the service delivery to be evaluated. The home has shown a commitment to developing the skills of the staff team and training and updates have been provided. Staff spoke positively about the training opportunities and were observed actively using the skills and knowledge. Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 6 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. Bonehill Lodge DS0000004919.V284031.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 Bonehill Lodge DS0000004919.V284031.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): 2, 3, 5 The manager undertakes assessments of potential service users and individuals receive formal contracts, which set out their terms and conditions of occupancy. EVIDENCE: The manager had carried out a pre-admission assessment of service users needs prior to individuals being admitted to the home, to establish whether the home had the capacity to meet their needs. The manager reported that the assessment could be carried out over several visits at different venues. Discussion took place regarding the need to document others involvement with the assessment. The information gathered at assessment is transferred into the care plans. Staff confirmed they were involved with the assessment process during introductory visits and meals at the home, which provided opportunities to talk with the person and family members within a relaxed environment. Three service users stated they had the opportunity to visit the home with family members. Two individuals stated they had moved to the home directly Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 9 from hospital and due to their circumstances were not able to visit. One service user chose to move to the home to be with their spouse. Individuals had a contract of residency that detailed the terms and conditions of occupancy. Bonehill Lodge DS0000004919.V284031.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 Care planning and health care monitoring has improved and there is evidence of assessment of risk; further work is required to ensure risk assessments are robust and up to date. EVIDENCE: Each service user had an individual plan of care, which included health, personal, and social care needs. The manager had reviewed the care planning system and evidence of risk assessments was included. The risk assessments had been reviewed but not in line with the reported frequency schedule and showed the last review had not taken place. Identified areas of concerns with individual’s plan of care from the previous report had been addressed. The initial assessment and service user plan did not demonstrate service user involvement. The manager needs to ensure that evidence is available to confirm that service users and/or their representatives are offered the opportunity to participate in the care plan and subsequent reviews. The home is also registered to provide a service for 6 individuals with dementia. The staff had received training with regards to dementia care but Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 11 there was no evidence to any specific services, facilities or stimulation to meet the needs of this group of residents. Discussion took place with the manager regarding reviewing the home’s facilities to assist in meeting these needs. A large number of service users spoken to revealed that they were satisfied with the care provided. Staff were observed knocking on doors, offering service users choice, and allowing them to complete tasks in their own time. Service users spoken to stated they were treated with dignity and respect encouraged to be as independent as possible. One service user commented that they had responsibilities within the home and prepared the dining room for meal times. Staff were observed using appropriate forms of communication and relationships between the staff and service users was relaxed and friendly. The provision and security of medicines were seen to be satisfactory. The medication administered and the systems in place within the home were observed by the inspector and were of a good standard. No service users selfadminister medication. The policy of the home is to maintain service users’ own GP support wherever practical, otherwise local GPs covered on a regular basis. Two service users complimented the staff in seeking professional prompt medical intervention, reporting that ‘the staff always make sure we see a doctor if we are not well, we don’t have to wait.’ On the day of the inspection, one person returned from hospital with relatives. Staff had initiated hospital treatment. Bonehill Lodge DS0000004919.V284031.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, 15. Service users require further stimulation in the home and community activities; individuals are reliant on friends and family to take them out. There was no evidence of specialist activity or stimulation for people with dementia. EVIDENCE: Previous inspections had identified there was little emphasis focused on social activities within the home or in the community. The manager has implemented more activities within the home, though service users were observed sitting within their armchair, watching television throughout the course of the day, the only activities taking place had been initiated by family members. The previous week there had been a Valentine’s night and entertainers had visited and staff had decorated the home. All service users spoke highly of the event. There was also an activity programme that staff were working towards. Discussion took place with staff regarding activities and exploring differing options. Service users reported that ‘we don’t go out unless our family takes us’. Staff confirmed that the new activity programme is for sessions within the home. Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 13 Therapets visit the home every 2-3 weeks. Service users have the opportunity of spending time with a variety of dogs. Individuals spoke highly of this service. One service user has visits from her dogs and their new custodian. There was a menu and service users had a choice of two meals. Examination of the menus highlighted that there were a small number of alternative meals that did not provide for a balanced meal. It was agreed that the menus needed reviewing to ensure a balanced diet was provided each day. One service user required a special pureed diet. The staff were aware of individual’s preferences. At lunch time the service users ate in the dining room. A meal was taken with the service users and the meal time was relaxed and unhurried. The meal served was chicken pie, potatoes and vegetables and rice pudding. Additional food and extra helpings were offered to the service users. Four service users confirmed the food was of a good standard. The kitchen was inspected and found to be clean and tidy with a cleaning schedule completed. Additional storage facilities on the second floor were being improved and therefore food was stored within the main kitchen during the improvement period. The kitchen cupboards had been repaired though the units were not of a good standard and there were insufficient storage facilities. Service users were able to have visitors at any reasonable time and were able to entertain their family and friends within the privacy of their bedroom. Bonehill Lodge DS0000004919.V284031.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, 17, 18. The complaints procedure is to be reviewed to enable service users and their representatives a full understanding of the options available to them relating to making a complaint. EVIDENCE: The home has a complaints procedure displayed in the front hall and in each bedroom. The complaints procedure needs to reflect that individuals may contact the Commission (CSCI) to make a complaint; this currently states only if a complaint cannot be resolved successfully or is of a serious nature. Discussion with service users revealed they were aware of the complaints procedure and would approach staff if they had any concerns. A book was available in the front Hall for any compliments and complaints. Issues raised within this book had been addressed. Family members manage personal finances for all service users. The manager had no concerns over individual’s finances and there was a safe facility to hold any personal monies or valuables on the property. Three records were sampled and were accurately maintained. Service users were registered to vote. postal vote. One service user spoke of a recent Bonehill Lodge DS0000004919.V284031.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, 20, 21, 23, 24, 25, 26 The Home is clean and tidy, though requires a robust maintenance programme to ensure the home is adequately maintained. Some areas of the home need to be risk assessed for the suitability to meet needs of individuals with poor mobility, sensory impairments and dementia. EVIDENCE: Previous inspections have identified the home was in need of general repair and maintenance, a maintenance plan to address all areas of work was required and this has not been completed. A number of long-standing environmental requirements have been addressed; the providers are to forward a copy of future works to the Commission to identify the necessary repairs and maintenance required with timescales to complete the work. Covers have been fitted to the radiators; hot pipe work in the ground floor toilet and lounge area is to be covered. The home was generally clean and tidy and communal areas were equipped with essential furnishings. The immediate safety issues regarding the kitchen Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 16 cupboards have been addressed, though the kitchen is in need of refurbishment. The cleaning schedule for the kitchen had been reviewed and demonstrated work carried out. On the first floor, one corridor leading to four bedrooms is sloped due to the age of the building; and two bedrooms have uneven skirting boards that could present a trip hazard. The corridor and bedrooms are to be risk assessed, as the rooms are unsuitable for service users with poor mobility or sensory impairments. The floor is to be addressed and the manager must consider the access when offering residency to these four rooms. It is recommended that a review takes place of the environment in relation to colours and access to areas and individual rooms for people with dementia, as the home has many small corridors and is difficult to recognise areas. A sample of bedrooms were viewed. Individuals are able to personalise and furnish their bedroom. Where individuals share a room, screening has been provided. The carpet in bedroom 12 was threadbare and required replacing. Bedrooms have been fitted with suitable locks though no service users have a key. Following an assessment of risk individuals are to be able to have a key to their room. Bathrooms and toilets were situated throughout the home and were in close proximity to bedrooms. The ground floor assisted bathroom had no hot water to the sink and the bath temperature was too high. The manager addressed these issues on the day of the inspection. Examination of water temperatures revealed the temperatures fluctuated and were often too high throughout the home. Discussion took place with the manager to ensure that bathing facilities meet with current Health and Safety guidelines; bathing temperatures are to be around 43 degrees. Thermostatic valves have been fitted though an engineer on site stated the current system does not provide a uniformed pressure resulting in the varying temperature readings. A suitable system to regulate the temperatures is to be implemented or appropriate works is to be carried out to ensure the health and welfare of the service users. The toilet and bathrooms provided washing equipment, which met the standards for infection control. All staff carried an alcohol hand wash solution to prevent cross infection. Bonehill Lodge DS0000004919.V284031.