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Inspection on 02/11/07 for Holywell Dene Care Home

Also see our care home review for Holywell Dene Care Home for more information

This inspection was carried out on 2nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The manager has introduced monthly open evenings for relatives and service users and operates an open door policy. Initially open evenings were well attended however as issues have been addressed attendance has dropped. Staff have been provided with training in care planning and evaluation New menus have been introduced following Nutmeg principles of nutrition and planning. A replacement activities coordinator has been appointed for 20 hours per week. A risk assessment has been undertaken regarding the pet dog that lives at Holywell Dene in order to safeguard residents and visitors from trips and fall hazards.

What the care home could do better:

On the first day of inspection medication was found on a resident`s table, which could not be accounted for. The medication procedures should be reviewed to ensure that all staff responsible for medication are following the medication policy and procedures when signing medication administration records. Medication ordering systems should be reviewed to ensure that sufficient medication is available for individuals and that alerts are recorded when medication stocks run low. Activities are not wholly appropriate for individuals needs and abilities and are not person centred or linked to care planning. The activities coordinator is new to post and would benefit from training and the opportunity to work with other activity coordinator staff within Southern Cross to develop her skills and knowledge. Choices are limited within the home. Menus are written in small typeface and still do not relate to the correct week or day. Staff give verbal choices and remind people what they chose. One person said she had "No idea what was for lunch today and you just get what you are given" Another person said that the staff had asked her what she would like to eat but she wasn`t feeling very hungry, as she had just woken up. Pictorial menus and statement and response cards were discussed with the manager as a way of supporting people with dementia and communication difficulties to make choices. Some consideration should be given as to how best to address the needs of people with dementia and communication difficulties in the home. Staffing levels at night are inadequate as there is a vacancy within the team. Currently there are 3 night staff deployed over 3 floors, which limits thechoices of service users and compromises safety. Vacancies have been advertised however temporary support systems should be considered until staff are appointed. A training audit should be undertaken and any gaps in training identified and training provided.

CARE HOMES FOR OLDER PEOPLE Holywell Dene Care Home Holywell Dene Holywell Whitley Bay Tyne & Wear NE25 0LB Lead Inspector Jackie Burke Key Unannounced Inspection 09:15 2 November 2007 nd 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 Holywell Dene Care Home DS0000000609.V344236.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. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holywell Dene Care Home Address Holywell Dene Holywell Whitley Bay Tyne & Wear NE25 0LB 0191 2374424 0191 237 4420 holywelldene@highfield-care.com 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) Southern Cross Care Homes Limited Cheryl Opal Glenton Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2006 Brief Description of the Service: Holywell Dene Care Home is a purpose built facility, built in 1993, which provides residential care for up to 50 people over the age of 65years. The building is located on a sloping site in the village of Holywell and the main entrance at the front of the building gives access to the middle floor. Services and accommodation are also provided on the ground and second floors. The rear of the building overlooks Holywell Dene and there are pleasant views over the Dene from the sitting rooms located on the first and second floors. There are separate dining rooms on each floor and meals are prepared, cooked and served on the premises. A passenger lift provides access to all floors. There is a large patio to the side of the building with tables, chairs and benches, pots of flowers and a water feature. Some people choose to sit in this area during fine weather. Parking is available to the rear of the building and ramps at the front door provide access for people with mobility difficulties. Holywell Dene provides 46 single bedrooms, and two double rooms, 35 of which have en-suite facilities. There are six bathrooms providing assisted bathing and an additional shower room. There are a further thirteen W.C. facilities provided at Holywell Dene. Fees range from £409.40-£ 451.00 per week. Information is available for new and prospective service users, which outlines services provided in the home. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a report of an unannounced key inspection, which took place over two days on Friday 2 November 2007 and on Tuesday 20 November 2007. The inspection visits took seven hours. I spoke with the Registered Manager Cheryl Glenton and nine staff during the inspection. There were 38 service users in residence at Holywell Dene and I spoke with seven residents. Staffing levels were checked and time was spent on a tour of the building to check maintenance, cleanliness and decoration. Four care plans were examined during the inspection. Surveys were sent out to residents and relatives and an analysis made of comments returned. An observation took place on the second day of inspection of medication procedures and storage systems. What the service does well: Holywell Dene provides a warm, homely welcome for residents and visitors. Standards of décor and cleanliness within the home are good. Observations show that staff are aware of the needs of service users and respond with warmth and respect toward people who require support. Visitors are welcomed and people living in Holywell Dene Care Home are encouraged to maintain links with the community. One person spoke of how much she enjoyed visits to a day centre, which she attends twice weekly. There are some activities provided in house and the home shares the company mini bus on a rota basis to enable trips to take place. A trip to the metro centre had taken place the day before the second inspection visit and those who went said that it was nice to get out but they were tired as the shopping centre was busy. People spoken to said that staff were helpful and one person commented that “they know my routine and what I like to do for myself and they will help me with what I can’t manage” Another person said that the staff seemed very nice but it would be better to get back home. People commented positively about the food in the home and one person said, “The food here is fine and there’s plenty of it, the staff here are smashing and I’ve no complaints” Relatives surveyed commented that care staff were very helpful and that staff were always ready to give assistance when required. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: On the first day of inspection medication was found on a resident’s table, which could not be accounted for. The medication procedures should be reviewed to ensure that all staff responsible for medication are following the medication policy and procedures when signing medication administration records. Medication ordering systems should be reviewed to ensure that sufficient medication is available for individuals and that alerts are recorded when medication stocks run low. Activities are not wholly appropriate for individuals needs and abilities and are not person centred or linked to care planning. The activities coordinator is new to post and would benefit from training and the opportunity to work with other activity coordinator staff within Southern Cross to develop her skills and knowledge. Choices are limited within the home. Menus are written in small typeface and still do not relate to the correct week or day. Staff give verbal choices and remind people what they chose. One person said she had “No idea what was for lunch today and you just get what you are given” Another person said that the staff had asked her what she would like to eat but she wasn’t feeling very hungry, as she had just woken up. Pictorial menus and statement and response cards were discussed with the manager as a way of supporting people with dementia and communication difficulties to make choices. Some consideration should be given as to how best to address the needs of people with dementia and communication difficulties in the home. Staffing levels at night are inadequate as there is a vacancy within the team. Currently there are 3 night staff deployed over 3 floors, which limits the Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 7 choices of service users and compromises safety. Vacancies have been advertised however temporary support systems should be considered until staff are appointed. A training audit should be undertaken and any gaps in training identified and training provided. 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. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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 Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is adequate Service users needs are assessed before moving into Holywell Dene and staff can meet identified needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were looked at during this inspection. Two care plans related to a married couple who were admitted recently to Holywell Dene on a trial basis following their discharge from hospital. Assessment of needs had been made before admission to Holywell Dene and care plans were being written. Two further care plans showed that an appropriate care manager had undertaken needs assessments. Assessment is also made by the manager before admission to ensure that needs of individuals may be met by the service. Discussion took place with the manager regarding the needs assessment of people living at Holywell Dene who develop dementia care needs which are currently dealt with on an individual basis within the home. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 10 In the case of private admissions the Manager carries out an individual assessment with each person. Needs identified during assessment are written into a care plan for each service user which is then used to provide care on a day-to-day basis. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is adequate. Individual plans of care include the information staff need to meet service users needs. However the medication procedures do not fully protect service users. Residents are treated with respect and privacy is observed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were looked at. Information in care plans included risk assessments and action plans to deal with identified risks. There is a risk assessment in place within the home regarding the environment and the pet dog, which lives at Holywell Dene. Assessments are in place for pressure area management, nutrition, falls, moving and handling and continence. The changing needs of individuals are monitored and care plans are reviewed in line with this and support given Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 12 Service users