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Inspection on 07/02/07 for Brantwood Residential Care Home

Also see our care home review for Brantwood Residential Care Home for more information

This inspection was carried out on 7th February 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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 manager does thorough assessments with residents before they move in to make sure that all their needs can be met at the home. The care plans are very clear and show in detail how all of the residents` needs will be met. They include a record of involvement with doctors, nurses and other health staff. A daily record is made of how residents` care needs were met that now includes the residents` view of their care, so their feelings are known and acted upon. Residents` medicines are well organised and staff have regular training to make sure that all residents are given their medicines as prescribed. The residents commented that the meals provided are of good quality and well prepared. One said; "The food is lovely, they know what I like and don`t like and always get it right". The complaints procedure is very clear so that relatives and their residents know who to speak to about their concerns. The residents spoken with said that the staff are `lovely, very helpful and caring`.Doctors, nurses and others who completed CSCI questionnaires about the home were very complimentary about the service provided at Brantwood, the responsiveness of the staff, and professionalism of staff and management.

What has improved since the last inspection?

The wishes/arrangements of the residents in the event of their death are now recorded on their care file so staff of the home know what the resident and their family wanted at this difficult time. The amount of training for staff has been increased. There are induction workbooks, statutory in house training and specific training such as the Protection Of Vulnerable Adults (POVA) and NVQ Level 2 to enable staff to meet the needs of the residents in the best way. The owners have continued to improve the premises and there is a new extension with a new laundry and a specialist bathroom that has further improved the facilities for the residents.

What the care home could do better:

Minor improvements to some of the records have been recommended in order to make sure that staff get their refresher training when it`s due, that their supervision is recorded, and that any complaints or concerns can be easily checked in case any training needs are identified.

