Inspection on 08/08/06 for Byron Lodge Care Home

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

Other inspections for this house

Byron Lodge Care Home 31/01/08

Byron Lodge Care Home 29/09/05

Byron Lodge Care Home 14/04/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Byron Lodge Care Home Dryden Road West Melton Rotherham South Yorkshire S63 6EN Lead Inspector Valerie Hoyle Key Unannounced Inspection 09:00 8th August 2006 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 Byron Lodge Care Home DS0000063174.V300464.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. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Byron Lodge Care Home Address Dryden Road West Melton Rotherham South Yorkshire S63 6EN 01709 761280 NONE NONE 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) Florence Mallaband Limited Tracey Anne Cowdell Care Home 61 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (46) of places Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons 60 years of age and above. Date of last inspection 29th September 2005 Brief Description of the Service: Byron Lodge is a registered care home for 61 service users. It is owned by Florence Mallaband Ltd. and managed by Tracey Cowdell Registered General Nurse. The home is situated in the residential area of West Melton, close to all local amenities. The accommodation comprises of single and double bedrooms all of which have en-suite facilities. The home is built on two floors and divided into four units. Shakespeare accommodates residents in need of nursing care. Ruskin provides nursing care for the elderly mental infirm (EMI). Browning and Wordsworth are both residential care units. Qualified nurses provide the necessary care to those with nursing needs, and trained care staff provides care to the residential service users. Information gained on the 8th August 2006 indicates the current fees range from £395 - £420 for residential care and up to £525 for nursing care. Additional charges include hairdressing (£ 3.50 £15), private chiropody (£10) newspapers and outings. The home provides information to service users and their relatives prior to admission into the home. Service Users Guides are available in every service users bedrooms or on request from the manager. The homes statement of Purpose is displayed in the entrance. The last published inspection report is available on request and a copy is available for visitors to read. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over two days, 11.5 hours where a partial inspection of the buildings was undertaken. The inspector examined four service users care plans and supporting documentation. Ten service users and six staff and two nurses were spoken to during the visit. The inspector was able to speak to seven relatives, to gain their views on how the home is run. Staff was observed interacting with residents (service users) in a positive supportive manner, enabling them to participate in daily living skills. Occupancy remains high with 55 of the 61 beds occupied. 36 service users are assessed as needing residential care (28 residential 8 residential EMI) and 19 who have nursing needs (9 nursing 10nursing EMI). The registered manager was present throughout this visit and assisted with the inspection process. What the service does well: The home is well managed ensuring the safety and protection of service users. One relative told the inspector that several new staff were now working at the home but this was not detrimental to the care provided to the residents. The manager confirmed that there was a blend of new staff and staff who had worked at the home for a good length of time. Relatives spoken to throughout this visit spoke positively about the care delivered to service users. One relative said she/he had visited a number of homes before choosing Byron Lodge and felt that the information given prior to admission enabled them to understand what they could expect from the home. Residents spoken to said they liked living at the home, although some said they would like to go out more. Residents said they thought the food was very good with plenty of choice especially liked was the home cooked puddings and pastry. One resident said the cook knew what to provide for his/her special diet. There is a robust complaints procedure, and the registered providers are proactive in their approach to dealing with concerns/complaints. Two complaints have been fully investigated since the last visit and resolved within appropriate timescales. The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. The home Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 6 is clean and free from odours and there is sufficient domestic staffs to maintain good hygiene standards. 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. Byron Lodge Care Home DS0000063174.V300464.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 Byron Lodge Care Home DS0000063174.V300464.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): 3 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The registered manager undertakes an assessment of service users prior to them moving into the home, ensuring their needs can be met. EVIDENCE: Admissions are not made to the home until a full needs assessment has been undertaken. The manager was able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. For people whom are self funding and without a social service assessment the assessment is always undertaken by a skilled and experienced member of staff. Evidence confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the resident. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 9 Four assessment documents were examined and provided sufficient information to ensure care needs can be met by the staff at the home. One resident told the inspector that his/her daughter had visited several homes in the area before making a decision about moving into the home. He/she said he/she had settled although he/she would prefer to still be at home with his/her family. Byron Lodge Care Home DS0000063174.V300464.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 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, including examination of documents and discussion with staff and visitors to the home. The care plans provides staff with sufficient information to ensure they can meet the needs of service users, although some important records need to be fully completed. Arrangements for dealing with service users health issues are adequately met by staff at the home, with support from health professionals. Medication policies and procedures are generally followed, however gaps in the recording of medication administered, poses risk to service users and affects the overall rating for this outcome group. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 11 EVIDENCE: The inspector was able to examine four residents care plans; the plans contained sufficient details, although they could be improved further in areas of evaluation and daily records. The evaluations (reviews) undertaken on a monthly basis were very brief and did not include outcomes for the resident, in some instances they had not been completed each month. One residents care plan indicated that she/he might require food supplements as an outcome of a nutritional assessment, although there was no evidence to indicate where or if supplements had been given. The lack of detail could lead to weight loss for the service user and must be addressed by the manager and staff. Some of the contacts have not been fully completed, in particular risk assessments for the use of cot sides. The inspector also noted that some care plans were not dated and signed by the person completing the details. Residents have access to health care services that meet their assessed needs both within the home and in the local community. Some residents are able to choose their own GP and all have access to dentists, opticians and other community services. Most residents access private chiropody, as the health authority service is often inadequate. One resident said staff had helped him to have a visit from the optician as his/her glasses were old and in poor condition. The resident’s health is monitored and appropriate action taken. The home seeks professional advice on health care issues, acts upon it and is able to provide the aids and equipment recommended. The home has a medication policy which is accessible to staff, medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. However some records showed gaps where staff had not signed to say they had administered the medication, and in some cases staff had signed to say they had administered medication but the medication was still in the blister packs. The findings were discussed with the manager who must ensure procedures are followed. The manager said the pharmacist undertakes periodic checks and the inspector was able to examine the check undertaken in March. The registered manager has decided to reinstate senior carers to administer medication to the residents on the two residential units. Staff have undertaken the appropriate training and have been supervised to undertake this task. The registered manager should continue to review and supervise this practise to ensure the procedures are followed and residents are safe. Throughout this visit staff were seen interacting with service users in a kind manner, they spent time talking to service users and were observed knocking on bedroom doors before entering. All service users were referred to by their first name and this was agreed in the care plans examined. Residents spoken to say staff were kind and one resident spoke fondly about one member of Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 12 staff in particular who always treated him/her with respect attending to the small things that matter while living at the home. Seven relatives spoken to during this visit spoke positively about the home, two said they had visited several homes prior to choosing Byron Lodge and they were happy with the care provided. Two relatives did say that there appeared to have been a lot of changes in the staff team although this did not seem to affect the continuity of care provided. Byron Lodge Care Home DS0000063174.V300464.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 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. The judgement has been made using available evidence including a visit to this service. Social activities are arranged by the home and service users are able to participate if they wish, to enhance their lifestyle experience. Mealtimes are well managed and the facilities promote a calm environment with dining areas to accommodate all service users. Service users are encouraged to make choices and control over their own lives. The home has clear visiting policies and procedures to ensure residents can maintain contact with their family and friends. EVIDENCE: There is a lively atmosphere at the home and service users choose where and with whom they want to spend their time. An activity co-ordinator has responsibility to organise entertainment for service users including shopping trips and craftwork. There is a notice board displaying some of the more recent events including visits by two local churches. The manager said that several trips had taken place including local garden centres, parks and pubs for lunch. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 14 There is evidence that the mobile library visits with large print books, and several residents have daily newspapers and magazines. Residents said they enjoy visits from ‘Lost Chord’ and bingo evenings. During the hot weather residents have enjoyed sitting in the secure garden where raised flower tubs provide lots of scented plants for them to look at and smell. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the resident. Service users can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. Visitors spoken to during this visit made very positive comments about the home and the staff team. One visitor said she/he was always made to feel welcome and offered a drink. Another visitor said staff were always available to pass on any information about the care of their relative. The food in the home is of good quality, well presented and meets the dietary needs of residents. The cooks are experienced, and they consult with residents and tries to meet the preferences and suggested dishes when preparing the menu. Menus were examined and appear to be well balanced, including seasonal fruits and vegetables. Staff are trained to help those service users who need help when eating and are sensitive in their approach. Breakfast and lunch was observed during this visit. Residents sat chatting after finishing their meal while waiting for assistance from staff. Residents spoken to say the food was very nice with lots of home cooked food. One resident said the cook knew what foods he/she liked and helped to keep his/her diet on track. Byron Lodge Care Home DS0000063174.V300464.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, and examination of documents. Service users and their relatives are provided information to enable them the raise concerns about the home and their care. Adult protection Policies, procedures are followed to ensure the protection of service users from abuse, although training records indicate staff require training in this area. EVIDENCE: The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. It can be made available in a number of formats (on request) to enable anyone associated with the service to complain or make suggestions for improvement. The complaints procedure is widely distributed, and has a high profile within the service. Guests and others associated with the home demonstrate a good understanding of how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. Unless there are exceptional circumstances the service always responds within the agreed timescale. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 16 Two complaints have been investigated by the registered providers since the last inspection, and have been successfully resolved. The inspector was able to examine all investigation records and letters to the complainants. The policies and procedures regarding protection of guests are of a good quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding when incidents should be reported. Examination of training records indicates staff still requires training in the area of the protection of vulnerable adults. This must be arranged within the dates specified in this report. Byron Lodge Care Home DS0000063174.V300464.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, including a partial tour of the building. The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. The home is clean and free from odours and there is sufficient domestic staffs to maintain good hygiene standards. EVIDENCE: The registered providers continue to make improvement to the fabrics and furnishings at the home. One of the four dining areas has been redecorated to enhance the area for service users. Bedrooms are decorated and new soft furnishings are purchased before new service users are admitted into the room. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 18 The home is situated close to local amenities of West Melton. There is a small secure garden with flower tubs herb garden and seating to enable service users to sit out in fine weather. The home was clean and free from offensive odours and service users said that their bedroom was always kept clean and tidy. The domestic staff are commended for their efforts in maintaining the cleanliness of the home. Byron Lodge Care Home DS0000063174.V300464.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, and interviews with staff. Staff have the skills and knowledge to fulfil their roles within the home, although some outstanding training must be addressed. There is a staff group, which ensures continuity of care by staff that knows the service users. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: The staff rotas were examined and there appeared to be sufficient staff on each unit to meet the needs of residents. Sufficient nurses are employed to work on the two first floor units and senior carers take lead responsibility for the two residential units. There have been a number of staff changes since the last inspection, although there remains some staff that have worked at the home for a number of years. Sickness levels are still a concern for the manager and registered providers, although the use of bank and agency staff ensures levels are maintained. The registered providers recognises the importance of training, and delivers where possible a programme that meets any statutory requirements. There are still some areas, which need attention. Staff must receive training in health Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 20 and safety and adult protection training, as this remains outstanding from the previous report. The service is also able to recognise when additional training is needed, and attempts to plan over time to provide this training. Staff do not meet the requirement of 50 NVQ qualified staff. A number of staff are working towards the award and a few staff are waiting commence the qualification in the near future. The service has a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of residents. Six new staff have been employed at the home, and their recruitment files were examined and contained all the necessary employment checks including references and CRB checks. There is a good induction programme and the inspector was able to examine two completed induction workbooks. Examination of nurses PIN and qualifications confirmed that the nursing needs of service users are met. Byron Lodge Care Home DS0000063174.V300464.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, and interviews with staff. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. The registered provider has developed methods to actively seek the views of service users. Procedures are in place to ensure the financial interests of service users are safeguarded. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home. She works to continuously improve services and provide an Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 22 increased quality of life for service users. The manager has completed the NVQ Level 4 Award and continues to develop her own knowledge by attending internal courses. She has recently completed a 6-week Rehab and Recovery course to enhance her knowledge of mental health. There is a strong ethos of being open and transparent in all areas of running of the home. Residents/relatives meetings are used to gain the views of service users, including suggestions for menus and activity programme. Annual quality surveys are used to formally gain the views of residents and the registered providers collate the data. The last residents quality surveys was undertaken in May 2006 and the results were displayed in the entrance. Residents said the food was very good, and the rooms were clean and tidy. Fourteen of the fifteen who responded said the manager was approachable and they felt that the care provided was good. The residents are surveys twice a year and other stakeholders including GP’s, district nurses and social workers are sent a survey once a year. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. Service users are able to manage their own finances, although most prefer the manager to assist with dealing with their personal allowances. A number of service users pocket money records were checked and these were accurate. Byron Lodge Care Home DS0000063174.V300464.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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 X X 3 Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP7 Regulation 15 Requirement The registered manager must ensure that care plans reflect up to date needs of service users and reviewed as stated in the homes policies and procedures. The registered manager must ensure risk assessments are signed and dated. Daily notes and evaluation records must have sufficient detail to enable care plans to be effectively reviewed. The registered manager must ensure that staff sign medication administration record correctly including the appropriate use of the code system The registered manager must ensure that staff receive training in the protection of vulnerable adults (timescale 01/02/06 not met) The registered manager must ensure that staff receive health and safety training Timescale for action 01/10/06 2. OP9 13 01/09/06 3. OP30 18 01/10/06 4. OP30 18 01/10/06 Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP28 Good Practice Recommendations To continue to implement the training programme, to ensure that 50 of the staff have an NVQ qualification. Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Byron Lodge Care Home DS0000063174.V300464.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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