Inspection on 19/09/05 for Newhey Manor, Residential Care Home

This inspection was carried out on 19th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Newhey Manor, Residential Care... 12/09/06

Newhey Manor, Residential Care... 27/02/06

Newhey Manor, Residential Care... 19/01/05

Newhey Manor, Residential Care... 20/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Newhey Manor, Huddersfield Road, Newhey, Rochdale, OL16 3RL. Lead Inspector Jenny Andrew Unannounced 19 September 2005 th 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. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newhey Manor, Address Huddersfield Road, Newhey, Rochdale, OL16 3RL. 01706 291860 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) Lily Care Limited Dr Rida Youseff Care Home Only 24 Category(ies) of Old Age 24 registration, with number of places Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum registered number (24) there can be up to:-24 Older people (OP). 2. The service should at all times employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. Date of last inspection 19th January 2005 Brief Description of the Service: Newhey Manor is a purpose built residential care home situated in Newhey, accommodating 24 service users over the age of 65 years. All the rooms are single, two having en-suite toilets. Permanent and respite stays are provided. Local shops are situated approximately half a mile away and the home is well served by public transport. Level access is provided to the main entrance. Car parking spaces are available to the front and side of the home. There are no private garden areas but service users may access the rear of the building, through patio doors which open onto large playing fields. The home is well maintained both internally and externally. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. The Inspector checked care plans and some other records and looked around parts of the building. In order to obtain information about the home, the owner/manager, 8 residents, 3 staff and 5 relatives were spoken with. Also, 1 comment card had been returned over the past 2 months by a relative, saying in writing what they thought about the home. What the service does well: What has improved since the last inspection? The manager had made sure each resident had a copy contract which set out the terms and conditions of their placement. The residents’ monthly reviews were much more detailed and involved the resident and/or their relative who signed the review sheet. The manager was now seeing staff for a one to one meeting every 2 months and was making sure these meetings were recorded. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 All residents were being assessed prior to admission, in order to ensure the home could meet their identified needs. EVIDENCE: Three files were looked at and all contained pre-admission assessments, which the manager had undertaken prior to the person coming into the home. The person currently on respite had also been assessed prior to admission. In some instances, a care management assessment was also in place. Two residents confirmed they had been visited before coming into the home, when they had been asked questions about what they needed help with. From discussions with residents and relatives, it was determined that the needs of these residents were being well met at the home. During the inspection, staff were seen to be responsive to the requirements of individuals and the residents spoken to confirmed their needs were responded to willingly by the staff team. Several of the staff had received dementia care training. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 9 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 and 10 Residents’ health and social care needs were being well met but this was not always reflected in the documentation, which could result in staff being inconsistent in their approach. Residents were treated with respect and dignity by the staff team. EVIDENCE: The care plans of 3 residents fairly new to the home and 1 person who had lived there a long time were inspected. Whilst care plans were in place for all 4 residents, they were insufficiently detailed and did not accurately reflect the care needs of the individuals. Where problem areas had been identified, there was no action plan in place to address the problem. This must be addressed. Since the last inspection, the staff were involving residents and/or relatives in monthly reviews. The documentation was detailed and gave the reader a very clear picture of where health care had improved or declined. Following the review however, staff were not updating the care plan and this must also be addressed. Risk assessments were in place in all 4 files inspected. These included moving and handling, falls, skin, nutrition and self-medication. In addition, any other identified risks would be assessed as necessary. It was noted however, that Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 10 where risk areas were identified, i.e. susceptible to falls, weight concerns etc. the care plan did not set out any action to take, to address the identified problem area. Whilst the care of people with skin tissue problems was good, the documentation did not reflect the care given i.e. pressure relieving aids provided, when and how long bed rest was encouraged, whether the district nurse was visiting etc. This should be rectified. Since the last inspection, care plans had been improved in that they now included a sheet with aims/objectives recorded. It was however noted that some staff were not utilising the