Inspection on 25/07/05 for Isabella Court

This inspection was carried out on 25th July 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Isabella Court 16/05/07

Isabella Court 29/11/05

Isabella Court 13/10/04

Isabella Court 29/06/04

Similar services:

Whitwood House

Whitwood Hall

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

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

CARE HOME ADULTS 18-65 Isabella Court 72a Westgate Pickering North Yorkshire YO18 8AU Lead Inspector David Blackburn Unannounced 25 July 2005 08:45 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Isabella Court Address 72a Westgate Pickering North Yorkshire YO18 8AU 01751 475787 01751 447116 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Wilf Ward Family Trust Mr Paul Holbrook (registation pending) Care Home only 10 Category(ies) of Learning disability (10) registration, with number of places Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NONE. Date of last inspection 13/10/04 Brief Description of the Service: Isabella Court is a purpose built centre situated in the centre of Pickering. The site offers three facilities: Isabella Court itself giving respite care to a maximum of six guests at any one time, a day care centre within this building and Woodside, an adapted property, offering permanent accommodation to four residents. The total accommodation gives sufficient communal space for the people in the home together with kitchens, laundries and offices. There are sufficient toilets and bathrooms in each location. Isabella Court and Woodside cater for adults with a learning disability and associated health and behavioural problems including some challenging behaviour. The staff seek to provide a holistic regime offering personal care, help, advice and guidance with daily living skills and activities, a catering service, a laundry service and domestic and cleaning services. All services are offered with input from service users. Activities are offered both on and off site. Residents are registered with local general medical practitioners. The doctors arrange access to other more specialist health services. The home has close links with the Community Resource Team for people with a learning disability who provide advice, guidance and access to specialist services. The properties are owned by the Wilf Ward Family Trust, a registered charity, who also provide the care input. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on which this report is based was the first to be carried out in the inspection year April 2005 to March 2006. It was undertaken over 6.5 hours including preparation time. The focus was on a number of key standards together with any subject to requirements and recommendations at the last inspection. An inspection of some parts of the premises including bedrooms was carried out. A number of policies, procedures and records were examined. Discussions were held with the manager, the staff on duty, the four residents in Woodside and some guests in Isabella Court. The majority of the residents and guests were unable to enter into any meaningful discussion and generally gave one-word answers or gestures. The area locality manager was also present throughout the inspection. A survey in the form of a questionnaire had been sent to family, visiting professionals and other people with an interest in the care of the residents. The results of that survey formed part of the evidence used in this report. Isabella Court admits a total of 56 guests on a respite basis over the course of a year with a maximum of 6 at any one time. Woodside has four permanent residents. What the service does well: Good assessment procedures were available should a vacancy arise in the home. These procedures would ensure any person admitted would have their personal needs, hopes and aspirations fully identified, understood and met. A well-defined care planning system was in operation that was easy to follow and understand. The wealth of information on each guest and resident clearly showed in great detail their needs and how they would be met. Care plans were subject to regular review and updates. A visiting professional said the staff “were always keen to be involved with any intervention which they carried through with enthusiasm to the benefit of the client.” Although the majority of those who used both services were unable to verbalise their wishes, choices and preferences, great attention had been paid to the different forms of communication they used including gestures, facial expressions and sounds other than words. This had meant that some feedback was gained from residents and their agreement or otherwise given to any planned course of action. A relative said “ the care in Isabella is excellent. We are very happy with the attention our daughter receives.” Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 6 Residents and guests were encouraged to make full use of the local community and the minibus facilitated easy access to facilities and amenities. There was some criticism in one response about the lack of outings. “General day-to-day care is good but why when there is a minibus is there no staff to drive it?” Residents in Woodside continued to enjoy contact with family and friends. A relative said “When visiting it’s like visiting his home.” Proper medication procedures were in place in Isabella Court. Both premises were clean, warm, and free from offensive odours. Proper attention was given to the maintenance of hygiene. Staff were a stable group with good morale who had received the relevant training. A visiting professional said “The commitment of the staff is very professional in their attitude and care given to the clients.” The home was well managed. Appropriate attention had been given to matters of health and safety to ensure the home was a safe place in which to live and work. A visiting professional said “ Clients all present as being happy in a warm, comfortable and friendly environment.” What has improved since the last inspection? What they could do better: Adjustments were needed to the method of medication administration in Woodside. All staff who administer medication should receive accredited training. The complaints procedure must be revised to clearly show the name and address of the new regulatory authority. Any manager employed in the home must have achieved a National Vocational Qualification in care and management to level 4 by 31st December 2005. Staff records held at the home must contain all the required information. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 7 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. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. Guests and residents were assured their needs and choices would be properly assessed and met. EVIDENCE: The initial assessment and care plan would be drawn up by a care manager of the funding authority. This information would be scrutinised and a preliminary decision made as to whether the staff could meet the assessed needs. If it was felt on first assessment the appropriate care could be provided, contact would be made with the prospective guest and their present carers. A Guest Information Sheet (GIS), the home’s own assessment tool, would be completed. For privately funded people the GIS would be used as the initial assessment form. A copy of the GIS was seen. It was comprehensive and detailed in the information required about any prospective guest. In Woodside there had been no admissions since the original residents came to the home in 1991. If a vacancy arose it was said a similar admission system to the one described above would operate. Two case files were examined. One contained a wealth of information from a care manager and other sources. The second had the GIS completed. The manager stated that further information on this guest’s needs was being sought. