Inspection on 04/07/05 for Newlands

This inspection was carried out on 4th 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 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

Newlands 17/01/09

Newlands 25/01/07

Newlands 10/01/06

Newlands 30/11/04

Newlands 28/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

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Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Newlands 4 Church Lane Westbere Canterbury CT2 0HA Lead Inspector Wendy Gabriel Announced 04/07/2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newlands Address 4 Church Lane, Westbere, Canterbury, Kent, CT2 0HA 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) 01227 710684 The White Rose Care Organisation Mr Ian Dawkins Care Home 21 Category(ies) of Care Home for Learning Disabilities x 21 registration, with number of places Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Two residents with learning disabilities over the age of 65. LD(E) One resident with a physical disability,PD Date of last inspection 30.11.04 Brief Description of the Service: Newlands is a home for younger adults with learning difficulties and is registered to care for 21 residents with a learning disability including two residents who are over 65 years of age and one resident who has a physical disability. Newlands is approximately 6 miles from Canterbury. The home has its own mini bus and the coastal towns of Whitstable, Herne Bay and Margate are all within easy driving distance. There is some parking to the front of the home. Newlands is a detached property, there are three double bedrooms and fifteen single bedrooms. Communal space includes two lounges, dining room and conservatory area which houses a spa and a sensory room. There is a well-maintained garden, which is used extensively for activities. The Home has been successful in gaining Investors in People Award. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the announced inspection of Newlands the Inspector met the Registered Manager, group manager and Registered Providers who have offices in the grounds of the premises. There were five care staff on duty including two seniors. The chef, laundry worker and maintenance man were also on duty. There are currently twenty residents living in the home and eight were out at the time of the inspection, three at the day opportunities college, one at Roper House where learning opportunities are available for deaf and blind residents, one on social leave ie staying away over night, with their family and one with their family for the day. The Inspector was invited to lunch with the residents and enjoyed a friendly and chatty mealtime where the residents told her about their life, friends and special interests. Several comment cards were received from families and friends and these were complimentary including comments such as; ‘(relative) is very well looked after there and is happy’, ‘my (relative) is very well cared for’, ’Newlands must be in the very top bracket of care homes, the staff do a wonderful job’. ‘(relative) is very happy living there’. Staff training is ongoing and the Inspector made a requirement that the mandatory training courses for staff as detailed in the National minimum standards be arranged by 01.10.05. Unfortunately, the company that provided NVQ training for the home has gone into solvency. The Registered Manager had almost completed her NVQ4 training and at the time of the inspection was endeavouring to find a suitable training centre to be able to complete this. At the time of the inspection she was also having difficulty retrieving her completed work from that company. The Registered Providers’ proactive commitment to NVQ training for the staff of Newlands has been compromised in that the amount of money spent on training has been lost as well as time spent by staff in undertaking the training. Staff confirmed that they have been encouraged to undertake training. Staff also stated that the Registered Provider would identify specialised client related training, for example, Makaton and a deaf/blind awareness course. Further requirements were made for updating to be made to the statement of purpose, increased environmental risk assessments, and advice to be sought regarding staff manual handling is appropriate for a named client. The Registered Manager has been in post for a short period of time and showed a commitment to meeting the requirements and recommendations made. There was evidence of the home seeking the advice and support of various Health care professionals including, psychologist, psychiatrist, dietician, speech therapist, physiotherapist, occupational therapist as well as GP and District Nurse. Residents were active in various areas of the home during the inspection and several showed their rooms to the Inspector. The atmosphere in the home Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 6 was happy and there was a lot of laughter and friendly banter between staff and residents. Residents were dressed suitably for the time of year and in an age appropriate manner. The home was clean and tidy and well furnished. Residents told the Inspector that they could choose their own colour schemes for their bedrooms and this was reflected in the individual choices seen. What the service does well: What has improved since the last inspection? What they could do better: Training is being updated and the Registered Manager agreed to meet the National Minimum Standards as indicated in the summary. Due to circumstances out of their control the home has been let down by a training company for NVQ. The Registered Provider and Registered Manager are currently seeking another NVQ training provider to enable staff to continue their courses. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 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. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 Each resident or their family is aware of their role and responsibilities in the home. Residents move into the home knowing their needs can be met and independence and aspirations maximised and promoted. The statement of purpose is informative but requires some updating to complement the pre assessment information. EVIDENCE: Newlands has a statement of purpose that contains information about the home, however, some updating is required and the Registered Manager discussed and agreed to update some of the information held within to meet the guidelines of the National Minimum Standards. Contracts that include the homes statement of terms and conditions are given to each new resident or their families as appropriate. Each prospective resident is visited by the Registered Manager and the Registered Provider and then invited to visit the home, perhaps for a morning and then increase the visits to include an overnight stay. This is of benefit to the prospective resident to enable him or her to get to know the home and the other residents living there. A care manager and Health care professionals such as Psychologist, also make pre assessments if they are involved in the welfare of the prospective resident. The home conducts its own thorough independent assessment that forms the basis of the care plans. Evidence of pre assessments was seen in information held on individual residents. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 10 Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6-10 Residents’ personal goals are reflected in their care plans and individual risks are managed. Residents know their views are listened to and that their records will be kept securely maintaining confidentiality. EVIDENCE: The standards establish care plans as being central to the effective delivery and evaluation of residential care services, from which they are used to identify and manage potential risks to health welfare and safety. The home transfers the pre assessment information they and other Health care professionals have provided into care plans as a basis for establishing a working document for staff. Further information is then added as it is identified, for example, risk assessments. Key workers are also involved with recording and reviewing the care plans. All new residents have a three monthly review and this is followed by six monthly reviews. The resident and their families are invited to attend the reviews and participate in action plans, assessments of daily activities and general information that is to be updated. Families are enabled to sign the reviews if they so wish. Residents hold meetings and many residents were able to tell the Inspector of their daily choices. Daily reports indicate that independent choices are maintained. Risk assessments identify residents’ needs and reflect the homes’ commitment to Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 12 enabling independence according to abilities. The Inspector recommended that further information be included to identify staff strategies for some of the risks assessed. Confidential information is held in a secure facility. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11-17 Links with the community are good and enrich and enable residents’ social and educational opportunities. Leisure activities are varied to meet residents’ different abilities and choices. The meals in this home are good offering both choice and variety and catering for special diets. EVIDENCE: The residents are able to visit a local Umbrella Club, Roper House where deaf and blind learn are enabled about their condition and the Day Opportunities Centre where a variety of activities take place. Several residents spoke about their daily activities and the Inspector saw certificates of achievement gained by a resident at his placement. One resident works in a nearby town and has been assessed as able to travel independently. The Registered Provider held discussions with the management of the work placement and assessed the work environment for this resident. In house activities include a variety of games. One resident showed the Inspector the writing he was undertaking and staff said some residents write their diaries regularly. The home has a mini bus and two smaller vehicles for residents. Residents whose families live some distance from the home will be taken each month by Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 14 the home to visit their family. The resident will not be charged for this. The home also benefits from a conservatory where there is a spa and sensory room. A reflexologist also visits regularly. Some residents discussed their holiday with the Inspector who concluded that the destination had been a hugely popular choice. Staff encourage residents to develop social and communication skills as evidenced through care plans and day reports. Religious and cultural needs are recorded and staff confirmed that religious observance would be maintained should this be requested. Residents’ friendships are enabled and respected. The Inspector was happy to note the friendly and helpful interaction between some residents with different needs and communication skills. The Registered Provider has another home in the area where residents, many who have dementia, and who prefer a slower pace of life live. Both homes are involved with each other and friendships between residents are encouraged. The home employs a chef who commented on the willingness of the Registered Provider to enable him to purchase food supplies as he required, for example, seasonal produce in addition to the menu choices. A large and well-organised larder contained a variety of food produce for residents. Staff who work longer shifts during the day are also provided with meals on duty. Special diets are catered for and the chef stressed that these are presented to be similar to the main menu choices. Risk assessments state if a resident may enter the locked kitchen to practice life skills and that a member of staff must be with them at all times. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18-21 Health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. Medication administration systems are adequate but the staff require suitable training to meet the standard. EVIDENCE: Evidence of guidance for staff in care plans enables residents to achieve maximum control over their lives. Privacy and dignity are supported and likes and dislikes are recorded. Residents have access to a range of Health care professional input including psychologist, psychiatrist, dietician, speech therapist, physiotherapist, occupational therapist as well as GP and District Nurse. This is recorded for individual residents. Medication is secured in a locked facility and recording was seen on the day of the inspection to meet the standard. Although staff training has included a ‘training session on the Boots monitored dosage system’ course, the home must provide suitable medication administration training to include basic knowledge of how medicines are used and how to recognise and deal with problems of use and the principles behind the homes policy on medication and handling records. The Registered Manager stated that a District Nurse would visit the home for a week to give training to staff on administering insulin. No resident currently self-administers medication. Newlands aim to keep terminally ill residents in the home with support from the GP and other Health care professionals, unless hospital care was otherwise Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 16 advised. A requirement was made for an assessment to be made by a suitable Health care professional, on the manual handling practices staff are currently having to deploy for a named resident. Records indicate that the home is acting on the best practice to meet the emotional needs of the resident, however, the requirement is made to ensure staff are safe from possible injury. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Staff have a good knowledge of adult protection issues and there are satisfactory arrangements for protecting residents from abuse. EVIDENCE: Staff training and induction includes ‘awareness of adult abuse’ a training course offered by a consultant Psychologist. At the time of the inspection only two members of staff were awaiting that particular course. Staff were able to confirm that they were aware of the whistle blowing policy and procedure in the home and could describe the actions they would need to take if they had any concerns about the wellbeing of the residents. They also added that they felt confident to speak to the Registered Manager or Registered Provider and that both were very approachable. Challenging behaviour courses are taken and the Inspector was informed that professional advice is available to the home should this ever occur. A complaints procedure is in place and a complaint book is maintained where details of any investigation, action taken and outcomes may be recorded. There were no entries on the day of the inspection. The complaint procedure indicates various bodies that may also be contacted including Mencap and the Commission for Social Care Inspection. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 The standard of the environment within the home is good providing residents with an attractive and homely place to live. Bedrooms, bathrooms and communal space meet the needs of the residents. Specialist equipment is provided for residents as required. The home is clean and hygienic. EVIDENCE: The home provides a clean, hygienic and well-maintained environment for the residents. Newlands is non institutional and furnishing and decoration are homely, attractive and comfortable. Although the home presents as a bungalow in a quiet, rural lane of similar properties, there is a different level to the rear of the property and residents bedrooms are on both levels. Communal space is provided on different levels in the home and includes a separate dining room and two lounges one of which has an area with table and chairs for recreational activities such as writing and drawing. There is also a conservatory that houses a spa and a separate sensory room. The garden is easily accessible for residents in wheelchairs. There are adequate bathrooms and toilets for residents. Some of the residents showed their rooms to the Inspector who noted the highly individual decoration and contents of the rooms. Bedrooms were age/gender specific and reflected the different personalities of the residents. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 19 Some specialist equipment was in evidence around the home. One resident had equipment that enabled verbal communication and the Inspector was delighted to have had the opportunity to speak to her and enjoy her sense of humour. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-36 Staff moral is high resulting in an enthusiastic workforce that works positively with residents to improve their quality of life. The arrangements for induction of staff are good with staff demonstrating a clear understanding of their roles. Not all staff have yet completed their mandatory training. EVIDENCE: The home employs suitable recruitment and employment policies. Job descriptions are in place. Staff files seen include terms and conditions of employment, references and various policies and procedures regarding their responsibilities in the home. The Inspector was informed that staff induction is a TOPSS accredited induction system and that training is ongoing. The Registered Manager agreed to complete staff training as required in the standards. The Inspector was pleased to see that some courses had already been booked and others were being sought for those staff who had not yet undertaken all the courses. Training pertaining to specialised needs of residents has been undertaken including Makaton and a deaf/blind awareness course. Understanding dementia is a course the Registered Manager is currently seeking to increase staff awareness of issues about the ageing process. Staff supervision is undertaken and records maintained. Of the ten support workers four have obtained NVQ2 and another three are currently undertaking NVQ2. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 21 Staff confirmed that the Registered Provider and Registered Manager are enthusiastic about offering varied training options to them. At the time of the inspection the rota was fully covered. In addition to the support workers there is the Registered Manager, General manager who oversees the two homes owned by the Registered Provider, full time maintenance man who works between the two homes and a chef. Staff who spoke to the Inspector were clearly able to identify the parameters of their roles in the home. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37-43 Residents’ rights are respected through reviews and care planning. The Registered Manager has a good understanding of roles and responsibilities of staff and the health safety and welfare of the residents. Environmental risk assessments are to be increased to enhance the health and safety in and around the home. EVIDENCE: As detailed in the summary, the Registered Manager has almost completed NVQ4 but has been let down by the training company that has gone into solvency. The Registered Manager and Registered Provider are trying to find a suitable training provider to help the Registered Manager complete the NVQ4. Residents have meetings and residents informed the Inspector that staff helped them achieve their aims. Several spoke about their holiday and the Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 23 very enjoyable time they had there. Another resident showed the Inspector certificates of achievement he had obtained for different training he had been encouraged to attend. Care plans are regularly reviewed. Equal opportunities are supported as seen on suitable policies. The new Registered Manager for the home is currently reviewing and signing the homes’ policies and procedures. Individual records are secure and maintained in accordance with the Data Protection Act 1998. Records for the maintenance of equipment were up to date. Fire emergency systems were being checked at the time of the inspection. The home has identified a number of environmental risk assessments including substantial fire practices and procedures. A requirement was given that further assessments around the environment are made and the Registered Manager agreed to this. The fire records book was in order and the home documents accidents, injuries, incidents of illness, communicable diseases or death of a resident according to regulation 37. An up to date certificate of insurance was in place and a business plan and accounts would be available to the Inspector on request. Staff commented on the open positive and inclusive atmosphere of the home and that the Registered Provider and Registered Manager were available to discuss issues with. Through conversation with the residents and by observing communication between residents and staff it was clear that lines of accountability of management in the home is understood. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 4 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newlands Score 3 4 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 25 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. 2. 3. 4. Standard 1 32 20 18 Regulation 4 12 12 12 Requirement Update the statement of purpose. Arrange for completion of mandatory training for staff. suitable training to be provided for medication administration. Re-assess manual handling for named resident. Timescale for action 11.07.05 01.10.05 01.10.05 11.07.05 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 9 Good Practice Recommendations Further information regarding staff strategies to be included in identified risk assessments. Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 Newlands H56-H05 S23487 Newlands V226636 040705 Stage 4.doc Version 1.30 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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