sheets correctly and were simply setting out the care needed for the individual rather than agreeing and recording specific aims/goals. In order to make sure that residents benefit from these recordings, staff should record progress towards the aims/goals, when doing their monthly reviews. From interviewing the District Nurse, residents and staff, and health care documentation seen, it was evidenced that service users health and personal care needs were being well met. One resident had an appointment at a hospital clinic on the day of the inspection. Due to her worrying excessively about getting an eye appointment earlier than 2006, the joint owner, who was visiting on the day of the inspection, contacted the hospital and arranged that she could be seen that day. This swift action greatly reduced the person’s anxiety levels. The relatives interviewed were complimentary regarding the standards of personal care and assistance given to the people they visited. Regular access to health care professionals was arranged as necessary i.e. chiropodist, optician and dentist and evidence of this seen on the files inspected. Pressure relieving aids were held in stock and advice was sought from the Continence Nurse and other relevant professionals as necessary. Nutritional screening was routinely carried out upon admission and residents were regularly weighed and their weight recorded on their care plan. Staff communication systems were good and ensured that any changes in residents needs were noted by all concerned. On the day of the inspection, one resident had a fall. The staff and manager handled the incident efficiently and ensured a staff member escorted the resident to hospital. Relatives of the resident were also immediately informed. All the residents spoken to said the staff treated them with respect and dignity when assisting them with personal care tasks. During the inspection, several examples were seen in relation to this. Staff knocked before entering residents’ bedrooms, a care assistant escorted the visiting G.P. and resident to the resident’s bedroom to be seen in private, staff closed toilet doors and spoke respectfully to residents at all times. One resident, who was tearful, was comforted in a sensitive and caring way by the deputy manager. The Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 11 manager had arranged to move two beds into one room for a married couple and had arranged the other room as a sitting area. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 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 & 15 Provision of social activities was lacking, resulting in residents becoming bored and feeling unfulfilled. The home valued the role that relatives and friends could continue to play in the lives of the residents. The dietary needs of residents were well catered for, with a balanced and varied selection of food available at each mealtime. EVIDENCE: Residents spoken to said they were satisfied with their chosen daily lifestyles and routines with the exception of the provision of social activities/stimulation. Whilst an activity programme was displayed within the home, the activities described were not always taking place and it was felt that activities had declined since the last inspection. Gentle armchair exercises had ceased and residents said they sometimes had to remind the staff to organise a game of bingo for them. “Active Minds”, an external organisation, were continuing to visit the home fortnightly, organising, quizzes, games, reminiscence etc. and residents really enjoyed their visits. Three of the residents interviewed commented negatively about the provision of social activities saying, “I’ve nothing to think about”, “would like to keep my mind more active” and “I’m sometimes bored and would like to go out more”. Staff interviewed said some Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 13 of the residents were difficult to motivate and that they didn’t always have the time to spend on activities, as they had to prioritise their personal care needs. The manager must review the programme of activities, involving the residents, in order to ensure it meets the needs of groups, individuals and caters for differing abilities. Feedback was however, very positive with regard to the summer outing to Hollingworth Lake and the Barbecue which had been organised. Residents felt this had given them something to plan and talk about. They felt more regular outings should take place. The more independent residents were encouraged to go out for short walks, either alone or accompanied by the staff, dependent upon risk assessments. One resident continued to use his motorised scooter in order to go to the local shops. Residents wishing to maintain their religious links were encouraged and enabled to do so. Different denominations visited the home and a service was organised in the home on the first Sunday of the month. A special harvest festival service was to take place in October. Relatives interviewed said they could visit whenever they wanted and that staff made them welcome. The majority preferred to see their visitors in the lounge but bedrooms could be used if they preferred to see visitors in private. The Chef had worked at the home for many years and was therefore extremely knowledgeable about each person’s likes and dislikes, portion sizes etc. The feedback from residents about their meals was excellent and they said the chef was “brilliant”, “very helpful” and “an excellent cook”. They also said that if they did not like the menu choices, he would always make them something different without