CARE HOMES FOR OLDER PEOPLE
Greensleeves Residential Care Home 8 Westwood Road Portswood Southampton Hampshire SO17 1DN Lead Inspector
Lorraine Parton Unannounced Inspection 09:00 6 December 2005
th 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 Greensleeves Residential Care Home DS0000059080.V259653.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 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. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Greensleeves Residential Care Home Address 8 Westwood Road Portswood Southampton Hampshire SO17 1DN 023 8031 5777 023 8049 0033 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) Greensleeves Residential Care Home Limited Mr Paul Robert Fellingham Care Home 21 Category(ies) of Dementia (21), Dementia - over 65 years of age registration, with number (21), Old age, not falling within any other of places category (21) Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. People in DE category must be 55 years and over Date of last inspection 2nd September 2005 Brief Description of the Service: Greensleeves is a care home situated in Southampton and close to local facilities. The home is registered for twenty-one service users within the category of older persons and dementia care. The home provides accommodation in a range of single and double rooms, which mainly have en suite facilities. The home provides two lounges, a dining room, and a kitchen, which are on the ground floor of the home and easily accessible to service users. To the rear of the property is an enclosed garden that is accessible to service users wishing to use it. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The second inspection of the inspection year took place over 6 hours. The homes staff assisted the inspector. The manager was rostered for duty but did not attend the home during the inspection. The registered manager was also not present for the first inspection. Due to this the inspector was unable to assess all the key standards. The inspector audited 6 standards and reassessed 3 standards. It is advised that any reader of this report reads the last inspection report, which identifies some good practices undertaken by the home. The inspector spent the majority of the inspection talking to service users and observing staff. What the service does well: What has improved since the last inspection?
Staff advised the inspector that they had completed training in medication since the last inspection; however, this was unable to be verified, as the homes staff do not have access to staff files and training records. Staff advised the inspector that they had been advised of previous requirements made by the inspector to ensure service users are treated with dignity. Staff speak to service users and around them in appropriate language. Further issues with regards to service users being treated with dignity and respect were identified during this inspection and these matters have been included in the report.
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 6 The home has removed all commodes from rooms where they are not used and staff advised the inspector that they have altered the methods for cleaning. This was found to be acceptable. What they could do better:
The inspector spent the majority of the inspection observing staff, who were extremely busy as there were only two carers on duty. The inspector found that several times throughout the inspection, service users in the lounge were unsupervised. The home provides accommodation for several service users who have dementia, who wander and require two carers for support with personal care and their mobility needs. The home has two lounges and is situated over three floors. Service users who wish may remain in their rooms and staff react to buzzers when necessary, which means that other service users are not always supervised. Service users did not always receive personal care when they needed it. A requirement has been made for the home to increase staffing levels. The home has not reviewed service user plans since the last inspection, which had been a legal requirement. Care plans were found to not include specific care required, risk assessments except for falls; no management plan was in place for obvious risks and no evidence of service user or their representative’s involvement. Care plans were not signed or dated. A further requirement has been made. Several service users require assistance with moving and handling and staff advised the inspector that they use a lifting belt. No assessments undertaken by a relevant professional were available for moving and handling. The home is required to obtain an individual moving and handling assessment for all service users who require this assistance. This must include suitability of the equipment used. Service users advised the inspector that they are not happy with the activities provided and that they feel they would like more. Staff confirmed the range of activities that are offered, which are dependent on the homes staff to undertake. The home does not provide any activities provided by outside sources or visiting specialists. On speaking to staff activities are dependent on staff availability and whether they are up to date with their work routines. This is unacceptable. The home is required to provide activities following consultation with service users on the activities they want. The consultation process must be documented. Two service users living in the home are under the age of 65 and have differing needs to other service users living in the home. On speaking to these service users and staff it is evident that specific needs relating to lifestyles and meaningful activities are not been met. The home is required to provide
