Inspection on 19/07/05 for Cooper House

This inspection was carried out on 19th July 2005.

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

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

Other inspections for this house

Cooper House 02/08/06

Cooper House 08/12/05

Cooper House 12/01/05

Cooper House 12/10/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Cooper House Pasley Road Eyres Monsell Estate Leicester LE1 6ZG Lead Inspector Rajshree Mistry Unannounced 19 July 2005 at 11.15am 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 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. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cooper House Address Pasley Road Eyres Monsell Estate Leicester LE2 9BT 0116 2782341 0116 2782341 None Leicester City Council 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) Vacant Care Home 29 Category(ies) of OP Old Age - 29 registration, with number PD(E) Physical Disability over 65 - 5 of places SI(E) - Sensory Impairment over 65 - 10 DE(E) Dementia over 65 - 20 MD(E) Mental Disorder - 20 Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within the category Dementia -Elderly, DE(E) or Mental Disorder - Elderly, MD(E) may be admitted to the home when 20 persons who fall within the category DE(E) or MD(E) are already accommodated at the home. No person falling within the category Physical Disability - Elderly, PD(E) may be admitted to the home when 5 persons who fall within the category PD(E) are already accommodated at the home. No person falling within the category Sensory Impairment- Elderly SI(E) may be admitted to the home when 10 persons who fall within the category SI(E) are already accommodated at the home. Date of last inspection 12th January 2005 Brief Description of the Service: Cooper House Residential Home is registered to provide accommodation for up to twenty-nine older people and is owned by Leicester City Council. The home is situated in a residential area, close to shops, surgery and other local amenities. The home is on the main road and on a bus route with the bus stop directly outside the home. Car parking is available to the front of the home. Cooper House is a large modern and purpose built property. Accommodation is offered on ground and first floor level, which can be accessed by a passenger lift. Bath/shower and toilet facilities are located throughout the home. There is a landscaped garden to the front and a small patio to the side of the home, close to the lounge and dining room. A new conservatory has been built that overlooks the large garden to the rear of the home. All areas of the home are accessible to people using mobility support, aids and equipment. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 11.15am on 19th July 2005 and lasted for 5 hours. The method of inspection consisted of examining the information received in the pre-inspection questionnaire prior to the inspection, the line managers monthly report in accordance with Regulation 26, and the comments received from service users, relatives and GP’s. Comments received from GP’s included: “They are one of the best home in our area. We are particularly impressed with their terminal care and they work well with other community teams.” “The requests by the home for ‘authorisation to give a patient drugs’ is unnecessary. A Doctors prescription with drugs details, dosage and instructions is sufficient.” “We are often very impressed by the standards of care given in this home. We appreciate the way our patients are looked after and specifically the excellent standard of care given to terminal patients.” On the day of the inspection the method used consisted of a tour of the premises, examination of the health and safety records for the home, four service users were spoken with and observed, specifically to look at their lifestyle at the home and how their care needs were met. Individual plans of care and relevant care records were examined. Staff talked about the care provisions, how the identified needs were met and their training and management support. Service users spoken with were very positive and complimentary about the care provided by the home for the service users. Towards the latter part of the inspection visit, time was spent with the Acting Manager discussing some of the findings, information received and observations made. What the service does well: Cooper House provides a very good standard of accommodation and décor that is homely and safe. A range of specialist equipment is available in the home. Service users can have their own keys to their bedrooms. Records relating to health and safety and the service users are comprehensive, up to date, reviewed regularly; records are stored securely. The ethos of the home promotes and maintains service users’ independence and choice of lifestyle. Staff complete mandatory level of training incorporating health and safety. Staff were observed to be attentive and friendly in their approach to service users and work in a cohesive manner. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 6 The provision of care is of good standard and individually tailored, provided by trained staff. Service users can receive visitors at any time. Some residents set the dining tables for lunch and others help to clean dining tables. There are regular ‘Residents Meetings’ where service users can share ideas and raise issues. Service users are free to come and go, move around the home having a choice of lounges including a designated smoking lounge. Service users have a choice of meals prepared to meet their cultural and dietary needs. Meals are nutritious and well balanced. What has improved since the last inspection? What they could do better: The management team should consider (i) making the emergency medication procedure easily accessible to staff, specifically detailing the actions to be taken in case of an emergency and (ii) making available a calendar that assists staff to administer medication on the correct days and minimise the potential errors. The management team should consulted their health and safety representative to look at the safe options of aids and equipment that is reflective to alert service users of the slope in the corridor. This would reduce the risk of slips, trips and falls by service users with mobility difficulties and poor sight, and staff whilst moving along the corridor with the slope. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 7 The management team should consider reducing the number of agency staff being used, by recruiting permanent staff. At present individual training records are held on the staff files the management team could consider developing a staff training matrix that details the staff with the training completed. This matrix could be used to plan refresher training, identify keyworkers with skills to meet the needs of new service users and used to identify the skills and experience lost by staff leaving. The management team should ensure that the correct name and contact details are displayed for CSCI on the home’s documentation. 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. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 5. Standard 6 is not applicable. The whole admission process is well managed and service users are given clear and detailed information about the provision of care. The robust assessment process ensures that care needs are met and individually tailored. EVIDENCE: There is a comprehensive Statement of Purpose and Service User’s Guide for service users accessing long and short-term care. Information has been updated to reflect changes in the management team and is clear, easily accessible and made available at the earliest opportunity. The admission procedure is good in that the assessments of individuals are carried out by the health and/or social care professionals, as part of the referral process. Four service users’ care files viewed contained the evidence of the placement agreement that forms the contract, detailing the terms of the stay. The files contained information to promote service users independence, as far as practically possible. The management team encourages service users’ and their relatives to visit the home and discuss the provision of care tailored to individual needs. Service users spoken with confirmed they were offered a trial period of stay. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 10 One service user was on a month’s trial period of stay with the option of making the stay permanent. The service user described her stay pleasant and had indicated to make her stay permanent. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10 Service users’ health and social care needs are met. Management of medication in the home is improving. Service users’ privacy is upheld and they are treated with respect EVIDENCE: Since the last inspection the new care plans have been developed to contain detailed information to instruct staff providing the care without compromising service users independence, choice and rights. Four service users care files examined contained risk assessments and care plans reflecting the specific care needs. Service users spoken with confirmed they were consulted about the agreed provision of care. Records showed that care plans were revised periodically in consultation with the service users and other health and social care professionals. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 12 Medication is stored in a locked treatment room in a locked trolley, which is used by the visiting GP or District Nurse. Medication was examined against the medication administration records for four service users and was found to be accurate. Receipt, storage, administration of medication, returns and recording was seen and is considered to be safe. Management of controlled medication is robust. Service users spoken with said that they receive their medication on time and in the privacy of their own rooms. The Senior Care has delegated responsibility to ensure the management of medication is remains robust. A discussion took place with the Acting Manager regarding the concerns of errors and omission in medication. It was confirmed that staff have had refresher training in the safe administration of medication recently and Senior Carers have a handover of medication to ensure procedures are being followed correctly. It was noted that the emergency medication procedure along with the medication policy are held in the office. A good practice recommendation was made for staff to have access to the emergency medication procedure with the medication trolley, in case of an emergency. It was also suggested that the home’s management team consider how staff can be supported, with the use of a calendar, to ensure medication is administered on the correct days for service user who are prescribed to have medication on alternative days. Service users spoken with said they were treated with care and the privacy and dignity was respected in the way the care was provided. Observations were made of carers responding to service users requests in that they were attentive, friendly, clearly spoken and were kept informed. Service users have the option of having keys to their own rooms. Staff spoken with described how service user’s privacy is respected when delivering personal care. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15 Service users have a varied life at the home. There are good choices of meals that are nutritionally balanced, good quality and meet special dietary needs. EVIDENCE: The service users’ lifestyle within the home is tailored to meet the cultural, social and recreational expectations. Details of any planned events are displayed on the notice board and shared at the ‘Residents Meeting’. A delegated senior carer is responsible for arranging activities and events ranging from bingo, dominoes, sing-a-long, trips out in consultation with the service users and a plan to host a cheese and wine evening. There is a selection of books, in large print, which is replenished regularly by the Library Service. Service users are supported to practice their faith and have access to the local church. The home has purchased new garden furniture for the small patio, with wind chimes and potted plants and tomatoes grow. Observation was made how staff re-assured service users with dementia that they were in someone else’s room, by talking about their family and personal possessions in the bedroom. A discussion took place with the Acting Manager with regards to staff working with service users with dementia and assurance was given to look to develop life history work with service users and their families, to promote and maintain service users independence. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 14 Service users were seen moving freely around the home, choosing to sit in quieter lounges or going out with family for lunch. Visitors are welcome at any time. Staff that spoke to the Inspecting Officer indicated that service user are encouraged and supported to make choices and decisions daily such as what to wear to choosing how to spend the day. One service user spoken with said she received bouquets of flowers on her birthday, which were displayed in the lounges for all to enjoy. Service users receive their post in a timely and respectful manner. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements. Meals are served in the large dining room. Service users confirmed that they were offered choices at all meals, and that snacks were served throughout the day. Staff were seen serving drinks and biscuits to residents in the afternoon. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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 standard(s) 16, 18 The complaints system is robust, clear and accessible to all. Adult protection procedures are in place and staff are aware of the procedures to respond to any suspicion or allegation of abuse. EVIDENCE: There is a robust complaints procedure that is displayed at the entrance of the home and communal areas. Service users are given the home’s complaints procedure at the point of admission and contained in the service user guide. Service users spoken with indicated they felt confident to raise any concerns and complaints that would be addressed promptly. The contact details for the regulating authority displayed in some communal areas needed updating. Service users spoken with felt they were safe and protected. The new adult protection procedure has been introduced. Staff, including agency staff spoken with had a good understanding the procedure to follow in accordance with adult protection issues and whistle blowing. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 A comfortable, well maintained, personalised and generally good standard of accommodation is provided and suited to individual and collective service users needs. EVIDENCE: Entry to the home and to the garden is wheelchair friendly. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. There are several lounges on the ground and first floor including a designated smoking lounge. The home has a handy person who is responsible to repair minor faults. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 17 All communal areas and hallways were observed to be in a good, clean condition. One specific corridor in the home has a slope that could pose a risk to slips, trips and falls. A notice has been displayed at each end of the slope to alert service users and staff of the slope. Risk assessments have been completed of the area and service users with mobility problems. Following the discussion with the Acting Manager, assurance was given that the health and safety officer would be consulted to look at alternative hazard alert aid or equipment that is reflective to alert service users of the slope in the corridor. This would reduce the risk of slips, trips and falls by service users with mobility difficulties and poor sight, and staff whilst moving along the corridor with the slope. Bath/shower facilities and toilets, which are disabled toilets, are located close to bedrooms. The home has installed special door locking facility to allow the doors to open both ways in case of an emergency such as when a service user has fallen behind the door. Two bedrooms viewed were individually decorated, with personal possessions, furniture and fittings suited to their needs. The bedrooms were spacious and were provided with lockable storage. Respite/ short-stay beds are located to the first floor. Laundry facility is sited appropriately to deter soiled clothing and linen being carried through areas where food is prepared or eaten. On the day of the inspection the home was clean. There is a team of domestic staff responsible for service users laundry and the cleanliness of the home. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 A robust staff training programme is in place to ensure staff are well trained and competent to do their jobs. Staffing levels are generally sufficient to meet service users needs. EVIDENCE: The staff rota for the day was examined and reflected the staff on duty including the agency staff. Observations made during the inspection indicated that the staff were responding to service users needs promptly. A key worker system is used whereby each service user has identified staff responsible for the care and welfare. Staff spoken with said they are often working with agency staff and felt the home and the service users would benefit from having more permanent staff. Discussion with the Acting Manager regarding the use of agency staff confirmed that the home is looking at innovative ways of recruiting staff from the local area to address the increased numbers of agency staff being used at the home. The Local Authority has in place a departmental training plan, the document details general areas of training and training specific to needs of the service users. Staff training records reflected a variety of topics of training accessed which included health and safety, adult protection, care practice and specifically training in dementia care and challenging behaviour. One staff file examined contained evidence of the induction and mandatory training undertaken and certified. The management team should consider developing a staff training matrix that details the staff training completed that can be used to plan refresher training and identify key workers for new service users. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 19 The service users and relatives spoken to, all felt that staff were ‘very good’, and that they listened to their needs and acted upon them. Staff were observed responding to the call bell system promptly. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 38 Service users are consulted about living in the home. Staff are supervised, trained and supported to provide care needs safely. Service users and staff’s health, safety and welfare are being promoted and protected through the home’s policies and procedures. EVIDENCE: The home is run in the best interest of the residents and they are consulted regularly individually and at the Residents Meetings, which take place every three months. Minutes of the last ‘Residents Meeting’ were viewed, which contained details of the topics discussed such as meals, trips and aromatherapy. Two members of care staff spoken to stated that they receive formal one to one supervision session with a member of the management team, these take place on a regular basis and are used to discuss training needs, changing needs of service users and any areas of concern. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 21 Health and safety records viewed were easily accessible and up to date. During the tour of the home fire exits were clearly marked and were not obstructed. There is a programme of maintenance and checks in place, managed by the handy person. A random sample records checked were up to date including tests to fire safety equipment, fire drills, water temperatures and health and safety. The home has safe storage for equipment and wheelchairs. The Fire Officer and the Environmental Health Officer had inspected the home and required actions have been met. Individual risk assessments are in place and reflected in the individual service users plans of care. Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x 3 x 3 Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 23 No 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The management team should consider: (i) making the emergency medication procedure easily accessible to staff, specifically detailing the actions to be taken in case of an emergency and (ii) making available a calendar that assists staff to administer medication on the correct days and minimise the potential errors. 2. OP12 The management team should look at developing a life history with the support of the service user and their family to promote and stimulate service users with dementia. The management team should ensure that the correct name and contact details are displayed for CSCI on the home’s documentation. 3. OP16 Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 24 4. OP25 5. 6. OP27 OP27 The management team should consult the health and safety officer to look options of using special aid or equipment to alert service users and staff of the slope in the corridor, which reduces the risk of slips, trips and falls by service users with mobility difficulties and poor sight, and staff whilst moving along the corridor with the slope. The management team should consider reducing the number of agency staff currently being used and to recruit permanent staff. The management team should consider developing a staff training matrix that details the staff training completed, which can be used to plan refresher training and identify key workers for new service users Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire LE19 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 Cooper House C51 C01 S37637 Cooper House V239618 190705 Stage 4.doc Version 1.40 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. 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