Inspection on 05/09/07 for Lindley Grange Nursing Home

This inspection was carried out on 5th September 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lindley Grange Nursing Home 13/09/06

Lindley Grange Nursing Home 26/10/05

Lindley Grange Nursing Home 20/06/05

Lindley Grange Nursing Home 09/09/04

Lindley Grange Nursing Home 20/05/04

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

CARE HOMES FOR OLDER PEOPLE Lindley Grange Nursing Home Acre Street Lindley Huddersfield West Yorkshire HD3 3EJ Lead Inspector Karen Summers Key Unannounced Inspection 8:30 5 & 7 September 2007 th th 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 Lindley Grange Nursing Home DS0000001118.V349530.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. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindley Grange Nursing Home Address Acre Street Lindley Huddersfield West Yorkshire HD3 3EJ 01484 460557 01484 659336 bottrillc@bupa.com www.bupa.co.uk BUPA Care Homes (GL) Ltd 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) Mrs Joan Walton Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for four named service users under 65 years of age. 13th September 2006 Date of last inspection Brief Description of the Service: Lindley Grange provides nursing care and accommodation for up to 45 older people with dementia type illnesses. The accommodation is on two floors and all the bedrooms have ensuite facilities. Each floor also has lounge and dining room facilities. The home is a stone, purpose built nursing home set in its own grounds. It is approximately two miles from Huddersfield and is on a main bus route. Lindley village, with all its amenities, is located within a short walk. There is a safe garden for people using the service, and ample parking to the front and side of the building. The Commission was informed on 5 September 2007, that the home’s weekly fees ranged from £347.02 to £634.69. Additional charges are made for chiropody and hairdressing. Information about the home and the latest Commission for Social Care Inspection report are available from the home. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on 5 September 2007. The visit was over two days, a total of 12 hours. There were 45 people living at the home on the day of the visit. Mrs Ruth Glendinning, deputy manager, was present on the first day of the inspection. Mrs Joan Walton, who was on holiday at the time of the inspection, has recently been appointed as manager over Lindley Grange Nursing Home and Cleveland Road Nursing Home. She has a number of years’ experience in the care of older people, is a qualified nurse and has the Registered Managers’ Award. During the visit, the inspector spoke to people who live there, and a number of staff, read care records, staff recruitment records, training records and looked around the home. To reflect the views of those who use this service, satisfaction surveys were sent to ten people living at the home, of which two were returned and they had been completed by their relatives, 10 relatives/advocate/friends, 4 of which were returned, also to local doctors and health care workers (social workers, community nurses), 4 of which were returned by the time of the inspection. Evidence used in the inspection process includes information supplied by the manager at the request of CSCI about people who live at the home, staff who work there and how the home is run. Notifications received since the last inspection about incidents at the home have also been taken into account. The inspector would like to thank those who contributed to the inspection for their time and hospitality. What the service does well: Responses in surveys from relatives indicated that people who use the service and their family members are able to visit the home prior to the person moving in, in order to make an informed choice about whether Lindley Grange is suitable to meet their relative’s needs. The level of care people need, which includes their health, personal and social care needs, are clearly highlighted within their care plan. People are treated with respect. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 6 Two surveys received from doctors stated that individuals’ health care needs are met by the care service, and one said usually. One doctor said that the care was excellent for people who have a type of dementia. The records in the visitors’ book confirmed that people visit the home at various times throughout the day, and comments in surveys suggested that they are usually kept up to date with important issues affecting their relative or friend. Relatives were seen to visit the home during this visit and made welcome by the staff. Although some people found it difficult to say what they had eaten for their meal, people did smile and say that they had enjoyed their meal. One of the surveys from a relative commented that the meals were the one thing that their relative really enjoyed. In relation to the kitchens, the Environmental Services visited in February this year and awarded 5 Stars Rating, and the home also received the Kirklees Healthy Choice Award in June of this year. Staff recruitment files contained the relevant information and documentation to suggest that people are protected by the home’s recruitment practices. What has improved since the last inspection? What they could do better: The activities that the person is involved in on a daily basis should be recorded to show that they have taken part. Fifty percent of care staff should have an NVQ level 2 in care, or an equivalent qualification. (Thirty seven staff have already achieved the qualification.) All staff must have safeguarding training (protection of vulnerable adults training,) to ensure that they know the procedure to follow if an allegation of abuse is made. All staff must have up to date movement and handling training to ensure that people are moved correctly and safely. To ensure that staff are aware of the procedure to be followed in case of fire, all staff must receive regular fire training and fire drills. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lindley Grange Nursing Home DS0000001118.V349530.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 Lindley Grange Nursing Home DS0000001118.V349530.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 5. Standard 6 - the home does not take people who require intermediate care. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed before moving into the home with the assurance that their needs will be met. EVIDENCE: The care records of three people who use the service were examined, all of which contained a pre-admission assessment carried out by the funding Local Authority. Each assessment contained detailed information about the person’s current needs. In addition to this, there was evidence that the home had also carried out an assessment of the person’s needs. Responses in surveys from relatives indicated that people who use the service, and their family members, are able to visit the home prior to the person moving in, in order to make an informed choice about whether Lindley Grange Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 10 is suitable to meet their relative’s needs. However, due to the mental health needs of the people living at the home, they are generally not able to visit prior to moving in. A relative who was spoken with confirmed that she had visited the home prior to her relative moving in and had been given information about the service. Lindley Grange Nursing Home DS0000001118.V349530.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 –10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The level of care people need, which includes their health, personal and social care needs are clearly highlighted within their care plan. People are treated with respect. EVIDENCE: The deputy manager said that new care documentation had been introduced within the last three months. The records were of a good standard and clearly identified the care needs, risk assessments, nutritional assessment, social interests and the likes and dislikes of the people living at the home. There was also evidence that the care plans are updated monthly, or as the needs of the person change. The daily records were generally an account of the person’s day and untoward incidents and the amount of information recorded varied depending on who had written it. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 12 Three relatives commented in the surveys that the care home meets the needs of their relative, and one person said that the home sometimes meets the needs of their relatives. Another person said that the home was the ideal place for their relative and that they had settled in very well. Two surveys received from doctors stated that individuals’ health care needs are met by the care service, and one said usually. One doctor said that the care was excellent for people who have a type of dementia. The medication and records of three people were inspected and found to be correct. Records were clear, and medication was stored correctly. The atmosphere was relaxed, and staff were observed to maintain the privacy and dignity of people and spoke to people in an appropriate manner. Some of the people were having a laugh with staff, and one person said that the staff were very good. When asked “Does the care service respect individuals’ privacy and dignity?” one survey received from doctors and health care workers stated always, two stated usually and one stated sometimes. Lindley Grange Nursing Home DS0000001118.V349530.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 – 15 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to maintain contact with their family and friends, and staff assist people in having a choice in most things they do. Meals are varied and nutritious. There was a lack of evidence to suggest that people take part in regular activities. EVIDENCE: At the time of the visit, people were seen having cups of tea and generally passing the time of day with other residents, staff and visitors to the home. A dedicated activities co-ordinator is employed twenty-five hours a week and she said that her hours are due to increase to thirty-two. When speaking with the activities person, and listening to her speak with people using the service, it was evident that she knew the people well. Within the care records, staff had recorded the individual person’s likes, dislikes and abilities and how they like to spend their time. A record of the person’s previous hobbies and interests were also documented. The daily social records of people were recorded separately to the care records and, although the activities person had Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 14 recorded when she had carried out an activity, this had not been done on a regular basis. Records showed that one person took part in an activity eight times since February. The activities person said that she had not always recorded everything that she had done with individual people. It was also evident that staff were not recording when they had carried out an activity with a person. When speaking with staff, they said that not a lot of activities took place but felt that individual activities would be more beneficial than group ones. A relative said that they had not seen any activities when they had