making a fuss. The dietary needs of the residents were being well catered for with a balanced and varied selection of food available. The four weekly menus showed that fish was served on a very regular basis in different ways e.g. fish pie, salmon fishcakes, kippers, trout, and battered fish and prawn salad. Desserts included fresh fruit e.g. apple pie, rhubarb crumble, apple sponge and peaches and cream and in order to ensure residents were receiving an adequate milk allowance, milk puddings, custards and sauces were regularly served. Cooked breakfasts as well as cereals and porridge were available and 5 or 6 people regularly enjoyed boiled eggs or bacon. On the day of the inspection, all the residents had opted for chicken pie, carrots, mashed potatoes and cabbage which they clearly enjoyed. The Inspector also sampled the meal, which was hot, well cooked and tasty. Any cultural/dietary needs were established upon admission and a nutritional assessment was routinely undertaken. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 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 The home had a satisfactory complaints procedure with evidence that residents felt their views were listened to and acted upon. EVIDENCE: All new residents are given a copy of the service user guide, which contains a copy of the complaints procedure. Two of the most recently admitted residents confirmed they had received a copy of the document. A complaint/compliment book is kept in the entrance hall so that residents or visitors may log any comments or complaints. Since the last inspection, no internal complaints had been logged. The Commission for Social Care Inspection had investigated one anonymous complaint, which had a successful outcome for the resident concerned. The owner/manager had fully cooperated with the CSCI in order to try and resolve the problem. This complaint had not however, been logged although this was done during the inspection. Residents spoken to said they felt able to voice their opinions or concerns to any of the staff team. One person said they had, in the past, had some small grumbles, which had been immediately addressed to their satisfaction. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 15 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 The home had benefited from an ongoing maintenance programme, which had resulted in a comfortable, homely, clean and safe environment being provided for the residents. EVIDENCE: Residents were complimentary about their environment and said it was always kept very clean. They also said they felt safe within their environment. The cleanliness was apparent upon the inspection. Relatives spoken to also commented that the home always smelled fresh and did not have any unpleasant odour. The standard of décor within the home was good. Since the last inspection the flooring in the ground floor toilets had been replaced and the toilets redecorated. As it had been identified that some of the residents would prefer a shower to a bath, a shower was to be installed in the first floor bathroom on 27 September. The manager must ensure that it is adequately equipped with the necessary aids and adaptations in order to ensure residents safety. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 16 An Environmental Health visit had taken place on 21 March 2005 and the minor issues had been addressed. The report commented upon “the good documentation produced” and “good practices witnessed”. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 17 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 Adequate staffing levels and appropriate training ensured the needs of the present resident group were being met. Unsafe recruitment practices were identified which could place residents at risk of harm. EVIDENCE: Whilst there had been some turnover of staff, several of the staff working at Newhey Manor had been there for several years, thus providing some stability for the residents. Staffing levels were adequate to meet the needs of the current resident group and sufficient ancillary staff were employed. Staff spoken with felt they worked well together as a team and said that staff morale had improved since the last inspection. The staff who had worked at the home for sometime had a good understanding of the residents support needs and this was evident from the positive relationships, which had been formed between the staff and residents. Residents and relatives interviewed were extremely positive with regard to the staff team. They were said to be kind, hard working, caring and with a sense of humour. Regular staff and management meetings were taking place and a staff meeting was held on the day of the inspection. On the day of the inspection, a new care assistant had started work who was being closely supervised by the staff and manager. She had been issued with Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 18 her induction file that contained a small POVA handbook, an induction booklet, job description, the General Care Council’s “Code of Conduct” and a staff personnel detail sheet. She confirmed that the manager had already spoken to her about fire safety practices. Another new carer had also recently commenced working at the home. She confirmed that she had been given an induction training record programme to complete and that she was already booked on a moving/handling course. Training records were in place, which showed the majority of the team had benefited from a range of training including fire, medication, infection control, first aid, food hygiene, POVA and moving/handling. Several