Inspection on 21/07/05 for Min-Y-Don

This inspection was carried out on 21st July 2005.

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

Min-Y-Don 07/05/08

Min-Y-Don 21/05/07

Min-Y-Don 15/12/05

Min-Y-Don 16/10/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Min-y-don 24 Clifton Road Tettenhall Wolverhampton WV6 9AP Lead Inspector Bhag Jassal Announced 21st July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Min-y-don Address 24 Clifton Road, Tettenhall, Wolverhampton, WV6 9AP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01902 774950 01902 774953 Mr Anthony Raymond Sheldon Scott Taylor Older People 26 Category(ies) of Old Age (26) registration, with number of places Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) The home is registered as a care home for older people subject to the provider meeting the conditions of registration in appendix 1 dated 17.06.2005. Date of last inspection 13.01.2005 Brief Description of the Service: The home is a large detached, Victorian property set in its own attractive grounds at the end of a private drive. A purpose-built extension has been added to the home. The home, which provides accommodation for 26 service users, is within walking distance of Tettenhall village where there is a post office, shops and a variety of other amenities. There are three double bedrooms, and 20 single bedrooms, three bathrooms, one shower, eight WC’s, three lounge/dining rooms, a conservatory, laundry, kitchen, staff room and a manager’s office. There is a large car park and garden. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 9.00 am and lasted 7 hours and 30 minutes. 22 places were occupied and 4 beds remain vacant. The inspection included discussions with service users, staff, relatives/friends and a District Nurse. The daily routines were observed and service users and staff records, policies and procedures were examined. Inspection of premises both inside and outside and facilities were also undertaken. The ownership of the care home has changed in June 2005, and the new Registered Providers are the West Midlands Residential Care Homes Ltd. At the point of registration in June 2005, there were several requirements, which needed to be addressed by the new Registered Provider and these were imposed as conditions of registration to be implemented by the end of August 2005. At the time of this inspection, an action plan was being implemented to comply with the above condition of registration. What the service does well: Min-y-Don is registered for 26 older people. The home makes every effort to provide individuals with a good standard of care to meet the assessed needs following a care plan. The home has a good key worker and staff supervision system in place. The home communicates well with the families/friends and representatives. The visitors’ book indicated a lot of activities. The service users spoken with said that they are happy and content with living in a homely and caring place. Service users were in the lounges engaging in their daily activities and they further commented that they were comfortable and satisfied with the care provided. The friendly rapport was observed between service users and staff. Meals are varied, well balanced and presented to meet each individual’s choices, preferences and requirements. The home provides good standard of accommodation, which is being maintained generally safe, secure and to a reasonable standard. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: The home must continue to improve further the quality of care recording. Those members of staff who as yet not received training in safe working practice topics must do so as a matter of priority, which would enable them to improve further their care practices and professionalism. There are a small number of issues relating to the environment, which must be addressed in order to have a safe and comfortable environment for service users, staff and relatives/friends. The home must take swift action to progress the home’s Quality Assurance annual development plan. Overall, the home has made a good progress in complying with the requirement arising from the previous inspection report. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 7 The Inspector would like to acknowledge the improvements being made by the new Registered Provider and the Manager at Min-y-Don since the last inspection. 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. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 5 and 6 The home has a good admission procedure providing effective needs assessment and suitability evaluation for both privately funded service users and those placed by the Local Authorities. EVIDENCE: A sample of four service users’ care plans and files were seen at the inspection. All contained evidence that the service users receive the benefit of a comprehensive assessment prior to admission. The Registered Manager also carryout assessments and these details are documented on care plans, are drawn up by the senior staff with the assistance from the service users and their relatives and where appropriate other professionals. There was evidence to show that all the service users have been provided with contracts. The home has a good admission procedure, which is made available to all prospective service users and their relatives/representatives. The home does not offer an intermediate care service. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 The staff within the home is aware and sensitive to the needs of each and all service users and meet their needs in a professional manner. There is a clear and consistent care planning system in place, which provides the information the staff require to meet the service users’ health and personal care needs. EVIDENCE: It was evidenced that all the service users undergo a comprehensive assessment of their needs prior to admission to the home. A care plan is produced, which is based on the assessment of needs. The home operates a key worker system, which helps to ensure that the recommendations arising from the care plans and reviews are implemented. Four service users’ care plans were examined and these were kept up to date and reviewed on a monthly basis. The daily care recording formats were also examined and it was noted that the quality and details of recording has improved since the last inspection. The home also ensures that nutritional screening is undertaken, including weight gain and loss records are maintained and appropriate action is taken if required. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 11 Case tracking demonstrated an effective review process together with the home’s ability to meet the changing needs as they occur. The service users’ health is closely monitored and appropriate medical care services are sought. It was observed on the day of inspection that no personal care interventions were taken in communal areas. In addition, consultations with health and social care professionals are carried out within the service users’ bedrooms. The Inspector spoke at some length with 18 service users and all of them commented positively about their care and they felt that they have been provided with everything that they need. Ten service users stated that “the carers are very good and caring people and they look after us very well and they always are helpful and show kindness”. Other 8 service users said “the carers are always there to help”. The Registered Manager stated that all senior carers who are responsible for handling medication have received accredited training in safe handling of medication. Other carers have also received this mode of training. