CARE HOMES FOR OLDER PEOPLE
Holly Park Clayton Lane Clayton Bradford BD14 6BB Lead Inspector
Chris Levi Key Unannounced Inspection 9th January 2007 09:15 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 Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Holly Park Address Clayton Lane Clayton Bradford BD14 6BB 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) 01274 883480 01274 816120 N/A Park Homes (UK) Ltd Ms Janet McDonald Care Home 43 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (43), of places Physical disability (1) Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The place for PD is for the named service user only. Date of last inspection 16th May 2006 Brief Description of the Service: Holly Park was converted from a former school property. It is located in the centre of Clayton village and conveniently placed for shops, library, church and local bus route. Accommodation is provided on the ground and first floor predominantly in single bedrooms. The rooms on the first floor and in the reception area have en suite facilities. There is no passenger lift although a stair lift provides access to the first floor. There are three separate communal rooms two lounges and a dining room. Forty-three service users can be accommodated and the home is registered for nursing. Some of these have varying degrees of mental health needs as well as physical care needs. A mix of registered nurses and care staff provides the care in this home. The current weekly fees charged by the providers are £318-15p to £623. Additional charges are made for hairdressing, private chiropody and newspapers. This information was provided to the Commission for Social Care Inspection in April 2006. The contents of Inspection reports are discussed at staff, relative and residents meetings. A copy of the report was displayed in the entrance hall. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Holly Park has had three inspection visits since April 2006. The first on the 16th May 2006 identified that some areas of care and environmental standards were poor. Since that inspection, the providers, managers and staff have worked hard to improve the service. The inspection visits on the 3rd July & 7th August 2006 confirmed improvements had been made. With one exception, all areas identified as requiring action to improve the service have been made. As a result the home is providing a much-improved service, for the benefit of the people who live at Holly Park. Evidence used to compile this report has included: The written and verbal opinions of residents and relatives who live and visit Holly Park. A review of information about the home held by the Commission for Social Care Inspection. This included looking at the number of reported accidents, complaints and compliments from residents and relatives. This information was used to plan the inspection visit. The providers were not notified of this inspection in advance. This enabled the inspector to observe how the home is run on a day-to-day basis, without any changes being made to the usual routines of residents and staff. The visit started at 9.15am and finished at 4.45pm.The person in charge of the home was the Manager, Mrs J McDonald. Park Homes Operations Director, Mr J Sykes, was in the home for part of the inspection and both he and Mrs Mc Donald were given feedback on the improvement to service at the end of the site visit. Most of the day was spent talking to residents, relatives, management and staff, to find out what it is like to live, work and visit Holly Park. Ten residents survey forms were sent out before the visit. One was returned, and gave positive comments about the service they received. In addition, four were completed during the visit. Each of these gave positive comments, including recognising improvements to the service. One resident said, “Since the home has recruited an activities co-ordinator there is lots for us to do every day.” Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 6 One relative completed a comment card, and satisfactory comments were made about the service. Staff comments included: “I like working at Holly Park, residents are important here and there is lots of laughter and fun.” Another commented, staff morale has improved, probably because the home has employed more staff and we work well together, and the residents benefit from this. What the service does well: What has improved since the last inspection?
Residents said the recruitment of a social activities co-ordinator had improved the quality of their lives. There was a lively atmosphere in the home and an enjoyment of the social activities that now happen in the home on a daily basis. There has been a slight improvement in the environment. Some communal areas have been redecorated and residents thought the home looked brighter. To help the residents with dementia maintain their independence, the home has placed pictures, notices and doors now have specific colours, to assist them find their own way to a toilet or their own room. The rearrangement of the three lounges and dining room has provided residents with an improved choice of where to sit and where to eat their meals. On the day of the visit different social activities were taking place in each room. A resident said this arrangement worked well, that mealtimes were less rushed and quieter because there were fewer people eating together. The administration by nurses, of residents’ medications is now safer, reducing the risk of errors that may affect a resident’s health. The number of staff on morning and evening shifts has been increased. This has resulted in staff taking more time when assisting residents. It also helps to create a more relaxed and calm atmosphere in the home, which has contributed to the general improvement noted in the home.
