Inspection on 31/07/07 for Newpark

This inspection was carried out on 31st July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newpark 16/07/08

Newpark 03/10/06

Newpark 16/11/05

Newpark 18/04/05

Newpark 21/09/04

Newpark 13/08/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

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 Newpark 3 Park Road Southborough Tunbridge Wells Kent TN4 0NU Lead Inspector Gary Bartlett Key Unannounced Inspection 31st July 2007 09:15 Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newpark Address 3 Park Road Southborough Tunbridge Wells Kent TN4 0NU 01892 537717 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) gem.newpark@tiscali.co.uk Chislehurst Care Ltd Miss Gemma Lucy Wanstall Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: Newpark is a residential care home providing personal care and social support for 10 residents who have a learning disability. It is a large semi detached house in a residential area with accommodation over three floors. The home does not have a shaft lift and all the bedrooms in the main house are located on the first and second floors. Two rooms are located in a ground floor flatlet adjoining the main building. The residents have access to a vehicle for attending day care, outings, shopping and other activities. The nearest shops and other amenities such as church, pub and post office are within walking distance. There is easy access to public transport. There are gardens to the front and rear of the property, which can be used by residents. There is car parking space to the front of the house. The home’s current scale of fees range from £522.75 to £721.48 per week. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Newpark from 9:15 a.m. until 2:45 pm. Judgements about quality of life and choices were taken from direct observation and by discussion with the Manager, residents and staff, inspection of records and a tour of the building and grounds. Information has also been used from the Annual Quality Assurance Assessment completed by the Manager prior to the inspection. Due to the nature of the service, it is difficult to reliably incorporate accurate reflections of those living at the home in the report. Relatives of the residents were contacted by telephone and were positive about the service provided. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at Newpark prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. The Manager and staff gave their full co-operation throughout the inspection. What the service does well: Residents are provided with care and support, in a welcoming, bright and spacious home, within walking distance of local amenities The staff team is committed to the health and well being of the residents. There continues to be good relationships with other professionals and regular contact with the G.P. to promote a safe and supportive lifestyle. Good relationships and contact is maintained with residents’ families. Those living here feel genuinely liked and respected through the positive interaction with staff and Manager. Residents generally presented being relaxed and comfortable with staff indicating they feel safe and secure with them. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Appropriate facilities must be provided for the storage of medicines. Safer access to the rear garden for residents with limited mobility must be provided. A more homely, and comfortable environment would be achieved by the ongoing redecoration upgrading of furnishings. Parts of the dining room need to be improved to maintain food hygiene. Staff allocation and numbers should be reviewed with regard to residential forum recommendations and to further promote residents independence. Quality assurance systems should be improved. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Quality on this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their representatives have access to the information needed in making a decision as to whether the home can best meet their needs and personal aspirations. EVIDENCE: The Manager described a thorough assessment process, which includes visits by the prospective resident and their family, staying to tea and over night trial visits. Records indicate the home has a good relationship with the local healthcare professionals in supporting residents in their daily lives. Each resident has a contract that meets the National Minimum Standards. Wording about the allocation of rooms has been revised so as to be clearer and without ambiguity. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Care plans and risk assessments continue to improve to offer information to ensure consistent support by staff in meeting the individual health and social care needs. Better recording of support and care given would provide clearer evidence of care provided and reduce the risk of information being missed. EVIDENCE: Each resident has a care plan. Three were inspected in detail. There are improvements to care planning. Much work had been done in clearing old and out of date information. Residents spoken with could not readily understand their care plans. Photographic, pictorial and object referencing in care plans would aid communication and better understanding and involvement by residents. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 11 The Manager is aware that daily records of care need to be more detailed to accurately reflect residents’ current welfare and the care given. Through discussion with the Manager, reading the care plans and observation, it is evident that residents are given full support and encouragement to maintain personal contact with health and social care professionals and to maintain good standards of health and social care. Risk assessments are being written/reviewed in response to incidents and accidents. Sensory difficulties are now included as part of residents’ risk assessments where necessary. The home does not act as appointee for residents’ monies. This is done via family members or local authority financial services. Residents have access the home’s petty cash for personal spending and this is invoiced to their appointee for reimbursement each month. The Manager said the monthly visits done by the company now look at the handling of residents’ finances. Interaction between residents and staff was observed to be good showing genuine respect, friendship and appropriate familiarity with each other. Records seen are kept in a manner that maintains confidentiality and there are facilities for them to be stored securely when not in use. