Inspection on 15/11/08 for Ivy Leaf Care Home

This inspection was carried out on 15th November 2008.

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 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

Ivy Leaf Care Home 15/04/08

Ivy Leaf Care Home 11/09/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

CARE HOMES FOR OLDER PEOPLE Ivy Leaf Care Home 29 Gedling Road Carlton Nottingham NG4 3EX Lead Inspector Steve Keeling Unannounced Inspection 29th October 2008 09:30 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 Ivy Leaf Care Home DS0000070390.V372964.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. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivy Leaf Care Home Address 29 Gedling Road Carlton Nottingham NG4 3EX 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) 0115 961 6785 Mauricare Ltd Manager post vacant Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only:Care home only - Code PC To service users of the following gender:Either Whose primary care needs on admission to the home are within the following category:Old age, not falling within any other category - Code OP The maximum of service users who can be accommodated is 14. 2. Date of last inspection 15th April 2008 Brief Description of the Service: Ivy Leaf is an adapted property situated in the heart of Carlton, a busy area on the outskirts of Nottingham. The home is situated less than a five-minute walk away from shops, cafes, public houses and places of worship. There are very good public transport links to the home and a small car park to the rear of the building. The service is registered to accept up to 14 people within the category of old age only. Nursing care is not provided at the home. The accommodation comprises two lounges, a dining room with a conservatory and 14 single occupancy bedrooms, three of which have full en suite facilities with 11 having a sink in the room. There are sufficient toilet and bathing facilities available. There is a small garden to the rear. The current fees range from £294 to £350 per week. This fee does not include hairdressing or chiropody services. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who reside at the home and their views on the quality of service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The Acting Manager, visitors to the home and one member of staff were spoken with as part of this visit to form an opinion about the quality of health and safety provision for people at the home. A partial tour of the building was undertaken which included peoples bedrooms and the communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last inspection was considered in planning this visit, which included an Annual Quality Assurance Assessment (AQAA), provided by a acting manager. In addition seven “have your say” service users surveys was used to inform the inspection process. The quality rating for this service is 1 star this means the people who use this service experience Adequate quality outcomes. What the service does well: Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 6 People said that are very happy and well looked after. They were particularly happy with the quality of food provided, the standard of hygiene throughout the home and the quality of fixtures and fittings. People said their privacy and dignity is always respected and the staff employed at the home are kind, considerate and flexible in providing the care and support they need. People said they feel safe in the home and had confidence that any concerns or complaints would be addressed effectively by the acting manager who is held in high regard by people at the home. What has improved since the last inspection? What they could do better: 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 Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ivy Leaf Care Home DS0000070390.V372964.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 Ivy Leaf Care Home DS0000070390.V372964.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs assessments are performed prior to people moving into the home, to make sure their needs are identified. EVIDENCE: Information within the Annual Quality Assurance Assessment stated “ we carry out needs assessemnts of people prior to admission and if information exists from other professional sources we will use it to that end. This makes sure that the home has the right information before the resident is admitted so that the resident gets the best care. It also makes sure the home can meet the residents needs ”. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 10 We examined the pre admission assessment documentation of two resently admitted people, they showed that the assessment process was performed by the acting manager and provided the opportunity to identify peoples needs. The assessment process also uses information provided by other agencies, such as Adult Social Care and Health, when available. Ivy Leaf Care Home DS0000070390.V372964.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): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The healthcare needs of people who use the service are recorded but some care plans lacked sufficient information to promote the health and wellbeing of people at the home. Medication is managed appropriately and people who use the service are afforded appropriate levels of privacy and dignity. EVIDENCE: Information provided in the Annual Quality Assurance Assessment states “staff speak and treat residents with dignity and respect, residents are given full privacy. Staff assist residents with respect and dignity whilst promoting their independence”. The pre inspection survey asked people “do you receive the care and support you need?” six people stated, “yes” and one person said “usually”. Care plans are developed to address the identified needs of the people from the pre admittance assessments. The care plans are well organised and are Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 12 re-evaluated on a monthly basis to ensure that the changing needs of people can be identified and met. The case tracking process showed that care plans in relation to the management of a person’s susceptibility to pressure sore formation were not in enough detail to inform staff. A care plan relating to the management of person’s diabetes also lacked specific detail to inform staff. Staff spoken with were not aware of the appropriate actions to be taken should complications be experienced in relation to the management of the persons diabetes and said that they had not had any training in this area. The acting manager amended the care plans on the day of the visit to address the shortfall and stated that training in diabetes management would be arranged. Care plans showed that people at the home or their representatives are involved in the care planning process when possible. A visitor said that she is kept fully informed by the acting manager of any developments in relation to her relative’s health and wellbeing. The pre inspection survey asked people “do