Inspection on 19/04/06 for Kingsfield Care Home

This inspection was carried out on 19th April 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingsfield Care Home 27/05/09

Kingsfield Care Home 02/07/08

Kingsfield Care Home 21/11/07

Kingsfield Care Home 26/06/07

Kingsfield Care Home 25/01/07

Kingsfield Care Home 17/11/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Kingsfield Care Home 23 High Street Clay Cross Chesterfield Derbyshire S45 9DX Lead Inspector Rose Veale Unannounced Inspection 19th April 2006 10:00 Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 Adults 18-65. 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. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingsfield Care Home Address 23 High Street Clay Cross Chesterfield Derbyshire S45 9DX 01246 861505 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) Kingsfield Care Homes Ltd Mr Alkesh Odedra Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2005 Brief Description of the Service: Kingsfield is registered to provide personal care and accommodation for up to 9 young adults with learning disabilities. The home is located in the village of Clay Cross on the outskirts of Chesterfield close to local shops and amenities. The home is a converted domestic property with accommodation over two storeys. There are seven single bedrooms and one double bedroom, a large lounge and separate dining room. There are separate kitchen and laundry facilities of a domestic scale and a large attractive garden to the rear of the home with a small garden and car parking space to the front and side of the home. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 7 hours. There were 8 residents accommodated in the home on the day of the inspection. Residents, staff and a visitor were spoken with during the inspection. Records were examined including care plans, staff records, and health and safety records. A tour of the building was carried out. The deputy manager was very helpful throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Further work is needed regarding care plans and risk assessments to ensure all the needs of residents are properly met. The home remained in need of general upgrading and refurbishing to ensure a more pleasant and safe environment for residents. Staffing levels are in need of review to ensure that there are sufficient staff available to properly meet the needs of residents. Progress must be made in developing a systematic and proactive approach in the management of the home to ensure that the rights, health, safety and welfare of residents are more effectively promoted and upheld. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 6 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. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The care records had sufficient information to ensure residents’ needs were properly assessed. EVIDENCE: The care records of three residents were examined. All the records included assessment information from other sources, such as the Community Care assessment, community learning disabilities nurse assessment, and information from other care settings where residents had stayed. All the records contained an assessment of the residents’ needs carried out by the home. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Care plans and risk assessments needed further development to ensure all the assessed needs of residents were met and to include the involvement of residents. EVIDENCE: Of the three care records seen, one had a care plan produced by the home from the assessment information. One record was of a recently admitted resident and had a care plan from a previous care setting. The home was in the process of producing an assessment and care plan for this resident. One record had no care plan produced by the home. None of the care plans seen had evidence that residents or their representatives were involved in care planning. There were notes of review meetings where residents or their representatives had been involved. In discussion with a visitor and staff it was clear that residents representatives were involved in their care and in review meetings. Some risk assessments were included in the care records. There were no risk assessments in place in some records, such as for using the kitchen or going on trips out of the home. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 10 There was evidence from discussion with residents and staff that residents were supported to make decisions about their lives. For example, one service user described how they were supported to manage their own personal money with help from their keyworker. Another resident wanted to attend a day centre and had been assisted to visit the centre to see if they liked it. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. There had been an improvement in the range of appropriate leisure activities offered to residents. However, further development and resources were needed to ensure residents’ needs were fully met. The meals provided in the home were satisfactory and appeared to meet residents’ needs and expectations. EVIDENCE: Seven of the eight residents attended day centres or adult education classes during the week, and a day centre place was in the process of being arranged for one resident. Residents spoken with said they had enjoyed activities such as horse riding, bowling, going shopping and attending a recent social evening. In the home residents said they liked watching television, DVDs and listening to music. Residents preferences regarding social activities were noted in their records. Staff spoken with said that the range and amount of activities offered to residents had improved, but needed further development. The home had a Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 12 vehicle to take residents out and this was now available at weekends, (it had previously not been available at the weekends). Staff spoken with said that additional staff had been provided to enable trips out to take place, but that the usual staffing levels at weekends were no different to weekdays and consequently it was difficult to carry out activities with residents. It was noted that if all eight residents were at home for the weekend an additional vehicle would be needed to take everybody out. One member of staff had recently been given responsibility for organising activities. Family members and other contacts were noted in the care records. Residents spoken with talked of visits to family members and friends and family visiting the home. There was evidence that routines in the home were flexible to allow personal choice and encourage independence. For example, residents’ preferences regarding their daily routines were noted in their care records, the daily reports indicated that residents could go to bed or get up at times they chose, all residents had a key for their bedroom door, and residents could choose to be alone or in company. Residents spoken with and care practices observed indicated that there were good relationships between staff and residents. Residents spoken with said that they liked the meals provided at the home and that they could have something else if they did not like what was offered on the menu. Residents’ preferences and dietary needs were noted in the care records. There was a menu at the home, although this was flexible to allow for personal preferences and activities taking place. There were sufficient stocks of food in the home, including fresh fruit and vegetables. The dining area was pleasant and was being repainted on the day of the inspection. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The health and personal care needs of residents were not always met. There were areas where assessed needs were not met and care plans needed further development. The systems in place for the administration and safe-handling of medication were generally satisfactory. However, the policy and procedures needed further development to fully ensure the safety of residents. EVIDENCE: The care records included details of the input of GPs and other healthcare professionals, such as chiropodist, dentist, and hospital consultants. The assessment information indicating residents’ needs was detailed and included residents’ preferences regarding how personal care was carried out. The care plans seen did not cover all the assessed needs of residents, specifically the care needed at night. The care plans were not always detailed enough to ensure staff were fully aware of all the actions to take to properly meet residents needs. As one care record did not include a care plan, it was not apparent that the resident’s needs were being met. From observation of care Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 14 practices and discussions with staff, it was clear that they were knowledgeable about the care needs of residents. The systems in place for the storage and administration of medication were satisfactory. The medication administration records seen were completed correctly. The home’s medication policy and procedures did not include all the required information. The home did not have a copy of the Royal Pharmaceutical Society guidelines for the administration and safe-handling of medication in care homes and were advised to obtain this. Medication disposed of was recorded. Medication received into the home was not recorded. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Although there were systems in place to listen to the concerns of residents and their representatives, these were not fully effective to protect or reassure residents. EVIDENCE: The home had a complaints procedure and this had been provided in a pictorial form for residents. Some residents spoken with were aware that they could complain and said they would talk to staff about any concerns or problems. It was reported that there had been a complaints book in the home which contained complaints made to the registered manager by residents and staff. However, this book could not be produced on the day of the inspection. A new book had been started and contained one recent complaint with details of the action taken. It was stated that although the management of the home had listened to concerns, appropriate action had not always been taken. Advocacy services were available to residents in the home. A complaint about the home was received by CSCI in December 2005. The complaint was investigated during an unannounced visit in January 2006 and, as no evidence was found to substantiate the complaint, it was not upheld. All staff at the home had attended training in the protection of vulnerable adults. Staff spoken with were aware of the procedures to follow in the event of suspicion of abuse. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Although comfortable and homely, and some improvements had been made, the home remained in need of general upgrading and refurbishing to ensure a more pleasant and safe environment for residents. EVIDENCE: A tour of the building was carried out. The inspection reports of January, May and November 2005 had identified the need for investment in the upgrading, repair and renewal of the home. Some work had taken place – radiator covers had been provided for all radiators, two bedrooms had been painted and the dining room was being repainted on the day of the inspection. The ground floor toilet was identified at the last inspection in November 2005 as being in need of redecoration and this work had not been carried out. Other work identified at the last inspection had not been carried out, including provision of lockable storage in residents’ bedrooms and the repair / repainting of external window frames The bedrooms seen were comfortably furnished and personalised with residents’ own belongings. One bedroom had been decorated in the resident’s Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 17 choice of colour scheme. Residents spoken with said they were satisfied with their bedrooms, although one resident would have liked a larger room and another resident wanted the bedroom redecorating. One bedroom had no curtains to the window. The large, mature garden was well maintained. The home was free from offensive odours. On the day of the inspection, the home was in need of general cleaning throughout, for example, the dining room carpet needed vacuum cleaning, some bedrooms were in need of dusting and carpets vacuuming, and some windows appeared dirty and in need of cleaning. Staff spoken with said that there were insufficient staff hours provided for cleaning. A visitor spoken with was not satisfied with the level of cleanliness in the home. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The programme of training at the home is sufficient to ensure that staff had the skills and knowledge to meet residents’ needs. However, this was compromised as staff hours provided were not always sufficient for staff to properly carry out their responsibilities and to meet residents’ needs. Staff records had improved but further development was needed to ensure residents were fully protected. EVIDENCE: The records of three members of staff were examined. Two of the records were well organised and included most of the information required. These two records did not include a photograph and recent form of identification as required. The third record contained very little information. Staff training records were seen and were satisfactory and up to date. There was evidence of training as required in first aid, food hygiene, fire safety, moving and handling, and the protection of vulnerable adults. Some staff had also had training in caring for people with dementia and with epilepsy. Of the eight care assistants employed at the home, three had already achieved NVQs in care and 3 were working towards NVQs. It was noted that fire safety Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 19 training was carried out annually for all staff although the recommendation by the fire service is that staff working at night should have training twice a year. The staff rotas were seen and staffing levels were discussed with residents, staff and a visitor. Staff and a visitor spoken with were concerned that the staffing provided at night was not sufficient to meet the needs of some residents. An Immediate Requirement was made for action to be taken to address this issue. Concerns were also noted that there were not always sufficient staff hours provided to allow for residents’ activities and for proper cleaning of the home. It was reported that a member of staff under the age of 21 had been left in sole charge of the home on a recent occasion. An Immediate Requirement was made for action to be taken to address this issue. The staffing rota seen did not detail the actual hours worked by the Registered Manager and Responsible Individual. Staff supervision records were seen. The registered manager, the provider and the deputy manager had all been involved in staff supervision and good records were kept. Staff meetings were held approximately every two months and were reported to be well attended. Staff spoken with said supervision and staff meetings were useful, but they were disappointed that issues and concerns raised were not always acted on by management. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. No progress had been made in ensuring a systematic and proactive approach to the management of the home, resulting in continuing compromise to the rights, health, safety and welfare of residents. EVIDENCE: The management arrangements at the home were shared between the Registered Manager and the Responsible Individual. Residents, staff and a visitor spoken with expressed concerns about the management of the home, predominantly: lack of leadership and direction for staff; lack of an organised and systematic approach to the management of the home; difficulties in communication between the Registered Manager and Responsible Individual. It was said that although concerns were listened to, little or no appropriate action was taken. Staff said the Registered Manager did not have an open or ‘hands on’ approach. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 21 There was no formal quality assurance system or annual development plan in place in the home. Informal quality assurance was carried out through care reviews, residents meetings, staff meetings and staff supervision sessions. The arrangements for ensuring health and safety in the home were generally adequate. There were no recorded environmental risk assessments in place, although residents had access to areas of potential risk, such as the kitchen and laundry. Records were examined including accident records, fire safety records and maintenance records. These records were generally well kept and up to date. Exceptions were that there was no current gas safety certificate and it was found that the fire extinguishers were overdue for servicing. As required at the last inspection, maintenance and checking of the hot and cold water systems, including Legionella prevention, had been carried out. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 1 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 1 X 1 X X 2 X Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 23 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 YA6 Regulation 15(1) Requirement The registered person must ensure that service users care plans identify as to how their needs in respect of the health and welfare are to be met. Previous timescale 01/09/05 The registered person must enable service users to take part in age, peer and culturally appropriate activities. Previous timescale 01/08/05 The registered person must consult with service users about their social interests and make arrangements to enable them to engage in local, social and community activities. Previous timescale 01/08/05 All staff administering medication to residents must have appropriate training. Written records must be kept of all medication received into the home. A written itemised programme for the upgrading, repair and renewal of the home must be provided detailing proposed timescales for achievement. A copy of this must be sent to DS0000063894.V289792.R01.S.doc Timescale for action 30/06/06 2. YA12 12 16 30/06/06 3. YA14 16(2)(m) 30/06/06 4. 5. 6. YA20 YA20 YA24 13(2) 13(2) 23 31/07/06 31/05/06 30/06/06 Kingsfield Care Home Version 5.1 Page 24 7. YA33 12(1)(a) 18(1)(a) 8. YA39 12, 24 9. YA41 17(2)(3) 10. 11. 12. YA42 YA42 YA42 23(4)(d) 17(2) 13 CSCI. The programme must include all items detailed in the Environment section of this report and those items from the November 2005 inspection report not yet attended to. The registered persons must ensure that sufficient staff hours are provided to enable them to undertake their roles and responsibilities in accordance with their job descriptions, and to meet service users individually assessed needs. Previous timescale 01.08.05 An annual development plan must be provided based on the systematic review and auditing of the home and accounting for feedback from service users. Previous timescale 31/03/06 Staff records must be kept in the home in accordance with Schedules 2 & 4 of the Care Homes Regulations 2001. Previous timescale 01.08.05. All staff working during the night at the home must receive fire safety training twice a year. A record must be kept of every fire practice, drill or test of fire equipment in the home. Documented environmental risk assessments must be recorded (safe working practise topics) and reviewed accordingly. Previous timescale 01.09.05 31/05/06 31/12/06 30/06/06 30/09/06 30/06/06 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 25 No. 1. 2. Refer to Standard YA33 YA14 Good Practice Recommendations The staff rota should include details of the actual hours worked by the Registered Manager and the Responsible Individual. The activities coordinator should have additional, supernumerary hours to help with the development of the activities programme. Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Kingsfield Care Home DS0000063894.V289792.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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