Inspection on 13/06/06 for Ferndale Nursing Home

This inspection was carried out on 13th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ferndale Nursing Home 23/07/07

Ferndale Nursing Home 19/10/05

Ferndale Nursing Home 09/11/04

Ferndale Nursing Home 06/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ferndale Nursing Home 124 Malthouse Road Crawley West Sussex RH10 6BH Lead Inspector Mrs Kerry Leppard Key Unannounced Inspection 13th June 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ferndale Nursing Home DS0000024142.V292834.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. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ferndale Nursing Home Address 124 Malthouse Road Crawley West Sussex RH10 6BH 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) 01293 520368 01293 528898 Ferndale Health Care Limited Mr Ishwurduth Mannick Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons in the home should not exceed 28. Date of last inspection 19th October 2005 Brief Description of the Service: Ferndale is a care home providing nursing care and accommodation for twentyeight older people with dementia. The home is owned by Ferndale Health Care Limited. The responsible individual on behalf of the organisation and registered manager of the service is Mr Ishwurduth Mannick. The home is in Crawley and close to the amenities offered by the town centre. The home was first registered in 1994 and consists of accommodation on three floors, all of which are accessed by a passenger lift. The home provides accommodation in eighteen single and five double rooms, one and three of which respectively provide en suite facilities. The home has a garden, which can be accessed by ramped pathways. The current scale of charges is £485-£650 and additional charges are made for chiropody, hairdressing and magazines. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced fieldwork visit was carried out by two inspectors from 9.30am to 3.00pm on Tuesday 13 June 2006. Prior to the visit information was requested and received from the home in the form of a questionnaire. Comment cards were supplied to the home for distribution to both residents and relatives/visitors. However none were returned, the registered person is advised to consider how he can improve the way residents and their relatives are involved in the inspection process as they have been in the past. During the visit the inspectors spoke with four residents and a visitor and spent time observing interactions between residents and staff. The inspectors were unable to obtain feedback from all residents due to their level of disability. The inspectors spoke with three staff individually and a group of three staff also. A variety of records were reviewed including, assessments, care plans, medication administration records, staff recruitment records and resident finance records. A General Practitioner comment card was received, feedback from which, has been incorporated into this report. What the service does well: What has improved since the last inspection? What they could do better: Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 6 Requirements for action are that Records must be made of incidents of aggression and challenging behaviour exhibited by residents. Similarly, the records relating to how staff should respond need to be more detailed based on the review of previous incidents. Recruitment records are consistently poor at Ferndale, they have been found to be unsatisfactory on the last six inspection reports. They show that the registered person does not carry out all of the necessary checks before care staff commence work. This breach of the regulations puts residents at risk. It is recommended that the timescale for completion of the Skills for Care induction are met, particularly when the care worker has commenced employment prior to receipt of a satisfactory Criminal Records bureau (CRB) disclosure. 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. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 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 the following standard(s): 3, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents are assessed before they move into the home however the process does not include written evidence of consultation with the resident or their representative. Residents and their relatives are offered the opportunity to visit the home prior to their admission. Intermediate care services are not provided at Ferndale Nursing Home. EVIDENCE: Pre admission assessments are undertaken. The inspectors viewed two relating to residents that were case tracked, these had been conducted by social Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 9 workers and a registered nurse from the home. Assessments seen included information relating to residents physical and mental health needs. The registered nurse on duty, who told the inspectors that she is involved in the assessment process of prospective residents, said that where appropriate the resident and their relatives had been involved in the process. One relative spoken with said that staff from the home had visited the prospective resident in their home to discuss their needs. The relative also confirmed that they had had an opportunity to look around the home. The assessments seen did not include written evidence to confirm a process of consultation. It is therefore recommended that this should be recorded and the discussion should include reference to the prospective resident’s personal preferences for the provision of their care and this will provide a sound basis for an individualised care plan (see standard 7). Ferndale Nursing Home DS0000024142.V292834.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 adequate. This judgement has been made using available evidence including a visit to the service. Care plans are in place for each resident however the detail of the information is not sufficient and is not followed by care staff. Resident’s health needs are met. Some minor improvements should be made to the management of medication in the home. Staff are trained to respect residents privacy and dignity. EVIDENCE: Care plans are in place and have been developed for each resident. Three were sampled as part of case tracking and found to include information relating to risks, nutrition, pressure area and manual handling issues. A senior member of staff regularly reviews individual care plans. Two of the three care plans included evidence that they had been shared with and agreed by the resident’s Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 11 relative. It is recommended that care plans for all residents are shared and agreed in this way. Through case tracking, including the inspectors observations throughout the visit, it is concluded that staff practises are not linked to the care planning process. Although staff said that they have access to care plans, three instances were noted where practises were not reflective of the information recorded in the individual care plan. For example, it was not recorded that one resident prefers a male carer and can become aggressive toward