Inspection on 21/10/05 for Cloverdale Care Home

This inspection was carried out on 21st October 2005.

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

Cloverdale Care Home 20/10/08

Cloverdale Care Home 21/11/07

Cloverdale Care Home 17/08/06

Cloverdale Care Home 03/03/06

Cloverdale Care Home 20/01/05

Cloverdale Care Home 13/07/04

Cloverdale Care Home 06/02/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 Cloverdale Care Home 68 Butt Lane Laceby Grimsby North East Lincs DN37 7AH Lead Inspector Beverley Hill Unannounced Inspection 20th October 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cloverdale Care Home DS0000002780.V262252.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. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cloverdale Care Home Address 68 Butt Lane Laceby Grimsby North East Lincs DN37 7AH 01472 877000 01472 877111 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) Dryband One Ltd Lynette Amy Green Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2005 Brief Description of the Service: Cloverdale Care Home is registered for the care of forty service users with residential care needs. The home is situated on the outskirts of Laceby village, in North East Lincolnshire, about six miles south of the town of Grimsby. The home is purpose built, all service user accommodation being provided at ground level. All forty bedrooms are single and thirty-nine have en-suite facilities. The home has four bathrooms with toilets and an assisted shower room. There are also four single toilets throughout the home strategically placed for ease of access. The home has two lounges and a dining room with a seating area at one end for service users who wish to smoke. Cloverdale Care Home is set in its own grounds and enjoys a pleasant aspect of open countryside. A paved walkway surrounds the home and there are ample parking spaces to the front of the building. The home is well maintained, clean and has a homely feel. Cloverdale Care Home is owned and operated by a private company, Dryband One Ltd. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. The Inspector spoke to the manager and five care staff that was on duty at the time of the inspection. Throughout the day the Inspector spoke to five people who lived at Cloverdale and one relative. The inspector looked at a range of paperwork in relation to staff rotas, care plans, accidents, training and staff supervision, complaints, medication records, risk assessments and activity logs. The Inspector also checked that people who lived in the home had the opportunity to suggest changes and were listened to. The Inspector completed a partial tour of the building and checked that all the things that needed to be done from the last inspection had been done. What the service does well: What has improved since the last inspection? The care plans include the tasks staff has to do to meet peoples needs. The staff check these every month to make sure that they don’t need changing. The home had also produced a care plan for people who visit the home for short stays. The home now has in place a risk assessment for people falling. They use this to look at measures to reduce the risks. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 6 The staff now completed checks on people’s nutritional needs when they were admitted to the home. This meant that if people had any difficulties with their diet or method of eating it could be sorted out quickly. The manager had completed the Registered Managers Award. Some corridors have been redecorated and the dining room had been recarpeted. What they could do better: The care people require is written on care plans. These were pre-printed sheets containing tasks for staff for each need highlighted. The care plans did not always reflect the individual’s needs and were not signed by the person who had written them. The resident or their representative did not always sign the care plan. The daily records that staff made about the care they provided did not cover day and night. The records must give a comprehensive picture of care provided so that their care and progress can be tracked. The home needed to broaden out risk assessments to look at other areas of risk, for example for people who choose to smoke, have fragile skin, for those who may wander and for those who need protective bedrails etc. Two people who lived at the home were starting to develop needs that may be beyond the homes ability. They needed to be reassessed to see if the home was able to continue caring for them and their needs must be monitored in the meantime. When medication is brought into the home it all must be signed in. The medication arriving in cassettes was being signed in but the inspector found others that had not. Also it was not clear that prescribed creams were being used, as these were not signed for on the medication record. All care staff must have supervision at least six times a year and this has to be written down. Supervision has not been happening. Better records need to be kept of the activities that people enjoyed. Nothing had been recorded on the logs for October and as the daily records were not comprehensive the inspector was unable to see who had participated in activities. The manager needed to record all the complaints that the home received. During a check of the building the inspector noticed that the sluice room was accessible and had very hot water at one of the taps. There were also some cleaning products in there that should be locked away. The room needs to be locked when not in use. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 7 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. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 8 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 Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 9 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 and 4 Service users had their needs assessed prior to admission to ensure that the home could meet their needs. Further assessment is required for two service users to establish the ongoing ability of the home to meet needs. EVIDENCE: The manager completed in-house assessments and there was evidence that assessments completed by Care Management were obtained by the home prior to admission. The assessments were important as they provided vital information for the care planning stage. The homes assessment documentation covered all the required points highlighted in the standard. The manager confirmed that they visited service users in hospital, other residential homes or their own home prior to admission to gather information from the service user, family and other professionals. The manager formally wrote to service users or their representatives following assessment stating the homes capacity to meet needs. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 10 From examination of daily records it was apparent that two service users had developed needs that required monitoring closely and reassessment by professionals to establish whether the home was able to continue to meet the needs. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 11 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 and 9 Although service users and a relative spoken to felt that health and personal care needs were met, care plans were not individualised to the required degree and as a result care needs could be missed. The home did not have a complete signed record of all medications within the home or when people received topical applications. EVIDENCE: Four care files were examined in detail and other care files for those service users admitted for short stays were perused. The care plans formulated were pre-printed sheets for each identified need and then individualised for each service user. There was evidence that staff had included most needs identified at the assessment stage and there were tasks for staff. Generally the care plans were comprehensive and it was clear a lot of effort had gone into their initial formulation. However, it was noted in the files examined that not all assessed needs were covered. For example the diet care plan for one person gave no indication that, because of her physical condition, food needed to be cut up for her and she had a preference regarding gravy. Similarly the physiotherapist had become involved for one service user but this Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 12 was not indicated on the care plan. One person was a diabetic but did not have a diet or nutrition care plan for this need. Evaluations of care plans were written monthly, however when they highlighted changes, for example recurring sacral soreness for one person, a care plan was not initiated to prevent the condition worsening. Care plans were not individualised to the degree required. Care plans were not consistently signed and dated by the person individualising them. The home had an agreement to the care plan form but this was not always completed. Service users and relatives spoken felt that health care needs were met. There was use of risk identification tools for nutrition, skills and moving and handling needs. There was evidence of risk assessments for those service users at risk of falls. However it was noted that other areas of risk were not addressed, for example, smoking, bedrails, and behaviour that could pose a risk i.e. wandering into other peoples bedrooms. All areas of risk must be identified and plans made to reduce the risk to protect service users from harm. Daily recording of the care people received did not always follow through issues to the next shift and it was not always clear exactly what care had been provided. This meant that there was not always a clear picture of the service users progress and care needs could be missed. The manager audited accidents monthly to enable staff to update risk assessments. Medication was stored correctly and safely and there was evidence that medication delivered in cassettes was signed into the home. However there were some areas of medication management that required attention. For example medication for those people on respite needed to be signed into the home and topical creams were not recorded when administered. When transcribing medication onto the administration record staff must write the full instructions. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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 and 13 Service users daily routines were flexible and contact with their relatives was encouraged and maintained. The home could be more proactive in the provision of activities. EVIDENCE: People spoken to felt they were able to make choices about some aspects of their lives. For example people felt able to spend time in their bedrooms if they chose to and mix with others during organised activities. Routines for rising and retiring were flexible. There were some activities provided such as manicures, bingo, entertainers, watching films together, mobile motivator (monthly exercises), clothes and sweets parties, birthday celebrations, walks around the home or grounds and church services. Individual activity logs were maintained but nothing had been recorded for October. Of the four care files examined two had completed life histories and although a care plan was in place for social interests this was a standard one and had not been individualised. Service users spoken to confirmed that their visitors were made to feel welcome and could visit at any time. The Inspector saw open visiting and people were offered refreshments. One relative spoken to confirmed this and Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 14 the inspector witnessed staff speaking to the visitor on first name terms and had knowledge of how they took their tea. A relative confirmed they were kept informed of important matters affecting their loved one. The home had links with local schools, churches and shops. The library delivered books on a regular basis. Entertainers visited the home at regular intervals. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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 and 18 The home provided an atmosphere whereby people felt able to make complaints and that they would be resolved. Not all minor complaints were documented. EVIDENCE: The homes complaint procedure was clear and displayed in the entrance. It had appropriate timescales for resolution and included contact details of other agencies. The home had a complaint form, which included aspects of the complaint and what action was taken to resolve the issue. The manager stated they had a ‘niggles’ book for minor issues. Discussions with two of the service users about complaints indicated that not all minor complaints were documented. One of the issues had been addressed but one person was unsure of the outcome. This was discussed with the manager to follow up. Staff spoken to stated that they would deal with niggles themselves straight away for example missing clothes. They were clear about the complaints process and forms used. The proprietors were aware of their responsibility and any complaints received were fully investigated. Since the last inspection the proprietor had reviewed the adult protection policy and procedure. All the company’s homes now had the same procedure, which was in line with the local authority policy and procedure regarding referral and investigation. Training for staff in the protection of vulnerable Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 16 adults from abuse was part of the homes training plan and staff members spoken to were able to tell the inspector what they would do if they witnessed any form of abuse. The manager was aware of referral procedures. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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 and 26 The home provided a clean, well-maintained and homely environment for people. EVIDENCE: There had been little change in the environment since the last inspection and Cloverdale continued to provide a homely environment with furniture and décor of a good standard. The home was well maintained inside and out and complied with fire and environmental heath requirements. The home employed a maintenance worker responsible for day-to-day repairs and they ensured that any reported issues were attended to straight away. Service users spoken to were happy with the home and their bedrooms. There were two main communal lounges and a dining room with a quiet area at one end for those who wished to smoke. People spoken to liked the opportunity of spending time in their own bedrooms. The bedrooms examined had been personalised to varying degrees. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 18 People confirmed they could bring in their own possessions and they had a lockable facility to secure items. Pre-admission documentation had a form to complete regarding whether a privacy bedroom door lock was desired. People would then be provided with their own key unless a risk assessment detailed otherwise. The home was very clean and tidy and free from any malodours. The staff obviously worked hard to maintain standards. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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 and 30 The home provided sufficient numbers of staff on each shift to meet the care needs of service users. The homes training plan could be expanded to include more service specific training. EVIDENCE: The manager confirmed that up until the day before the home had a full complement of staff, however one night and one day care staff had tended their resignation and two staff members were sick. Existing staff members were filling the gaps until recruitment was organised. The home had access to bank staff for shortages. There were usually four to five care staff on duty between 8am and 10pm and three waking night staff. There appeared to be sufficient ancillary staff. Staff members spoken to felt the staffing ratio was sufficient and there were positive comments about staff attitude and approach from service users and relatives. One relative who visited daily stated that there were sufficient staff on duty, however another felt that sometimes there did not appear a lot of staff around and that on one occasion the service user had to wait longer than usual when they had rung the bell. This was discussed with the manager to address privately with the relative. The manager did not have training logs immediately to hand and is to forward relevant information the CSCI. However the inspector spoke to five staff during the visit who were all very positive about the training they had received during Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 20 the last twelve months. All had completed mandatory training and adult protection. Relevant staff had completed safe handling of medication. One person had not had moving and handling training but this was booked. Some had completed Parkinson’s disease awareness and one person had completed a dementia course. Staff had not received any training in the prevention of pressure sores. The manager confirmed that training was organised with the company’s other three homes. The fact that staff were expected to attend training on their days off or alternatively if training falls during their working days have pay deducted for those hours spent training was an issue for them. The standards state that staff receives three paid days training per year. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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, 32, 36 and 38 The manager needed to further develop their leadership and management skills. Although the manager provided support to staff in other informal ways there had been no improvement in the formal supervision of staff. EVIDENCE: Via discussions it was clear that the manager was committed to improving the quality of care provided within the home. However it was also apparent that the manager found it difficult to divorce the carer role from the manager role and that time management was an area to be developed. The manager had completed the registered Managers Award and needed to put some of the skills learned during the course into action. The home had started to have staff meetings and service user meetings, however the inspector was unable to see the minutes as the manager had taken these home to be typed. Service users spoken did state that if they made suggestions these would be listened to. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 22 Care staff were not receiving formal, documented supervision up to six times a year. This was a requirement from the last inspection and was important to ensure that staff were aware of their role and tasks and were supervised accordingly. The manager was not receiving any supervision although the proprietor offered guidance in some areas. The manager needed to discuss, formally with the proprietors the difficulties that have arisen in order to develop an effective support system. Fire drills, fire training and fire equipment checks were carried out and general equipment within the home was maintained and serviced appropriately. Staff were aware of health and safety issues. The sluice room must be inaccessible when not in use due to the very hot water outlet in place and cleaning products covered by COSSH regulations. Individual risk assessments for service users need to be expanded to cover all areas of risk e.g. pressure areas, smoking, bedrails etc and the risk assessment form needs to detail actions to be taken to minimise the risks. Staff reported that they had slings for the hoists, however they felt a larger sling was required for two of the service users. This was discussed with the manager to attend to. Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 2 X X X 1 X 1 Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that care plans are signed and dated by the author and are individualised (previous timescale of 31/03/05 not met) The registered person must ensure that all medications are signed into the home (previous timescale of 20/01/05 not met) The registered person must ensure that all care staff members receive at least six formal supervision sessions per year (previous timescale of 28/02/05 not met) The registered person must ensure that the health, safety and welfare issues regarding risk assessments are addressed (previous timescale of 31/03/05 not met) The registered person must ensure that the needs of two individual service users are reassessed to ensure the continued ability of the home to meet their needs. DS0000002780.V262252.R01.S.doc Timescale for action 31/01/06 2 OP9 13(2) 21/10/05 3 OP36 18(2) 01/12/05 4 OP38 13(4) 20/01/06 5 OP4 14(2)(a) 20/01/06 Cloverdale Care Home Version 5.0 Page 25 6 OP7 15 7 OP7 12(1)(a) 8 OP8 13(4) 9 OP9 13(2) 10 OP12 12(1)(a) & 16(2)(n) 11 12 OP16 OP30 17(2) 18 13 OP31 12(1)a 9(2)bi 12(1)a 16(2)m n 24(1) 14 OP32 15 OP36 18(2) The registered person must ensure that all assessed needs are care planned, the care plans are updated as needs change and that updates take account of professional input. The registered person must ensure that daily diary records are comprehensive and give a full picture of the care provided. The registered person must ensure that risk assessments cover the range of activities deemed to be a risk for people, they are recorded and reviewed as required. The registered person must ensure that medication is transcribed as per instructions and topical products signed on administration. The registered person must ensure that people have the opportunity to participate in activities and that staff are proactive in the provision of activities. The registered person must ensure that all complaints however minor are logged. The registered person must ensure that the training plan includes service specific issues such as prevention of pressure sores and supporting people with strokes. The registered manager must further develop their leadership and management skills to ensure the smooth running of the home. The registered manager must continue the start made regarding service user consultation via regular meetings. Minutes must be made available of discussions held. The registered person must ensure that the manager DS0000002780.V262252.R01.S.doc 20/01/06 21/10/05 20/01/06 21/10/05 31/12/05 21/10/05 31/12/05 31/01/06 31/12/05 31/12/05 Page 26 Cloverdale Care Home Version 5.0 15 OP38 13(4) receives support and supervision to further develop their management skills. Supportive discussions to start by 31/12/05 The registered person must ensure that steps are taken to make the sluice room inaccessible to service users when not in use by staff. 24/10/05 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 OP12 Good Practice Recommendations The registered manager should consider obtaining advice from occupational therapists on assessment techniques of older people regarding social activities and the types of activities that would be appropriate for them. The registered person should ensure that staff receive three paid training days per year. 2 OP30 Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Cloverdale Care Home DS0000002780.V262252.R01.S.doc Version 5.0 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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