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12, 13 and 15 Min-y-don provides a good quality of care and promotes individual lifestyles for service users in residence. Service users maintain contacts where they wish with the families, friends and local community. Meals at Min-y-don are of good homely type offering both choice and variety and catering for special needs. EVIDENCE: There was evidence to show that the home provides an activities programme in accordance with the service users’ choices, preferences and capacities in relation to social and leisure activities and cultural interests. Records of activities enjoyed by the service users are maintained. The service users spoken to stated that they are in touch regularly with their friends and family members, and spoke about their visitors’ involvement and interest in their daily care matters. The visitors’ book showed a considerable activity. The Inspector spoke to three visiting relatives and they expressed their satisfaction with the care and social activities provided by the home. Relatives of one of the service users stated that they visit at various times of the day as they wish. All the relatives and friends of service users, who spoke to the Inspector, said that they are given a warm and friendly welcome by the Manager and the staff. The service Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 13 users also keep contacts with the local community facilities – e.g. church services, shops, park and pubs. There was evidence to show that the home provided a varied, wholesome and nutritious diet. The meals provided during lunchtime on the day of inspection were well received by the service users. The Registered Manager stated that the menu is changed on a regular basis and in consultation with the service users. Several service users told the Inspector “the food was very nice and tasty”. Other service users also stated that the food was very good offering a variety and different choices. The catering staff is well trained in food safety and hygiene matters. The kitchen and food stores are in urgent need of new flooring. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16 and 18 Concerns and complaints are dealt with promptly and professionally. The service users are protected from abuse by the home’s policies and procedures. The arrangements for the protection of service users from abuse are satisfactory. EVIDENCE: The home gas a good Complaints Procedure, which is referred to for information in the Service Users’ Guide. There is a satisfactory of recording complaints and compliments. It was noted, however, that was only one complaint directed to the Commission for Social Care Inspection within the last 12 months. All the issues arising from this complaint were addressed immediately and appropriately by the Registered Providers and the Registered Manager. The service users spoken to by the Inspector stated that their views are always listened to by the Manager and the owner. The home has a good policy and procedure in place with regard to the protection of service users from abuse. The Registered Manager stated the staff has been made aware of the adult abuse and protection issues through induction and training and supervision arrangements. The Registered Manager stated that majority of staff have received training on protection of adults from all forms of abuse. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 15 Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 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 standard(s) 19, 21, 22, 24, 25 and 26 The general standard of the environment is good providing service users with a homely place to live. The good standard of cleanliness reflects the ongoing cleaning schedule, which maintains this standard throughout the home. EVIDENCE: The home offers a comfortable and well-maintained environment to all service users. The home has ample communal space – three lounges/dining areas a conservatory. The home is has a rolling programme of redecoration to maintain good standard. The garden and patio areas are also well maintained. However, new flooring is required in the kitchen, food stores, staff toilet and a toilet in new wing of the home. Forecourt car park area to be tarmaced and potholes to be repaired, suitable ramp access is provided from the new wing corridors to courtyard/patio/garden areas; and to implement all the outstanding requirements/recommendations from the Fire Safety Officer’s inspection report dated 14 October 2004. Redecorate the damaged ceiling of the main lounge, and redecorate bedrooms 3 and 7. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 17 There are adequate toilets, bathrooms/showers and washing facilities and maintained in working order. The home has undertaken a risk assessment of the premises and facilities by an occupational therapist. The home has also provided suitable aids and adaptations, including the installation of a loop system to meet the appropriate needs of all the service users. There is a reasonable standard of furniture and fittings provided in the service users’ bedrooms. It was noted that many bedrooms have been personalised by the service users. However, the Registered Provider must ensure that suitable items of furniture, fittings and equipment are provided as set out in the NMS 24.1, 24.2, 24.4 and 24.7. The required level (i.e. close to 43 degrees C) of the hot water temperature must be maintained in ALL hot water outlets used by the service users at all times and records of weekly tests be maintained and records of any action taken to rectify defects must also be maintained. During the inspection the home was found to be reasonably clean, tidy and free from any unpleasant odours. The home has good policies and procedures regarding infection control, and majority of staff have received training in infection control, and also all staff has received induction training and they are made aware of the dangers of cross-infection. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The home is adequately staffed at all times, which ensures the quality of care provided, and ability of the home to meet the needs of the service users. The home continues to support staff to complete training. The home has satisfactory staff recruitment policies and procedures. EVIDENCE: The information provided by the home and available staff rotas showed that the home is now adequately staffed to care for 22 service users with varying degrees of dependency levels and needs. It was noted from the training records that 11 out of 26 members of staff have completed their NVQ Level 2 or 3 and the remaining members of staff to undergo this mode of training shortly. It was also evidenced that majority of the staff has completed their safe working practice topics training and those who as yet not received this training must do so as a matter of priority, including in dementia, adult protection from abuse, disability awareness and challenging behaviour management. Discussion with the Registered Manager and examination of the most recently recruited staff files demonstrated that thorough recruitment procedures had been followed in line with the home’s recruitment policy. Two written references, and enhanced CRB and POVA checks are being undertaken before new members of staff actually commenced their duty. The Registered Provider and the Manager are aware that any member of staff with criminal records Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 19 would not be employed in accordance with the Department of Health Guidance issued in July 2004. The home has introduced the TOPSS Induction and Foundation training for all new staff. It was pleasing to note that the home’s training programme is now being implemented. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35, 36 and 38 The home is managed by an experienced Registered Manager, who lead the staff team with a great deal of confidence. The staff is clear of their roles and responsibilities. Good systems of communication are in place to seek views of the service users and their families/friends. The service users’ monies are handled appropriately by the Registered Manager. The staff is regularly supervised to enable them to carryout their work professionally. Health, safety and welfare of service users and staff are promoted by safe working systems put in place by the Registered Provider and the Registered Manager. EVIDENCE: Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 21 The Registered Manager has completed his NVQ Level 4 in care and management and RMA Qualifications. He is suitably trained and experienced person to manage the home. Since the last inspection, Mr Scott Taylor has embarked on improving number of areas, including care planning, recording formats, staff training and supervision, regular meetings with staff and service users. The home has developed an annual Quality Assurance Development Plan and the registered Manager has formulated and circulated questionnaires to seek feedback/comments on the quality of services and facilities provided by the home from the service users and their relatives/friends. The Registered Manager stated that the information received by the home will be analysed and a report will also be prepared with an action plan as appropriate. The Registered Manager stated that a similar route would be followed to obtain feedback from other stakeholders (i.e. professionals who visits the home). The home needs to move quickly in ensuring the early implementation of this Standard. The home assists 18 service users with their monies. A sample of four service users’ money was checked and found to be satisfactory. The records of financial transactions are appropriately maintained. There was evidence to show that all members of staff are appropriately being supervised on regular basis. Records of supervision were examined during the inspection. Accidents and fire prevention records were examined, which found to be appropriately maintained. General matters pertaining to fire safety and environmental health was found to be satisfactory. However, the Registered Provider must ensure that all the outstanding requirements contained in the Fire Safety Officer’s inspection report dated 14 October 2004 must be implemented as a matter of priority. The Registered Provider must ensure that those members of staff who as yet not received training in safe working practice topics must do so as a matter of priority. (Please refer to NMS 30 above). Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 3 3 x 2 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 2 x 3 3 x 2 Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP 19 Regulation 23 Timescale for action The Registered Provider must The home ensure that new flooring is states that provided in the kitchen, foof this has storage areas, staff WC, and in a been WC near the staff room; and that completed forecourt car park area is tarmaced and potholes are appropriately repaired for the safe use of service users and other visitors to the home; and that suitable ramp access is provided from the new wing corridor to the court yard/patio and garden areas for the safety of the service users; and that all the outstanding recommendations contained in the Fire Safety Officers inspection report dated 14 October 2004 to be implemented as a matter of priority. The damaged ceiling in the main lounge to be repainted and bedrooms 3 and 7 to be redecorated. The Registered Provider must The home ensure tha the home fully states that complies with the NMS 24.1, this has 24.2, 24.4 and 24.7, and must been provide net curtains in all the completed bedrooms in order to facilitate Version 1.40 Page 24 Requirement 2. OP 24 16 & 23 Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc 3. OP 25 13 4. OP 30 18 5. OP 33 24 6. OP38 12, 13, & 23 privacy for service users at all times. The Registered Provider must ensure that the hot water supply in all the hot water outlets in the new wing area of the home is maintained at all times at the required temperature level (i.e. close to 43 Degrees C) for the safe use of service users and staff. The Registered Provider must ensure that all those members of staff who as yet not received training in safe working practice topics must do so as a matter of priority. The Registered Provider must ensure that an annual Quality Assurance development plan for the home is developed and fully implemented which must be based on a systematic cycle of planning, action, review, aims and objectives and outcomes for service users. The Registered Provider must ensure that the remaining members of staff who as yet not not received the safe working topics training must do so as a matter of priority; and that all the outstanding recommendations contained in the Fire Safety Officers inspection report dated 14 October 2004 must be fully implemented as a matter of priority. The home states that this has been completed The home states that this has been completed The home states that this has been completed The home states that this has been completed 7. 8. 9. 10. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 25 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 OP 28 OP 28 Good Practice Recommendations The Registered Provider is made aware of the need to have a minimum ratio of 50 trained members of care staff NVQ Level 2 or equivalent achieved by 31/12/05. The Registered Provider should consider providing specialist training for staff in adult protection from abuse, challenging behaviour management, dementia care, and disability awareness. 3. Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 2nd Floor, St Davids Court Union St Wolverhampton WV1 3JE 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 Min-y-don E56 000064532 Min-y-don v268004 AI 210705 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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