Inspection on 08/11/05 for Greenfield House

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Greenfield House 24/04/08

Greenfield House 05/09/06

Greenfield House 23/07/05

Greenfield House 14/12/04

Greenfield House 27/07/04

Greenfield House 24/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Greenfield House Springfield Road Leek Staffordshire ST13 7LQ Lead Inspector Lorraine Mavengere Announced Inspection 8 November 2005 9:30 Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 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 Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 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 Adults 18-65. 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. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greenfield House Address Springfield Road Leek Staffordshire ST13 7LQ O1538 385916 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) Staffordshire County Council, Social Care and Health Directorate Mrs Annette Cox Care Home 10 Category(ies) of Dementia (2), Learning disability (10), Mental registration, with number disorder, excluding learning disability or of places dementia (2), Physical disability (2) Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bathroom refurbishments to be completed within four weeks. Date of last inspection 23rd July 2005 Brief Description of the Service: Greenfield house is a purpose built Local Authority home that can accommodate ten adults with learning disabilities whose ages range from 18 years to 65 years of age. The home is located in a residential area close to Leek town centre, close to shops and amenities and is accessible by public transport. The home is pleasantly situated with extensive grounds and a patio area. Adequate car parking, external roadways and pathways are provided. Accommodation is provided on one floor and comprises ten single rooms. In March 2004 the home provided a self contained flat arrangement to accommodate two residents with en-suite toilet/shower, kitchen, conservatory dining area and lounge. The aim was to provide extra living space. There is one assisted bath, one domestic bath and two shower rooms. There are six toilets throughout the home. Service users have three separate lounges, dining and activity spaces. Services and facilities including laundry and catering are good with adequate staffing levels. Activities and entertainment take place and are facilitated by designated staff. Transport is provided when required with a purpose built minibus and families and friends are encouraged to take part in trips out. The home has strong links with day centres that are attended throughout the week. The home is owned by Staffordshire County Council and operated by Staffordshire Social Services. Revenue budgets are devolved to the home and capital expenditure is managed centrally. Contingency monies are set aside for emergencies. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Tuesday during the day. Most of the service users were away at the day centre and the inspector was only able to see them at the end of the day. The service user participation was minimal due to communication difficulties. They were, however, well represented by relatives and staff. The inspector was able to speak to most relatives in great depth about the service provided by Greenfield. The issues and comments raised during these discussions, alongside the inspection comment cards are included in this inspection report. Information for the inspection was gathered largely through discussions with the manager, records, case tracking, discussions with families, direct and indirect observation and pre inspection information. Most of the service user and relatives comment cards were returned. All comments received were extremely positive and highlighted the home as giving good quality care. Some staff were spoken to during the course of the inspection but no formal interviews took place. Since the last inspection, the home has made a variation to the registration from nine service users to ten service users. An extra bedroom was made available. All work undertaken for this is satisfactory and in accordance with the standards. What the service does well: It was evident that the home has a very strong parent/ carer group that enables families to be consulted and involved in the service. The parent/ carer group also enables service users to be well represented in matters regarding their care. This is vitally important given the limited service user communication. Greenfield House did well in all standards inspected with the exception of one that was met with minor shortfalls. It was clear that the home had taken care to ensure that all safe working practices are up to date and of high quality. The home’s quality assurance systems are also commendable. On the day of inspection, the home was clean, tidy and comfortable. All furniture is domestic in nature and service users appeared content. There were no apparent signs of distress or discomfort amongst the residents. It was commendable to note that the home is able to meet service users’ cultural and religious needs. This has been demonstrated through the new service user who is from a different culture and religion. The home showed that they took particular care in respecting the religious observations as indicated. The relatives spoken to were full of praises for the home and the staff. They made comments such as “the staff never let the residents down”, “I’ve never known a better run home”, “can’t praise them enough”, and “I couldn’t fault them.” The comment cards reflected these same comments. Communication Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 6 between the home and the residents’ families is meticulous and relatives know that they can play an active role in service users’ lives. What has improved since the last inspection? 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. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 New service users are only admitted into the home on the basis of a full needs assessment to enable the home to ascertain its ability to meet service user needs. EVIDENCE: This standard was assessed based on the new admission that took place recently. Discussions with the registered manager confirmed that a full assessment had been carried out prior to the resident moving into the home. The admissions policy was seen during the inspection. The home’s practice on admissions is in line with the policy. The service users’ care file was seen during the inspection. It shows that all areas as stated in standard 2.3 are covered within the assessment. It was quite clear that the care plan was formulated based on the assessment. All restriction on choice, freedom and facilities based on specialist needs and risk are highlighted in the care plans and risk assessments. This is the first admission that has taken place in a number of years. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Service users are enabled to take responsible risk to enable them to maximise their independence. EVIDENCE: A number of care files were sampled during the inspection. All files seen showed that all areas of risk had been assessed in detail and the appropriate management tools had been put in place. The registered manager verified that risk management strategies are agreed with as much participation from the service user or their family as possible. All agreed risk management strategies are recorded in the service users’ care files. Through the risk assessments, the home demonstrated that they take action to minimise risks and hazards and where possible, service users are educated about safety in order to help them maximise their independence in a safe way. The home also has a comprehensive policy on Missing Persons that details steps to be taken in response to unexplained absences. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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, 17 The home’s daily routines support and promote independence. All restrictions are agreed in the individual care plan and serve to uphold the safety and well being of the service users. Services users are offered a healthy and varied diet that is in line with their preferences and dietary needs. EVIDENCE: Discussions with the registered manager confirmed that service users are offered keys but none of them have the capacity to use them. This is highlighted in their care records. Observed practice also showed staff interacting with service users and taking time to understand their needs. Service users were seen to decide whether they wanted to be in company or whether they wanted to be on their own. This was indicated by them wondering in and out of communal areas freely. A number of the service users at Greenfield House have restrictions in some areas of their lives. Discussions with the registered manager confirmed that the restrictions were as a result of assessed risk and was in the best interests of the service users. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 11 Observed practice shows that service users are treated respectfully when assistance is being given in areas of toileting, eating and other areas of care. Staff were seen to knock on the bathroom doors when entering to assist with toileting. The menus that were provided by the home show a commitment to promoting service users’ health and wellbeing by ensuring a supply of nutritious, wholesome and varied food. The inspector had the opportunity to spend time with the member of staff designated to look after the kitchen. The member of staff was able to confirm that all staff who deal with food in the home have received their food hygiene training. The home employs one full time cook. The member of staff spoken to was able to demonstrate the home’s ability to meet the dietary needs of a Muslim gentleman service user who had not long been admitted into the home. All the details of what his religion did not permit him to consume was detailed in the home’s records. The member of staff was able to show the inspector the details of how food is ordered for the home, the process of receiving, recording and storing the food, right through to the process of preparing and serving the food. Documentation provided on the day show that a Kitchen audit took place recently. The report shows that the home is performing well in this area. Temperature logs for the fridge, freezer and cooked foods were seen on the day of inspection. During an examination of the dry food store, the inspector noted that there was one item that was out of date, further inspection and discussion with staff indicated that this was an oversight that had been made and the problem was rectified with immediate effect. It has to be noted that all other areas of the standard were met to a high standard. It is therefore recommended that foods are checked regularly to make sure they are still within their use by date. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20 The individual support that is provided is sensitive and flexible. Service users receive personal support in the way they prefer and require. The service users health needs are met and their welfare is safeguarded by the home’s policies and procedures. Administration of medication is carried out to a satisfactory level. EVIDENCE: Observations and examination of records during the inspection show that personal care needs are recorded in individual care plans and service users’ privacy is respected. Discussions with the registered manager confirmed that service users are provided with the adequate equipment to help maximize their independence as assessed. Records show that service users receive additional, specialist support and advice as needed. Staff spoken to stated that in as far as possible, service users are encouraged to choose their own clothes. All service users are provided with guidance and support with regards to personal hygiene. Relatives spoken to stated that staff are constantly aware of what service users’ support needs are and endeavor to meet those at all times. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 13 The home has a comprehensive policy on the administration of medication. Discussions with the registered manager and an examination of the medication cabinet and medication records showed that the home’s practice is in line with the policy. The process of receipt, storage, administration and disposal of medicines were assessed during the inspection. These were assessed alongside and in accordance with the home’s policy for the medication. It was noted that all receipt of medication was appropriately recorded and all medication is safely stored in a locked facility. Presently, the home does not use refrigerated medicines nor are any of the residents using un prescribed or homely remedies. Similarly, the home does not currently hold any Controlled Drugs. The registered manager confirmed that staff administering medication have all had the relevant training. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home’s policies and practices protect service users from abuse, neglect and self harm. EVIDENCE: The home has in place a robust policy for responding to suspicion or evidence of abuse. The Abuse policy and the Whistle blowing policy give clear guidance on what should be done in the case of alleged or actual abuse. Staff spoken to illustrated an understanding of adult protection issues and some of them confirmed that they had attended the training. The home has a copy of the Staffordshire County Council Interagency Policies for dealing with Vulnerable Adults. Since the last inspection, there have been no reports of any vulnerable adult proceedings and no staff have been referred for POVA. Records seen show that physical and/ or verbal aggression by service users is risk assessed and managed appropriately. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30 The home provides bath and toilet facilities that meet service users’ assessed needs and offer sufficient privacy. The home provides environmental adaptations and equipment necessary to meet the home’s stated purpose and service users’ needs. The home is generally clean, free of offensive odours and hygienic. EVIDENCE: This standard was assessed in light of some refurbishments that had taken place in the home recently. The refurbishments involved one of the bathrooms being knocked through and refitted. A brief tour of the premises showed that the home provides an adequate number of bath and toilet facilities to meet the services users needs. All bath and toilet areas have hand-washing facilities and are fitted with handrails and grab rails as appropriate. The bath and toilet areas all offer sufficient privacy. A brief tour of the premises showed that the home has handrails and grab rails fitted throughout. The home also uses hoists, slide sheets adjustable beds, parker bath and shower trolley. The registered manager stated that each Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 16 service user is individually assessed for the equipment that they need and provision made accordingly. This is done on a multi disciplinary level. The manager also confirmed that all equipment is reviewed and serviced regularly. A detailed tour of the premises evidenced that the home, on the day of inspection, was kept clean, hygienic and free of offensive odours. All staff are trained in Infection Control as part of the home’s mandatory requirements. Records showed that the home holds robust infection control policies and procedures that include safe handling and disposal of clinical waste; dealing with spillages; provision of protective clothing; hand washing. The laundry facility was inspected in detail. The inspector found that this was adequate for its stated purpose. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35, 36 The home’s recruitment policy serves to protect and safe guard the wellbeing of service users. Staff are adequately trained to fulfil the home’s stated purpose and meet service users’ needs. The home benefits from a staff team who are supervised and supported regularly. EVIDENCE: The home has a Staffordshire County Council policy document on recruitment and selection. The document includes the equal opportunity policy. Some staff files were sampled during the inspection. All files seen showed that all staff have two references and are confirmed to post only following a satisfactory police check. Files also showed that all staff have statements of terms and conditions and are each provided with the GSCC code of conduct. The registered manager confirmed that all staff undergo a six month probationary period and are each provided with a job description as part of the recruitment process. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 18 The registered manager confirmed that the organisation has a dedicated training budget that enables staff to attend all training necessary to meet the home’s stated purpose. Records showed that the home conducts a structured six day induction training. The registered manager stated that the home has enrolled some staff to undertake the LDAF training which is scheduled to start on the 11th of November 2005. A detailed training schedule was seen during the inspection. It was quite clear from this that staff receive mandatory training on an annual basis or as required. Additional training is made available for other areas of the home’s stated purpose. Records show that staff receive supervision at least six times a year. All staff spoken to confirmed that they received regular supervision. The manager stated that supervisions are used to work with individual staff’s developmental needs, support staff, discuss practices issues, monitor work with service users and identify training and development needs. The home does have a policy in place for Dealing with Physical Aggression towards staff. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 The home has effective quality assurance and quality monitoring systems that are based on seeking the views of service users and all concerned parties. Service users are therefore confident that their views direct the development of the home. The establishment protects and promotes the health, safety and welfare of service users through its safe working practice policies and procedures. EVIDENCE: Relatives spoken to confirmed that their opinions are sought at all times with regards to the care provision at the home. The relatives have bi annual parent/ carers meetings that enables them to play an active role on the service users behalf in talking about how things can improve and matters concerning care provision. The manager showed the inspector all the quality monitoring tools, which included surveys for service users and families. The organisation employs a Quality Assurance Assessor who spends time with the service users and their families in an attempt to get their opinions about the service. The surveys she carries out are extremely detailed and involve the service users Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 20 themselves as much as possible. The home does not carry out service users’ meetings due to the communication levels and capacity to benefit from these. Because it is difficult for service users to give their opinion, the registered manager confirmed that staff go by service users’ none verbal cues. There was also evidence to show that the home sends questionnaires out to stakeholders. The questionnaires often are not returned but there is obvious effort on the part of the home. Records show that an in depth quality audit of the home was carried out in July 2005 and all areas of concern raised were addressed. The manager confirmed that all information gathered from all questionnaires and surveys is used to improve the service and make a plan with the home’s annual and business plan. The home routinely completes and sends through to CSCI, their Regulation 26 visit sheets. The home has been awarded a Charter marks recently. This standard was very well met and the home must be commended for its execution of quality monitoring. Training schedules seen show that staff are trained in all the relevant safe working practices such as manual handling, fire training, first aid, food hygiene and infection control. These are mostly as part of the mandatory training. Staff spoken to demonstrated knowledge on these safe working practices and said that they utilise them on a daily basis as applicable. It was quite clear during the tour of the premises that home has safe storage for hazardous substances. Records showed that boilers are regularly serviced by a CORGI registered contractor. Water temperatures are tested weekly. The water temperatures taken on the day show a reading of 43 degrees Celsius or very close. The fire inspector visited the home in September 2005 and records show that fire extinguishers are serviced annually and fire alarms are tested weekly. The emergency lighting is tested monthly and fire training is carried out annually. The home has a list of fire extinguishers and fire blankets that are held within the home. This list was made available for inspection. The registered manager confirmed that the testing of portable electrical appliances is done annually. The home carries relevant policies and procedures that support safe working practices. Each of these policies and procedures is supported by a risk assessment for the home. The home has individual risk assessments for the service users and generic risk assessments that cover all areas of general risk within the home. The generic risk assessments are detailed and have been thoroughly carried out. The home has fifteen folders of comprehensive generic risk assessments. Eight members of staff hold a first aid certificate so that there is a qualified first aider on ever shift. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greenfield House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 4 X X 4 X DS0000030345.V258549.R01.S.doc Version 5.0 Page 22 NO 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard YA17 YA32 Good Practice Recommendations It is recommended that foods continue to be checked regularly to make sure they are still within their use by date. It is recommended that 50 of the staff team are qualified to NVQ2 or above. Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Greenfield House DS0000030345.V258549.R01.S.doc Version 5.0 Page 24 - 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!