Inspection on 21/05/07 for Home Covert

This inspection was carried out on 21st May 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.

Other inspections for this house

Home Covert 07/06/06

Home Covert 23/11/05

Home Covert 05/07/05

Home Covert 04/01/05

Home Covert 09/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Home Covert The Avenue Bentley Doncaster South Yorkshire DN5 OPS Lead Inspector Janet McBride Key Unannounced Inspection 08:30 21st May 2007 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 DS0000032140.V331770.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. DS0000032140.V331770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Covert Address The Avenue Bentley Doncaster South Yorkshire DN5 OPS 01302 875325 01302 822831 NONE NONE Doncaster Metropolitan Borough Council 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) Carol Ann Morley Care Home 35 Category(ies) of Dementia - over 65 years of age (24), Learning registration, with number disability (11) of places DS0000032140.V331770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Home Covert is registered for thirty-five places, providing accommodation and personal care to two different service users groups, learning disabilities and elderly mentally infirm (EMI) aged 36 years to 65 years. The home also offers respite and day care for EMI and residential service users. The Registered provider is Doncaster Metropolitan Borough Council (DMBC) All accommodation is on ground floor level and is in three units; two with twelve beds and one with eleven beds, and each unit has its own lounges and dining facilities, and staffed individually. Fern Unit Provides accommodation for eleven service users ranging from 36yrs to 69yrs old with Learning Difficulties. These service users are independent and go out to day centres Monday to Friday. Rose and Daffodil Unit Provides accommodation for twelve service users who are elderly mentally infirm. The unit is accessed via secured digital locks, and it has it’s own enclosed courtyard, CCTV is fitted to the outside of the building for security purposes. Fees range from £395:00 to£490:00 per week, as of May 2007. Additional charges are made for hairdressing, chiropody, toiletries and magazines/newspapers these costs are variable, for further information contact the home. The Statement of Purpose and the Service User Guide, was available on request, this contained information about the services available at the home. The homes past published inspection reports were available in reception, along with a range of information that may be useful to people using the service or their relatives. DS0000032140.V331770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this Key Unannounced Inspection, which took place on the 21st May 2007 for 6:15 hours. The home is registered for 35 people; at the time of inspection all beds were being used. Prior to the inspection the manager submitted a pre-inspection questionnaire giving information regarding the home and services provided. Analysis of this information and other relevant documentation for example, notifications and complaints were carried out before the inspection. Prior the inspection comment cards were sent out to the home for them to distribute. Five were sent to people who use the service within the home, all were received back. Five were sent to staff members three were received back, and five were sent to professionals who had contact with the home and three were received back. All the comments made on the surveys are included in this report. During the inspection documentation and records were examined for example, medication, complaints, accident records, staff rotas, staff training files and case tracking of three care plans, these were cross-referenced with other relevant documentation relating to those people who use the service. Information was gathered from as many different individuals as possible, including individual interviews with members of staff the manager, and any visitors seen on the day. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. The inspector would like to thank all the staff, relatives and people receiving services within the home for their co-operation in the inspection process. Any issues or concerns that were raised were discussed with the manager at the end of the Inspection. What the service does well: DS0000032140.V331770.R01.S.doc Version 5.2 Page 6 The home has a very enthusiastic staff group that worked positively with people who use the services to improve their quality of life within the home. Staff were observed to carry out their duties in a professional manner and showed consideration for peoples individual needs. People that use the service were very happy with the care received and were complimentary about the staff within the home. They said they “feel safe within the home” and “the staff are available when you need them” and “feel they are treated well”. All spoken to were happy with the meals provided, saying there was always a choice. Assistance was offered in a dignified manner to those who needed help with eating. Evidence in surveys and care plans that were case tracked, showed that people within the home had been assessed before they were admitted. Surveys also suggested that people had the information about the home and services provided before going to live there. Past inspection reports were available for prospective people to read, they could also access day care and respite care before moving into the home on a permanent basis. Family and friends were able to visit, they said they were made welcome and visitors spoke highly of the staff team at the home. Comments received from people on Fern unit, said “there are always activates arranged” by the home for them to take part in, and “happy with care they received and the staff group”. All comments received on the day and from surveys were very positive about the home and the care delivered. What has improved since the last inspection? What they could do better: DS0000032140.V331770.R01.S.doc Version 5.2 Page 7 Training must continue to so that at least 50 of the staff is trained to National Vocational Qualification level 2 in care. 