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 7 Staff now receive supervision. This provided the Manager, and staff member, with an opportunity to discuss their effectiveness to do their job, and agree future training to improve their skills to care for residents. What they could do better:
Staff have not received training in the safe use of chemicals, putting them at risk by not knowing how to use them safely. This was identified in the previous report. Evidence was provided during the visit that dates for this training has been arranged within the next two months. The annual staff training plan has not been followed. As a result, a number of staff are still not trained to care for people with dementia. This may result in staff not being confident when providing care to residents and may affect the resident’s wellbeing. The Operations Director acknowledged the failure of the organisation to maintain the training plan. He provided written information that the plan has been reintroduced and due to start the following week. The home manager has not yet achieved a management qualification, but is currently working towards NVQ Registered Managers Award. This should provide her with additional skills to manage the home. The home has only one carer with a formal care qualification. The manager has registered all carers with a local college to enable them to achieve NVQ in care. This should help them become more skilled to care for the residents. The recording of complaints needs to be improved to demonstrate that complaints are investigated and the outcome of the complaint shared with the complainant. This will confirm to people who make complaints that they are dealt with effectively by the home. Since the fire doors have been resited, the downstairs corridor is a health and safety hazard. Areas are patched up and also badly worn. Residents and staff are at risk of tripping on these areas that are lifting from the floor. It is also badly stained and detracts from the recent redecoration of the corridor. This carpet needs replacing. Whilst residents said they enjoyed food served at the home, recent changes to the ordering and stock control has resulted in the larder stock being almost empty on the day of the visit. There was no cooked meat should a resident wish to have a sandwich. The providers must review the current system to ensure the stock control does not result in reducing residents’ choice in menus and snacks available. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 8 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 9 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 Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides clear information for residents and/or relatives to make an informed decision about the home before they move in. Comprehensive pre admission information obtained by the manager and staff ensures that there is an understanding of individual needs of residents, before they move to the home. EVIDENCE: The Statement of Purpose and Service User Guide are written documents available to all prospective and current residents. They provide up to date relevant information about services in the home. This may help people decide if they want to live at Holly Park. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 11 The Manager or senior nurse visits prospective residents before they move to the home. An assessment of a person’s health and social needs is made at this meeting. This enables the staff to make sure they can provide the correct levels of care and support to the resident when they move to the home. One resident said she had come to visit with her daughter before moving in. She liked what she saw, and has been happy since moving to the home. Although most residents were unaware they have a contract of residency at Holly Park, written contracts are provided to all residents. These documents, seen during the visit, identify the cost of care and the roles and responsibilities of the provider and resident whilst they live at the home. A family representative, usually dealing with the residents’ financial affairs is given a copy of the contract. A number of residents said, “I do not want to be bothered with the money side, I leave that to my family.” Before the move to the home, the Manager, or a nurse, visit the prospective resident. This is to introduce themselves and assess the persons personal, health and social needs can be met by staff at the home. This information then forms the basis of a plan of care and support for the resident when they move into the home. Following a recent complaint by a relative, the procedure for emergency admissions to the home is to be revised, to ensure it includes detail about the resident’s medication. This will reduce the risk of a resident not receiving existing prescribed medication on their arrival at the home. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social needs of residents are met, and in a way that maintains their dignity and independence. EVIDENCE: The documentation for two residents was looked at in detail. This was to establish if the written plans of care produced by staff, provides clear information for staff to follow, to enable them to maintain the personal and health care needs of the individual. In both care plans information was clear, relevant, and up to date. Areas where the residents maybe at risk had information for staff as to how to minimise the risk, and avoid injury or feelings of ill being.