visited. A survey received from a person who used the service stated that sometimes there are activities that they can take part in. The activities recorded, and confirmed by the deputy manager as taking place, included balloon ball games, reminiscence, parachute games, bean bag games and sing along etc. An outside entertainer also visits the home every two weeks. The hairdresser visits weekly and the chiropodist every six weeks, and there was documented evidence to suggest that this takes place. It was said that, at this moment in time, none of the residents wish to have a minister visit them in the home but that there are contacts set up should this change. A regular visitor to the home brings in a local church newsletter. The records in the visitors’ book confirmed that people visit the home at various times throughout the day, and comments in surveys suggested that they are usually kept up to date with important issues affecting their relative or friend. Relatives were seen to visit the home during this visit and made welcome by the staff. Menus looked varied and nutritious and, although there was not a choice for the main meal, staff said that an alternative would be offered if anyone did not like what was available that day. Although some people found it difficult to say what they had eaten for their meal, people did smile and say that they had enjoyed their meal. One of the surveys from a relative commented that the meals were the one thing that their relative really enjoyed. One person said that some of the people do not like the food and that sometimes staff leave people unattended in their chairs to eat at mealtimes. At the time of the visit, staff were seen to assist people with their meals in an appropriate manner. Specialised diets were seen to be catered for and, at this time, include a Jewish diet and a yeast free diet. Lindley Grange Nursing Home DS0000001118.V349530.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 &18 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and people who use the service, and their relatives, are confident appropriate action will be taken to address any issues. Not all staff are trained on how to protect vulnerable adults. EVIDENCE: The home has a complaints procedure which was displayed in the entrance of the home. Three out of four relative surveys received confirmed that they were aware of the complaints procedure and they knew who to make a complaint to. One person commented that their concern had been discussed with senior nursing staff and a joint decision on the best course of action had been taken. One of the people recorded that they were not totally happy about the response they received and knew that, should they wish to, they could take their concerns further. Compliments from visiting doctors and health care workers included, “the home appears clean with no bad odours, friendly and welcoming staff that respond to visiting doctor quickly.” A list of staff training and individual staff training certificates were looked at and there was evidence that a high proportion of staff had not had safeguarding training. A requirement was made in the last two reports to Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 16 ensure the staff would receive the training but this has not taken place. Staff who were spoken with knew the procedure to follow should they suspect abuse of a person living at the home. At the time of the visit, the manager identified days when the training would take place for the staff that had not had the protection training. Lindley Grange Nursing Home DS0000001118.V349530.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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People who use the service live in a homely, clean and well maintained environment. EVIDENCE: As part of this visit, the inspector looked around the home which included the communal areas, a number of people’s bedrooms and the laundry. Since the last inspection, the upstairs corridors and lounge carpets have been replaced. The environment of the home is maintained to a good standard and the deputy manager confirmed that, when a room becomes vacant, it is redecorated. All the communal areas are bright and airy and easily accessible for people to walk in. Furniture is of a good standard. The home was clean and free from unpleasant odours during this visit. Surveys received from relatives said that Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 18 the home was fresh and clean. One of the relatives made a comment on the survey, that they felt there should be some shade in the garden. When staff were asked about this, it was said that there was shade in the summer months from the parasols. Lindley Grange Nursing Home DS0000001118.V349530.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 – 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People’s needs are met by trained staff that have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: The staff duty rotas were looked at, and staffing levels and skill mix were sufficient to meet the number and needs of people living there. Surveys received from doctors and visiting nurses said that the staff have the right skills and experience to look after people properly. With the exception of one relatives’ survey, everyone said that the staff had the right skills and experience. One person commented that sometimes agency staff are used and they do not always know what to do. Surveys also asked if the service meets the different needs of people (considering race, ethnicity, age, disability etc); one relatives’ survey said sometimes, one said that they thought so and the rest said always. The surveys from doctors and health care workers also said that the home met the different needs of the people. One person said that they were not sure, as they had not seen guidance of this in the home. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 20 Evidence was seen to suggest that staff are encouraged to have an NVQ level 2 in care, and staff confirmed that 37 of care staff have the qualification. Staff recruitment files contained the relevant information and documentation. Evidence was seen in the staff records and staff also confirmed that they had induction training. Lindley Grange Nursing Home DS0000001118.V349530.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): 31, 33, 35 & 38 People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People benefit from the management approach of the home. The home is run in the best interests of people who live there. Without staff being up to date with fire safety and movement and handling training, people’s health and safety could be potentially at risk. EVIDENCE: Mrs Joan Walton has recently been appointed as manager over Lindley Grange Nursing Home and Cleveland Road Nursing Home. She has a number of years’ experience in the care of older people, is a qualified nurse and has the Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 22 Registered Managers’ Award. The deputy manager is responsible for the dayto-day management of the home when the manager is not there. One of the surveys received from a relative when asked how the home could improve said, “By having a proper full time manager.” The Operations Manager, on behalf of the company, visits the home monthly and one of the purposes of the visit is to ensure that the home is meeting its objectives. There are no personal monies held in the home for people who use the service. Tests of the fire alarm and emergency lighting system are recorded as being carried out weekly. There have been three fire drills carried out this year when approximately thirty-two people attended, unfortunately the names of the people who attended were not recorded, and the person who carries out the drills confirmed that some staff will have had a drill and some staff might not have had a drill. The staff who were spoken with on the day of the visit all said that they had had a fire drill this year. All staff must take part in fire drills and practices at suitable intervals to ensure they are clear about what to do in the event of a fire. The names of the staff that attend should be recorded. According to the list of staff training, not all staff have had a fire lecture this year. The training officer said that fire training is carried out at induction and this was confirmed with some of the staff on duty. He also said that he was behind in carrying out the fire lectures. There was evidence to suggest that four fire lectures have been booked for September and October, when all staff have been notified that they must attend. The issues have been discussed with the West Yorkshire Fire Prevention Officer who said that he would visit the home. There was also evidence to suggest that the majority of staff had not had up to date movement and handling training, and this was also confirmed by some of the staff on duty. All staff must have up to date movement and handling training to ensure people are assisted to move safely and correctly. Records were seen of quality monitoring systems for each area of the home. Surveys are sent out to relatives annually and the results published in a report, although due to the change in management, this year’s report has not yet been published. The results from the last report were positive. Comments included “The staff are loving and caring”, “they are friendly and they keep the place a very clean environment”. In addition to this the activities person, as part of her work, provides training to staff on “Personal Best” recognising who the customer is and making things more personal for them. Staff/visitors and people at the home are also encouraged to nominate staff if they feel that one of the team has exceeded their expectations by providing the very best care Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 23 and service. This recognises employees achieving their personal best, and they are rewarded in doing so. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 24 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 1 Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 25 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 OP18 Regulation 13.-(6) Requirement Timescale for action 12/10/07 2. OP38 23.(4)(d)(e) 3. OP38 13.-(5) All staff must receive training in identifying and responding to abuse. Previous timescale of 30/11/05 & 30/06/07 not met. New dates arranged for the training include: 27/09/07 & 01/10/07 All staff must have fire training 12/10/07 and fire drills. Dates arranged for fire lectures include: 24 & 25/09/07 & 9 & 11/10/07 All staff must have up to date 12/10/07 movement and handling training. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP12 OP28 Good Practice Recommendations The activities that the person is involved in on a daily basis should be recorded to show that they have taken part. 50 of care staff should have an NVQ level 2, or an DS0000001118.V349530.R01.S.doc Version 5.2 Page 26 Lindley Grange Nursing Home 3. OP38 equivalent qualification. All staff should attend a minimum of two fire lectures & two fire drills a year, and the names of those staff that attend should be recorded. Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Lindley Grange Nursing Home DS0000001118.V349530.R01.S.doc Version 5.2 Page 28 - 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!