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality on this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are given encouragement and support to make choices about a range of local social and recreational interests as far as is practicable. EVIDENCE: Residents are encouraged to follow hobbies and interests of their choosing. Routine is important for those living here and discussion with residents and staff indicates a steady, though flexible, routine occurs on a day-to-day basis and individuals feel safe with this. Residents spoke of leisure outings such as the local pub, (a particular favourite), having ‘lunch out’ particularly birthdays, bowling and walks to the park. Other occasional opportunities include trips to theatre, shows; daytrips to the coast. A recent visit to the circus is still fondly remembered. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 13 Some residents prefer to watch TV, videos, listen to music, playing board games etc. Residents said they prefer to spend the evenings relaxing and watching their favourite television programmes. There was much animated conversation about the latest developments in their preferred soap-operas. Residents speak enthusiastically of holidays taken and of those planned. All residents have at least two planned activity days at places of education or work experience. Personal preferences of getting up and going to bed are observed, with account being taken of planned activities. Residents visit their families at weekends and receive visitors at the home. The menu offers a varied and wholesome variety of meals, with ample fresh fruit and vegetables. Direct observation showed mealtimes to be at a pace comfortable to the residents. With support, residents are involved in writing the menus, shopping lists and the preparation and cooking of foods to the best of their ability. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The health, social and personal care needs of those living here are well supported with regular contact with specialists and external professionals. Those living here are treated with respect and dignity by care staff. Residents are protected by staff adhering to good practice guidelines in the administration of medicines, but storage facilities must be improved. EVIDENCE: Staff are clearly aware as to the type and nature of the support required for individual’s personal and intimate care needs and every effort is made to maintain their privacy and dignity at all times. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 15 Through discussion with the Manager and assessing the three care plans, it is evident that residents have ready access to health and social care professionals. The Manager described how the home is to use a different pharmacist in the near futures. This will mean more readily available training for staff and the provision of an additional medicines cabinet. As current arrangements for the storage of medicines need to be improved, this is to be welcomed. Internal and external medicines need to be stored apart and the temperature of the area used monitored to ensure the medicines are stored at the recommended temperature. To further safeguard residents, staff should sign that they have checked medicines received at the home. Records show that all staff administering medications have been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets inspected had been completed appropriately and medicines were seen to be given in accordance with good practice guidelines. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Systems are in place to enable those living and those visiting the home to raise concerns or complaints with staff and people they trust. Residents would be better able to do this with access to procedures in a format they would more easily understand. Protection from abuse has been promoted through staff training and understanding of the support and actions they may need to take. EVIDENCE: The home has a clear complaint procedure in that is on display in the hallway. This should be revised to show that the Commission can be contacted at any point in the process. The procedure is also available in the Widget System for residents. Due to the nature of the service, using this system is limited. It is evident the majority of residents are reliant on a relative/ advocate/staff to identify concerns and raise them on their behalf. Accordingly, to promote independence, the complaints procedure is made available to the residents in a format they can more easily understand. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 17 Records show no formal complaints have been received since the last inspection. Telephone discussions with residents’ relatives indicate they know they can raise concerns or complaints if necessary and are confident they would be treated seriously. The Manager and staff spoken with have a good understanding of procedures to safeguard adults. There are currently no adult protection investigations in respect of the care at this home. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30 Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents live in a generally clean, comfortable and homely environment, which would be enhanced further by safer access to the back garden area for those with restricted mobility. EVIDENCE: There is an ongoing programme of redecoration and refurbishment as demonstrated by non-slip flooring being laid in all three bathrooms and some redecoration around the home.. The last key inspection report dated 3rd October 2006 records that “two wall light fittings have been replaced leaving exposed plaster and holes in the wall, with another still to be done”. Nearly a year later the third light has been fitted and the plaster-work repaired but the Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 19 surrounding décor has not been made good. In other parts of the lounge, the décor is looking “tired”, with peeling wallpaper etc. Some dining room chairs are in need of replacement as the coverings are torn. A new refrigerator has been obtained recently. Unfortunately, the flooring was torn in the process. The Manager stated this is due to be replaced in the near future. Cleanliness around the home is generally good. Currently, staff and residents do the cleaning. A part-time cleaner is due to commence work soon. Bedrooms are adequately furnished and some decorated to the preferences of residents. Personal possessions are displayed reflecting their personalities and lifestyles. One resident’s bedroom has been redecorated recently and the occupant supported in buying new furniture for it. Residents enjoy using the relatively well-maintained garden. Parts of the rear garden have been made safer by some ramping and the highlighting of steps, (which needed to be redone). However, access via the back door is stepped and without grab rails. Safer access to the rear garden for residents with limited mobility must be provided. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Service users’ needs are met by appropriately trained staff who are well managed and supervised. Residents would benefit from a review of staffing hours with reference to the Residential Forum guidance. EVIDENCE: Residents’ relatives said they find the staff always very friendly, welcoming and helpful and that staff are very good at keeping them informed. Newpark has a stable staff team that, the Manager said, has been augmented by some additional hours and by the employment of male staff. The Annual Quality Assurance Assessment returned by the Manager indicates the home provided 197 care hours, including personal care in the week prior to Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 21 the completion of the form. This is less than that recommended by the Residential Forum guidance. The Manager continues to be rostered 3 days per week and have two days per week where she is supernumerary to fulfil her management duties. The current staff structure does not include a Deputy Manger, other staff being Senior Carers or Carers. The staff rosters seen do not indicate any particular person designated to be in charge of a shift. Was this to be done, there would be clearer lines of responsibility and accountability. Robust recruitment processes are followed to ensure only staff properly vetted work at the home. Staff are required to undertake a comprehensive induction programme and there is ongoing training for them. The Annual Quality Assurance Assessment returned by the Manager indicates less than 44 of staff have a NVQ level 2 or above and that none currently are working towards it. There is regular supervision of staff. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality on this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The people living here have their personal preferences, support and care needs encouraged through the registered Managers open leadership and the promotion of a welcoming home. EVIDENCE: The Manager has worked at Newpark for a number of years, has a degree in Learning Disabilities and has achieved the Registered Managers Award. As mentioned earlier in this report, the Manager works supernumerary to the staff Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 23 roster two days per week, to fulfil her managerial responsibilities. This commitment to the direct provision of care may give account for there still being some outstanding management tasks. As examples; a copy of the latest amended Care Home Regulations 2001 had not been obtained, although recommended at the last inspection and the continued poor storage of medicines. The last inspection report identified that storage of items must comply with COSHH requirements. Although provision has been made, the cupboard lock has been broken off. There is not evidence of interim measures being taken to ensure residents’ safety. The Manager said a lock will be fitted in the near future. Monitoring health and safety in the home is generally to a good standard and equipment is serviced as required to maintain a safe home and facilities. The Manager stated all records of maintenance and safety checks are up to date. These were not inspected on this occasion. The provider does monthly visits to the home. The Manager said that there should be a residents’ meeting every 2 months but these are not being held regularly and questionnaires have not been sent to relatives etc since the last inspection. Consequently there is not evidence of a continuous self-monitoring system, based on a systematic cycle of planning, action and review. Risk assessments are completed for individual’s activities but could be still be expanded upon. The standard of cleanliness in the kitchen and surrounding area is satisfactory, although some fascia boards under the cupboards need replacing. The Manager said this would most likely be done when the flooring is replaced. Staff are not consistently dating foodstuffs when opened, the Manager said she will remind them of their responsibilities in this and monitor it. The Manager has a good understanding of accident/incident recording and reporting under Regulation 37 to the Commission. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 2 32 2 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Newpark DS0000041066.V343256.R01.S.doc Version 5.2 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. Standard YA20 Regulation 13(2) Requirement The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users and make arrangements for the recording, handling, safekeeping, safe administration of medicines in that appropriate facilities must be available for the storage of medicines. To be completed by the given timescale, if not sooner. Timescale for action 30/11/07 2. YA24 23(2)(a) “The registered person shall 31/12/07 having regard to the number and needs of the service users ensure that the physical design and layout of the premises to be used as the care home meet the needs of the service users” in that safe access to and from the garden must be available to all service users including those with restricted mobility. To be completed by the given timescale, if not sooner. Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 26 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. 3. 4. 5. 6. 7. 8. 9. Refer to Standard YA6 YA6 YA22 YA22 YA24 YA24 YA31 YA32 YA33 Good Practice Recommendations It is recommended that the care plans be made available to residents in a format they can more readily understand. It is strongly recommended that records of daily care are more consistently detailed. It is recommended the complaint procedure be revised to show that the Commission can be contacted at any point in the process. It is strongly recommended the complaints procedure is made available to the residents in a format they can more easily understand. It is strongly recommended that redecoration and refurbishment continue to be undertaken in reasonable timescales. It is strongly recommended that worn furniture, for example dining room chairs with torn coverings, are repaired or replaced. It is recommended the staff rosters indicate a particular person designated as being in charge of a shift to give clearer lines of responsibility and accountability. It is recommended 50 of care staff in the home have achieved a care NVQ2 It is again strongly recommended staff allocation and numbers should be reviewed with regard to residential forum recommendations and to further promote residents independence. It is strongly recommended that the registered person further develop the quality assurance and monitoring systems based on a systematic cycle of planning-actionreview. It is again strongly recommended the manager obtains the latest amended Care Home Regulations 2001. 10. YA39 11. YA43 Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Newpark DS0000041066.V343256.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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