female carers although staff clearly knew this. It is therefore recommended that information recorded be specific about the individual’s needs and the guidance staff should follow to meet those needs. Records sampled included phrases such as, staff should reassure and reorientate residents, it is recommended that care plans should include information about how each individual should be reassured and reoriented with reference to their pre admission assessment and the preferences that were noted at this time (see standard 3). The inspectors observed some good care practises, for example staff responded appropriately and in an understanding and caring way to residents needs and wishes. However there is a risk to residents health, safety and welfare if staff practises are based on instinct rather than the assessment of need and provision for each individual resident at Ferndale Nursing Home. Care plans show that a General Practitioner visits regularly and is consulted about resident’s physical health care. Responses on a GP comment card indicate that the home communicates clearly and works in partnership with them and incorporates any specialist advice given into the service user plan. One resident currently has a pressure sore, for which, a wound treatment plan has been developed. The plan is being kept up to date and includes details of the dressings being used, frequency of treatment, diagrams, photographs and descriptions of the progress of the wound. Records also indicate that specialist advice has been sought from a tissue viability nurse. Feedback on the GP comment card indicates that service user’s medication is appropriately managed in the home. Medications, including controlled drugs, are appropriately stored and are administered to residents by a registered nurse on duty from blister packs. Medication Administration Records are used to record what medicines have been given to residents. Minor points for the improvement of medication management in the home are, that all records be completed fully following administration of medicines and the storage of liquid medicines be reviewed to facilitate the use of medicine only for the resident for whom it has been prescribed. In relation to resident’s privacy and dignity the inspectors noted that screens are provided in shared rooms and locks have been fitted to resident’s rooms. Feedback on the GP comment card demonstrates that privacy is afforded for Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 12 consultations. Following lunch the inspectors noted that residents were discreetly escorted to bathrooms to freshen up and change their clothing if necessary. Discussion with a staff member individually, confirmed that staff have been trained in privacy and dignity issues. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Activities are provided although it is not clear if these are provided on a basis of resident’s experiences and preferences. Visitors are welcomed into the home. Residents are supported to make choices and decisions where possible. Food provided on the day was wholesome, nutritious and appealing. EVIDENCE: In the main entrance there is a notice board, this was being used to display a collage of the England football team, which reflects the fact that at the time of the visit England were taking part in the World Cup. A programme of activities was also displayed although it was noted that the planned activity was not undertaken. However, during the visit the inspectors observed that music was being played, which one resident was clearly enjoying, some residents were being supported Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 14 with activities and another was playing a card game alone. The inspectors are pleased to the note that staff supported residents with activities in a positive, enthusiastic and appropriate manner. Through the process of case tracking the inspectors concluded that these activities were not planned based on the information gained through the process of assessment. It was not clear therefore if the lifestyle experienced in the home matches resident’s expectations and preferences (see standards 3&7). Visitors indicated that they are welcomed into the home and offered refreshment. One visitor told the inspector that they are able to conduct their visits in the privacy of the resident’s bedroom. It was also evident that visitors are able to help their relative to eat their meal, if they so wish. The inspector observed a residents family being welcomed into the home and supported to take their relative out. The inspector observed that staff offer choices to residents in relation to their personal care, for example a resident was asked if they would like a bath. Through discussions with staff it was evident that they understand the importance of offering choice and have been trained to empower residents to make decisions and/or be involved in the process of decision making. The meal that was served on the day of the visit looked and smelled appetising, including soft diets and liquidised meals, which were served as separate portions of meat and vegetables. Feedback from most residents indicated that they had enjoyed the meal. Most residents eat their meals in the communal lounge/dining room with support and assistance given by staff. It was also noted that records are being made of the food intake for a resident who is at risk of poor nutrition and this being monitored on a regular basis. Supplements are also given if a risk of poor nutrition has been identified. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Complaints are listened to and acted upon. Training provided to care staff supports them to protect residents from abuse. The registered provider needs to ensure senior staff understand their duty to report abuse accordingly. Records relating to challenging and/or aggressive behaviour need to be improved. EVIDENCE: The complaints procedure is displayed in the main entrance. From information supplied prior to the inspection no complaints have been recorded. Discussion with one visitor indicates that staff are approachable and responsive to issues that needs addressing. Discussions with staff indicate that they have received training, from which, they know about different types of abuse and understand their responsibility to report any suspicion or evidence of abuse to someone in charge. However it is recommended that persons in charge of shifts are trained in the local authority’s adult protection procedures which require any such event to be reported to the local social services department. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 16 Risks to residents from bed rails have been identified through the process of care planning. Staff told the inspectors that they had training in dealing with challenging and aggressive behaviour. From information gathered the inspectors conclude that records of incidents of aggressive and/or challenging behaviour and the action staff are to take in response are inadequate. For example, in one care plan it states ‘to remove the resident to a less stimulating environment when they are agitated’ this does not support staff to identify the ‘agitation’ and follow the direction appropriately. This poses a risk to the health, safety and welfare of both residents and staff. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home provides a pleasant and homely environment that is subject to improvement. The registered person is aware of environmental risks to resident’s health, safety and welfare and has taken steps to minimise them. The home is clean and tidy. EVIDENCE: It is evident in the registered person’s business plan and information provided prior to this visit, that plans are still in place to refurbish and extend the kitchen, which is looking tired. Ferndale Nursing Home provides a very pleasant environment for residents both indoors and outside. Individual bedrooms are furnished and decorated to Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 18 make them welcoming and homely, it was also evident that some residents have brought items of their own belongings to the home in order to personalise their bedrooms. The registered person has been advised during previous visits to assess risks to residents from hot surfaces that remain although radiators have been covered, and low eaves in some bedrooms. The home was clean and tidy on the day of this visit and laundry appeared to be well managed. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Staffing levels in the home are good. The home’s recruitment practises are consistently poor and put residents at risk. Staff are trained to do their job although induction processes need to be improved. EVIDENCE: On the day of the visit the staffing levels for the twenty eight residents were good, two nurses were on duty with three care assistants. In addition a cook, cleaner and laundry assistant were on duty. Two recruitment records were sampled relating to the most recently recruited members of staff. These demonstrate that the registered person has not improved the home’s recruitment process sufficiently and that all of the necessary checks are not carried out before care staff commence work. This is contrary to the registered provider’s response to this requirement on the last Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 20 inspection report, which states ‘recruitment agencies will be contacted to fill vacant posts until all the information, as stipulated in Schedule 2, is obtained’. This breach of the regulations puts residents at risk and is an issue on which the provider has consistently not achieved compliance. Information provided prior to this visit and discussions with staff indicate that a comprehensive programme of training is in place and staff are supported and encouraged to attend the sessions that are provided. Staff also explained that a system is in place for two of them to work through a National Vocational Qualification (NVQ) award at one time. Currently the home has achieved 10 of care staff trained to NVQ Level 2, which does not meet the target of 50 set by the National Minimum Standards. Of the two recruitment records sampled, one included evidence of an in house induction that had been completed with the applicant. Neither provided evidence of Skills for Care induction that should have been undertaken by staff commencing employment prior to receipt of their Criminal Records Bureau (CRB) disclosure. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The registered manager is a nurse but does not have a management qualification. Evidence has not been provided of an ongoing quality assurance programme that ensures the home is run in the best interest of the residents. Business and financial plans for the home have been produced. Resident’s financial interests are safeguarded. Equipment servicing and maintenance and staff training promotes and protects the health safety and well being of residents and staff at Ferndale Nursing Home. EVIDENCE: Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 22 The registered manager is a Registered Mental Nurse and has been working on achieving a management qualification in order to meet the National Minimum Standards. The Commission for Social Care Inspection is aware that the registered manager has been absent from the home and therefore is not currently in day to day control of it. During the period of his absence the Commission for Social Care Inspection has not been advised in writing of the circumstances and interim arrangements for the management of the home, as required by Regulation 38 of the Care Homes Regulations 2001. This must now be provided. The registered person has previously carried out a quality assurance exercise and shared results with the Commission. Such exercises should be carried out regularly as part of the internal audit of the service and used to inform the home’s development plans. Business and financial plans were provided following the last visit. Any money stored for safe keeping on behalf of residents is stored separately and securely with record of incomings, outgoings and the balance. Information provided prior to this visit indicates that equipment is serviced and maintained to ensure the health, safety and welfare of residents and staff. Similarly, the home’s training programme includes health and safety topics. Staff told the inspectors that they had done food hygiene training recently and first aid and moving and handling training is coming up. In relation to moving and handling techniques, it is vital that staff are supervised to ensure that they are applying techniques they have been taught to use that are safe and protect the health, safety and welfare of residents and themselves. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 3 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 3 3 X X 3 Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 24 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 OP18 Regulation 17 (1) Schedule 3(j) Requirement Timescale for action 13/07/06 2. OP29 19(1) The registered person shall maintain in respect of each service user a record, which includes the information, documents and other records specified in Schedule 3 relating to the service user. Including a record of any incident in the care home which is detrimental to the health or welfare of the service user. The records shall include the nature, date and time of the incident, whether medical treatment was required and the name of the persons who were respectively in charge of the care home and the service user. Previous timescale of 21/11/05 not met. Staff records must include the 13/07/06 information and documents specified within Schedule 2. Previous timescale of 21/10/05 not met Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations It is recommended that the timescale for completion of the Skills for Care induction are met and that an assessment of the staff member’s competence is made to identify further training needs, including effective communication. Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Ferndale Nursing Home DS0000024142.V292834.R01.S.doc Version 5.1 Page 27 - 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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