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 7 suitable activities and lifestyle choices following consultation with these service users. The consultation process must be documented. The inspector required the home to review two-service users placements in the home at the last inspection. The home could not provide evidence that this had been undertaken. One service user does not wish to live in the home. The home is required to consult with the care manager on behalf of the service user to ensure the service users wishes to move are addressed. The service user currently does not have access to an independent advocate and a requirement has been made for this to be obtained. At the time of the inspection the manager was absent from the home, was not contactable and did not let the home know of his whereabouts. This is unacceptable. The provider was advised of this during the inspection and it was required that this be investigated and appropriate action taken to prevent any reoccurrences. The provider is required to provide CSCI with evidence of the action taken. 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. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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 Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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): None EVIDENCE: None of the standards have been assessed during both inspections in the year. This has been due to the absence of the registered manager on both occasions. The manager was rostered for duty during the second inspection, however, on not arriving for duty, several attempts were made by the homes staff to contact him with no success. Staff on duty were unable to assist the inspector with details required to audit standard 3. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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, 10 All service users have a care plan, however, these were found to be in need of developing to include action to be taken to meet the assessed needs and risks of service users. All service users health care needs are met. Service users are not always treated with dignity and respect. EVIDENCE: Three care plans were audited by the inspector and found to contain basic information. One care plan was found to be incorrect with regards to daily routines and mobility. No action plans had been completed for the risk of falls despite this being identified as a high risk. Furthermore the care plan identified that the service user displays confusion and that two carers are required to assist with mobility. The service user remains in her room, which is situated on the third floor of the home and if she requires assistance the service user is required to use the call bell system. The home has only two staff on duty, which means if
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 11 two staff assist the service user, other service users are not being supervised or supported with their care needs. One service user had been in bed for some time prior to the inspection due to illness, on audit of their care plan this was found not to have been updated to reflect their current needs. Two staff are required for moving and handling purposes and the methods and actions to be taken were not included in the care plan. The home was found to be keeping extensive records on the care being given to the service user. The home had involved the district nurse and the service users doctor. The third care plan audited had more detail in and was found to cover service users daily preferences and past information supplied by the family. The home had involved relevant health care professionals to ensure health care needs are being met. However, the service user had been identified as a high risk of falls and had been supplied with hip protectors following an appropriate assessment. The home had not undertaken a full risk assessment with appropriate instructions for staff to follow to prevent or take precautions for the risk of falls. The care plan identified that the service user needs regular toileting and requires two staff to assist with this, however, this service user and others were not toileted from 9.30 to 14.15. None of the three plans audited had risk assessments other than the aforementioned for falls. The home had assessed the moving and handling requirements of all service users that required assistance, however, this had been included into the mobility part of the plan and was basic. The home had not involved other relevant professionals regarding appropriate means of moving and handling and equipment that should be used. The homes staff advised the inspector that they use handling belts for moving and handling. This is not acceptable for all moving and handling procedures. The home is required to review moving and handling practices in line with current guidelines and seek assistance and guidance from an appropriately trained person. Individual moving and handling assessments must be obtained from a suitably qualified or trained person. All three care plans had not been signed or dated by either the service user or their representative and therefore the home could not display that service users or their representatives had been involved in the production and agreement of the care packages. At the time of the inspection only two staff were on duty and five service users were in bed requiring assistance throughout the inspection. Several of these service users required the assistance of two staff, which when this occurred left the remaining service users unsupervised or supported with their care needs. Five of the seven service users who were in one of the lounges did not move from their chairs from 9.30 until 13.00, they were then assisted to move to the
