Inspection on 18/07/05 for Dolphin View

This inspection was carried out on 18th July 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

Dolphin View 14/11/08

Dolphin View 16/11/06

Dolphin View 22/06/06

Dolphin View 25/11/05

Dolphin View 02/12/04

Dolphin View 14/06/04

Dolphin View 10/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Dolphin View Harbour Road Amble Morpeth NE65 0AP Lead Inspector Irene Bowater Unannounced 18 July 2005 09:30 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. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dolphin View Address Harbour Road Amble Morpeth NE65 0AP 01665 713339 01665 713223 dolphinviewhome@fshc.co.uk Cotswold Spa Retirement Hotels Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Susan Davison CRH 42 Category(ies) of OP Old Age (42) registration, with number of places Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 19 Residents receive personal care 2 23 Residents receive nursing care. 3 Three named service users are known to be outside category OP . One is category MD(E) One is category LD(E) One is category PD Should any of the named service users leave the home,the Commission for Social Care Inspection must be notified immediately,at which time these places will revert to the category OP. Date of last inspection 2nd December 2004 Brief Description of the Service: Dolphin View is a purpose built care home with nursing situated on the edge of the harbour in Amble Northumberland. The home is over two floors which are accessed by stairs and a passenger lift. Currently all the rooms are for single occupancy.None of the bedrooms have ensuite facilities,however each bedroom has a hand washbasin. There are bathrooms,showers and toilets close to residents bedrooms and all communal areas.Specialist baths and toilets are provided for residents with disabilities. There are lounges on both floors with the dining room situated on the first floor. There is access to a garden area to the front of the home which affords views across the bay and harbour area. Car parking is provided to the rear of the bulding. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was and unannounced inspection, which took, place over 6 hours. The registered manager was available and assisted throughout the day. Eleven staff and thirteen residents were spoken to throughout the day. Part of the day was spent in the office examining records and the majority of the time was spent touring the premises and spending time with residents and staff. What the service does well: What has improved since the last inspection? The Statement of Purpose and Service User Guide has been amended to ensure that residents know that the home will meet their needs. Staff training in Adult Protection is in progress and staff have the necessary knowledge to protect residents from harm. The home continues to improve the environment for the residents and all of the communal areas have benefited from redecoration and new furniture. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 6 The bathing facilities have improved with an additional shower facility being provided. There have been some improvements regarding general storage facilities within the home. 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. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 standard(s) 1,2,3, The Statement of Purpose and Service User Guide provides residents and prospective residents with details of the services the home offers enabling informed decisions to be made about admission to the home. The Home has not yet produced a Statement of Terms and Conditions for residents who are self funding. Without this, the rights and obligations of the resident and the provider are not clear. The admission procedures are comprehensive and ensure that the staff have the necessary information to meet residents assessed needs. EVIDENCE: Since the last inspection the home has amended the Statement of Purpose and Service User Guide to include staff details. The home has not yet produced a Statement of Terms and Conditions for residents who are self funding. The care plans showed that comprehensive care management and the homes Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 9 admission documents are completed to ensure the residents assessed needs can be met. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 There is no clear or consistent care planning system in place to adequately provide staff with the information they need to ensure residents individual needs are met. The health needs of residents are met with evidence of multi disciplinary working taking place. All advice from other health professionals is not recorded in the care plans, which may put residents at risk. The systems for the administration of medicines are satisfactory. However there has been no improvement in the recording of medicines administered which places residents at risk. The staff have a good understanding of the residents support needs. This is evident from the positive relationships, which have been formed between the staff and residents. EVIDENCE: Each resident has a plan of care that is based on the admission assessments. Four of the care plans were inspected and the recording varied in all of them. The original care plans were of a good standard, however they had not been Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 11 updated for some considerable time and did not reflect the current needs of the residents. Care plans were not reviewed monthly, The assessment tools including dependency, nutritional status, pressure sore analysis, weights and risk assessments were not up to date. The staff would not be able to follow the care that needs to be given to individual residents as their needs change. All events are comprehensively recorded in the daily progress notes, which are completed by the qualified nurse. All residents have access to NHS facilities. They are registered with a local GP and have regular visits from opticians, chiropodists and dentists. Evidence is available to show that advice from other professional is sought as necessary, however it was difficult to evidence that specialists have been involved when residents have lost weight or have swallowing difficulties. The advice may be acted upon but not reflected in the care planning process The home has policies and procedures for staff to follow for the safe administration of medicines. Records of all medicines received, administered and disposed of are kept. The Medicine Administration Record showed that there were several gaps in the recording. It was difficult therefore to evidence that all medication had been given and taken by residents at the appropriate time. An audit of the controlled drugs was satisfactory. The staff maintain a record of the fridge temperatures for medication needing cold storage. There is a register of staff who are authorised to administer medication. Qualified nursing staff administer all medication. All residents spoken with were complimentary about the staff and how they ensure all their personal care needs are met. The staff were observed to knock on doors and wait for a reply before entering and all personal care was carried out in private. The residents and staff have formed good relationships with each other with the interaction being professional, friendly and based on mutual regard. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 12 Comments from residents included “they are kind and caring” “they are all good” and “they are always there and do anything I want”. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 Social activities are well organised and provide stimulation and interest for the residents living in the home. Links with the community are good and support and enhance residents’ contact with family and other representatives. The home provides a balanced diet, which offers choices and caters for special dietary needs. EVIDENCE: The home benefits from having a designated activities organiser who is enthusiastic and organises various events inside and out of the home. The planned events are displayed in the home and records of individual activities are recorded. The residents said “there is always plenty to do”, “and I am always busy”. Events in the home include board games, exercises, carpet bowls and hoopla. Residents said that they go out on an individual basis with staff to the market and for coffee. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 14 Events outside the home include visits to AlnwicK Gardens and Seahouses. The residents said that their visitors are always made welcome, could visit at any time and see their visitors in private. The home has a four-week menu, which offers choice and variety for all meals. The daily menu was displayed in the dining room and residents and staff confirmed that the residents are asked what they would like for each meal and record their choices. On the day of inspection the dining room was clean, tables appropriately set with tablecloths, cutlery, condiments and napkins. Residents were again offered a choice of main course, choice of three vegetables and potato. Choices for dessert were offered and cold drinks were available throughout the meal. Staff assisted residents in a discreet sensitive manner and the meal was a pleasant unhurried occasion. The kitchen was generally clan and tidy. The cold meats, cheeses, prepared sandwich filler were not dated or appropriately stored in the fridges. Poultry was defrosting next to uncooked bacon on the bottom of one fridge, which was not suitable. The kitchen staff addressed this immediately. Records of fridge and freezer temperatures were available, however recording of cooked food core temperatures were not available. The temporary cook did not have protective clothing or headwear. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 home has a satisfactory complaints system in place with evidence that residents feel their views are listened to and acted upon. Arrangements are in place to ensure staff have knowledge of Adult Protection issues, which protect residents from possible harm or abuse. EVIDENCE: The home has comprehensive policies and procedures available which set out how and to whom complaints may be made. The procedure is clearly displayed on the notice board and residents said they would be able to use the procedure and were sure that the staff would address all issues. The complaints records were clear, with actions and outcomes recorded. The home has policies and procedures in place to ensure staff follow the steps to take should there be any allegation or suspicion of abuse. Since the last inspection the training for staff in Protection of Vulnerable Adults has commenced. Currently 33 staff are progressing with this training. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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) 19,20,21,24,26 There has been some investment in the home, which has resulted in a comfortable nicely decorated place for residents to live in. There are some outstanding environmental requirements concerning the building which have not been resolved therefore there are some potential hazards to resident and staff safety. The quality of some of the bedroom furnishings is poor which has the potential to place residents at risk. The staff is not following infection control policies, which places residents, staff and visitors at risk. EVIDENCE: The location and layout of the home is suitable for the needs of the residents. The home has had an ongoing redecoration and some refurbishment, which has greatly improved the appearance of the home. Residents have access to safe outside garden areas, which have views across Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 17 the bay and harbour. The double glazing seals have worn resulting in condensation forming in many of the windows. All of the lounges and dining rooms have been tastefully decorated and refurbished. Residents said how much they appreciated the changes that have been made and said that the home was a lovely place to live. The home is a smoke free area. Since the last inspection a further shower room has been provided. There are bathing and shower rooms available on each floor to cater for the current number of residents living in the home. Several of the bathrooms are currently used as storage areas. The shower chair is broken in one shower room and the residents are using a commode chair, which has the plastic split, and the metal frame is corroded. There were bath sponges, bar soap and residents toiletries stored in bathrooms and two identified toilet bowls were heavily lime scaled. Several of the bins in bathrooms and toilets did not have lids. The residents all have a single bedroom. The rooms vary in size and all were pleasantly decorated Residents have been encouraged to bring small items with them making their own rooms highly individualised and reflecting individual lifestyles and preferences. The vanity units and other bedroom furniture are showing signs of wear and tear and have not been replaced. There remains a problem with the residents having access to suitable bedside lights as this depends on where the bed is placed in the room. The home does not provide any adjustable beds for residents who have nursing needs. The home was clean tidy and free from odours on the day of inspection. The manager confirmed that a sluice disinfector has been provided and it was waiting to be fitted. The sluices on each floor were not locked and the wooden boxing around the pipes was loose fitting. Clinical waste bags were tied to the handrails in corridors, soiled incontinence pads were not double bagged and continence products and toilet rolls were still being stored on top of toilet cisterns and windowsills. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 18 There has been ongoing problems and discussion about the size of the laundry in the home. The laundry room is extremely small and hot. A bedroom has been converted into a clean laundry area. The staff work extremely hard to ensure the laundry is kept clean and tidy. The manager said that there are plans to restructure a number of areas of the home including the laundry. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 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) 27,28,29,30 The home is adequately staffed with qualified nurses and care staff given the current number of residents. The home endeavours to provide sufficient trained care staff to ensure residents assessed needs are met. The standard of selection and recruitment of staff is satisfactory and ensures residents are protected from harm. The induction and ongoing training for all staff ensures there is consistent care provided by an enthusiastic workforce. EVIDENCE: There has been a reduction in staffing by the company since the last inspection. The staffing levels for 29 residents currently are: 1 qualified nurse at all times. 5 care staff in the morning 4 care staff in the afternoon and evening 2 care staff at night. The registered manager staggers the timing of shifts to ensure residents receive suitable care. There are adequate domestic, laundry, maintenance, administration and activities staff employed. The cook is currently off sick and another member of Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 20 staff has been allocated this duty. Staff have received NVQ training, however the manager confirmed that the training had been stopped until later in the year. She confirmed that 40 of staff have an NVQ qualification. A random check of staff files found that the home follows the recruitment process. Records are available and include evidence of 2 references, Criminal Record Bureau checks, medical checks, proof of identity, proof of qualifications and terms and conditions of employment. All staff have a training file and the home has a training and development programme. Staff said they receive ongoing training to ensure they can meet residents’ needs. The home has taken part in a Falls Prevention Programme, have received training from the Community Psychiatric Nurse in dealing with the emotional needs of residents, Infection Control and Protection of Vulnerable Adults Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 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) 31,32,36,38 The home is being well managed by an experienced manager who demonstrates leadership, guidance and direction to staff. The arrangements for ongoing supervision of staff ensure they have a clear understanding of their roles. There are some health and safety issues regarding training and the building, which have the potential to pose risks to residents, staff and visitors. EVIDENCE: The Registered Manager is a first level registered nurse who has been employed at the home for some considerable time. She has completed the Registered Managers Award and is currently awaiting verification. As a qualified nurse she has to regularly update her skills and knowledge to maintain her registration with the Nursing and Midwifery Council. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 22 All the residents and staff spoken to were complimentary about the manager saying that she encouraged staff to develop their skills and was always available to discuss any issue they had. Residents said there were regular meetings with minutes kept and said she is readily available in the home. The registered manager completes supervision for the staff. The supervision covers all areas of practice and staff’s career needs. The content of the supervision sessions were good. The staff have had training for moving and handling, infection control and first aid. The fire training has not been carried out, as the competent Fire person’s course is not due until October 2005. The fire risk assessment has not been up dated for 2005. Accident reporting and monthly analysis of accidents and incidents are recorded to a satisfactory standard. The maintenance records were found to be up to date and contractors were carrying out servicing of emergency lighting on the day of inspection. There are ongoing problems with the laundry provision within the home. The manager said that plans for some restructuring of the home are being considered. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 3 2 x x 2 x 1 STAFFING Standard No Score 27 3 28 3 29 3 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 3 3 x x x 3 x 2 Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP 2 Regulation 5 Requirement The home must provide a Statement of Terms and Conditions (or contract) for residents who are self funding. The care plans must set out the detail the action to be taken by staff to ensure all aspects of health,social and personal care needs are met. The care plans must be updated at least once a month to reflect changing needs and current objectives for health and socail care. Risk assessments must be completed and reviewed monthly. The home must refer to specialists regarding residents weight loss and implement the directions given with detailed recordings. The home must ensure that all medicines administered are signed for. OUTSTANDING 2/12/04 The home must ensure that all foods are correctly prepared and stored.All foods must be correctly labelled and dated. Timescale for action 1st September 2005 1st September 2005 2. OP 7 15 3. OP 8 14,17 1st September 2005 1ST September 2005 1st September 2005 Page 25 4. OP 9 13 5. OP 15 12,13,23 Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 6. OP 21 23 7. OP 24 23 8. OP 26 13,16 9. OP 38 13,16,23 Staff must be provided with suitable protective clothing when working in the kitchen. The home must clean or replace the two identified toilet bowls. An appropriate shower chair must be provided for the second shower. The home must provide suitable bedside lighting. The home must provide in detail the programme of replacement and upgrade of bedroom furniture. The home must provide adjustable beds for residents who require nursing care. OUTSTANDING 2/12/04 The home must ensure the sluice disinfector is fitted. The sluices must be kept locked when not in use. All clinical waste must be stored in appropriate bins. The home must remove bar soap from use and provide suitable storage for toilet rolls and continence products. All bathrooms and toilets must be provided with suitable bins with lids. All soiled continence aids must be double bagged and appropriately disposed of. The home must ensure that all staff receive up to date fire training with records kept. The fire risk assessment must be reviewed and up dated. The Commission for Social Cre Inspection must be consulted prior to any structural work being undertaken in regard to improvements to the laundry facilities. 1st September 2005 1ST October 2005 1st September 2005 1st September 2005. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 26 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. 2. 3. Refer to Standard OP 19 OP 28 OP 36 Good Practice Recommendations The home should repair or replace windows affected by condensation. The home should continue with NVQ level 2 training to ensure the 50 target is met. The manager should consider delegating some of the supervision sessions to other senior staff. Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Dolphin View B53-B03 S510 Dolphin View V233979 180705 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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