CARE HOMES FOR OLDER PEOPLE Brantwood Residential Care Home 112 Congleton Road Sandbach Cheshire CW11 1HQ Lead Inspector Judith Morton Unannounced Inspection 7 February 2007 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 Brantwood Residential Care Home DS0000062465.V310823.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. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brantwood Residential Care Home Address 112 Congleton Road Sandbach Cheshire CW11 1HQ 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) 01270 760076 01270 753013 Mr Robert Shaw Miss Sally Ann Bissett Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 21 service users in the category of OP (old age not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 27th January 2006 Date of last inspection Brief Description of the Service: Brantwood is a large detached Victorian house set in its own grounds in Congleton Road, Sandbach. It provides care for older people. It has 21 single bedrooms but two of these could be used as double rooms if necessary. All of the rooms have en suite facilities. Accommodation is on two floors and is accessible via two staircases, one of which has a stair lift. There are two lounges, a dining room, conservatory and a sitting room, which is adjacent to the reception area. There enough toilets and bathrooms for the number of residents living in the home. There is a kitchenette next to the dining room where residents can make themselves drinks and snacks if they wish. The new owners have provided an adapted bathroom extension on the ground floor with a new laundry room off the same corridor. New double glazed windows have been installed, together with a fully fitted kitchen. There is a large enclosed garden at the back of the house with a gazebo for the residents to use. The building and furnishings are maintained to a high standard. On the day of the visit the manager said that the weekly charges for living at Brantwood would be from £343.00 to £380.00. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, part of the key inspection for this service, took place on 7th February 2007 and lasted just under four and a half hours. This visit was just one part of the inspection. Other information received by CSCI about the home was also looked at. Before the visit, the manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were sent to residents; their families, health and social care professionals to find out their views about the home. Twenty-four completed questionnaires were returned to CSCI, including 6 from residents and 14 from relatives. Comments from these forms have been included in the report. During the site visit the inspector spoke to the manager and co-owner of the home, some staff members and residents. Three residents’ records were checked for the care they receive. Other records were also checked including staff files and training records. What the service does well: The manager does thorough assessments with residents before they move in to make sure that all their needs can be met at the home. The care plans are very clear and show in detail how all of the residents’ needs will be met. They include a record of involvement with doctors, nurses and other health staff. A daily record is made of how residents’ care needs were met that now includes the residents’ view of their care, so their feelings are known and acted upon. Residents’ medicines are well organised and staff have regular training to make sure that all residents are given their medicines as prescribed. The residents commented that the meals provided are of good quality and well prepared. One said; “The food is lovely, they know what I like and don’t like and always get it right”. The complaints procedure is very clear so that relatives and their residents know who to speak to about their concerns. The residents spoken with said that the staff are ‘lovely, very helpful and caring’. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 6 Doctors, nurses and others who completed CSCI questionnaires about the home were very complimentary about the service provided at Brantwood, the responsiveness of the staff, and professionalism of staff and management. 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. Brantwood Residential Care Home DS0000062465.V310823.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 Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Good information about the service is provided and thorough assessments are done to make sure that residents’ needs can be met at the home. EVIDENCE: The statement of purpose and service users guide for the home was very clear and informative. It is typed in a large dark font so it is easier for people with problems with their sight to read. The documents can be produced in different formats if required. The residents have a contract of the terms and conditions of living at the home, agreed between them and the home. In one of the resident’s care files, there was a copy of a good assessment, done with the resident and the manager of the home, before the resident moved in. This covered all aspects of the resident’s life and showed that the resident’s needs could be met properly at the home. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 9 Residents’ health needs were also assessed before they moved into the home and continued to be assessed once they were living there. Any medication they were on and a detailed medical history were recorded. The manager said that she would welcome visits from prospective residents and would invite them to stay for a meal and visit as often as they wished before making a decision about whether to live there. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is excellent. This judgement has been made using available evidence and a visit to the service. The detailed care plans, with the views of the residents recorded, mean that staff can be sure they are meeting all of the residents’ needs in a way they prefer. EVIDENCE: Three residents’ care files were checked. The files were very clear and each had a photograph of the resident attached to help staff make sure they were using the right plan for each resident. The detailed care plans had been developed from the assessments. They covered every aspect of the residents’ lives and included their likes, dislikes, emotional wellbeing, physical well-being, hobbies and interests. Communication was also covered in detail: for example, one care plan included a reminder for staff to make sure the resident’s hearing aid was switched on and the batteries were working. Another resident was deaf in their left ear and the care plan included a reminder for staff to approach this person from the right so the resident could hear what they were saying. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 11 The residents’ preferences, such as what time to get up, where to have breakfast, what drink they preferred, what time they liked to go to bed, were recorded in their care plan. The manager had devised a summary sheet that identified the daily needs of each resident for morning, evening and night. Staff have to record how these needs have been met each day and ask the resident what they thought about their care. This gives the residents the chance to say how they were feeling, what they had done that day, what they had or had not enjoyed and how they felt they had been cared for. This is very good practice as it makes sure that residents’ views about their care are recorded and acted upon. The medication was also checked on this visit and was being stored, administered and recorded appropriately. The lockable storeroom where the medication trolley was kept was clean, tidy and well organised. Staff receive regular training on the safe handling of medicines. The wishes of each resident in the event of them developing a terminal illness or their death had been recorded on most care files. The manager had discussed the subject with the current residents; some had asked for the information to be held separately in the office and not on their file. The question has also been added to the form used when residents move into the home so that all new residents’ wishes in these matters are recorded. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The activities and the meals provided ensure the residents stay active and receive a well balanced diet to keep them healthy. EVIDENCE: A number of the residents join in Tai Chi session every week. A singer visits the home each month and another person comes to play games with the residents. There is a volunteer who calls at the home whenever she can to talk with the residents or play cards with them. One of the residents plays the organ and holds a concert evening at the home once a week. All of the residents said they really enjoyed this, as they know all of the songs and like to sing along with them. Two of the residents spoken with said they felt there could be more to do within the home but were not able to make any suggestions for extra activities. Residents said they receive visitors regularly, as the entries in the visitors’ book showed. Some are taken on outings by their relatives and those who can do so go out to the local pub/shops on their own. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 13 Residents have the opportunity to make choices about their food, what they would like to wear, whether to join in activities, where to have their meals and how they wish to spend their time. Residents were seen to move around the home freely and spend time in their room if they wished. The residents all spoke well of the type and quality of food served at Brantwood. One of the residents said; “The food is lovely, they know what I like and don’t like and always get it right”. Another resident said; “They have accommodated my low fat diet well”. The record kept of the meals served to each of the residents showed clearly that if the resident did not want the food on the menu, an alternative would be made for them. The meals served were wholesome and varied and included plenty of fresh vegetables and fruit. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The complaints procedures and adult protection policies are thorough so that residents are confident their concerns would be listened to and they are protected from possible harm. EVIDENCE: The complaint forms available contained space on which to record all of the relevant information. It was suggested that it would be useful if this were held together in a file so that complaints could be tracked to make sure that they had all been responded to. The information could also be checked, possible patterns recognised and training needs identified. All of the residents and relatives who replied to the questionnaires said that they had not had to complain but they knew who to complain to if they ever had to. Some of the relatives said they had not seen copies of the complaints procedure. The information was on display on the notice board but the manager was going to move it to the wall by the signing in book so that relatives and other visitors could see it more easily. All staff, including the housekeeping staff, have now had training on protecting adults from abuse. The home has policies and procedures on The Protection of Vulnerable Adults, No Secrets and Whistle Blowing. The Department of Health document and video about adult protection, ‘No Secrets’, are available in the home. The manager ensures that all staff sign to say they have read and understood the adult abuse policy. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 & 26 The quality in this outcome area is excellent. This judgement has been made using available evidence and a visit to the service. Brantwood is very well maintained so that residents live in safe, comfortable and homely surroundings. This, together with the residents’ personalised bedrooms, means it feels like the residents’ own home. EVIDENCE: The home continues to be well maintained, clean and comfortable for the residents. There are a number of communal rooms, such as lounges, dining room and conservatory in which residents can choose to spend the day. All of the rooms used by residents have windows that can be opened for ventilation. The home is centrally heated and thermostatic valves are fitted to the radiators to allow individual control of temperatures in the rooms. All bedrooms radiators are low surface temperature. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 16 There is a small kitchen off the lounge/dining room for residents to use. This contained a microwave and fridge and milk was placed in the fridge daily. Service users live in safe, comfortable bedrooms and are able to have their possessions around them. All bedroom doors have locks but none of the residents spoken with had a key and said that they did not want their key. One resident said, “I don’t see the need for a key, I’d probably only lose it anyway”. Some of the residents had bought furniture and soft furnishings for their room so that they could have it just as they wanted it. One resident said, “It’s like having a small bed-sit, I’ve got my living room end and sleeping end divided off in the room”. One of the rooms visited with a resident had a telephone and she paid the bill for this phone. A number of the bedrooms had been decorated to a high standard and new co-ordinating furniture had been provided. A single storey extension has been added to the home and contains a new bathroom with a bath specially adapted for people with mobility problems as well as a level access shower. The extension also houses a new laundry room with two industrial washing machines and dryers. This is a great improvement on the previous laundry room, which was in the basement of the house. The extension has not taken off much of the back garden, which remains large with a pathway enabling the residents to walk all the way around if they wish. There is also plenty of seating around the garden so residents can use it during good weather. More smoke detectors have been installed in the home and a new contractor will be providing fire awareness training at the home. Emergency lighting is provided throughout the home. There were no offensive odours anywhere in the home on the day of the visit and the cleaning of all areas of the home was done to a high standard. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. There are thorough recruitment procedures for new staff, with training and supervision available for all staff so that residents are cared for by competent, caring staff and are protected from possible harm. EVIDENCE: All staff had signed to say they had read and understood the home’s policies and procedures. The home has experienced difficulties in recruiting staff, including a cook, despite efforts to advertise the vacancies. The manager continues to prepare the meals for residents until a cook can be recruited. Despite the difficulties in recruiting new care staff, the rotas showed that the staffing levels were enough to meet the needs of the residents currently living at the home. It has been necessary for some staff to work split shifts in order to make sure there are enough staff on duty at the busiest times of the day. For example, on one day a member of staff had worked from 7am to 10am and 3pm to 9pm. The manager/co-owner of the home is not included on the rota but provides care as needed throughout the day. Three staff files were checked and showed that a thorough recruitment procedure was being followed with references and CRB checks being obtained. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 18 The manager works alongside new staff for a number of weeks initially as their induction. All staff were working under supervision of the manager at some time as she worked as a carer at least two days of the week. Staff had received training about the type of care needed for the residents at Brantwood. Some of them had worked there for a long time and were clearly competent. Training provided to staff included; continence awareness training, medication training, The Protection Of Vulnerable Adults, fire safety training, and infection control. Three staff are just completing their NVQ Level 2 in care and another member of the staff team will be enrolled onto it for the new term. The training records are held in the individual staff files. Some of these did not have the date that the training took place, which is needed to show when any refresher training is due. It was suggested that a training chart be drawn up to show when staff had received training so it was clear when refresher training would be needed. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The managers’ constant presence around the home together with her consultation with the residents means that the home is being run in their best interests. EVIDENCE: The manager has a good awareness of her role towards both staff and residents. She has maintained her knowledge through additional training and completed the infection control training last year. She works alongside the other care staff at the home, which enables her to supervise them, and continues to prepare the meals for the residents until a new cook can be appointed. This high profile presence around the home is reflected in the residents’ comments when asked about the manager. They all know who she is and feel she is very helpful and kind. Some of the relatives knew the name of the Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 20 manager but were so used to seeing her working around the home they had not realised that she was the manager. All of the residents who replied to the questionnaires said that they have never had cause to complain because if they find something wrong they only have to mention it to the manager and she has it sorted out for them. The manager meets and consults regularly with the residents. She has conducted a quality assurance survey and sent questionnaires out to all residents, their families and professionals who attend the home. The responses to the questionnaires were very positive. There is a form used for staff’s formal supervision for them to identify what they want to discuss but it needs to amended so it is possible to record the discussions that take place and the decisions made. It also needs to cover training needs and should be signed and dated by the staff member and the manager. The manager conducts regular safety checks of the equipment around the home such as emergency lighting, emergency call systems, fire alarm and central heating systems. Specialist equipment such as the stair lift, gas installation, fire safety equipment is checked regularly by qualified contractors. Appropriate equipment was available to enable staff to maintain their own health and safety and that of the residents. This included cleaning fluids, gloves, aprons, hand wash, paper towels and linen and cleaning trolleys. Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 X 11 4 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 4 4 4 X X 4 X 4 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 3 X 3 Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 OP30 Good Practice Recommendations The manager should consider developing chart for easy reference to show when each member of staff received training and when refresher training is due. The staff training records should contain the date that the training took place. The supervision form should be amended so it can be used to record the discussions and decisions that are made. It should also cover staff training needs and be signed and dated by the staff member and the manager. 3 OP36 Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Brantwood Residential Care Home DS0000062465.V310823.R01.S.doc Version 5.2 Page 24 - 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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