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. DS0000032140.V331770.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 DS0000032140.V331770.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): 2 &3 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People that use the service were individually assessed prior to admission to ensure their needs would be met. EVIDENCE: Three care plans were case tracked and a number of staff spoken to. Records showed that people that use the service were fully assessed prior to moving into the home, with other professionals involved if needed. Surveys received from people within the home said they had received information before moving into the home and were able to visit the home before moving in. The manager said that people using the service were issued with a contract/statement of terms and conditions these contain a scale of charges and any extras that people had to pay for, all of which is documented in this report. The registration certificate was displayed in the home and found up to date with the current services provided. DS0000032140.V331770.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 &11 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Care plans provided staff with the information they needed to meet the care needs of people that use the service, this ensured that the majority of peoples needs were identified and met. There were some gaps in recording weight charts and bathing charts, however evidence from people in the home and staff spoken to said they always were bathed and weighed at regular times therefore this issues as not affected the outcome in this area. EVIDENCE: Three care plans were case tracked of people that use the service, these care plans were cross-referenced with medication records, accident records and any other relevant information. Health, personal and social care needs were set out in an individual plan of care, including what actions to take on the death of a person were recorded in some files, if not recorded the manager said they were waiting for a response from some people or their representatives. A number of staff had attended end of life training course. DS0000032140.V331770.R01.S.doc Version 5.2 Page 11 Care plans were developed shortly after the admission, using the initial assessment of need and any other relevant information gathered by professionals, family and friends. Some people said (if capable) they were involved in their care plan and family were able to contribute and would agree the plan prior to its implementation. Key workers spoken to were able to describe care needs of people, and when they required the input of either GP or district nurses. Care plans seen were generally found to be comprehensive concise and easy to follow, with legible records kept. Accident records showed an improvement in documentation, in the way they were completed, being legible and concise records, with the manager completing monthly analysis reports. The District Nurse provided the main link to all medical services including pressure area care, continence advice and general health checks as required by the G.P. Comments from district nurses surveys said “ they always see people within the home in their own bedrooms” and “people always appear well cared for”. Referrals to outside professional are used, for example the home had a lot of input from a local mental health liaison team who visited the home on a regular basis to review and offer advise for people who use the service. During this visit there were many examples of good practice, from the staff on duty, they were observed to knock on bedroom doors before entering, and interacted with people within the home with respect, addressing people by their preferred name. Comments from people living in the home said, “always receive medical support when needed”. Comments from relatives seen during the inspection mother looks clean and well dressed”.” my wife always looks neat and tidy and has her hair done every week. Medication policy and procedure were discussed with the manager and records checked. The local pharmacist that supplied the medication system visited periodically carried out audits and gave advice to staff at the home when needed. Staff responsible for the administration of medication had completed the accredited medication training. An audit of the records and stock were found to be satisfactory, an improvement was found in documentation since the manager completed monthly audits. DS0000032140.V331770.R01.S.doc Version 5.2 Page 12 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 &15 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People were able to enjoy a lifestyle that suits their individual preferences, the home provided stimulation and interest for those people within the home. They were offered a wholesome and appealing balanced diet with a varied selection of food available to meet people’s tastes and choices. EVIDENCE: People receiving the services at Home Covert had different needs on each of the units. Information was available in care plans of people’s hobbies, life events, likes and dislikes. People on Fern unit seemed to have a good choice of activates, they go out to various day centres five days a week. Their evenings and weekends are filled with their own choice of leisure activities, supported by staff. Comments received were very positive “there are always activities arranged for us to take part in”. DS0000032140.V331770.R01.S.doc Version 5.2 Page 13 On the morning of the