Inspection on 16/09/05 for Charnwood

This inspection was carried out on 16th September 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

Charnwood 23/04/07

Charnwood 10/08/06

Charnwood 18/01/06

Charnwood 07/01/05

Charnwood 03/08/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Charnwood Charnwood 7 Finchfield Road Finchfield Wolverhampton West Midlands WV3 9LS Lead Inspector Bhag Jassal Unannounced Inspection 16/09/05 10.00 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 Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 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. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Charnwood Address Charnwood 7 Finchfield Road Finchfield Wolverhampton West Midlands WV3 9LS 01902 424579 01902 565522 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) Caram (CHWD) Ltd Mrs Krishna Devi Ram Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th January 2005 Brief Description of the Service: The home is a large, detached property, which is approximately 77 years old. The home is situated in a pleasant residential area and overlooks Bantock park. There is easy access to all the local amenities. The home accommodates 19 service users in single bedrooms. Nine of the bedrooms have en-suite facilities. There are three separated sitting rooms and a dining room. There are pleasant gardens at the rear of the building. There are adequate bathrooms/showers and WCs facilities. There is a kitchen, laundry room and an office. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.00 am and lasted 7 hours. 17 places were occupied and two beds remain vacant. The inspection included discussions with the Registered Manager, staff, service users and their relatives and friends. The daily routines were observed and service users and staff records and policies and procedures were examined. The inspection of premises both inside and outside and facilities were also undertaken. What the service does well: What has improved since the last inspection? Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 6 The home has implemented its training plan. All carers with the exception of two carers have completed their training in safe handling of medication. A majority of staff have completed their training in safe working practice topics. Ten carers have completed their NVQ Level 2 training and three carers also completed their NVQ Level 3 training and four carers are currently undertaking this mode of training. All members of staff have been CRB and POVA checked. The home continued to provide a range of social and leisure activities both inhouse and outside entertainers. The home continued to redecorate bedrooms and where needed carpets have been replaced and/or professionally cleaned. Safe working systems were well maintained 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. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 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 Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 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, 5 and 6 The home has a good admission procedure providing effective needs assessment and suitability evaluation for both privately funded service users and those placed by the Local Authorities. EVIDENCE: A sample of three service users’ care plans and files were seen at the inspection. All contained evidence that the service users receive the benefit of a comprehensive assessment prior to admission. The Registered Manager also carryout assessments and these details are documented on care plans, which are drawn up by the senior staff with the assistance from the service users and their relatives and where appropriate other professionals. There was evidence to show that all service users have been provided with contracts. The home has a very good admission procedure, which is made available to all prospective service users and their relatives and representatives. The home does not offer an intermediate care service. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 9 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 and 10 The staff within the home is aware and sensitive to the needs of each and al service users and meet their needs in a professional manner. There is a clear and consistent care planning system in place, which provides the information the staff require to meet the service users’ health and care needs. EVIDENCE: It was evidenced that all the service users undergo a comprehensive assessment of their needs prior to admission to the home. A care plan is produced, which is based on the assessment of needs. The home operates a key worker system, which helps to ensure that the recommendations arising from the care plans and reviews are implemented. Three service users’ care plans were examined and these were kept up to date and reviewed on a monthly basis. The daily care recording formats were also examined and it was noted that the quality and details of recording need further improvement. The Registered Manager stated that the staff would be asked to make further improvements in care recordings. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 10 The home also ensures that nutritional screening is undertaken, including weight gain and loss records are maintained and appropriate action is taken if required. Case tracking demonstrated an effective review process together with the home’s ability to meet the changing needs as they occur. The service users’ health is closely monitored and appropriate medical care services are sought as and when required. It was observed on the day of inspection that no personal care interventions were taken in communal areas. In addition, consultation with health and social care professionals are carried out in the service users’ bedrooms. The Inspector spoke at some length with ten service users and all of them commented positively about their care and they felt that they have been provided with everything they need. Five several service users stated that “the carers are hard working and they look after us very well”. Three service users said “the carers are always there to help and they are very kind”. The service users also stated “the home is always warm and comfortable”. The Registered Manager stated that all carers with the exception of two carers have completed their training in safe handling of medication. These two members of staff would also be enrolled shortly to complete this mode of training. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 11 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 and 15 Charnwood care home provides a good quality of care and promotes individual lifestyles for service users in residence. The service users maintain contacts where they wish with their family members, friends and local community. Meals at Charnwood are of good quality and homely type offering both choice and variety and catering for special needs. EVIDENCE: It was evidenced that the home provides an activities programme in accordance with the service users’ choice, preferences and capacities in relation to – for example, social and leisure activities and cultural interests. Records of activities enjoyed by the service users are maintained. All service users spoken to stated that they are in touch regularly with their friends and family members, and spoke about their visitors’ involvement and interest in their daily care matters. The visitors’ book in the home showed a considerable activity. The relatives of four service users stated that they visit the home at various times of the day as they wish. All the relatives and friends who spoke to the Inspector said they are given warm and friendly welcome by the staff Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 12 whenever they visit. The service users also keep contacts with the local community – for example, church service, shops, pubs and park. It was evidenced that the home provided a varied, wholesome, and nutritious diet. The meals provided during lunchtime on the day of inspection were well received by the service users. The Registered Manager stated that the menu is changed on a regular basis and in consultation with the service users. Several service users told the Inspector that the food was very nice, tasty and well cooked. Several other service users also stated that the food was very good offering a good variety. The catering staff is well trained in food safety and hygiene matters. The kitchen is well equipped and kept clean and tidy. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 13 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 and 18 Concerns and complaints are dealt with promptly and professionally. The service users are protected from abuse by the home’s policies and procedures. The arrangements for the protection of service users from abuse are satisfactory. EVIDENCE: The home has very good Complaints Procedure, which is referred to for information in the home’s Service Users’ Guide and in the Statement of Purpose for the home. There is a system of recording concerns and complaints. However, it was noted that there were no complaints in the home and none directed to the Commission for Social Care Inspection (CSCI). All service users spoken with were happy with the life at the home. They said they knew whom they could speak to if they were worried about anything. The home has a policy and procedures in place with regard to the protection of service users from abuse. The Registered manager stated that the staff has been made aware of the adult abuse and protection issues through induction training and four members of staff also have completed training on these issues. The Registered Manager stated that the remaining members of staff would receive this training shortly. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 14 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, 22, 25 AND 26 The general standard of the environment is very good providing service users with a homely and safe place to live. The good standard of cleanliness reflects the ongoing cleaning schedule, which maintains this standard throughout the home. EVIDENCE: The home offers a comfortable and well-maintained environment to all service users. The home has adequate communal space for the use of service users currently accommodated. There are two separate lounges and a dining room and a small lounge, which is used by visitors or by staff. The home is safe and suitable for its current stated purpose. The home has an ongoing rolling programme of redecoration to maintain good standard. The garden and patio areas are well maintained for the use of service users. The Registered Manager stated that all the requirements and recommendations contained in the recent inspection reports of the Fire Safety Officer and the Environmental Health Officer have been appropriately implemented. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 15 The home has carried out a risk assessment of the premises and facilities by a qualified Occupational Therapist and a report was made available for inspection. The home has also installed a loop system for the use of service users. The home has provided suitable aids and adaptations in the home to meet the general and specific needs of service users. There is good standard of furniture and fittings provided in the service users’ bedrooms. It was noted that the bedrooms have been personalised by the service users. The level of lighting throughout the home was adequate and central heating system was working well. The Registered Manager must ensure that the portable electrical heater is removed from bedroom 2 as this could pose safety risk for the service user. Hot water outlets in the service users bedrooms and communal areas are fitted with thermostatically controlled mixer valves. The hot water temperature is tested on a weekly basis and appropriate records maintained. However, the hot water temperature was tested during the inspection and it was noted that the temperature varied from 36 - 55 Degrees C in several bedrooms on both floors and the reading in the bathroom on the ground floor was 46 Degrees C. The Registered Providers must ensure that the hot water temperature in all the outlets is maintained close to 43 Degrees C in the interest of safety of service users and staff. During the day of inspection, the home was found to be clean and tidy and free from unpleasant odours. The home has good policies and procedures in place regarding infection control. The Registered Manager stated that all staff is made aware of the dangers of cross-infection. It was evidenced that six members of staff have received training in infection control and the remaining members of staff, who as yet not received this training must do so as a matter of priority. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 16 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 and 30 The home is now adequately staffed, which ensures the quality of care provided, and the ability of the home to meet the needs of the service users. The home continues to support staff to complete training. The home has good staff recruitment policies and procedures. EVIDENCE: On the basis of information provided by the Registered Manager and the available staff rotas showed that the home is now adequately staffed to provide care for the current 17 service users. However, during the Inspector’s meeting with the staff on duty, they stated that they are hard pressed and “pushed” at peak times or busiest times of the day. It was also stated that on the days when Mrs Krishna Ram - the Registered Manager is on duty, then there are only two carers on the floor covering care duties. The staff also stated that Mrs Ram does not work on the floor (as she have to cover her office work) and thus it is left with two carers to undertake caring duties for presently 17 service users. In addition, the carers are expected to cover laundry daily duties and cleaning duties at the weekends. The one of the three carers on duty on the afternoon shift is also have to cover catering duties during teatimes. On the day of inspection, there were 17 service users accommodated with varying degrees of dependency levels and needs. In addition, the Registered Manager stated that there is one vacant post of part-time carer (20 hours per Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 17 week). Mrs Ram stated that she is currently in the process of filling this vacant post. She also accepted that during the past few weeks the home has experienced some staffing problems, which are now being addressed as a matter of priority. The Registered Providers must ensure that there are minimum of two carers and a senior carer on duty throughout the day (i.e. mornings and afternoon shifts) and sufficient numbers of ancillary staff to adequately cover laundry, domestic duties throughout the week and catering duties in the evenings throughout the week. The Registered Manager’s hours are in addition to the above staff hours and should be considered supernumerary to allow her to manage the home effectively and efficiently. The hours worked by the Registered Manager must be included on the staff duty rotas at all times. The Registered Providers must ensure that the current vacant post of part-time carer (20 hours per week) must be filled as a matter of priority. It was evidenced from the staff training records that ten carers have completed their NVQ Level 2 training and three carers completed their NVQ Level 3 training. There are four carers who are currently undertaking their NVQ Level 2 training and the remaining carers would also be receiving this training shortly, subject to availability of places. The Registered Manager stated that all new members of staff now receive the TOPSS Induction and Foundation training. The home has good staff training programme in place. It was evidenced that majority of staff has completed the safe working practice topics training. However, those members of staff who as yet not received this mode of training must do so as a matter of priority. It was also noted that some members of staff has undertaken some specialist courses, for example, dementia care and foot care. The Registered Providers should also consider providing specialist training in Adult Protection from Abuse, management of challenging behaviours and disability awareness. Discussion with the registered Manager and examination of the most recently recruited staff files demonstrated that thorough recruitment procedures had been followed in line with the home’s recruitment policy. Two written references and enhanced CRB and POVA checks are being undertaken before new staff actually commences their duty. The Registered Manager and the Registered Provider are aware of that any member of staff with criminal records would not be employed in accordance with the Department Of Health Guidance issued in July 2004. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 18 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 and 38 The home is managed by an experienced Registered Manager, who lead the group of staff with a great deal of confidence. The staff is clear of their roles and responsibilities. Good systems of communication are in place to seek views of the service users and their families and friends. Service users’ monies are appropriately handled by the Registered Manager. The staff is regularly supervised to enable them to carryout their work professionally. Health, safety and welfare of service users and staff are promoted by safe working systems put in place by the Registered Manager and the Registered Provider. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 19 EVIDENCE: The Registered Manager has completed her NVQ Level 4 in care and management. Mrs Ram is an experienced Manager and she is making good progress in enhancing good quality of care for service users currently in her care. The home has quality assurance system in place. The Registered Manager stated that she is to undertake the annual review of the home’s quality assurance annual plan (for the year 2005), which would be completed in December 2005. It was also noted that the Registered Manager is to obtain feedback from other stakeholders (e.g. professionals who visit the home) and to provide written report on the outcome of this review. The home has good financial procedures in place. The Registered Manager stated that she assists a number of service users with their money. There is a safe in the home for storage of money and valuable. A sample of three service users’ money was checked and found to be generally satisfactory. However, there was one small discrepancy highlighted in one of the service users’ money whereby £20.00 was wrongly misplaced by a senior carer from the money packet. The Registered Manager undertook to speak to senior members of staff about this matter and will ensure that all monies are accurately checked and put into the money packets and properly sealed at all times. Mrs Ram also stated that now she would check the money belonging to all the remaining service users. Subsequent to the inspection, Mrs Ram checked all the service users’ money packets and the misplaced £20.00 were found to be in one of the other service user’s money packet. £20.00 was put back into the relevant service user’ money packet. The CSCI office was informed of this matter on 16 September 2005. It was evidenced that not all members of staff received their required numbers of formal supervision meetings. The Registered Manager stated that due to the recent staffing problems experienced in the home, this area of activity had lapsed, but now would be fully implemented. It was also noted that there has been no full and formal staff meeting held since March 2005. Accidents and fire prevention records were examined, which found to be appropriately maintained. However, it was noted from the Accidents Book that the home did not notify all of the accidents in accordance with Regulation 37 of the Care Homes Regulations 2001. Matters pertaining to fire safety and environmental health were found to be satisfactory and all the issues were appropriately addressed. However, the Registered Providers must ensure that the self-closure devices on the bedroom doors and inter-connecting doors are regularly checked and adjusted Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 20 appropriately in order to ensure that these doors actually close to their rebate. All those members of staff who as yet not received training in safe working practice topics must do so as a matter of priority. (See NMS 30 above). Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 2 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP24 Regulation 13 Requirement The Registered Manager must ensure that the portable electrical heater is removed from bedroom 2 as this poses a high safety risk to the service user. The Registered Providers must ensure that the required hot water temperature level (i.e. close to 43 Degrees C) must be maintained in all hot water outlets at all times. The Registered Providers must ensure that the vacant post of a part-time carer (20 hours per week) is filled as a matter of priority. The Registered Providers must ensure that there are minimum of two carers and a senior carer on duty throughout the day, and sufficient numbers of ancillary staff to adequately cover laundry, cleaning and cooking duties throughout the week for 19 service users with varying degrees of dependency levels and need and accommodated on two floors. The Registered Manager’s hours are in addition DS0000020883.V250785.R01.S.doc Timescale for action 16/09/05 2 OP25 13 20/09/05 3 OP27 18 30/09/05 4 OP27 18 09/12/05 Charnwood Version 5.0 Page 23 5 OP30 12,13 & 18 6 OP33 24 7 OP36 18 8 OP38 23 & 37 to the above staff hours and should always be considered supernumerary to allow the Manager to manage the home effectively and efficiently. The hours worked by the Registered Manager must also be included on the staff duty rotas at all times. The Registered Providers must ensure that those members of staff who as yet not received training in safe working practice topics must do so as a matter of priority. The Registered Manager must ensure that the home’s annual Quality Assurance development plan is fully implemented for the year 2005. The report on the outcome of the feedback from all the stakeholders must be made available in the home and to the CSCI. The Registered Manager must ensure that all members of staff receive their formal supervision at least six times a year and all records appropriately maintained. The Registered Manager must ensure that all doors, including inter-connecting doors closure devices must be checked on a regular basis to ensure that they actually closes to doors rebate; and to ensure all accidents that occurs in the care home, the CSCI must be notified orally and then confirmed in writing without delay of the occurrence. 16/10/05 15/12/05 30/11/05 20/09/05 Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 24 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 Registered Providers should consider providing training for staff in Dementia Care, Management of Challenging Behaviours, Disability Awareness, Adult Protection from Abuse. Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Charnwood DS0000020883.V250785.R01.S.doc Version 5.0 Page 26 - 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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