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7. Guests’ and residents’ needs, choices and preferences were well recorded and acted upon by staff ensuring they were properly understood and met. EVIDENCE: The case files of the four residents in Woodside, together with four of the guests in Isabella Court were examined. They were all well organised and easy to follow leading to ease of use and retrieval of information. The files contained the relevant information to enable staff to know, understand and meet the needs and choices of each resident and guest. Preference and choice in a number of areas and activities of daily living were clearly and precisely documented. The actual care plans for the residents in Woodside had been reviewed annually though the area locality manager said difficulties had been experienced in obtaining care manager involvement for some residents. Care plans were regularly updated each month through the staff meeting. Minutes were seen. Guests at Isabella Court were generally reviewed outside the home though staff would attend or send written information where their attendance was not possible. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 11 Daily diaries and daily notes recording the events and occurrences as they affected individuals were also kept and were seen. Although the care plans fully recorded each resident’s and guest’s likes, dislikes, choices and preferences around the many activities of daily living, the profound nature of each individual’s disabilities severely affected their ability to make day-to-day choices. Observation at various times during the inspection showed staff’s great attention to detail and understanding of each person’s needs. Staff consulted residents and guests at every opportunity and nothing was done without the involvement of that person. Staff continually involved individuals in decisions about having drinks and snacks, eating meals and taking part in activities. Some activities were observed, for example drawing. Staff responses were timely, appropriate and in keeping with guests’ and residents’ wishes. Staff were able to understand the meaning of each movement, gesture, noise or change of demeanour made by individual guests and residents. This was ably demonstrated at the observed lunchtime meal. Despite a number of difficulties staff were able to ensure guests and residents enjoyed their meal. Those able to feed themselves were given quiet encouragement and supervision. Those needing feeding were helped in an unobtrusive and professional manner with great attention paid to what was actually being given and how it was offered. The area locality manager handled each resident’s (Woodside) personal monies. The records were seen and reconciled with the money held. There were no discrepancies. Bankbooks had been opened in their names. Guests in Isabella Court usually brought in a small amount of money. That held by the manager was being properly recorded. A relative said “Isabella Court knows my daughter’s needs and how to meet them. It is an excellent care home.” Another commented that it was “an excellent care home” and could be “thoroughly recommended to other carers.” One relative said their son had had been coming for respite care since the home opened and “that tells you we are more than pleased.” Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. Guests’ and residents’ use of local facilities and amenities and regular contact with family are promoted and maintained enabling them to have a number of different life experiences. EVIDENCE: None of the guests or residents was able to undertake paid employment. Some guests had voluntary employment in their own locality. None was able to benefit from formal further education. A number did attend college on courses designed to promote their individual personal and living skills. Some guests attended day care placements. The home was seen as part of the local community. Support from neighbours was positive and welcomed. The wider community also gave good support during fund raising activities, open days and in specific requests for help. The location of the premises gave easy access to the town centre. Facilities and amenities in neighbouring towns and cities could be easily accessed by use of an unmarked mini bus. All drivers of the mini bus had successfully completed the Mini Bus Driving Assessment Scheme (MIDAS). One relative questioned the lack of outings because of unavailability of drivers. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 13 Changes to recent legislation had meant the number of approved drivers was restricted. The area locality manager said the matter was under discussion within the Trust. Staff were rostered to enable service users to take full advantage of the facilities and amenities available to them. A number of guests were being taken out in the minibus during the inspection and some guests went shopping in the town. These were pre-arranged events. Staff at Woodside had been pro-active in establishing and maintaining contact between residents and their families. They had successfully achieved agreement to some service users spending time with their families at home, to regular visits to Woodside and to contact in between by telephone, letter or card. Service users were at liberty to invite friends from the other homes within the Trust and from day centres and social clubs. Guests were generally on respite care to enable their regular carers to take a holiday or a break from their care. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20. Guests’ health care was promoted in Isabella Court through the maintenance of proper medication procedures. The procedure in operation in Woodside could compromise residents’ health care. EVIDENCE: A medication policy and procedure was seen. Proper procedures were being followed in Isabella Court for the receipt, storage, administration and recording of medication. None of the guests could self-administer. Medication supplies were kept in a locked cabinet in a locked storeroom. All medication for guests was counted and checked on receipt and return. Medication was administered by two staff to minimise the risk of error. PRN (that given as and when required) and short-term medication (antibiotics) were properly recorded. Any special instructions were recorded in the medication file. In Woodside it was found that some medication was being secondary dispensed. The area locality manager and manager of the home immediately issued instructions that this system cease. It was agreed that medication must be administered directly from the original packaging. Proper procedures were in place for the receipt, storage and recording of medication. Staff confirmed medication training was given during induction. It is important all staff who administer medication undertake a course of accredited training. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. Residents and guests had the confidence their concerns and worries would be listened to and acted upon. EVIDENCE: A complaints policy and procedure was seen. Leaflets were available “How to Make a Complaint” and had been produced in pictorial form. Copies were available in the home. The procedure showed how to complain, to whom and gave timescales for a response. The leaflets showed the name and address of the previous regulatory authority. They must be reprinted with the name and address of the current regulatory authority clearly shown. The manager felt that as residents in Woodside had regular visitors if there were concerns about their care these would be raised without delay. Similarly respite guests returned to their families who would no doubt make contact if they had worries. Furthermore staff contacted families following a period of respite care to receive any comments or suggestions. Relatives and visitors were aware of the complaints procedure and the location of the registered provider’s headquarters. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. Residents were provided with a homely, comfortable and safe place in which to live. EVIDENCE: The site consists of two properties, Isabella Court and Woodside opened over 15 years ago. The properties offer residential accommodation to a maximum of 10 people, six on respite care and four on permanent care. A day centre is attached to Isabella Court. The site is located a few minutes from the town centre. It is convenient for all local facilities and amenities. Public transport passes the door. There is no external indication that the properties form a care home. The premises are set in their own well-tended grounds with a water feature and sensory garden. Level access is achieved to each external door. Fixtures, fittings, furniture, furnishings and fabrics were all domestic in nature reflecting the registered provider’s wish to create a homely and non-institutional environment. The premises were generally in good internal condition. Satisfaction reports from the Fire Officer and Environmental Health Officer were seen. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 17 Ceiling tracking hoists had been provided in bathrooms and a new Parker bath (special type of bath) had been installed. Both properties were clean, tidy and odour free. Isabella Court had a large separate laundry fitted with commercial machines. Woodside had a small separate laundry with domestic type machines. All machines were said to meet the latest water regulations. The floors and walls in each area were readily cleansable. Suitable arrangements were in place for the laundering of linen, bedding, towels and personal clothing. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 35. Residents’ and guests’ needs were met through the good and consistent care given by the well-motivated and trained staff team. EVIDENCE: Staff came to the home from a variety of backgrounds and previous employments. This gave a variety of knowledge, skills and experience. It was evident they had a firm commitment to their residents and guests and to providing the highest standards of care. Interaction between the two groups was noted as friendly and warm. Staff showed great patience and kind consideration while maintaining a professional approach at all times. This was reciprocated by service users by word, gesture or movement. There had been an increase in care hours (15). 15 staff had achieved a National Vocational Qualification in care to level 2 and others were said to be working towards this award. A visiting health care professional described the staff as “courteous, committed and professional in their approach.” A number of complimentary remarks were made by relatives. A full and detailed recruitment and selection policy was available. This required all applicants for a post to supply the names of two referees, the submission of an application form and to be interviewed. The area locality Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 19 manager said all staff had received enhanced disclosures from the Criminal Records Bureau. Staff confirmed they undertook induction and foundation training to TOPSS and LDAF standards. Further training was identified through supervision. A variety of courses were on offer from the registered provider. Training needs were recorded by the manager on the monthly report to the registered provider. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41 and 42. Residents and guests were cared for in well-managed, safe and secure environment. EVIDENCE: The registered manager was a Registered Mental Nurse (RMN) and held a current Nursing and Midwifery Council registration. He had been appointed to the home in June 2005 following over 14 years in care environments including the last six years as assistant manager in a home for people with serious brain injury. He had applied to undertake the Registered Managers (Adults) NVQ 4 award. A number of records were seen. All were being maintained in a proper manner. It was noted that no staff records as required by Regulations were available in the home. These were held centrally at the registered provider’s headquarters. An inspection of these records had been carried out at this location last year. It was proposed that these records would be inspected again during the current year. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 21 Policies and procedures were seen on the promotion and maintenance of health and safety. Proper attention was given to the storage of hazardous substances. Staff confirmed attendance on courses such as moving and handling, fire safety and food hygiene. Some hot water temperatures were checked and found to be within the required range. A number of satisfactory safety reports and certificates related to the premises, equipment and mini-bus were seen. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 1 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Isabella Court Score x x 1 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 1 3 x J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 23 YES. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 20 Regulation 13(2) Requirement Timescale for action 31/07/05 2. 22 22(7) 3. 41 17(2) Schedule 4.6 Medication must only be administered from the priginal packaging or bottle and not be any secondary means. The complaints procedure must 30/09/05 show the name, address and telephone number of the current regulatory authority. Staff records to be kept in the 30/09/05 home must contain the information required by Schedule 4.6 to the Care Homes Regulations 2001. (Previous timescale of 31/03/04 not met) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 20 37 Good Practice Recommendations All staff who administer medicines should receive accredited medication training. Any manager should attain a National Vocational Qualification in care and management to at least level 4 by 31st December 2005. Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross YORK YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Isabella Court J53-J04 S7833 Isabella Court V237194 250705 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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