visit four of the people on Fern unit were going on holiday to Blackpool, all four people were spoken to and said, “How they were looking forward to this”. They also said that they went on holiday every year and could choose where they wanted to go, some went to Euro Disney last year. Efforts are made to provide stimulation and interest for those people on the elderly unit, but this can be dependent on staffing numbers. On the day of the visit various activities were taking place e.g. quiz in the morning and in the afternoon some of the ladies were having their nails painted. Those spoken to on one of the elderly units said “they were satisfied with the activities that were organised by the staff” and that “they go out on occasions to garden centres or shopping”. Staff confirmed that a physiotherapist attends weekly, and she organiser’s activity to music for people on both the elderly units. Relatives, friends, residents and staff group meetings take place on a regular basis with meeting minutes available. Relatives and people in the home said “visitors were always made welcome” and that they could see their relative in private, and they were able to bring personal possessions into the home with them for their bedrooms. People using the service said “we can make choices in all our daily lives” and staff confirmed that they encouraged people to make choices and to have control over their lives whenever possible. Food and mealtimes were discussed with staff on all of the units and it was found that people on the elderly unit have more structured meal times than the people on Fern unit. The cook provided these, menus were available and people were asked what they wanted. The meals are transported from the kitchen to the two units via hot trolleys and served in the dining rooms by the staff. Observations during mealtimes on the day confirmed that assistance was given to some people, although it was a very busy time it was unhurried. Food was well presented and liquidised food looked attractive with all of the food being kept separate to distinguished individual flavours. Comments on surveys and people who were spoken to said, “they had enjoyed their meal and liked the food at the home” “they had choices every day”. DS0000032140.V331770.R01.S.doc Version 5.2 Page 14 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 &18 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. The home had a written complaints procedure, which was displayed within the home, this ensured that people who use the service, and their families had details of how to make a complaint. The home had policies and procedures in place on adult protection; this promoted and protected the people who use the service. EVIDENCE: The home had a comprehensive Concerns Complaints procedure (DMBC View Point), this was displayed in the home. There was an appropriate system for recording complaints the outcome and the action taken. Records showed no recorded complaints had been made since the last Inspection. Views of people who were residing at the home said if they were unhappy they would talk to their key worker or the manager. Relatives said if they were unhappy or had any concerns they would talk to the manager or staff on duty. Policies and procedures were in place regarding the protection of vulnerable adults. Discussion with staff confirmed they were aware of abuse polices and procedures, some staff had received training, and those spoken to were able to verbalise the action they would take on receiving any allegations. DS0000032140.V331770.R01.S.doc Version 5.2 Page 15 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): 19,24 &26 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views of people who use the service and visitors on the day. People who use the service live in a comfortable and accessible environment with any specialist equipment they required to maximise their independence. The home was clean and tidy and provided a well-maintained environment. EVIDENCE: The home was purpose built and designed to suit the service user group, corridors internally connect on two of the units, there are digital locks on the entrance of each unit for security purposes and safety of people within the home. DS0000032140.V331770.R01.S.doc Version 5.2 Page 16 A tour of the premises including bedrooms, found all units were well maintained, any issues raised on the last inspection regarding the premises had been addressed. Communal rooms were found to be comfortable, bright and cheerful and looked very homely with pictures and ornaments around the home. It was clean and tidy, with furniture and fittings being of adequate quality. Bedrooms on all the three units were furnished with aids and equipment to meet the needs of the people who use the service. People in the home said they were encouraged to bring personal items, most bedrooms had been personalised with pictures, photos and ornaments. All bedrooms were locked which ensured that other people within the home did not wander in to each others bedroom, those people who were capable of holding their own keys did so. The home had a call system in each bedroom, call cords were left within reach of people’s beds, the function of the system was tested on a regular basis. The home had three sluicing facilities one for each unit and a communal laundry that was equipped to meet the relevant standards. DS0000032140.V331770.