of the longer serving staff had also benefited from attending dementia care training. Of the 20 staff employed, the deputy manager and 3 care assistants had completed their NVQ Level 2 training although 2 were awaiting their certificates. A further 3 staff were about to complete their level 2 training and 3 were in the process of being enrolled. The home also employs 2 nurses, one as a senior carer and the other as a care assistant. The manager was aware that at least 50 of the staff must have achieved NVQ Level 2 training by 31 December 2005 and the home are on course to achieve this. Shortfalls were identified in the staff recruitment and selection process. Of the 3 staff files inspected, only one file had a Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) check. CRB applications had however, been submitted for the other two staff. Whilst the files of the two most recently recruited care staff contained CRB and POVA checks, these had been applied for by the staff members’ previous employers. CRB checks are not portable and new checks must be undertaken for each new member of staff employed. Should the home need to employ a carer in an emergency situation, a POVA First check must be obtained, prior to the person commencing work. No staff should commence work without the relevant checks having been undertaken. All 3 files contained satisfactory references and completed application forms (including health declarations). At the time of the inspection, the home was providing a work placement for a student and appropriate checks and references were in place. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 19 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) 35, 36 & 38 The systems in place for dealing with residents’ monies were satisfactory, ensuring residents interests were safeguarded. Regular supervision ensured that staff were managed to support good practice and professional development. Procedures and practices operating within the home promote and safeguard the health, safety and welfare of the residents and staff. EVIDENCE: A residents’ financial policy/procedure was in place, which the home were adhering to. The financial records for 3 residents were checked and found to be in order. Income and expenditure were recorded and receipts retained where staff had purchased items on a residents behalf. It was however, noted that when residents receive money they are not always signing to this effect and only one Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 20 staff is signing on their behalf. If the resident is not able to sign upon receipt of cash, then 2 staff signatures should be obtained. When the hairdresser or chiropodist makes visits to the home, the manager was retaining records identifying which residents had been seen. Secure facilities were provided for the safekeeping of money/valuables. The manager is responsible for the supervision of all staff. A structured system was in place and staff had signed supervision contracts. Staff spoken to confirmed they had one to one time with the manager when they could discuss any problems and identify their training needs. Supervision records were in place, showing that supervision was undertaken 2 monthly. All maintenance and associated documentation was in order and residents spoken to said they felt the environment was safe. Any environmental shortfalls are dealt with as soon as they are identified and new non-slip flooring had recently been fitted in the ground floor toilets. The staff training programme includes food hygiene, infection control, moving/handling, medication, first aid and fire. Staff training records are kept in order to ensure that staff have received all the appropriate training. The two most recently recruited staff had already been booked on moving/handling training. Some staff had not undertaken all health and safety training, but this was being addressed. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 21 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 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 2 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 3 x 3 Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 22 NO 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 7 Regulation 15 Requirement Care plans must accurately reflect the full care needs of the individual and be updated following the monthly reviews. Where problems are identified on care plans or risk assessments, an action plan to address the problem must be in place. A more stimulating activities programme must be formulated, in consultation with residents and be adhered to. At least 50 of care staff must have successfully completed their NVQ level 2 training by 31.12.05. CRB and POVA First checks must be obtained by the home prior to staff commencing employment. Timescale for action 11.10.05 2. 7 15 11.10.05 3. 12 16 11.10.05 4. 28 18 31.12.05 5. 29 19 30.09.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations The new aims/objectives sheets should identify specify goals and progress towards achieving the set goal should F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 23 Newhey Manor, 2. 3. 12 35 be recorded. More regular local social outings should be arranged for the residents who enjoy going out into the community. Residents should sign any financial transactions but if they are unable to do so then 2 staff signatures should be obtained. Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 Newhey Manor, F06 F56 S43980 Newhey Manor V247415 19.09.05 Stage 4.doc Version 1.40 Page 25 - 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!