Inspection on 27/03/07 for Eaton Court

This inspection was carried out on 27th March 2007.

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

Eaton Court 14/03/06

Eaton Court 05/01/06

Eaton Court 16/02/05

Eaton Court 02/06/04

Eaton Court 18/06/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eaton Court 128 - 130 Grove Road Wallasey Wirral CH45 OJF Lead Inspector Debbie Corcoran Key Unannounced Inspection 27th March 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eaton Court Address 128 - 130 Grove Road Wallasey Wirral CH45 OJF 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) 0151 639 1093 Shadowsource Limited Janet Ann Wyn Jones Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2006 Brief Description of the Service: Eaton Court is located in a residential area of Wirral, which is close to local shops and Liscard town centre. The local bus station provides access to other parts of the Wirral and Liverpool. The home is a large three-storey detached building that is set in its own grounds with a well-maintained garden to the rear. Accommodation is situated on three floors in both single and double rooms, six of which have en-suite facilities. Communal space within the home consists of two lounges and a large conservatory that is used as the dining area. The current scale of charges for residing at the home ranges from £334.86 to £515 per week. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was not announced beforehand. Throughout the day the inspector met most of the residents and spoke with a number of residents on an individual basis. A tour of the premises was carried out and this included all areas of the home. Records were examined and these included the care plans for three of the residents, medication records, staff files, staff training records and health and safety records. Residents and their relatives returned questionnaires on the home to the Commission prior to the visit. Some of the information contained in these has been used to inform the findings of the inspection. What the service does well: The residents were positive about all aspects of the home. Resident’s comments included “they’re very good here” and “staff are always very helpful”. New residents are only admitted to the home following an assessment of their needs. This is to ensure the home has sufficient information so as to determine if the person’s needs can be appropriately met. Each of the residents has a care plan which gives an appropriate level of information on how to meet the person’s needs. Residents are choosing their own daily routines and one residents commented “I choose when I get up and I stay up late when I want to”. Residents are included in good level of activities within the home and there are occasional trips out organised for small groups of residents. Activities are well advertised. Residents are well supported with their health care needs. Residents are supported to see a GP, nurse or other relevant health professionals when appropriate. One resident commented, “If I need to see a Dr they get one straight away”. The catering arrangements are well organised and residents were happy with the quality of food and meals provided. One resident commented, “the food is Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 6 very good and I get a choice”. The cook has knowledge of the dietary needs of the residents and of their likes and dislikes of food. The communal areas of the home are nicely presented. Aids and adaptations are in place to promote the independence of residents and ensure staff carry out safe practices when assisting residents with moving and transferring. The manager has been in post for approximately 5 years and is confident and experienced. What has improved since the last inspection? What they could do better: Residents are well supported with their health needs. However, the way in which this is being recorded makes it difficult to track important information. The manager should therefore introduce a separate record of health appointments etc within the resident’s records. There are a couple of systems for care planning being used and this makes it confusing to see where the residents care plan is and how it is being reviewed. The home environment should be improved upon. There is no maintenance plan for the home and there are a number of areas require improvement as noted in the main body of the report. The manager should carry out an exercise to show the training which staff have had and to show what training is needed. The home has no system of quality assurance at all and therefore no means of measuring the quality of the service provided. The registered person should introduce a system of quality assurance which includes surveying the residents and their relatives on the quality of the service. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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 Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents and prospective residents with information on the services and facilities provided in order to inform their choice of home. Resident’s needs are assessed before they move to the home in order to ensure their needs can be met appropriately. EVIDENCE: The home has a statement of purpose and service user guide. Both of these documents have recently been updated to reflect changes in the home and have been made readily available to residents, prospective residents and their representatives. The inspector examined the files for three of the most recently admitted residents. An assessment of needs is in place for each of the residents. These assessments have been completed by a senior member of staff at the home. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 10 There was little evidence that an assessment of needs is being attained from the agencies who refer residents for example Social Services. The manager should always try to attain this information. Standard 6 is a key standard to be assessed however the home provides long term care and does not provide intermediate care. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. 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 using available evidence including a visit to this service. Each of the residents has care plan and these are reviewed on a regular basis. Residents are well supported to remain healthy and staff refer for medical assistance appropriately. Procedures for the receipt, storage and recording of medication are good. Administration of medication is good on the whole but there are some areas which need to be addressed. EVIDENCE: Each of the residents has a care plan. The care planning was looked at for three of the residents. The care plans included an adequate amount of information on how to meet the person’s needs and include information on their needs with: personal care and physical well being, communication, mobility and dexterity, personal safety and risk assessment, risk of falls, medical history, mental health, diet and weight, dental care, foot care, continence, religious needs, daily living / social activities, family involvement. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 12 The home is using two systems for care planning and this can be a little confusing. It is recommended that the manager reviews this and introduces one system which all staff work to. All residents were noted to be well presented and their appearance indicated that they are well cared for. One of the residents described the care provided at the home as “very good” and they were very positive on all aspects of their support. Discussions with residents and the manager indicated that the residents are encouraged to maintain their independence and manage their own self care tasks whenever possible. When asked if staff were respectful of their privacy residents said that they were. Residents reported that they are well supported with their health needs. Staff record when a resident has seen a GP, nurse or other health professional. However, this information is recorded in the resident’s daily records and this makes it difficult to track health related information and health appointments etc. The manager was advised to include a separate record in the resident’s file for all health related appointments to be recorded along with a write up on the outcome of these as appropriate. Medication storage and administration was looked at and the medication for two of the residents was looked at in some detail. The majority of medication is provided in blister packs and medication storage was found to be well organised. Staff who are responsible for administering medication have been provided with medication training. A small number of areas need to be addressed with the administraation of medication. Firstly, staff must not administer medication to any resident other than the person for whom it is prescribed for on the label ie there must be no pooling of medication. Secondly, eye drops must be date labelled as to when opened. When appropriate residents are supported to store and administer their own medication. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to be involved in indoor and occasional outdoor activities. Residents are encouraged to maintain their independence and exercise choice. A choice of good quality home cooked food is provided to the residents and the catering arrangements and kitchen are well organised. EVIDENCE: Residents appear to be well supported to be involved in activities. Residents gave good feedback on the activities at the home. A notice board in one of the lounge areas was advertising activities for the week and this read; Monday – chair exercise, Tuesday – manicure / hairdresser, Wednesday – bingo, board games and shopping, Thursday – dvd, Friday– church service / crafts, Saturday – quiz & dvd, Sunday - Karaoke. The manager reported that outings take place on once per month when the weather picks up. Clothes parties are arranged twice per year. Discussions with residents and the manager and observations indicated that residents are encouraged to exercise choice and control and maintain their Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 14 independent living skills. Residents are reported to make daily choices such as when to get up, go to bed and have a choice of meals. One resident commented “yes I choose when I get up and I stay up late when I want to” Residents are encouraged to have a telephone in their room for their personal use and their privacy. One resident said that their privacy and choice to spend time on their own was well respected. Visitors are welcome in the home at all reasonable times and residents families are encouraged to visit. A number of relatives provided good feedback on the home including comments such as “staff seem to offer an open and sympathetic approach”. In order to assess the meals and food provided the menus were checked, the kitchen was checked and many of the residents were asked their view on the food and meals provided. The standard of food at the home is good. The main meal of the day is served at lunch time and the cook prepares fresh home cooked food from fresh ingredients. The residents gave good feedback on the quality and quantity of meals and food provided. Resident’s comments included “the food is very good and I get a choice”. The meal served during the inspection was nicely presented and appeared appetising. The residents appeared to enjoy their food during the mealtimes and residents are served refreshments regularly throughout the day. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and for aiming to protect residents from abuse or neglect. A greater number of staff should be trained in adult protection in order to further safeguard the residents. EVIDENCE: The home has a complaints policy and procedure which is time scaled appropriately and includes contact details for the Commission. Information on how to make a complaint is posted on a notice board. There have been no complaints since the last inspection. One relative commented that they know how to make a complaint but doubted that it would not be necessary to make a formal complaint because the “staff listen to issues and respond positively”. The home has a policy and procedure on adult protection. This was looked at and found to be inappropriate as there was no reference to reporting alleged abuse to the relevant Social Services Department. This procedure was amended during the inspection visit. The home also has a guide for referring adult protection issues from Wirral Social Services. This provides clear and concise information and contact details for the relevant authorities. Three members of the staff team have been provided with abuse training. This should be extended to include all members of care staff. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Communal areas of the home are well presented. However, there are areas which are in need of attention including a number of the resident’s bedrooms. EVIDENCE: A tour of the premises was carried out. The home has a friendly and welcoming feel and the communal areas are maintained to an appropriate standard. The home has two communal lounges. There is a large conservatory which is used as the dinning room and additional recreational space. All residents bedrooms were viewed as part of the tour of the home. Residents are encouraged to bring personal belongings to keep in their rooms and the rooms are therefore personalised. The standard of decoration and furnishings in some of the rooms was poor and several of the rooms require attendance Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 17 for either redecoration or for re carpeting. The flooring in resident’s bedrooms is carpet tiling. In many of the rooms this was either not matched, not secured to the floor, not fitted properly or very dirty. The carpet tiles, particularly in their current state when they are loose present a risk to residents and this must be addressed as a matter of priority. Residents who have difficulty with their mobility can access the first floor by using a passenger. Aids and adaptation are in place to enable residents to remain safe and have full use of facilities in the home. The home was presented as clean with the exception of those areas of carpeting as noted above. Staff adopt safe working practices so as to safeguard residents and themselves. The home does not have a maintenance plan. The registered person is required to produce a maintenance plan to show how they intend to ensure that the premises are maintained so as to provide a safe and comfortable environment to residents and staff. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers were appropriate to ensure that service user’s needs were being met effectively and promptly. Staff recruitment and selection procedures are good and aim to protect residents. Staff training opportunities could be improved so as to ensure a better qualified work force. EVIDENCE: At the time of the inspection there were 19 residents living at the home. There were 4 care staff on duty during the early part of the day. Along with this there was a domestic member of staff, 2 kitchen staff and the manager. At the time of the visit approximately 45 of the care staff team had attained an N.V.Q (National Vocational Qualification) level 2 in care. The manager reported that 2 further staff were undertaking this qualification and one was awaiting confirmation that they had passed. There have been no new staff since last inspection. However, the manager reported that she was in the process of employing new staff and the process used for employing these new staff was checked. This showed that all Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 19 appropriate pre employment information is attained and checks are carried out before new staff commence work. A number of staff files were looked at in order to assess the level of training provided to staff. Staff have recently been provided with fire safety training and were due to undertake refresher training in moving and handling in the forthcoming days. A sample of staff files showed staff have been provided with training in topics such as first aid and induction standards. For some staff there was limited evidence of the training they had been provided with. It is recommended that the manager carries out a piece of work which identifies the training which staff had undertaken and which identifies their training needs. This should include identifying staff training in core health and safety related skills and in topics relating to the needs of the residents. Staff were observed to be warm and friendly with the residents throughout the inspection. The staff turnover at the home is good and many staff have worked at the home for a significant number of years. Residents gave positive feedback about the staff including “they’re very good here” and “staff are always very helpful”. Relatives also provided good feedback on the staff team including the following comments “all the staff are confident and experienced, kind and thoughtful”, “they keep you informed with important issues” “All the staff are very pleasant” and “staff seem to offer an open and sympathetic approach”. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager runs the home in the best interests of the residents and is effective in ensuring the resident’s needs are met. The home has no system for checking the quality of the service provided. The health, safety and welfare of residents and staff is protected by the home’s safety checks and procedures however some of these need to be improved upon. EVIDENCE: The manager has been in post for approximately 5 years and has worked at the home for a total of approximately 10 years. Discussions with the manager and feedback from residents and relatives indicate that the manager is confident and experienced and deals with issues efficiently. The manager has a Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 21 good understanding of the needs of the residents and fully promotes the ethos of the home as one of respecting the residents for their individuality and striving to provide them with a home in which they are valued and happy. The home has a warm friendly atmosphere and there seems to be good working relationships across the staff team and between the manager and care staff. The majority of residents are supported with their financial matters by members of their family or other representatives. The manager reported that she only supports one of the residents with their money. This involves supporting the person with their weekly allowance. Information relating to this resident’s monies is documented. Staff are not being provided with regular and recorded supervision meetings. These should provide an opportunity for staff to discuss their work in supporting the residents and their professional development. There is currently no effective system for measuring the quality of the service. The manager reported that a system for quality assurance has been purchased and will be introduced in the near future. The quality assurance process should include surveying the residents and their representatives on the quality of the service. Feedback from this process should then be published and distributed. It is also recommended that an annual development plan is produced which reflects aims and outcomes for residents. Health and safety policies, procedures and practices are in place to safeguard the well being of residents, staff and visitors. Health and safety records were checked. These showed that fire safety and water safety checks are in place. However, the fire alarm tests need to be carried out so as to ensure that the fire detection system in all areas of the home is checked on a regular basis. The same applies to the checking of water temperatures. The temperature of the water in the ground floor bathroom was close to 50c. The manager was required to address this with immediate effect. The manager must ensure that the testing of water temperatures includes checking all communal bathing facilities on a regular basis. Any concerns as to the water temperatures must be reported appropriately and action taken to address this. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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 3 X 3 X X X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 1 X 3 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 3 X 2 X 3 2 X 2 Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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 OP8 Regulation 17 Requirement The registered person shall ensure that when a resident is supported with a health issue or health related appointment that this information is clearly recorded in their records. The registered person must ensure that all medication is stored and administered appropriately. The registered person must ensure that all areas of the home are maintained to a good standard and are safe to residents and staff. All matters identified in the body of the report must be addressed including the provision of a maintenance plan. The registered person must ensure that staff are provided with training in adult protection. The registered person must ensure that staff are provided with regular and recorded supervision. The registered person must establish and maintain a system for reviewing and improving the DS0000018883.V331657.R01.S.doc Timescale for action 08/05/07 2. OP9 13 (2) 27/04/07 3. OP19 23 (2) (b) 27/06/07 4. 5. OP18 OP36 13 (6) 18 (2) 27/07/07 27/06/07 6. OP33 24 27/06/07 Eaton Court Version 5.2 Page 24 7. OP38 8. OP38 quality of care provided at the home. This must include regular visits to the home by the registered person. 13 (4) ( c) The registered person must ensure that the systems for checking water temperatures is appropriate to safeguard the residents. 23 (4) (c ) The registered person must (i) ensure that the systems for checking the fire alarm system is appropriate to safeguard the residents and staff. 27/04/07 27/04/07 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 OP3 OP7 OP30 Good Practice Recommendations Social Services assessments should always be requested were the person is referred by Social Services. The manager should ensure that staff are clearly aware as to the care planning system in use. An analysis of staff training should be carried out to identify core training needs for care staff and to identify training linked to the needs of the residents. A staff training plan should be developed linked to ensuring staff can meet the needs of the residents. Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Eaton Court DS0000018883.V331657.R01.S.doc Version 5.2 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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