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): 27,28,29 &30 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Staff had the skills and knowledge to fulfil their roles within the home, a stable staff group ensured continuity of care by staff that know the people who use the service. EVIDENCE: The home had a very enthusiastic and stable staff group that worked positively with people who use the service to improve their quality of life within the home. Staff had the competencies required to meet the needs of people within the home. Staff rotas examined demonstrated there were sufficient staff to meet the needs of people who use the service, and since the last inspection two vacant posts for care staff had been filled. One comment was highlighted on the surveys that the home only had two male staff members, this was discussed with a number of people residing in the home who said this did not concern them or raise any issues for them. The manager said male staff within the home were very flexible and if people request a male member of staff for a reason, both male staff would assist to ensure peoples needs were met. DS0000032140.V331770.R01.S.doc Version 5.2 Page 18 The staff team were observed to carry out their duties in a professional manner and show consideration for peoples individual needs. Staff appeared to be highly regarded by people within the home and relatives. Each member of staff had an individual training file, these were examined and training opportunities were discussed with the manager and staff. Records indicated that a number of the staff team had achieved National Vocational Qualification level 2 in care (NVQ) with other members of staff continuing to work towards attaining NVQ levels in care. A number of staff had completed Learning Disability Award Framework (LADAF). Since the last Inspection access to mandatory training and refresher training for staff had improved. The home had a thorough recruitment procedure, staff recruitment records are held at the Councils head offices. However discussions with the manager, and new staff who were interviewed, confirmed they had been interviewed, Criminal Records Bureau checks completed, and two written references provided. Staff said they were given copies of the General Social care Council code of practice. DS0000032140.V331770.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): 31,33,35,36 & 38 People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People who use the service were protected by sound management practises. The financial interests of people were safeguarded, good health and safety procedures ensured they are protected. EVIDENCE: Management structure at the home consists of the registered manager and two deputies. The manager has a wealth of experience and knowledge; she was able to demonstrate her ability to manage the home. Since the last inspection she had completed the Registered Managers Award, also one of her deputies had also completed this award. She said she operated an open door policy, to ensure she was accessible to staff, relatives and people that use the service. DS0000032140.V331770.R01.S.doc Version 5.2 Page 20 One issue raised by the manager was the lack of being able to access the internet to gain information, no e-mails address for the home to send and receive e-mails, which does raise concerns. The pre inspection questionnaire had to be completed by hand. Quality assurance systems had been developed, the home used these surveys to gain the views of people who lived at the home, relatives and visitors. The last surveys suggested that the manager was very approachable, and stated their satisfaction with the home and care provided. Very positive comments were received throughout this visit about the home, care provided and staff members. A number of audits are competed by the manager on a monthly basis e.g. care plans, medication and accident reports. The team manager from DMBC visits the home and completed a monthly 26-visit report, also carries out audits on a different quality standard each month, all these were available to examine. The financial interests of people were discussed with the manager and records checked. Not many people were able to manage their own finances, some relatives assisted people within the home with their personal finances. Records showed money is kept in individual wallets with records showing incoming and outgoings of monies, and audits of money were completed on a regular basis by staff and yearly audits from DMBC. Equality and diversity was discussed with the manager, staff will be able to access courses on this issue, but the manager did confirm that basic equality and diversity is discussed with staff during induction for example, make sure people in the home are dressed in appropriate clothes for their gender, and that people can access their religious beliefs. Supervision of staff was discussed with the manager, staff on duty and records checked, which showed an improvement of staff receiving formal supervision, and yearly appraisal on a regular basis. Maintenance and service records examined, these were up to date with current certificates. The service had the required Health and Safety policies and procedures and the relevant notices were displayed throughout the home. Fire safety procedures were in place, records examined showed they were current and up to date. DS0000032140.V331770.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 DS0000032140.V331770.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 OP7 Regulation 17(3)(a) Requirement Staff must record sufficient information that reflects the care being delivered e.g. weights and bathing frequency in care plans. 50 of care staff must be trained to, National Vocational Qualification level 2. (Timescale of 01/09/06 not met). Timescale for action 01/07/07 2. OP28 18(1) (c)(i) 01/09/07 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 OP31 Good Practice Recommendations The registered provider should consider installing a system that ensures the manager can access the internet to gain information, send and receives e-mails. This would also encourage research and development of the service. DS0000032140.V331770.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 DS0000032140.V331770.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!