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 12 dining table in front of them. None of the service users who require assistance were toileted before lunch and this was only undertaken between 14.15 and 15.00, thus potentially service users were soiled for over 5.5 hours. One service user had spilt her breakfast over herself and the inspector pointed this out to a staff member at 9.30 am, at 12.45 the inspector spoke to staff and asked why this had not been addressed. The member of staff stated that they had not had time. This matter was not addressed until after 14.15 after the service user had eaten her lunch. At the time of the inspection the inspector had the opportunity to speak to one visitor and the visiting doctor. The service users relative praised the care their relative received and stated that the homes staff keeps them informed of any changes and care. The service users doctor also spoke very highly of the homes staff, stating that it is always the same staff when she visits and that they provide excellent care to service users who are ill. The homes doctor stated that the home calls them in if they have concerns and that the staff undertake monitoring of ill service users extremely well. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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 Service users do not have access to a range of activities. The needs and lifestyle choices of service users under sixty five are not met by the home. EVIDENCE: The homes staff advised the inspector of the range of activities going on in the home. Staff stated that on a Monday the hairdresser visits and no activities are carried out, on Tuesday no activities because usually the doctor visits, on a Wednesday staff manicure service users nails, Thursday service users additional bathing is carried out, Friday the staff play records and games, Saturday no activities as the home has a lot of visitors and on a Sunday the staff play games and watch films of service users choice. The home provides no outside activities and staff advised the inspector that the above is dependent on staffing levels. This is unacceptable. Furthermore on speaking to several service users they raised concerns about activities and their lifestyles. One service user stated that they do not have a life and that the only thing they do is walk to the local park and come back. Several service users stated that they would like more activities and would like to go out more. Service users who are able access local facilities. One service
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 14 user stated that the home supports them in their lifestyles and that they are able to participate in the home as they choose. The home is required to provide a range of activities following consultation with service users regarding their choices. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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): None EVIDENCE: Standard 16 was assessed at the last inspection and was met. Standard 18 has not been assessed, due to the absence of the registered manager on both occasions. The manager was rostered for duty during the second inspection, however, on not arriving for duty several attempts were made by the homes staff to contact him with no success. This standard is therefore unable to be assessed. One service user raised concerns during the inspection about living in the care home stating they didn’t want to live there and that they feel like a prisoner. At the last inspection this issue was raised as a legal requirement to review the suitability of the home. Following a meeting with the provider and registered manager the inspector was informed that a review with the psychiatric team had been organised. No evidence was available that a review had taken place and that the service user had been consulted. It appeared from speaking to the service user and the homes staff that the service user does not have access to an advocate. The home is required to obtain access to an advocacy service for the service user. The home is required to provide CSCI with confirmation of the action taken by them to ensure the service users views on where they live has been acted upon.
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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): None EVIDENCE: None of the standards were assessed on this occasion. These standards were inspected at the last inspection and found to be met. The home has since the last inspection reviewed and altered the methods by which they clean the commodes, which was found to be acceptable. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 17 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, 30 The home does not have adequate staff on duty to meet the needs of the service users. Staff are trained and competent to undertake their roles. EVIDENCE: The inspector was unable to assess standard 29 on both inspections undertaken due to the absence of the registered manager. The manager was rostered for duty during the second inspection, however, on not arriving for duty several attempts were made by the homes staff to contact him with no success. This standard is therefore unable to be assessed. Two care staff, a cook and a cleaner were on duty at the time of the inspection. The registered manager should have been on duty, however, staff advised the inspector that he is usually additional to the staffing hours. The inspector spent much of the inspection observing service users in one of the lounges in the home, several areas of concern were identified. On several occasions throughout the inspection service users were left unsupervised in the lounge due to other commitments in their roles, which included attending to service users who were in their rooms, medication, answering buzzers, dealing with visitors and professionals in the home. At the time of the inspection five service users were ill and needed extra support from the care staff. Service users who remained in their rooms were situated on three floors of the home
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 18 and several of these service users required the assistance of two carers to assist with mobility and personal care. On arrival at the home the inspector introduced herself to all service users in the two lounges and noted one service user was sat in her chair soiled with remnants of their breakfast. This was mentioned to a carer at approximately 9.30 am. At 12.05 the service user was moved from her chair to the table without being changed or toileted prior to lunch. None of the service users who required assistance were toileted before lunch and were only toileted at approximately 14.00, thus a possibility that service users were in need of personal care for over 5 hours. These matters are unacceptable. These matters were discussed with the homes staff and the inspector was informed that they don’t always have the time to attend to personal care and that several service users need two staff and that two staff are not always available. The inspector was also informed that not all staff undertake this