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 13 For those residents with dementia their families are asked to complete a family history of the resident. This helps staff to understand and talk with the resident about their life before they moved to the home. There was detailed information about the care of a resident with a pressure sore. How it was being treated, with evidence that it was healing, and an external specialist health professional was involved with this residents care. The administration of resident’s medication by nurses has improved, reducing the risk of errors that may affect resident’s health. There was evidence that the Operations Director had recently carried out a detailed check on all aspects relating to medication held at the home. Any areas that needed improvement had taken place. A nurse was observed giving residents their lunchtime medication. She followed the homes procedure; this ensures the correct medicine is given to the correct resident, at a time identified by the doctor. Medicines are stored safely, and checked to ensure they are correct when they arrive from the pharmacist. This reduces the risk of a resident’s medication being incorrect. Residents confirmed that staff are kind and helpful. They were observed supporting residents in a way that was discreet, and maintained their dignity, but also participating in friendly banter that residents appeared to enjoy. It was noted that a large number of female residents were not wearing tights or stockings. The manager was asked to check this was the choice of the residents and not because staff could not find their stockings. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents spend their day as they choose, seeing whom they choose, when they choose. EVIDENCE: A social activities co-ordinator was appointed to the home in September 2006. Without exception, every resident spoken with, said that daily life was now more interesting, because of the range of social activities that take place in the home on a daily basis. The co-ordinator spends time with each resident, finding out how they like to spend their time and introduces a wide range of individual or group activities, that residents decide to join if they wish. The activities include those relevant to residents with dementia. Some include retaining life skills, such as peeling the potatoes for lunch, baking, buttering bread for tea. Activities that help with coordination, and memory are also included. A record of what activities took
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 15 place, with which residents, is held by the coordinator to enable her to review what was enjoyed. Residents get up and go to bed when they want. One resident said, “I enjoy my cup of tea in bed before I get up at about 8.30 am”. She enjoys staying downstairs watching television until about 11pm when night staff help her to her bedroom. Two visitors to the home said, they were made to feel welcome and were encouraged to visit and remain involved with their relative in the home. Whilst residents said they enjoyed food served at the home, recent changes to the ordering and stock control has resulted in the larder stock being almost empty on the day of the visit. There was no cooked meat should a resident wish to have a sandwich. The providers must review the current system to ensure the stock control does not result in reducing residents’ choice in menus and snacks available. Staff are aware of the importance to observe and report if a resident is not eating at set mealtimes. Therefore, there must be opportunities for residents to have snacks and drinks available to them throughout the day and night. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can complain, but the recording of complaint taken at the home need to improve. Residents are safe from abuse. EVIDENCE: Residents said they would complain to the person in charge if something was wrong. The home has a procedure identifying how a complaint will be dealt with. There were six complaints recorded since the last inspection. The Commission for Social Care Inspection had received two. The Operations Director appropriately investigated these, and responses sent to the complainant. The remaining four had been recorded in the complaint file but there was no evidence they had been investigated or the outcome discussed with the complainant. This could result in complainants thinking their complaint was not taken seriously, because of the lack of written information. Staff undertake training in recognising and reporting any allegations of abuse, to protect residents.
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 17 Staff understood the term whistle blowing and who to talk to if they had concerns about poor practice within the home. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is safe, maintained but provides only adequate accommodation for service users. (The providers intention is to rebuild Holly Park.) EVIDENCE: The providers are waiting for approval from Bradford planning department to carry out a rebuilding programme for Holly Park. Both residents and staff have been made aware of this proposal. There was evidence of some improvements to the interior of the home. These include a redecoration programme for bedrooms and communal areas. Residents thought the home looked brighter.