you receive the medical support you need?” six people said “always” and one person said “usually”. We asked a person if they have access to her general practitioner, she said “Yes, I have seen the doctor but not very often, the staff will always call when needed”. People also said that they have access to the district nursing team and podiatry services. Medication management was not inspected on this occasion as it was inspected at a previous visit (15th April 2008) and assessed as safe. The pre inspection survey asked “do staff listen and act on what you say?” all seven people stated, “yes”. A person said, “I have no concerns, the staff are wonderful, they always help me with dressing, they are lovely, we are all very happy here and well looked after”. People said that they have control over their lives and can make independent decisions in relation to their daily routines. One person said “we can do as we please, stay up late or stay in bed if we want to. Staff always come when we call, they are very good and nice. I’m amazed at how good it is here, I’m very happy”. We asked a visitor to the home if she thought the needs of her relative were being met, she said, “ Yes I think so. The staff are kind and nice to residents”. The visitor also said that the staff very welcoming, respectful at all times and said that she had never witnessed anything that gives her cause for concern. Ivy Leaf Care Home DS0000070390.V372964.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): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recreational activities are provided to people at the home and opportunities are available for people to interact within the broader community. People benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. EVIDENCE: The pre inspection survey asked “Are their activities arranged in the home that you can take part in?” two people said “always” four people said “sometimes” and one person said “never”. We spoke to staff about the provision of social activities and they said that they have experienced difficulty in motivating people at the home to participate in the planned daily social activities programme such as singsongs, board games and interactive computerised games. The acting manager said that a Christmas party is planned for the 13th December 2008 and an external entertainer has been booked for the event. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 14 The acting manager also stated that a Clothes sale is currently being planned together with a movement to music event to try and motivate people at the home. We asked a person about the social activities provided at the home, she said, “I like to do my knitting, some activities do happen but I would sooner do my knitting. We all just like to sit and chat. Some children came last week and sang harvest festival songs, it was wonderful, we all really enjoyed it. Sometime we play games but I am not that interested” The acting manager stated that an open door policy is encouraged at the home and people’s family and friends can visit as they wish. People residing at the home and visitors confirmed that visitors could come and go as they please and said staff at the home are always very welcoming. Information provided within the Annual Quality Assurance Assessment stated “residents are given a choice of food every day, food is provided to their taste and time of choosing. This is served in the dining room and also in their own bedroom or other place of their choosing”. The pre inspection survey asked “Do you like the meals at the home?” Six people said “always” and one person said “usually”. We asked people about the quality of food provided, comments included “The food is lovely, always plenty, a good selection. Today we had a choice of two main courses and four puddings, its lovely to just sit and watch them [staff] doing all the cooking for you and the washing up. Sometimes I help setting the tables, which I like”. Another person commented, “The food is fantastic”. People also said that they could have a drink or snack whenever they wish. A Visitor to the home said, “There is always a good choice of food available and the dining area always looks nice and clean”. Ivy Leaf Care Home DS0000070390.V372964.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People said that they were confident that the acting manager would deal with concerns and complaints effectively and they felt safe in the home. EVIDENCE: The pre inspection survey asked “do you know how to make a complaint and do staff listen and act on what you say?” all seven people stated, “yes”. A complaints procedure is on display in the foyer of the home and people residing at the home, or their representatives, are given the complaints procedure within a Service Users Guide. People were asked if they felt safe in the home and if the staff are receptive to their needs and wishes. People said “I feel very safe, but I would speak to the acting manager if I have any concerns, but I don’t”. We asked a visitor to the home if she was aware of what to do if she not happy with the service and would she be confident enough to make a complaint. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 16 The visitor said “I would discuss it with the acting manager, she would deal with any issues and she would sort things out if a told her”. The manager was not investigating any complaints at the time of the visit and the Commission for Social Care Inspection has not received any complaints relating to the service since the last unannounced visit. The complaints file at the home showed that one concern had been made since the last inspection was performed on the 15th April 2008. The concern had been documented in the complaints book with actions and outcomes recorded. Staff have received training in Safeguarding Adults on the 14th and 17th September 2008 from an accredited training organisation. Staff spoken with had a good knowledge of their roles and responsibilities if they suspected abuse was happening in the home. Information provided within the Annual Quality Assurance Assessment shows that the acting manager has recently reviewed policies in relation to Safeguarding Adults and Prevention of Abuse policy to ensure they are up to date. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. EVIDENCE: The pre inspection survey asked “is the home fresh and clean?” five people said “always” and two people said “usually”. The homes internal environment, which included people’s bedrooms, communal areas, such as bathrooms, toilets and the dining room, were clean, fresh and homely throughout. Significant improvements and upgrades have been made to the kitchen area and several bedrooms have been fitted with EnSuite facilities. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 18 People were asked if they were satisfied with the standard of cleanliness in the home, comments included “Its lovely we always have clean beds daily, the home is lovely, always warm and comfortable” and “I cannot fault it, it’s grand”. A visitor to the home said “On the whole we are very happy with the standard of hygiene but I do have a concern regarding the heating, sometimes it not hot enough and sometimes its red hot with the windows open”. We discussed the issue raised by the visitor with the acting manager, she stated that a request has been made to have a plumber assess the heating system; the plumber attended the home on the day of the inspection to review the heating system throughout the home. A small private, secure and well-maintained garden area is available for people to use as they wish. The garden area is accessible to people with impaired mobility and has a range of garden furniture. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 19 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are met by the number of staff employed at the home. Additional staff training is required to promote the health and well being of people. Recruitment practices are effective in promoting the safety of people. EVIDENCE: The pre inspection survey asked “are staff available when you need them? Six people said “always” and one person said “usually”. People spoken with said there always appears to be enough staff on duty and comments included “Yes they [staff] always come quickly when I call them in the night, they are very good, yes they are lovely”. Records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained. Information provided by the acting manager within the Annual Quality Assurance Assessment showed that the service has exceeded the target of 50 of staff trained to a National Vocational Qualification (NVQ) level two and Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 20 above to ensure a suitably qualified workforce is employed at the home. In addition two recently appointed members of staff have been enrolled on the NVQ qualification in care and will commence the course in November 2008. At the last key inspection staff training records showed, and staff confirmed that a training programme has been provided in first aid, moving and handling, health and safety, basic food hygiene, fire awareness and infection control and dementia care to ensure the staff are effectively trained to meet the needs of people at the home. The acting manager stated and records showed that additional training is currently being sourced in relation to infection control, health and safety, food hygiene, first aid and dementia care, risk assessment, manual handling and risk assessments. As mentioned earlier in the report (OP7) a member of staff was not fully aware of how to promote the safety of a person with diabetes as the member of staff had not received any training in diabetes management. The acting manager stated that no staff at the home have had diabetic management training and stated that the training would be arranged at the earliest opportunity. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People said they were confident that the home is run and managed well. The safety and welfare of people who use the service is promoted. EVIDENCE: The acting manager, who has a degree level, Registered Managers Award (RMA) has been in post at Ivy Leaf Care Home since July 2008. She is in the process of registering with the Commission for Social Care Inspection to be the registered manager. Information provided within the Annual Quality Assurance Assessment stated, “Ivy leaf is now being run by an experienced manager with a good knowledge of the category of people we are registered for”. She has made a real Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 22 difference to the wellbeing of residents, and Ivy Leaf is a real home from home”. In the short time that the acting manager has been in post she has made good progress in ensuring the home is well run. Information within the Annual Quality Assurance Assessment shows, and the acting manager confirmed that all policies and procedures have been reviewed to ensure they address the needs of people. A complaints book is now maintained in the home to ensure all complaints and concerns and documented and addressed effectively. The acting manager has initiated a formal staff supervision process so the needs of staff can be identified and met. Staff meetings are now performed to provide staff with an additional opportunity to discuss the care provision at the home. We asked a member of staff if she felt supported by the acting manager. She said, “Yes, I feel very supported”. The acting manager has initiated meetings for people who reside at the home, the content of the meetings are recorded and records showed that people discussed food provision, preferences in regard to social activities and the redecoration programme at the home. We asked the acting manager if she feels supported by the homes owner, she said, “Yes, fully supported, anything we want, we get”. We asked the acting manager if she is expected to do direct care for people at the home, she said “No, all my time could be allocated to my management role. I do occasionally provide direct care, it helps me assesses the needs of the people, I do not believe that you can be an effective manager if you just sit in a office”. People who reside at the home said “She [the acting manager] is very good, she is lovely” and “She’s very good, yes very good indeed, keeps the staff on their toes, things have improved”. A visitor to the home was asked if they believed her relatives needs were being met, she said, “ the home has improved quiet a lot recently I cannot think of any concerns”, “ The acting manager informs us of any developments regarding my mothers care”. Information provided within the AQAA showed that peoples health, safety and wellbeing is promoted by the provision of effective routine maintenance. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 23 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 2 8 2 9 3 10 3 11 x 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 x x 3 STAFFING Standard No Score 27 3 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 x x 3 Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement To promote the health and well being of people you must ensure that the care plans contain sufficient details to inform staff of the needs of people at the home. You must ensure that you promote and make proper provision for the health and wellbeing of people by ensuing their healthcare needs are fully met. To promote the health and well being of people you must ensure that staff receive training appropriate to the work they are to perform. Timescale for action 01/12/08 2 OP8 12 01/12/08 3 OP30 18 01/12/08 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 It is recommended that the acting manager formulate a staff-training matrix to demonstrate the training DS0000070390.V372964.R01.S.doc Version 5.2 Page 25 Ivy Leaf Care Home opportunities provided to staff employed at the home. Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Ivy Leaf Care Home DS0000070390.V372964.R01.S.doc Version 5.2 Page 27 - 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!