Inspection on 16/05/05 for Ca Na Gardens

This inspection was carried out on 16th May 2005.

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

Ca Na Gardens 17/11/09

Ca Na Gardens 28/04/09

Ca Na Gardens 18/12/08

Ca Na Gardens 27/11/08

Ca Na Gardens 29/04/08

Ca Na Gardens 23/05/07

Ca Na Gardens 23/05/06

Ca Na Gardens 19/09/05

Ca Na Gardens 08/10/04

Ca Na Gardens 07/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Ca Na Gardens 174 Scraptoft Lane Leicester Leicestershire LE5 1HX Lead Inspector Keith Charlton Unannounced 16 May 2005 at 3.30pm 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ca Na Gardens Address 174 Scraptoft Lane Leicester Leicestershire LE5 1HX 0116 2413337 Hamra Associates Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Ray McLaughlan Care Home 8 Category(ies) of LD Learning Disabilities - 8 registration, with number of places Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8/10/2004 Brief Description of the Service: Ca Na Gardens is a detached home set in a residential area. The home has access to a variety of local community facilities, including a large supermarket.The home is registered for eight people with a Learning Disability. The home offers accommodation on both ground and first floor, which includes a large lounge and a separate lounge/dining area both with patio doors leading onto the rear garden. The home has a very large garden with mature planting, which is accessed and used by service users.The home offers seven bedrooms, six single and one shared. Bedrooms are located on the ground and first floor. The home has a shower room and separate toilet on the ground floor, and a bathroom incorporating a bath and shower on the first floor, and a separate toilet. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection. The Registered Manager was present on the first inspection day. The Home’s Deputy Manager was present for the second day. Planning for the Inspection included reading the Pre-Inspection Questionnaire completed by the Manager and the 5 Comment Cards returned by residents and their families. The Inspection took place between 15.00 and 18.20 and included a tour of the building, inspection of records and direct and indirect observation of care practices. The Inspector spoke with three residents, two members of staff, the Registered Manager and the Deputy Manager. Only two residents are able to communicate in any depth as the majority have speech disabilities. The Inspector completed the Inspection on 2/06/05. What the service does well: Relationships between service users and staff appear positive. A care plan had detailed information as to a resident’s diet in terms of gluten intolerance and the staff spoken to were aware of this and acted upon it. Detailed information on a service user’s health condition and how to communicate with her was available to staff. The Registered Manager tries to ensure that service user bedrooms are personalised and homely. The Registered Manager looks generally clean and tidy. The large garden is available to service user and there is a trampoline for them to use if they want to. Service users can help with domestic tasks if they wish. Service users like the food provided. The Registered Manager organises annual holidays for service users which they look forward to. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: To ensure that all Requirements stated in Inspection Reports are met within stated timescales so that service users are provided with best care. If tasks are passed on to the Deputy Manager then the Registered Manager needs to ensure that they are done. To ensure the Registered Manager works a minimum number of hours. To ensure that the Home’s Statement of Purpose contains essential information for service users and their families. To ensure that service users care plans are frequently reviewed and are detailed, and that staff have read all service users care plans, to ensure consistent and best care. It is strongly recommended that Management attend training on compiling Care Plans. The Registered Manager still needs to review how to include interested service users in staff interviews, Management Meetings, Staff Meetings etc. To ensure that medication procedures are as detailed as possible to assist staff in carrying out consistent practice, e.g. issuing and recording of medication and the return of unused medication. To make sure all staff know the procedure for alerting outside Authorities if abuse is suspected or alleged. To ensure that water temperatures do not have the potential to scald service users. To make sure that maintenance is swiftly attended to – décor, stained carpets and outside window painting. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 7 To ensure that all staff are aware of the full fire procedure and that the fire risk assessment is detailed, e.g. maintenance and training programmes. To make sure that staff records have all essential issues – copies of passport and birth certificate, to ensure proper Identification to protect service users. 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. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 Information to service users and their representatives needs to be more thorough and staff need training in service users assessed conditions to ensure best and consistent care. EVIDENCE: Regarding the Home’s Statement of Purpose the Registered Provider has this document and the Service User Guide, which contains information about the Home’s services but still needs to include other required information, e.g. to outline the experience/qualifications of the staff and the views of service users /representatives, the number and sizes of rooms, a clear Complaints Procedure and a statement as to how to ensure that service users privacy and dignity are maintained. Service users have a number of conditions, e.g. autism, psychosis, celebal palsy with paralysis, anaemia etc. Staff training needs to take place as to these issues to ensure consistency of approach and staff confidence in handling these issues. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 Care plans need to be as detailed as possible and be reviewed frequently so that staff can provide appropriate and consistent care. EVIDENCE: All service users have a care plan. The Deputy Manager recognised that Care plans still need to be more detailed e.g. they need to include issues agreed at the last review and they need to have regular reviews ( one resident did not have a Review since 9/7/04 – the required frequency is every 6 months). Care Plans need to detail the faith needs of service users, record service users goals and aspirations for achievement, and state their choice of lifestyle - hobbies and interests etc, any restrictions on choice (e.g. diet, encouragement regarding personal hygiene and any restrictions on freedom to be incorporated into the care plan, identified areas of risk to be assessed etc). A care plan had detailed information as to a resident’s diet in terms of gluten intolerance and the staff spoken to were aware of this and acted upon it. This was observed regarding meal preparation as this person had a separate meal prepared. This is commended. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 11 Staff said they had not read all the service user’s care plans – this needs to be carried out as they are working documents. The two residents able to communicate said they were happy with living in the Home and they were asked what food they wanted and where to go on holiday. Restrictions on choice and freedom need to be recorded and agreed with service users within the care plan – e.g. diet for 1 service user, smoking for another service user – e.g. agrees to have fruit and ice cream, low sugar cakes and desserts instead of normal desserts, chocolates etc, There was again a discussion regarding how service users involvement can be further extended by the Home – to include interested service users/relatives/representatives (as there are only 2 service users who can communicate effectively) in staff interviews, Management Meetings, Staff Meetings etc. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15,16 Service users are assisted by the staff to lead fulfilling lives and engage in activities that they enjoy. EVIDENCE: Service users residing at Ca Na Gardens attend various day care and college facilities. Day care arrangements have recently changed as part of the Local Authority programme so residents are presently finding their feet. Service users also attend a variety of activities and social events in the evenings and at weekends, which are supported by care staff. Service users spoken to liked these activities. Service users have an annual holiday, which they always speak of enthusiastically. The Home’s Newsletter welcomes ideas for future holiday venues, either in Britain or abroad. Service users spoke positively about the meals offered, which reflect the ethnic culture of service users residing at the home. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 13 The Manager said that meals were dependant on residents choices, though families are also consulted as to cultural and religious appropriate meals. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20,21 Medication and health needs appear to be generally covered by the staff. The medication procedures need to be extended to ensure consistent staff practice. EVIDENCE: Medication recording was inspected and found to be satisfactory. The policy and procedure for medication have been improved but still does not include some important details – issuing and recording of medication, return of medication etc. All staff responsible for the administration of medication have now received training except 1 staff - the Deputy Manager stated does not issue medication. The Registered Provider has taken steps to ascertain residents wishes regarding terminal care - this was detailed in the Home’s newsletter (which is provided to residents and their families). Service users receive health care as required, with service users being registered with a local doctor. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The Registered Manager needs to ensure that staff are aware of the full whistle blowing procedure so as to be able to respond to situations of abuse. The complaints procedure needs amendment so that complainants can go directly to the Commission for Social Care Inspection. EVIDENCE: Two staff were asked about the whistle blowing procedure. One staff was nearly aware of all the steps to take if abuse is suspected or alleged. The other staff member was not aware, having received no training since starting work six months ago. Staff training is needed so that all staff are aware of the full procedure. The Deputy Manager is to write out a simple procedure for staff to follow so that service users are protected if this situation arises. The complaints procedure needs to state that complainants can go directly to the Commission for Social Care Inspection if they choose, rather than to the Registered Manager, as this was stated in the Terms and Conditions on one service user’s file. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 Maintenance issues need to be addressed as they arise. Service users bedrooms were personalised and appeared homely. EVIDENCE: Residents bedrooms were looked at. One bedroom contained appropriate Hindu cultural and religious possessions. Ca Na Gardens meets the National Minimum Standards with regards to room sizes and bathing facilities. There were a number of maintenance issues identified as outstanding: Window putty is flaking off and needs replacing. This now needs to occur as it was outstanding from previous inspections. The front door frame needed painting as did a section of the front house wall. The ground floor shower room skirting and shower base and a ground floor bedroom also needed painting. There were stained carpets to the corridor area outside the shower room and in the first floor double room which the Deputy Manager said would be cleaned within seven days. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 17 There were still some gaps in the Fire Risk Assessment, e.g. no training or maintenance plan was included which the Deputy Manager is to link with existing records so that all sections of the Fire Risk Assessment are completed to ensure proper practice and service user protection. The water temperature for the first floor bath was measured at 48c then reduced down to 45.8. Water temperatures must be kept to a safe level (the National Standard is close to 43c) – this was attended to. An Immediate Requirements Notice was issued to rectify this potential scalding and the Deputy Manager rang to state that this had been attended to and he would remind staff to regularly test water when he was on annual leave. Radiator covers have been installed to protect residents from scalding. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35 Staff behaviour towards service users appeared friendly and helpful. Staffing levels must always be maintained. Staff recruitment must ensure proper identification to protect the welfare of service users. EVIDENCE: Staff were seen to be friendly and helpful. The Registered Provider generally meets the required staffing levels. As 2 service users need 1 to 1 attention the Registered Manager ensures there are 3 staff on duty for early morning/late evening periods and at weekends. The Registered Manager said on the odd occasion due to staff sickness there were only 2 staff on duty. The Commission for Social Care Inspection is of the view this cannot reduce to 2 staff, as there are service users with significant challenging behaviours as recognised in their care plans. The staff rota w/b 2/5/05 was inspected and the Registered Manager worked 22 hours, 8 below the expected level. This needs to be rectified. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 19 Staff records showed that references were not always sought from the last employer and 2 references from friends had instead been accepted. This is not independent and does not protect service users. Records did not show that staff had the required ID – no birth certificates, passports or similar. These issues need to be dealt with. Six staff are nearing completion of their National Vocational Qualification level 2 training courses. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40,42 The Registered Manager’s policies need to be read by staff to ensure consistent practice. Risk Assessments on all safe working practices need to be complete to ensure service users protection. EVIDENCE: Staff attend staff meetings and participate in supervision sessions. The Registered Manager stated that policies and procedures continue to be redeveloped and reviewed by the Registered Manager, records are kept within the home, and are available to service users and staff as needed. Staff said they had read some of the policies and procedures. The Registered Manager said that at staff meeting these are gone through. However this method will mean that it could take two years or more before staff are aware of them. Staff need to be directed to read all within a much shorter period. The homes registration certificate was on display in the home along with a certificate of insurance. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 21 Staff, despite previous training, did not know the full fire procedure. The Registered Manager stated that staff would again be trained and tested on this. The Deputy Manager has carried out risk assessments for safe working practices (e.g. policies and procedures for trampoline safety) and these are to be further developed according to him. Risk assessments on window restrictors had been carried out and were identified as currently needed for 1st floor windows – this has now been carried out. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x 2 x x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 3 x Standard No 31 32 33 34 35 36 Score x x 2 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ca Na Gardens Score 3 x 2 3 Standard No 37 38 39 40 41 42 43 Score x x x 2 x 2 x C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 23 Yes Are there any outstanding requirements from the last inspection? 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 1 Regulation 1 Requirement Timescale for action 1/8/05 2. 3 14 3. 6 14 The Manager needs to add to the service users guide, outline the experience/qualifications of the staff and the views of service users /representatives, the number and sizes of rooms, add a clear Complaints Procedure procedure and a statement as to how to ensure that service users privacy and dignity are maintained (this requirement was outstanding from the previous inspection). Staff training needs to take place 1/10/05 on all health conditions that have as to this issue to ensure consistency of approach, e.g. psychotic illness, celebal palsy etc (this requirement was outstanding from the previous inspection). Care plans need to be more 1/9/05 detailed e.g. detail faith needs, recording service users goals and aspirations for achievement, and stating their choice of lifestyle hobbies and interests, restrictions on choice and freedom, areas of risk to be assessed and be part of the care plan. Care plans need to be C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Ca Na Gardens Page 24 4. 7 15 5. 20 12 6. 22 22 7. 23 19 8. 24 23 reviewed at six monthly intervals. Staff need to read and follow all service users Care Plans (this requirement was outstanding from the previous inspection). Restrictions on choice and freedom need to be recorded and agreed with service users within the care plan – e.g. diet for 1 service user, smoking and encouragement to mix socially and attend to personal hygiene for another service user etc (this requirement was outstanding from the previous inspection). The policies and procedures for medication need to be updated to cover all aspects of medication administration (this requirement was outstanding from the previous inspection).. The complaints procedure needs to state that complainants can go directly to the Commission for Social Care Inspection if they choose, rather than to the Manager, as this was stated in the Terms and Conditions on one service user’s file (this requirement was outstanding from the previous inspection). Further staff training is needed so that all staff are aware of the full whistle blowing procedure (this requirement was outstanding from the previous inspection). Window putty is flaking off and needs replacing. This now needs to occur as it was outstanding from previous inspections. The front door frame needed painting as did a section of the front house wall. The ground floor shower room skirting and shower base, and a residents bedroom also needed painting. C51 S6360 Ca Na Gardens V226538 160505.doc 1/8/05 1/8/05 1/8/05 1/7/05 1/9/05 Ca Na Gardens Version 1.30 Page 25 9. 10. 11. 12. 33 34 40 42 18 19 19 23 There were stained carpets to the corridor area outside the shower room and in the first floor double room which the Deputy Manager said would be cleaned within seven days. There were still some gaps in the Fire Risk Assessment, e.g. no training or maintenance plan was included. All sections of the Fire Risk Assessment need to be linked to existing records to ensure proper practice and service user protection. The water temperature for the first floor bath was measured at 48c then reduced down to 45.8. Water temperatures must be kept to a safe level (the National Standard is close to 43c) – this was subsequently attended to (this requirement was outstanding from the previous inspection). The Registered Manager needs to work a minimum number of hours per week. Staff need to have sufficient identification to be able to work in the Home. Staff need to have read the Homes policies and procedures. The Manager needs to complete all risk assessments on safe working practices and ensure that staff are aware of the full fire safety procedure. Immediate effect 1/7/05 1/9/05 1/8/05 13. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 26 Ca Na Gardens 1. 2. 6 8 It is strongly recommended that a member of senior management undertake training into setting up comprehensive care plans. The Registered Manager needs to review how to include interested service users in staff interviews, Management Meetings, Staff Meetings etc. Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 27 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE18 1SX 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 Ca Na Gardens C51 S6360 Ca Na Gardens V226538 160505.doc Version 1.30 Page 28 - 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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