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 19 To help the residents with dementia maintain their independence, the home has placed pictures, notices and doors now have specific colours, to assist them find their own way to a toilet or their own room. The rearrangement of the three lounges and dining room has provided residents with an improved choice of where to sit and where to eat their meals. On the day of the visit different social activities were taking place in each room. A resident said this arrangement worked well, that mealtimes were less rushed and quieter because there were fewer people eating together. Work has been completed on moving existing fire doors to make the building safer for residents and staff in the event of a fire. However, since the fire doors have been re-sited, the downstairs corridor is now a health and safety hazard. Areas are patched up and also badly worn. Residents and staff are at risk of tripping on these areas that are lifting from the floor. It is also badly stained and detracts from the recent redecoration of the corridor. This carpet needs replacing. The home was generally clean and tidy. One area of the home was noticed to have an unpleasant odour from a carpet. Action was taken to resolve this by the domestic. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment, deployment of staff is good but to protect people living in the home. However failure to deliver the staff training programme makes the outcome adequate. EVIDENCE: The recruitment file of one member of staff was looked at. It contained all relevant information, with evidence that references and police checks had been completed before she commenced employment, to ensure she was fit to work with vulnerable adults. The number of staff on morning and evening shifts has been increased. This has resulted in staff taking more time when assisting residents. It also helps to create a more relaxed, calm atmosphere in the home, which has contributed to the general improvement noted in the home. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 21 Each member of staff was aware of their responsibilities to the residents whilst they were on shift This helps staff to provide effective consistent standard of care to residents. Currently only one member of the care team has a formal care qualification. The manager has enrolled all carers to an NVQ in care course with a local college. This should help staff understand and improve their skills and knowledge when caring for older people. The owners have failed to provide staff with training in the safe use of chemicals that may harm their health and put them at risk of harm. This was identified at the last inspection. The Operations Director accepted this responsibility, and was able to provide evidence that the training is to commence within the next few weeks. He also acknowledge that the annual staff training plan had not been followed, as a result a number of staff had not received relevant training, such as Infection Control and understanding and caring for people with dementia. This means not all staff are aware of how to reduce the risk of cross contamination, which reduces the risk of infections spreading within the home. Also staff without dementia care training may not be aware of the best way to care for residents with dementia, causing distress to both resident and staff. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Holly Park is a well managed home where residents and staff are consulted about the standards of service. This makes them feel valued. EVIDENCE: Mrs McDonald is an experienced manager. She is a registered nurse and has been approved as manager by the Commission for Social Care Inspection. She is currently taking a relevant management qualification to be completed by June 2007. This additional knowledge should help her to manage a busy home for older people, some of whom have dementia.
Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 23 Holly Park is part of the Park Homes Ltd group of care homes. They have introduced excellent quality monitoring systems to measure the effectiveness of the service provided. Every three months information sent by residents or relatives, plus information from resident and staff meetings is reviewed. Senior managers visit the home on a monthly basis and assess the quality of the service. This information is sent to the Lead inspector at the Commission for Social Care Inspection and helps with the planning of future inspections at the home. Any residents’ monies held at the home is managed in a safe way, with evidence as to who, and how, residents’ monies is spent. Relatives are encouraged to manage the residents’ financial affairs. The personal allowance of one resident was checked and was accurate. Staff now receive regular one to one supervision. This means the Manager, or her representative meets with individual members of the care team and discusses their effectiveness to do their job, and offer further training opportunities to enable them to become more skilled at caring for older people. A nominated member of staff has responsibility for co-ordinating the health and safety checks necessary within the home, to ensure risks to residents and staff are minimised. The fire safety equipment and maintenance certificate for the stair lift was looked at, both were up to date. Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 24 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 3 3 x x N/A 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 4 x 3 3 x 3 Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 25 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 OP38 Regulation 13 Requirement All staff must be trained and understand the safe use of chemicals hazardous to health. (Identified in the previous report 8th August 06) The manager must demonstrate that all complaints have been investigated and the outcome provided to the complainant. The providers must ensure food stocks are sufficient to meet the needs of residents. The corridor carpet must be replaced as it is a health & safety hazard The Manager must obtain a relevant management qualification Staff must receive training to enable them to provide effective support to residents. Timescale for action 30/03/07 2 OP16 22 30/03/07 3 4 5 6 OP15 OP19 OP31 OP30 16 (3) 13 9 18 30/03/07 30/03/07 30/08/07 30/03/07 Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 26 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 Standard Good Practice Recommendations Holly Park DS0000029171.V321066.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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