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 Staff have received training to update their skills and knowledge. The manager needs to support the team of staff through the supervision process. EVIDENCE: The home’s recruitment procedure needs to be reviewed to ensure it meets with policies for equal opportunities in relation to interview procedures. Staff files examined showed that thorough pre-employment checks are carried out. Criminal Records checks had been undertaken in all instances. All staff files are to contain a photograph. Staffing was provided on a 24 hour basis; on the day of the inspection, three carers worked from 8.00am until 3.00pm or 5.00pm and three carers worked from 3.00pm or 5.00pm until 10.00pm. There were two waking night staff. The shift times in the afternoon allowed for a flexible service and a thorough handover. The manager works flexibly across the shifts and there was a cook working from 7.30am until 2.00pm and two domestic staff providing seven hours cover during the day. The staff members spoken to talked about service users in a sensitive and respectful way and understood the need to promote their dignity. All of the staff on duty were spoken to during this inspection and observations were also made of staff attitudes and respect towards the service users. This Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 18 was all very positive. Service users confirmed this, comments included: ‘the staff are always so nice and helpful’ and ‘nothing is too much trouble for them’. The manager is to review the care and staffing provided to enable community activities, and additional support and assistance for activities for service users who have dementia. Examination of staff records revealed staff have received recent training for Health and Safety, Moving and Handling, dementia care, pressure area care and infection control. Staff spoke positively about the training opportunities and its value within the daily work. Staff attend the training on an unpaid basis and it is recommended staff receive three paid days annual training. Bonehill Lodge DS0000004919.V284031.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): 33, 35, 36,37, 38 The providers are playing a more active role and carrying out their responsibilities to work towards meeting the National Minimum Standards. EVIDENCE: The manager reported that Quality Assurance Questionnaires had been developed and are to be sent to families and relevant professionals. The manager was aware of the need to compile an annual review. This is to be inspected during the next visit. Thee first monthly visit by the provider had been carried out. These are to be monthly unannounced visits and a copy forwarded to the Commission. Staff do not receive formal supervision. This requirement has been raised during previous inspections and must be addressed. The manager is also to be part of the formal supervision process. Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 20 The health and safety of service users and staff were promoted with safe regular fire checks and drills, servicing of gas appliances, and monitoring the water system; there is a requirement for action to be taken regarding the fluctuating temperatures. Fire training had been booked for March, but was six months out of date. The manager must ensure that all staff receive up to date fire training. Service users’ financial interests were safeguarded; service users were encouraged to look after their own financial affairs with the support of their families or representative. Bonehill Lodge DS0000004919.V284031.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 3 X X 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 2 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 1 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 2 2 2 Bonehill Lodge DS0000004919.V284031.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(1)(2) Requirement Evidence of service users and/or their representatives involvement in the assessment, care plans and review Risk assessments to reviewed in line with recorded schedule The manager is to carry out a review to demonstrate how the home meets the needs of individuals with dementia. A copy is to be forwarded to the Commission Residents should be consulted regarding their social interests and make arrangements to enable them to engage in local, social and community activities. This requirement is outstanding from reports 01/02/04, 27/07/05 Menus to be reviewed to ensure a balanced diet is provided daily To amend the Complaints procedure to record individuals are able to contact the Commission at any time To ensure that the kitchen is DS0000004919.V284031.R01.S.doc Timescale for action 21/05/06 2 3 OP7 OP7 15(1)(2) 13(4)(b) 24(1)(2) 28/02/06 10/05/06 4 OP12 16(2)(m) 23/04/06 5 6 OP15 OP16 (2)(i) 22(7) 28/03/06 21/03/06 7 OP19 23(b) 23/05/06 Page 23 Bonehill Lodge Version 5.1 8 OP19 23(2)(b) 9 10 11 12 13 OP19 OP19 OP19 OP19 OP19 13(4)(a)(c) 13(4)(a)(c) 23 (1) 13(4)(a)(c) 23(2)(b) 23(2)(b) 13(4)(a)(c) 23(2)(b) 14 OP24 16(2)(c) 15 16 OP29 OP36 19(1)(4) 18(2) 17 18 OP36 OP37 18(2) 19(1)(b)(i) refurbished to a suitable standard. A building maintenance programme should be developed to identify the necessary repairs and maintenance required. This requirement is outstanding from report 27/07/05. Hot pipe work in the ground floor toilet and lounge is to be covered To risk assess the corridor leading to Bedrooms 8 and 9 The flooring in Bedrooms 8 and 9 is to be assessed and identified action taken The carpet in Bedroom 12 is to be replaced To record action taken when high water temperatures have been recorded and review the current system to ensure the health and welfare of service users Service users should be provided with keys unless a risk assessment proves otherwise. This requirement is outstanding from reports 05/08/04, 27/07/05. To review the recruitment procedure to ensure equality of opportunities The registered person should ensure that all staff receive formal supervision at least six times per annum covering: a) all aspects of practice b) philosophy of care in the home; career development. This requirement is outstanding from reports 31/07/03, 27/07/05 The manager is to receive formal supervision Staff files are to contain a DS0000004919.V284031.R01.S.doc 21/05/06 30/04/06 07/03/06 28/04/06 30/03/06 30/03/06 21/03/06 30/04/06 21/04/06 21/04/06 30/04/06 Page 24 Bonehill Lodge Version 5.1 19 OP38 Sch2(1) 23(4)(d) photograph Fire training is to be carried out annually 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP19 OP29 OP30 Good Practice Recommendations To review the environment in relation to colours and identifying rooms for people with dementia To review the application form to ensure any gaps in employment can be investigated Staff to receive three paid days training annually Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Bonehill Lodge DS0000004919.V284031.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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