have access to a range of health professionals including GP’s, district nurses, dentist, chiropodist and optician. Appointments are recorded. In one case a need for a dentist visit was identified during a review of care and this had not been provided. The manager agreed that this should have been dealt with and that she would arrange for the dentist to visit. There is a medication policy in place at Holywell Dene and senior staff have been provided with training in order to safely administer medication. An observation was made of the medication round which shows that on the whole the policy is being followed at Holywell Dene. However on the first day of inspection medication was found on a resident’s table, which could not be accounted for. The procedures should be reviewed to ensure that all staff responsible for medication follow the medication policy within the home when signing medication administration records. Surveys returned indicated that medication for one person had run out on two occasions. There is a policy in place at Holywell Dene, which supports people to administer their own medication if they choose to do so. Medication prescribed as needed or PRN was correctly recorded within medication administration records with instructions as to how much to give and when. One person with hearing impairment was asked if she wanted to take her analgesic and when she was unable to hear the request the staff member responsible resourcefully scribbled the question on a paper towel. Statement cards should be considered to assist people with communication impairment to make decisions regarding medication. Observation of staff during the inspection visit shows that people are treated with respect and that staff members show they are aware of the needs of each person. Staff were seen and heard to address people by their chosen name and to knock on bedroom doors before entering. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15. Quality in this outcome area is adequate. Although the range of activities has been increased they are not linked to individual care plans, and resident’s choices are limited by the routines of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been two activities coordinators in post since the last inspection. There was a gap before the new worker was appointed. There are some activities provided within the care home however these are not currently linked to the abilities or preferences of individuals or to the care planning process. A Halloween party with decorations and fancy dress had been organised by staff during the week of inspection and some service users commented that it had been enjoyable. Posters are displayed in the corridors and lifts, which show activities and events planned. Visitors are welcomed to Holywell Dene and people spoken to during the inspection were looking forward to visits from family members that afternoon. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 14 Residents are free to choose where to sit within the home and have choice in their personal possessions within their rooms however choice and decision making is limited within Holywell Dene. Menus are in small print and were not displayed in all of the dining rooms. The menu displayed outside one dining room referred to Monday of week one, which was the wrong week, the wrong day and did not correspond with the meal provided. Staff assist residents to make meal choices verbally however people often forget what they have chosen. Discussion took place with the manager as to how choice could be promoted amongst residents particularly those with memory and communication difficulties and the manager agreed that pictorial menu choices would be helpful. “Nutmeg” menu planning has now been introduced within Southern Cross and is in use within Holywell Dene and this is aimed to improve nutrient content and portion control within the service. Meal times are set according to the routines of the home. One person who got up late on the second day of inspection had missed breakfast and the dining room had been cleared. He had to request breakfast twice and was told by staff that they would see if the kitchen had any toast left. On the first day of inspection the hot lunch offered was fish, chips and peas or egg and chips. Fruit salad was provided for dessert and residents could have yoghurt as an alternative. All dining rooms were laid out in an attractive way with napkins, flower vases and condiments on each table. Juice was provided during the meal and a hot drink provided after lunch. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Complaints are dealt with appropriately and service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure at Holywell Dene. Information about the policy is displayed with key worker information in each bedroom and people spoken with said they would speak to the manager if they were not satisfied. Complaints records were looked at and showed that seven complaints had been made since the last inspection and had been dealt with according to the complaints policy and procedures and within the timescales shown. There is a whistle blowing policy at Holywell Dene. Staff files show that Protection of Vulnerable Adults training has been provided to staff since the last inspection. Staff spoken to showed that they were aware of the rights of residents to make complaints and to be safe within their home environment. Staff confirmed that they had taken part in POVA training since the last inspection. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 21 & 26 Quality in this outcome area is good Service users live in a home, which is clean, comfortably furnished safe and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a good standard of décor and furnishing in Holywell Dene and sitting rooms and dining rooms are well appointed throughout the building. There is a maintenance man in post who takes responsibility for maintenance tasks within the home. There is a new carpet in the corridor and new curtains in lounge areas. There are six bathrooms in Holywell Dene providing a choice of assisted bathing facilities or shower. Domestic staff are responsible for the cleanliness and hygiene within Holywell Dene and on the days of inspection visits the home was clean and free from odour. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is adequate Staff recruitment procedures and training are good, but there are not always enough staff on duty. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are staff vacancies including on night shift, which means there is only one staff member working on each floor of the building. This has an impact on the rights of service users to make choices regarding the time they go to bed and get up in the morning and in the event of illness or a fall has potential to compromise the safety of service users. Agency staff are not used at Holywell Dene. There are 26 care staff including senior care staff working within Holywell Dene. Seven staff have NVQ level 2 or above and a further 13 staff are in the process of working toward their NVQ level 2. Senior care staff have been provided with training in the safe administration of medication. The manager has completed her Registered Managers Award. Three staff files were looked at and show that Criminal Record Bureau checks are undertaken and written references obtained. Records show that a POVA first check has been undertaken for a new member of staff and she is working under supervision until her CRB check is returned. There is a recruitment Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 18 policy within the organisation, which is being followed by the manager at Holywell Dene. Southern Cross have introduced new induction systems for staff, which cover all policies and procedures in the company and promote issues of good practice. Training records confirm that induction training is undertaken with new staff and that mandatory training covers aspects of health and safety including food hygiene and moving and handling. Mandatory training updates in fire safety were cancelled and have not been rescheduled. The activities coordinator is new to post and has not yet had training to enable her to develop the skills, which will enable her to undertake her role effectively. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 19 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): Standards 31,33,35,36 & 38. Quality in this outcome area is adequate Although the manager has made improvements in the home since the last inspection, the home is not always run in the best interests of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of Holywell Dene has been in post since December 2006 and in that time has registered with the Commission for Social Care Inspection and has completed her Registered Managers Award. She is committed to training and development for staff and demonstrates insight and skills in line with her duties as manager. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 20 The manager and staff showed a caring approach toward service users and an awareness that the care home should be run according to the best interests of the people who live there. Staffing shortages and the fixed routines of the home do not always allow for that to take place. The financial interests of people living at Holywell Dene are safeguarded and records and receipts are maintained to ensure that finances are dealt with appropriately. Staff records show that supervision is now provided on a formal basis to staff and written records are kept. Health and safety is promoted at Holywell Dene and records were made available during the inspection process, which confirm this. Fire safety equipment checks are undertaken however fire safety awareness training dates are yet to be organised. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 21 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 x 3 Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13 (2) Requirement The medication policy and procedures should be reviewed to ensure that recording and ordering systems are in place to safeguard service users. The routines of daily living and activities made available should be flexible and varied to suit service users’ expectations, preferences and capacities. Outstanding Requirement 30/8/06 Service users should be enabled to make decisions in all aspects of their daily lives. - Menus should be provided in easy to read or pictorial formats. - Information cards should be considered to assist communication. Outstanding Requirement 30/8/06 Timescale for action 31/12/07 1. OP12 16 (2) (m) (n) 01/02/08 2. OP14 12 (2) (3) 01/02/08 Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 23 3 OP27 18 (1) (a) 4 OP30 18 (1) c i Staffing numbers should be sufficient to meet the assessed needs of service users within the layout of the building. Fires safety training dates should be rescheduled. 31/12/07 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Training should be provided in working with people with dementia care needs and communication impairment. Specific training should be provided in the provision of appropriate activities for people with a range of needs. Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 © 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 Holywell Dene Care Home DS0000000609.V344236.R01.S.doc Version 5.2 Page 25 - 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. 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