Inspection on 10/10/06 for Kilkee Lodge Residential Home

This inspection was carried out on 10th October 2006.

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

Kilkee Lodge Residential Home 25/09/08

Kilkee Lodge Residential Home 13/12/05

Kilkee Lodge Residential Home 17/05/05

Kilkee Lodge Residential Home 21/09/04

Kilkee Lodge Residential Home 19/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Kilkee Lodge Residential Home 297 Coggeshall Road Braintree Essex CM7 9ED Lead Inspector Kay Mehrtens Key Unannounced Inspection 09:00 10th October 2006 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 Kilkee Lodge Residential Home DS0000017861.V305071.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. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kilkee Lodge Residential Home Address 297 Coggeshall Road Braintree Essex CM7 9ED 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) 01376 342455 01376 342466 Kilkee Lodge Care Homes Limited Mrs Paula Jean Winestein Care Home 80 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (80) of places Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 80 persons) Two people, over the age of 65 years, who require care by reason of dementia, whose names were made known to the Commission in January 2005 13th December 2005 Date of last inspection Brief Description of the Service: Kilkee Lodge is a purpose built home for older people. All rooms are single with en-suite facilities. The home is built on two floors with a lift. It is able to meet the needs of people that require assistance with personal care and mobility. The home comprises of several lounges, dining and conservatory areas. There is a large, secure courtyard, which is decorated with tubs and provides seating for residents. The home is situated near to Braintree town centre, local amenities, shops and GP surgery. The fees for the home are from £426.09 to £495.00 a week. Additional costs include personal items, hairdressing and chiropody. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 10th October 2006. The inspection lasted 8 hours in total. The inspection process included discussion with the Manager, senior staff, carers, residents and relatives; examination of a sample of staff and residents records, supporting documentation and other records required to be kept in the home; direct and indirect observation, as well as pre inspection records. The inspector was invited to have lunch with the residents and would like to thank them, the cook and staff for their hospitality. In addition to the day spent at the home, the inspector reviewed written material submitted to the Commission since the last inspection in order to reach the conclusions identified in this report. This included fifteen surveys returned from residents, seventeen from relatives, eight from health care professionals and one from a social work manager. All of the Key National Minimum Standards (NMS) for Older People and the intended outcomes were assessed in relation to this service during the inspection. The manager and her staff team were very co-operative throughout the inspection. What the service does well: • The health care and support provided for residents was well organised, monitored and recorded. Many health care professionals commented positively regarding the standard of care at the home. For example, one doctor said, “The care is of a high standard”. The home is well managed and the staff team demonstrated a caring and professional approach to their work. The staff have received a good level of training relevant to the specific needs of the residents accommodated at the home. Service users’ comments included, “I wouldn’t want to be anywhere else. I am very happy here”. Relatives comments included, “I am confident my father has the best attention available”. DS0000017861.V305071.R01.S.doc Version 5.2 Page 6 • • • • Kilkee Lodge Residential 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 contacting your local CSCI office. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 7 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 Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Pre admission assessment records contained determine a prospective residents’ needs. sufficient information to The home does not provide intermediate care and therefore Standard 6 is not relevant to this service. EVIDENCE: A sample of residents’ files examined contained thorough assessments of needs, including social, psychological, health and spiritual needs; providing sufficient introductory information from which the home could determine whether they could meet the needs identified and commence an individualised plan of care. Initial assessments are done by the manager and senior staff at the home of prospective residents, if possible. Residents and their families are encouraged to visit the home as part of the admission and assessment process. The Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 9 inspector had the opportunity to meet a prospective resident and their family during the inspection. They felt welcomed by the staff and pleased with the assessment process. They were provided with a welcome pack giving them information about the home. Additional information from social workers is kept on files and used to inform the assessment and care planning process. Kilkee Lodge Residential Home DS0000017861.V305071.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. Residents’ were looked after well in respect of their health and personal care needs. Care plans were clearly detailed the care and support required by each resident. Policies and procedures for medication management were adhered to ensuring the safe administration of medication to residents. EVIDENCE: A sample of residents’ files were examined. They contained clear and detailed plan, which gave precise information for care staff on how to meet personal, social and psychological needs, ensuring consistent and structured support. The inspector was impressed by the information and detail of a care plan for a resident on respite care. The resident was involved in the assessment and planning. The information provided all staff with a clear picture of the residents’ needs. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 11 The plans were regularly updated and the necessary action taken to respond to changing needs. They provided evidence of the residents’ choices and preferences with regard to their personal needs, likes and dislikes and preferred terms of address. There was good evidence of risk assessments with regard of manual handling, falls and pressure care. Daily recording reflected the identified needs of residents, as stated on their care plans. The home operates a key worker system and the staff were aware of the role of the key worker. There was good evidence of weekly key worker reports that indicated time spent by key workers with the residents. The manager and the staff team had worked well, since the last inspection, to greatly improve the standard of care planning, reviews and recording. The care plans sampled were of a good standard. They evidenced good input from service users, their families and representatives, as appropriate, and gave clear and detailed information to address the identified needs of residents. The care plans were very detailed with regard to the physical and mental health of residents. There was good evidence of systems and records in place to monitor residents’ health, with good records of medical appointments and comments. Records included monitoring of residents’ personal hygiene, weight and nutrition. The commission received an unprecedented number of replies to the surveys sent out to health care professionals, nine in total. Their responses were very complimentary. One doctor stated, “The care is of a high standard.” A visiting doctor told the inspector “the home provides good information about residents and good support”. Another health professional stated, “Staff have a good understanding of residents needs and treat them as individuals”. All other responses to questions regarding care, communication and contact were very positive. It was evident from the health care professionals comments that Kilkee Lodge provides a very high standard of health care support for residents. Residents spoken to at the inspection were pleased with the health care input and support provided. The homes medicine administration system was inspected. This was a monitored dose system (MDS). Based upon the sample of records inspected the receipt, administration, storage, security and disposal of medication was found to meet National Minimum Standards. The manger had undertaken a monthly audit of medication records to ensure consistent good practice by staff. Any shortfalls were addressed and monitored. Staff responsible for the administration of medication had received training. There was good evidence of advice being sought from doctors and pharmacists regarding medication concerns. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 12 The inspector observed staff administer medication to residents in a very caring, respectful and discreet manner. The inspector also observed some staff being very aware of the need to protect the dignity and privacy of a resident whilst changing and washing them in their bedroom. They made sure that the door was closed and chatted to the resident telling them what was happening and including them in general conversation. Their actions demonstrated a caring and professional approach to their work. Residents told the inspector that they felt their privacy and dignity was respected. Kilkee Lodge Residential Home DS0000017861.V305071.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents are provided with suitable activities for recreational and social stimulation. Visiting arrangements are open and relaxed and family and friends links with the service were strongly encouraged and well developed. Meals provided in this home are of good quality, wholesome and freshly prepared; and mealtimes were a dignified social occasion. EVIDENCE: The home employs two activity workers. The activity programme is displayed and included a variety of activities and events. Residents told the inspector that they can join in activities if they choose to. Some said that they liked the activities, especially the “pamper days”, whilst others felt that activities were a bit limited. The activity workers also book time to spend individually with residents, especially those that do not attend communal events. This included trips to the local shops and community. Religious services are held in the home on Sundays and Wednesdays. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 14 Staff were observed to spend time sitting and chatting with residents during the afternoon. Residents clearly enjoyed spending time with the staff and sharing their histories and stories with them. Relatives and visitors, including a doctor and social worker, told the inspector that they are made welcome whenever they visit the home. Information regarding local advocacy services was displayed on the homes’ notice boards. Residents and relatives meetings are held in the home annually. The inspector suggested that more regular meetings would allow the residents to share their comments about their life in the home. Residents’ bedrooms were full of their personal possessions and they are encouraged to bring in pictures and personal items when they move into the home. The home does have private telephone facilities. Arrangements can be made for residents to have personal telephones, at their own cost. Some residents manage their own monies and risk assessments are in place. The majority of residents’ monies are managed by their families. The inspector joined some service users for lunch and the meal was well presented and tasty. The residents commented positively about the food. The meal was taken leisurely and unhurried. Staff were observed assisting those residents that needed help with patience and dignity. Some staff chatted with residents when assisting them with their meals though some others failed to use this time to engage with the residents. This was brought of the attention of the manager. A good choice of nutritious food was provided at all meals. Kilkee Lodge Residential Home DS0000017861.V305071.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements for responding and acting upon any complaints or concerns were satisfactory. Residents were protected by policies and procedures within the home. EVIDENCE: The home or the CSCI had not received any complaints from residents or relatives since the last inspection. The home has a complaints procedure that is made available to residents and visitors to the home. The manager has a complaints recording system that ensures residents’ confidentiality. An adult protection policy and procedure was in place, including Whistle Blowing, providing information and guidance for staff to follow in response to a suspicion, allegation or evidence of abuse. All staff had received the appropriate training in recognising and protecting vulnerable adults from abuse. Appropriate recruitment procedures were in place that enhanced the residents’ protection. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home was well maintained and provided a homely warm and welcoming environment. EVIDENCE: The home was clean and well maintained though the lift needed a thorough clean. There was evidence of malodour in one bedroom that the manager was aware of and in the process of addressing. The inspector arrived early in the day and apart from one room the home was odour free. Some of the carpets were a little worn but the manager informed the inspector that there were plans to replace them in the near future. The inspection highlighted the use of one downstairs bathroom for storage of wheelchairs. This was brought to the attention of the manager. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 17 The standard of hygiene was very good. The laundry was well organised and residents were pleased with the laundry service. They told the inspector that they “liked having their laundry delivered to their door!” The home is well equipped, with specialist equipment, to meet the needs of residents. The courtyard garden and the external grounds were well maintained and attractive. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Records relating to staff recruitment were satisfactory. Staff receive training in areas pertinent to the residents assessed needs. EVIDENCE: The staffing levels were sufficient of meet the needs of residents. The rota showed 3 senior staff and 8 care staff on duty throughout the waking day. An additional member of staff was on the premises doing their induction shift, “shadowing” a member of staff. This was evidence of good staff induction practice. The rota indicated 3 senior staff and 4 care staff covering the night shift. Additional staff are employed for catering and domestic duties, in sufficient numbers. The inspector received many positive comments regarding the staffing from residents, relatives and health professionals. One comment, from a health care professional, included, “Kilkee manages to be both large and homely at the same time. Staff have good relationships with the residents and their families.” Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 19 One relative stated, “I am confident my father has the best attention available”. A resident stated, “I wouldn’t want to be anywhere else. I am very happy here”. Another stated, “Staff are nice. I feel happy right now”. However, a resident stated, “I have to wait but they do come. I think due to not enough staff”. This was supported by another resident who said, “I think we need more staff as I do have to wait a long time sometimes”. This was raised with the manager who acknowledged the need to ensure that staff respond to call bells, make an assessment and inform residents when they will be attended to. The inspector noted that call bells were generally well responded to during the inspection. The inspector observed several residents left in their wheelchairs for a long time after breakfast. The staff told the inspector that residents were in their wheelchairs in preparation for morning activities. The inspector suggested, to the manager, that staff hoist residents into chairs in the activity area rather then leave them waiting. This would also relieve the burden on the two activity workers who spend a lot of the activity time collecting residents from their rooms or other lounges. The staff were observed to use the handover time, an hour, to sit and chat to each other whilst completing daily reports. The time allowed was more than sufficient for them to complete records and spend time with residents. This was a lost opportunity for staff to spend quality time with the residents. This was raised with the manager. The manager told the inspector that this time should be used for key workers to spend time with their allocated residents. The staff spoken to were aware of the key worker role and recognised the need to use the time allocated after lunch. The information provided indicated that only 11 of the homes’ 54 staff have achieved National Vocational Qualification level 2 or above. The registered person should develop staff training further with regard to the provision of NVQ level 2 in care in order to achieve the 50 standard. This will be monitored at future inspections. Staff told the inspector that they liked the training opportunities provided at the home. They felt well supported by the manager and found the training useful and relevant to their work. The staff training programme included many courses relevant to the residents’ needs for example, Parkinson’s, sensory awareness, Protection of Vulnerable Adults, health and safety, risk assessments and care planning. The files of recently recruited staff were examined during the inspection, all of which contained appropriate levels of documentation in respect of recruitment to promote the protection of residents from abuse. The files for newly recruited Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 20 staff evidenced training on manual handling, fire awareness and Protection of Vulnerable Adults. Kilkee Lodge Residential Home DS0000017861.V305071.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The Registered Manager is a person of good character and is fit to be in charge of the home. The Registered Manager has a clear vision for improving the service users quality of life. EVIDENCE: The manager and her senior staff team have worked well to improve aspects of care in the home. The care plans and staff training have been the most improved standards from the last inspection. The manager has good relationship with the residents and is aware of the areas that require more development within the staff team. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 22 The provider does visit the home regularly but does not complete the required reports and this was brought to the attention of the manager. The manager has introduced a monthly care audit system which is a comprehensive document covering all aspects of the home. Any identified shortfalls are actioned and monitored at her next monthly audit. The manager is in the process of doing the homes’ annual review. Questionnaires had been sent out to residents, relatives and staff, some of which were seen at the inspection. The comments received were generally positive particularly with regard to the care, activities and food provided. Staff comments were noted to be positive regarding the support offered by the manager and senior staff team. The quality audit outcomes and action plan will be monitored at the next inspection. Residents, staff and relatives are involved in the review of the questionnaires and discuss actions to address comments made. The minutes of the meeting from last years review were seen at the inspection. The home does manage some residents’ finances, though residents are supported and encouraged to maintain their independence by managing their own finances. They are provided with lockable facilities. The records sampled were well managed and organised. The homes policies and procedures support the health and safety of residents and staff supporting them. Delegated senior staff undertake monthly monitoring of the health and safety areas and produce an action plan to address any shortfalls. The health and safety files were well organised. The certificates relating to equipment and services to the home were in place and updated as required. Kilkee Lodge Residential Home DS0000017861.V305071.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 3 8 4 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 2 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 X X 3 Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 12 Requirement The registered person must ensure that staff respond promptly to the needs of residents. This refers specifically to the call bell system. The registered person must ensure that staff receive supervision at least six times per year. This standard was not inspected. Timescale for action 07/12/06 2 OP36 18 07/12/06 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 OP28 Good Practice Recommendations The registered person should develop staff training further with regard to the provision of NVQ level 2 in care in order to achieve the 50 standard. Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Kilkee Lodge Residential Home DS0000017861.V305071.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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