Inspection on 23/05/06 for Glen Tanar Rest Home

This inspection was carried out on 23rd May 2006.

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 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

Glen Tanar Rest Home 20/08/07

Glen Tanar Rest Home 22/11/05

Glen Tanar Rest Home 20/04/05

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

CARE HOMES FOR OLDER PEOPLE Glen Tanar Rest Home 65 Cavendish Road Bispham Blackpool Lancashire FY2 9NJ Lead Inspector Mrs Ruth Edgington Unannounced Inspection 9.30am 23rd May 2006 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 Glen Tanar Rest Home DS0000063150.V286125.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. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glen Tanar Rest Home Address 65 Cavendish Road Bispham Blackpool Lancashire FY2 9NJ 01253 352726 01253 352533 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) Fylde Care 2004 Ltd Miss Marisa Whybrow Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 21 service users in the category of Older People (OP) (service users over the age of 65 year) 22nd November 2005 Date of last inspection Brief Description of the Service: The Glen Tanar is an adapted property situated in a residential area within easy access of the promenade and busy shopping area of Bispham. The home provides accommodation for a maximum of 21 persons aged 65 years or above. The accommodation, which is on the ground and first floor comprises of one double bedroom and nineteen single bedrooms, only one of which has en-suite facilities. Each room is furnished to a good standard. There are adequate bathing and toilet facilities and a large lounge and dining area. A passenger lift enables the residents to have access to the rooms situated on the first floor. Various aids are provided around the home to assist the residents in their daily lives. There is a Statement of Purpose/Service User Guide, which is made available to all prospective residents In the main persons making an enquiry are given a copy of the home’s brochure and time is taken to explain what the person can expect if they decide to live at the home. All residents receive a copy of the written information on admission to the home to enable them to refer to what is provided and elevate any concerns that they might have as a new resident. A copy of the most recent inspection report is available in the hallway for residents and visitors to read if they so wish. Information received prior to this visit showed that the fees for care at the home are from £285.04 to £ 329.91 per week, with added expenses for hairdressing, chiropody , newspapers and toiletries. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which commenced at 9.30am and took place over six and a half hours. There were eighteen residents living in the home on the day of the visit. Prior to the visit the management completed a pre-inspection questionnaire and comment cards were received from each resident, five relatives and a visiting professional. During the visit the homeowner, manager, cook, three care staff, and a community nurse were spoken to. Five resident were spoken to individually and conversations took place with a number of residents who were sitting in the lounge and dining room. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together to form this report. There was a very good atmosphere in the home, staff were very relaxed and open to any suggestions made. All the residents contributed in some way to the visit, dependent on their capabilities. What the service does well: The residents in this home are well cared for. They are encouraged to be individual and their personal routines and lifestyles are respected. The registered manager is very experienced and holds a qualification in management. Staff were seen to be very caring in the way in which they looked after the residents and all personal tasks were carried out safe and sensitive way. The staff work well with other agencies in order that the needs of the residents are met individually and as a group. A visiting community nurse confirmed that the staffs’ care, attitude and knowledge of an individuals needs was good Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 6 Residents spoken to said that they were comfortable, safe and they liked living at the home. One resident said, “ I would not want to go anywhere else”. What has improved since the last inspection? The manager applied to the Commission for Social Care (CSCI) in December 2005 to become the registered manager and this was approved on 2nd March 2006. There have been a large number of improvements made to this home since the previous visit (22/11/05) and this is due to the commitment and hard work of the homeowner, manager and staff. Staff recruitment, induction, supervision and training have all improved. Staff said that they felt more involved in the care of the residents and able to meet their needs. The evidence of their training was seen when staff were observed using a hoist correctly whilst assisting a resident whose mobility was limited. The resident confirmed that they were happy with the staff using the hoist and felt very safe. The residents’ care plans have been reviewed and now contain all the information about the individual resident’s health and welfare needs and information about their life history, which gives staff a greater understanding of residents needs and individuality. A risk assessment had also been done for each resident. Resident’s individuality and wishes are being taken into consideration in ensuring the needs of the resident are met. Evidence of this was confirmed by the changes made in one bedroom prior to the resident being admitted and through observations and comments made throughout the visit. One resident goes out every day for a walk regardless of the weather and said that this was what they had always done and did not see any reason to stop whilst able to do so. Activities in the home have increased, these are held on a daily basis and residents have the choice of to be involved or not, which ever they wish. Relatives are being encouraged to be more involved and a BBQ had been arranged to which everyone was invited. The residents spoken to were looking forward to this event. Improvements to the decoration and furnishings were continuing. A door had been fitted to the entrance of the toilet area on the ground floor, which ensured the privacy and dignity of the resident using those facilities. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glen Tanar Rest Home DS0000063150.V286125.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 Glen Tanar Rest Home DS0000063150.V286125.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): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information needed to choose a home, which will meet their needs. The admission and assessment procedures are clear to ensure the care needs of residents are met. EVIDENCE: The records of the four residents who were admitted since the last inspection were looked at in detail. Examination of their records confirmed that in each case a full assessment had taken place prior to admission to the home, therefore ensuring the home could meet the needs of these people. The manager confirmed that as part of the admission process, prospective residents are encouraged to visit the home. One prospective resident was concerned that they would find the taps in the bedroom difficult to turn and therefore new taps had been fitted these had been changed to ensure that needs could be met. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 10 Residents confirmed that they were given sufficient information before admission to enable them to make an informed decision and were satisfied with the way in which they were admitted into the home. Two residents had been admitted recently at short notice and from observations made during the visit their assessed needs were being met. Examination of the residents’ files confirmed that they were all given a contract setting out the terms and conditions of residence. The staff spoken to confirmed that they had access to the residents’ information and were able to describe in detail the care needs of the individual residents. The manager was reminded of the requirement that no resident should move into the home without confirmation being given in writing that the home can meet their assessed needs. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. Promotion of health is taken seriously. Resident’ welfare is closely monitored to ensure health needs are met. EVIDENCE: On the previous visit to the home there was no clear and consistent care planning system in place. Improvements have been made in this area and the residents’ records now contain detailed information that clearly described their health, personal and social care needs. The files of four residents were looked at in detail. Personal histories and a risk assessment had been completed for each resident. Significant events had been recorded and daily entries made setting out the care given. Staff spoken to were very aware of each individual residents needs and confirmed that they had been involved in setting up the care plans. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 12 Observations were made of a member of the of care staff completing a care plan with a resident that had been admitted the previous day. Through discussions with the manager and staff advice was offered in relation to how the information contained in the care plans could be set out more effectively to ensure that no element of the residents care needs can be missed. The advice was met with very positive reactions. Observations were made throughout the visit of the caring approach of the staff towards the residents. The care practices in the home ensured that residents were treated with respect and their right to privacy and dignity was upheld.and the residents spoken to confirmed this. Medication practices were seen to be safe and good records had been maintained. All staff who administer medication had undergone training. Training was also being undertaken by two night staff to ensure that there was always some one on duty that had the relevant training. Residents who wish and are considered capable can keep their own medication. Only one resident was currently doing this. A lockable tin had been provided for this resident to keep the medication in and the resident confirmed that it had been explained to them their responsibility for taking the mediction correctly and safely. Glen Tanar Rest Home DS0000063150.V286125.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 this service. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: Comments made by residents prior to the visit indicated that there was some dissatisfaction with the meals being provided. The manager had already identified this and spent time with the residents to find out what they wanted on the menu. New menus were in operation and residents confirmed that they were now happy with their meals. One resident said “ I am never hungry but I enjoy what I eat”. The menus examined offered more choice and were nutritious. None of the residents required special diets at this time. Observations of residents having their lunch confirmed that assistance was given were required and residents were not rushed during the meal. It was also noted that residents were provided with drinks at all times. Those who were less able to ask had drinks accessible to them. Others could ask at any Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 14 time. One resident walking to the lounge said to a member of staff I would like a drink now and this was provided. Within minutes the resident was back saying that another resident would like a drink. Staff obliged in a very positive manner. The cook confirmed that they were aware of the residents likes and dislikes and any special needs. Improvements have been made into the daily activities provided for residents. Each afternoon a different activity is available for residents to join in if they wish. Those spoken to said that they had enjoyed a night out at a local hotel and were looking forward to a BBQ which was to take place that weekend. Family and friends had been invited to join in. Evidence was found that residents are encouraged to be active and continue to retain outside contacts. One resident said that they went out walking every day whatever the weather. Other residents go out with family and friends on a regular basis and residents are enabled to maintain links with the church of their choice. Staff and residents confirmed that there are now more activities being provided and time being spent with the residents. Through discussions and observations evidence was gained that the practices in the home enable equality and diversity for the residents. The manager was advised to refer to this in the policies and procedures available to staff. Glen Tanar Rest Home DS0000063150.V286125.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 good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. EVIDENCE: The home has a detailed complaint procedure in operation and all residents are made aware of who to speak to if they have any concerns. Residents and staff said that they felt confident that any concerns that they had would be taken seriously and acted upon by the manager. From discussions with the manager and staff evidence was gained that they had a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Five staff had attended a training course on Abuse Awareness, which all staff are to attend . There have been no compliants received by the Commission since the previous inspection. A record was kept of any complaints made and the action taken to resolve the matter. Glen Tanar Rest Home DS0000063150.V286125.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): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: A tour of the home confirmed that improvements had been made since the previous inspection. Several bedrooms have been repainted, and carpets and curtains replaced. The hall and stairs had been repainted and the lounge carpet is to be replaced. The handyman carries out day-to-day repair work identified by staff and recorded in the maintenance book. During the visit the handyman was in the process of fixing residents wardrobes to the wall to prevent any accidents occurring. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 17 In previous visits to the home comments had been made in regard to the inappropriateness of a mirror that was fitted in the toilet area opposite the office. It was reassuring to find that this had been removed and a door fitted to the entrance of this area to ensure the privacy and dignity of the residents when using these facilities. Residents said that they were very happy with the improvements that had been made and were aware of any future improvements, such as the new lounge carpet, which was to be fitted. Two of the residents who had been admitted recently were happy with their bedroom and a tour of the home evidenced that all bedrooms had been personalised. Staff were pleased with the improvements made and the general look of the home. The home was found to be warm, clean and free from any obvious hazards. Glen Tanar Rest Home DS0000063150.V286125.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): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are robust and provide the safeguards to offer protection to the residents. There are sufficient competent staff to meet the changing needs of the residents. EVIDENCE: The manager confirmed that there had been problems in relation to staffing levels especially at night, however new staff had been employed and the staff group are now more settled. The recruitment procedures have improved and on examination of the files of the last three members of staff to be employed evidence was found to confirm this. Also checked was the recruitment process of another member of staff who was awaiting clearance through CRB before they could start. All records seen contained the required documentation and all appropriate checks had been carried out. Examination of the rota provided confirmed that sufficient staff were on duty to meet the needs of the residents. Residents spoken to had no concerns in regard to staff being available to assist them when needed. Staff stated that the overall atmosphere of the home had improved and they were working well as a team supporting each other. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 19 Staff also said that they were now receiving more training than ever before and were enjoying their work. One staff member said that they felt that it gave them a better understanding of resident’s needs and how to meet these. Evidence was also seen that confirmed that induction and supervision for staff had improved. Of the 12 staff employed 5 had obtained level2 NVQ and the remaining care staff were undertaking this training. Through observations during the visit evidence was seen of how staff training was being used in caring for the residents. Staff were observed using a hoist to assist a resident move from an armchair to a wheelchair and this was done safely whilst preserving the dignity of the resident concerned. Observations were made of staff co-operation with other professionals, a visiting community psychiatric nurse confirmed that staffs’ care, attitude and knowledge of an individuals needs was good. The home operates an equal opportunities policy for all staff. Glen Tanar Rest Home DS0000063150.V286125.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 using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. EVIDENCE: The registered provider also owns another care home at which there is a registered manager in day–to-day control. The registered manager at Glentanar is very experienced and has gained the Registered Managers Award. Evidence was seen confirming that the manager has commenced NVQ (National Vocational Qualification) level 4 in care. Regular visits are made to the home by the provider and monthly reports of these vists concerning the operation of the home are sent to the Commission. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 21 The service history indicates that notification of occurences are being sent sent to CSCI and the manager was provided with a copy of the new notification form that should be used. Staff receive training as part of their induction, however the promotion of health and safety is one of the training needs that has been identified for all staff. From comments made by staff and residents, evidence was gained that practices in the home raise no concerns in relation to the health and safety of all concerned. Any concerns are reported to the handyman who deals with these immediately. First aid is another training need that has been identified by the manager. In order to comply with the requirement of a qualified first-aider on duty at all times. Two staff had undertaken first aid training and others were to do the course. Evidence was seen that equipment is service regularly and Health and Safety checks are carried out in line with requirements. The home owner was reminded that the Electrical Wiring Certificate was due for renewal in July 2006 and she immediately made a note to get this attended to. Regular staff and residents meetings are held to enable opinions to be voiced, information that affects them to be shared and make people feel genuinely involved in all aspects of the day to day running of the home. In the past questionnaires have been used to obtain residents and relatives views. It was confirmed that these are to be used again. Records are kept of any financial dealing handled on behalf of the residents. These were found to be up to date and correct. Formal supervision of care staff has been introduced and evidence was seen that some staff had not been receiving this on a regular basis. All staff spoken to said that they were aware of the requirement to have formal supervision and that the manager was working towards providing regular supervision for all care staff. However they felt the they were well supported and involved and if they had any concerns they would discuss these with the manager. The manager was in the process of reviewing all policies and procedures and ensuring that all are available for inspection if required and that staff are fully aware of these and comply with them. It was suggested that the manager incorporate into the policies how the home meets the issues relating to individual residents equality and diversity. Glen Tanar Rest Home DS0000063150.V286125.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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 2 x 2 Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 23 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 OP3 Regulation 14(1)(d) Requirement The registered provider must confirm in writing to the resident prior to admission, that the home can meet their assessed needs. Timescale for action 23/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4 Refer to Standard OP28 OP31 OP33 OP33 Good Practice Recommendations 50 of care staff should NVQ level 2 qualifications The manager should obtain level 4 NVQ in care. The registered provider should consider of questionnaires to gain the views of the residents and their families. The registered provider should produce a policy on equality and diversity for residents. DS0000063150.V286125.R01.S.doc Version 5.1 Page 24 Glen Tanar Rest Home 5 4. OP36 OP38 The registered provider should ensure that care staff receive formal supervision at least six times per year. The registered provider should ensure that there is a member of staff qualified in first aid on duty at all times. Glen Tanar Rest Home DS0000063150.V286125.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Glen Tanar Rest Home DS0000063150.V286125.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!