role and that they are unable to do this alone if other staff wont help them. Staff confirmed that two staff is inadequate to meet the basic needs of service users at times during the day when they are busy. At approximately 11a.m. the inspector spent approximately 10 minutes in the lounge alone with service users. One service user became extremely pale and asked the inspector to assist with access to their room. The inspector had to leave the service user to go and find a member of staff to assist the service user. Service users were also left unsupervised in the afternoon when the doctor visited, as many of the service users who were seen required the assistance of two carers. Staff in the home were also attending to the needs of one service user who was extremely ill and it was noted by the inspector that the homes staff care for service users in a professional and caring manner. Service users advised the inspector that they do not have many activities and that these are dependent on staffing levels. The homes staff confirmed this. (See also standard 12). The above evidence highlighted to the inspector that the home does not provide adequate staffing levels to meet the assessed needs of the service users. A legal requirement has been made for the home to increase its staffing levels in accordance with service user needs. The inspector had the opportunity to talk to and observe staff. Staff confirmed that all staff except one is trained to NVQ2 level and that the home provides regular training sessions, which have included dementia care, fire and medication. These were unable to be verified due to the absence of the registered manager. Staff were noted to be attempting to meet the needs of Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 19 the service users especially those who were ill and in their rooms, however, not all needs were being met due to the obvious lack of care staff in the home. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 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): None EVIDENCE: None of the key standards have been assessed at the inspections undertaken this year, due to the absence of the registered manager on both occasions. The manager was rostered for duty during the second inspection, however, on not arriving for duty several attempts were made by the homes staff to contact him with no success. These standards are therefore unable to be assessed. The inspector contacted the provider at approximately 13.00 hours to advise of the absence of the manager and the inspector’s findings during the inspection. Staff advised the inspector that the registered manager often does not attend the home without explanation, despite being rostered for duty. The provider was also advised of this and was required to investigate and take appropriate action to ensure this matter does not reoccur. The inspector requires in
Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 21 writing the reasons for absence of the manager and the proposed action taken by the provider to prevent any reoccurrences of this situation. Staff advised the inspector that the registered manager is supportive and provides excellent opportunities for their training needs. Staff further stated that they find the manager listens to their views and is willing to support new ways of working. Staff also said that if they require assistance with service users that he will help if asked. A third inspection will be carried out to assess key standards that have not been assessed this year and to ensure compliance with legal requirements that have been made from the previous inspection and during this inspection. Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 X 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 1 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15,13 Requirement Timescale for action 28/02/06 2 OP27 18(1) 3 OP7OP14 12(3) 4 OP17 12 Provide more detail in care plans, risk assessments and risk management plans to detail how service user needs are managed. This remains outstanding from the last two inspections. Further non-compliance may lead to enforcement action being taken. Increase staffing levels in 28/02/06 accordance with service user needs. Current staffing levels of two carers being on duty in the day is unacceptable. Review with two service users 28/02/06 their choices to live in the home. Consideration must be given to suitability of placement and their choices in where they live. The home must involve their care managers. This remains outstanding from the last inspection. Further non-compliance may lead to enforcement action being taken. Obtain the services of an 28/02/06 independent advocacy service for the service users who do not
DS0000059080.V259653.R01.S.doc Version 5.0 Greensleeves Residential Care Home Page 24 5 OP7 15 6 OP8 14 7 OP12 16 (m), (n) 8 OP12 16 (m), (n) 9 OP31 9 10 OP31 18 wish to live in the home. The home must ensure service users and or their representatives are fully involved in the production and reviews of service users care plans. This remains outstanding from the last inspection. Further non-compliance may lead to enforcement action being taken. Obtain individual assessments of service users who require moving and handling. This must include a review of equipment used to ensure that the current equipment that is being used is suitable. Provide activities for all service users following consultation with service users. Consultation with service users must be documented. Provide suitable activities for service users under 65 following consultation. Consultation with service users must be documented. Provide CSCI with evidence of the action taken by the provider relating to the absence of the manager in the home. Provide the CSCI with documented evidence of the training courses provided by the home and confirmation of staff attendance. 28/02/06 28/02/06 28/02/06 28/02/06 28/02/06 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations
DS0000059080.V259653.R01.S.doc Version 5.0 Page 25 Greensleeves Residential Care Home Standard Greensleeves Residential Care Home DS0000059080.V259653.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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