Inspection on 08/05/06 for Dr Anderson Lodge

This inspection was carried out on 8th May 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Dr Anderson Lodge 19/11/09

Dr Anderson Lodge 08/11/07

Dr Anderson Lodge 23/11/06

Dr Anderson Lodge 19/01/06

Dr Anderson Lodge 29/06/05

Dr Anderson Lodge 04/11/04

Dr Anderson Lodge 05/05/04

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Dr Anderson Lodge East Lane Stainforth Doncaster South Yorkshire DN7 5DY Lead Inspector Sarah Powell Key Unannounced Inspection 8th May 2006 09:15 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 Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dr Anderson Lodge Address East Lane Stainforth Doncaster South Yorkshire DN7 5DY 01302 350003 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) Platinum Care Homes Limited t/a Dr. Anderson Lodge Sara Louise Wilson Care Home 54 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (40) of places Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users requiring nursing care and OP care can be admitted to the Dr Anderson Lodge only. 14 service users in the category of Dementia can be admitted to the annex only. The service may admit persons between the age of 60 to 65 years only within their registration category of (OP) 19th January 2006 Date of last inspection Brief Description of the Service: Dr Anderson Lodge comprises of two separate buildings one can accommodate 40 service users with Nursing, the other has recently changed category of registration to accommodate service users over the age of 65 with dementia currently 14 beds are registered and phase two will increase this to 23 when completed. Both units have safe accessible outdoor space. The home is situated in Stainforth close to local amenities. The fees in the home are determined by Doncaster Metropolitan Borough Council and they do not charge 3rd party top ups. Fees are nursing £420 plus free nursing care, residential £375 and residential for service users with dementia placed in the annex £410. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first key inspection in the year 2005/06 it was unannounced and took place over one day on 18th May 2006 it commenced at 09.15 and finished at 17.00. As part of the inspection process the inspector spoke to 11 Service users, 7 visitors, 7 staff and the Manager were spoken to. A partial tour of the building took place, observing staff and practices. A number of records were examined these included medication, four service users care plans, menus, staff rotas, recruitment, service users finances and quality assurance systems. Feedback was given to the Manager when the visit was completed. What the service does well: What has improved since the last inspection? The manager has worked very hard since the previous inspection working on the requirements and improving the home for the service users needs to be met fully. The manager has carried out a complete review of all care plans and improved these so that they clearly identify all service users needs and how to meet the needs. To maintain the improvement regular audits are being carried out. Staff training has improved. The training needs identified at the last inspection have been addressed including Protection of vulnerable adults. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 6 The provider has employed an administrator 15 hours a week to help the manager. This has greatly improved the use of the manager’s time, as the manager does not work full time and this enables her to carry out her managerial duties and continue with the improvements. The improved standards need to be maintained to ensure service users needs are met. Service users and relatives spoken to confirmed they were aware there was a care plan for each individual, that they were reviewed monthly and were available for them to look at if they wished. It was evident from looking at the plans that there was involvement from service users and relatives to ensure service users needs are all identified and met, overall a much better system has been developed. The previous requirements from the last report were all met apart from one, this was regarding risk assessments, and although they are much improved some were still found to be missing. All risk must be identified for all service users and assessments put in place. What they could do better: Many service users clothes were badly stained a number of relatives spoken to commented that the clothes were not coming back from the laundry clean but were badly stained with tea and food. On discussion with the manager it was confirmed they were having trouble with the washing machine and were currently seeking advice as to what was the best stain remover to use with the washer in order that stains were removed and service users were always well presented. Baskets of communal toiletries were found in two bathrooms this poses a risk of cross contamination as used disposable razors were also found in the baskets. Service users own toiletries must always be used and then returned to their room. Some mandatory training still needs to be carried out to ensure staff are appropriately trained to meet the needs of the service users. The home does not provide a designated activities co-ordinator care staff try to organise an activity each day for an hour usually in the evening this is not enough as the service users were observed for most of the day just sitting in the lounge with the television on, there was no stimulation. The service users social and recreational need must be met. Service users spoken to and relatives said more activities could be provided but the outings were very good. Please contact the provider for advice of actions taken in response to this Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 The home does not provide intermediate care so standard 6 was not Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. All service users had a good assessment in their plans of care. EVIDENCE: Service users referred through care management arrangements had a care management assessment in their plans of care. These were seen in the service users case tracked. The home also carried out an assessment this has greatly improved since the last inspection and now includes all their needs to ensure the home can meet these, it was evident in the service users case tracked that all the needs had been identified on the assessment. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, & 10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. All service users had a plan of care. Health care needs were met. Medication procedures were good. Service users were treated with respect. EVIDENCE: All service users had a plan of care. Looking at the plans and case tracking a number of service users, it was evident that the plans had greatly improved since the last inspection and they reflected the service users needs. Since the last inspection the manager has been regularly auditing the care plans, these audits have been seen by the inspector and clearly identified areas needing improvement. The staff have also received training to ensure the improvements are maintained to meet service users needs. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 11 Discussion with service users and relatives identified that a range of health professionals visited the home to assist in maintaining health care needs; it was also well documented in the plans of care to ensure service users needs are met. There was evidence in the plans that they were reviewed, however looking at medical information it was noted that some care needs had changed yet this was not reflected in the review of the plans and could put some service users at risk as one issue identified during the case tracking was weight loss but this had not been identified at the time of the review. Risk assessment s were much improved although during the case tracking some were found to be missing this was discussed with the manager who is to implement these to ensure service user safety. On discussion with service users and relatives many did not know who their key worker was. This was discussed with the manager and she will look at ways to improve this, it will be discussed at the next residents meeting to develop a system that would make all service users and relatives aware of the key worker so service users needs can be met. The key worker system was good as key workers spoken to were very knowledgeable about the service users and could identify all their needs and so were able to meet these needs. Since the last inspection staff are more aware of mental health needs and this was clear from speaking to staff. The Community Psychiatric Nurse has provided training and assistance to ensure service users needs are gradually being met through staffs increased awareness. There were good policies and procedures in place for medication, good records were seen for receipt, administration and disposal. Regular audits were carried out by the pharmacist the last pharmacist report was seen by the inspector at the last site visit and was good. The manager also carries out regular audits to protect service users. All service users spoken to told the inspector that staff promoted their privacy and dignity and treated them with respect. Staff were observed during the visit and this was evident. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14 & 15 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Service users social, recreational and religious needs were not met. EVIDENCE: The home did not meet the needs of service users regarding social, recreational interests and religion. Social histories looked at during the case tracking stated that some service users attended church regularly prior to living at the home and religion played an important part in their lives, yet there was no evidence this was continued at Dr Anderson lodge. This needs to be addressed to ensure service users needs are met. Activities were very limited within the home as the carers had to carry out activities when they had time this was usually late afternoon maybe for one hour. Many service users spoken to said there was lack of activities and stimulation. Relatives and service users told the inspector the home provided good outside entertainment and outings, which took, place approximately once a month but on a daily basis there was very little. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 13 Many service users were also not able to take part in organised outings so this did not include all the service users appropriate activities need to be provided by a designated activities co-ordinator to ensure service users needs are met. During the visit it was observed that service users were sat in the lounge with the television on and no other stimulation. The care staff did not have time to arrange and activities and many service users were sat with their eyes closed. The service users and relatives spoken to all said that contact with family and friends and the local community were encouraged by the staff and relatives were always made welcome. Service users received a wholesome balanced diet there was always a choice of food at each meal. Carers were observed during the visit asking service users what they would like for tea that day. The home has recently changed the systems for meal times there was two sitting with the service users that required assistance with eating having the second sitting so all staff were able to give assistance so they could eat together. However the first sitting was rather early with the first meals being served at 11.45am and breakfast had not finished until at least 9.30am this is rather a short gap and some service users were observed to refuse the meal this could be because they were still full from breakfast. This was discussed with the manager and will be addressed at the next residents meeting. Relatives and service users spoken to commented that the menus were very good with a good variety and were always given a choice and was a high quality. Staff offered assistance discreetly and individually staff were seen to ask service users if they had finished and if they would like anything else before taking plates. Service users spoken to spoke highly of the food saying it was always a high quality and choices given. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 14 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 & 18. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Adult protection and complains procedures and policies were good but staff still required training on adult protection. EVIDENCE: The home has a good comprehensive complaints procedure, which is displayed, in the entrance hall. All relatives spoken to were aware of this but all stated if they had any concerns would go straight to the manager or raise it at a relatives meeting. The home had received 5 complaints in the last twelve months 4 were substantiated and one partially substantiated these were well documented with outcomes. The complaints procedure was followed and the complaints were taken seriously, dealt with promptly and efficiently. At the last inspection the adult protection policies and procedures were not up to date and staff had not received appropriate training. The manager has started to address these issues. The policy and procedures have been updated and all staff made aware of these updates at staff meetings. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 15 Some staff have received the training and others are waiting for the next training session. The manager and deputy manager have their names down for the next available place on the Doncaster adult protection training through the adult protection team to ensure they are up to date to safeguard the service users. One adult protection issue is still ongoing and since the last inspection the procedures have been followed correctly to safeguard the persons involved. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 the following standard(s): 19 & 26 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Laundry procedures were poor as many clothes were stained. Communal toiletries were found in bathrooms. EVIDENCE: During the visit the inspector observed that the home was maintained to a high standard of cleanliness and decoration was mostly of a good standard and decoration was carried out regularly, however there was not a documented programme of routine maintenance and renewal. It would be better if there was a rolling programme of decoration with rooms being re-decorated every so many years not as and when required as this seems to have caused there to now be a number of bedrooms needing decoration all at once. Major work has just been completed in the annex and is finished to a high standard giving service users a good environment to live in. Service users spoken to told the inspector that staff keep the home very clean. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 17 When the inspector looked at the laundry facilities suitable washing machines were provided with sluicing facilities dryers were also provided although one was broken on the day of the visit. This had been reported and a part had been ordered. Many comments were received from relatives and service users that the washing was not as clean as it should be. The inspector looked at the clean clothes in the laundry and found them to be very stained and marked and looked like they had not been washed. It was also observed that many service users clothes they were wearing were badly stained. This is not acceptable and needs to be addressed to ensure service users have clean clothes to wear. This was discussed with the manager as so many comments had been received by the inspector when talking to service users and visitors. The manager said she had contacted the supplier of cleaning fluids and was hoping to get a suitable stain remover to be able to use in the washer, she told the inspector she would carry out a full audit of the laundry to see were improvements can be made to improve the quality for the service users. When the inspector looked round the home bathrooms and toilets were randomly checked and in two bathrooms a tray of communal toiletries were found one contained disposable razors, which looked like they may have been used. This is not acceptable as it causes risk of cross contamination/infection and this practice must stop to protect service users. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Staff training records had improved since last inspection, although some training needs updating. Not all service users needs are met by number of staff on duty. EVIDENCE: The manager told the inspector that she looks at dependency levels of service users to determine staffing, however with the new unit opening she was going to look at the residential forum staffing guidelines in detail to ensure care staff numbers did reflect this to ensure service users needs are met. There is always a qualified nurse on each shift and the skill mix of staff on duty on the day of the visit could meet the care needs of the service users, however did not meet their social and recreational needs. Personal files contained all the required information including Criminal Record Bureau and Protection Of Vulnerable Adult checks to protect service users. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 19 The staff training records had been improved since the last inspection and was much easier to follow to determine if staff training was up to date. However the Manager is still to develop a training matrix for each year to show when staff updates are due so no staff member is out of date with training so needs of service users can be met. Most staff still required moving and handling training and health and safety training this must be addressed to ensure safety of staff and service users. Adult protection, Dementia care and mental health training has improved greatly since the last visit. The community Psychiatric Nurse has delivered training to all staff and all care staff have received adult protection training. When staff were spoken to by the inspector all were knowledgeable on adult protection and were aware of correct procedures to follow to ensure safety of service users. The home ensure the care staff obtain NVQ level 2 or above and have achieved 48 of staff with NVQ and currently 5 staff are doing level 2 and 3 are doing level 3 when these are completed they would have achieved well over the 50 to ensure service users are in safe hands at all times. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is trying to run in the best interests of the service users. Service users financial interests are safeguarded. Health and safety policies are good. EVIDENCE: The home has quality assurance and quality monitoring systems in place to seek the view of the service users. Regular meeting are held for residents and relatives to gain feedback and discuss issues. The manager has yet to develop an annual development plan for the home but told the inspector it is something she has started and this will be reviewed to reflect outcomes for service users. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 21 Most service users maintain their own money or ask their family to, however the home maintains some money for service users, a selection of these were checked by the inspector, they were well maintained, with good records and were correct ensuring service users financial interests are safeguarded. The home has a good health and safety policy, however staff training is not up to date and this needs to be addressed to ensure service users safety. The sensor for the lift door has been ordered to ensure it meets health and safety requirements and maintains safety for service users. The maintenance records for gas safety, electrical safety certificates, Pat testing, legionella and safe environment including equipment and machinery were available at the time of the inspection. Incident and accident reporting has greatly improved since the last inspection all incidents; accidents or injuries are now recorded. They are also audited each month these records were seen and were very comprehensive and would pick up any issues so will therefore safeguard the service users. The risk assessments on safe working practices were not available, however the manager has since sent them to the inspector. They are very good the manager will need to ensure all staff is aware of them and they are followed to promote safety of staff, visitors and service users. Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 23 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 13 Requirement The registered manager must ensure that all service users risk assessments are complete and all risks are identified. (Old timescale 01.04.06). Timescale for action 01/07/06 2. OP30 18 All staff must attend appropriate 01/08/06 adult protection training by suitably qualified personnel to ensure they are qualified to meet service users needs. Ensure when plans of care are reviewed all information is reviewed and included. Ensure service users social, religious and recreational needs are met by providing a designated activities coordinator. Ensure all staff receive training on adult protection. Provide a documented programme of routine maintenance as part of the annual development plan. Ensure communal toiletries are not used. Provide suitable laundry facilities DS0000049440.V291363.R01.S.doc 3. 4. OP7 OP12 15 16 01/08/06 01/09/06 5. 6. OP18 OP19 13 23 01/08/06 01/08/06 7. 8. OP26 OP26 13 13 01/07/06 01/07/06 Page 24 Dr Anderson Lodge Version 5.1 9. 10. OP30 OP33 12 24 and cleaning materials that are able to thoroughly clean the service users clothes. Ensure all mandatory training is updated for all staff each year. The manager must provide an annual development plan for the home. 01/08/06 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Dr Anderson Lodge DS0000049440.V291363.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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