Inspection on 31/08/07 for No. 1 Northbourne

This inspection was carried out on 31st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

No. 1 Northbourne 30/01/09

No. 1 Northbourne 05/07/06

No. 1 Northbourne 20/09/05

No. 1 Northbourne 02/12/04

No. 1 Northbourne 21/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOMES FOR OLDER PEOPLE No. 1 Northbourne Durham Road Low Fell Gateshead Tyne & Wear NE9 5AR Lead Inspector Sam Doku Key Unannounced Inspection 31st August 2007 08:10 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service No. 1 Northbourne Address Durham Road Low Fell Gateshead Tyne & Wear NE9 5AR 0191 491 4643 F/P 0191 491 4643 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) www.c-i-c.co.uk. Community Integrated Care Geraldine Pyburn Care Home 5 Category(ies) of Learning disability (5), Physical disability over registration, with number 65 years of age (3), Sensory Impairment over of places 65 years of age (1) No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care need on admission to the home are within the following categories: Learning Disability, Code LD, maximum number of places 5 Physical Disability, Code PD, maximum number of places 3 Sensory Impairrment, over 65, Code SI(E), maximum number of places 1 The maximum number of service users who can be accommodated is 5 5th July 2006 2. Date of last inspection Brief Description of the Service: Number 1 Northbourne can provide personal care for five people with a learning disability. However nursing care cannot be provided. The home is a purpose built bungalow attached to a care home for older people (Northbourne) but Number 1 Northbourne is run separately by Community Integrated Care although Anchor Trust owns the premises. It is easy for service users to get around the bungalow and all of the necessary facilities are provided including an emergency call system and a bathing and toilet facilities, which have been specifically designed to enable physically frail or disabled people to use them more easily. The home is situated in the Low Fell area of Gateshead and is close to the shops, main bus routes and other facilities. The scale of charges for the home is between £411.00 and £599.00 per week. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and began on the 31 August 2007 and completed on the same day. Before the visit the inspector looked at: • Information we have received since the last visit on 5 July 2006; • How the service dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQUAA); • The views of people who use the service. During the visit the inspector: • talked with people who use the service, staff and the manager; • looked at information about the people who use the service and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the people they care for; • looked around the building/parts of the building to make sure it was clean, safe & comfortable; • checked what improvements had been made since the last visit; • The inspector told the manager/provider what he found. These activities contributed to the inspection findings. The atmosphere in the home was friendly, relaxed and comfortable throughout the time of the inspection. Staff were friendly and respectful in their manner and conducted themselves well in the care practices they were involved in. There was good sense empowerment amongst the service users. The staff took their lead from the service users. What the service does well: The home continues to deliver high quality service allowing service users to exercise a great deal of choice and independence. The staff remain highly motivated and offer a service that is on the whole consistent with the expressed wishes of the service users. Service users have great deal of control over their lives. The staff support service users to lead active and fulfilling lifestyles. Service users engage in social and recreational activities of their choice. Service users regularly go into No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 6 town to do their shopping and to engage in other social activities, including holiday arrangements. The cultural and religious needs of the service users are fully met. The home encourages regular visits to the home by the local vicar. One service user is supported to attend church service at his local church on Sundays. The home provides extra staffing when the needs of the service users require extra staff input in order to meet specific care need. The staff are good at supporting service users to remain in touch with families, and their friends from other establishments. The home is extremely good at utilising the service of volunteers in getting the service users out into the community and to fully utilise community facilities. What has improved since the last inspection? What they could do better: The service users’ file should be better organised to enable easier access to information. File dividers should be used so that the reader can access the information easier. The service user guide must be updated to include the name of the manager and the new contact details of the Commission. The manager must have a more robust system in place to ensure that references are appropriate for the positions applied for. In one case, one of the referees was provided by a relative and the second reference was from the employer’s private address. There was no evidence that the authenticity of the references were checked. The manager should keep under review the night staffing situation. Currently there is only one waking staff on night duty. However, as a result of the increasing frailty of some of the service users, the manager would need to carry out a regular review of the adequacy of the staffing to make sure the needs of the service users are fully met during the night. No. 1 Northbourne DS0000007431.V350436.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. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good information in pictorial format about the service in the form of service user guide, which enable prospective service users and their relatives to make informed decisions about the home. Care needs are fully assessed by the home and also by a social worker before admission is arranged. The care needs are clearly identified and care plans are formulated and followed by the staff to meet the needs of the individual. The home supports and encourages pre-admission visits to the home by prospective service users, their relatives or advocates which makes the transition into residential care easier. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 10 EVIDENCE: The service users guide is available in pictorial format and made available to all the service users. This contains useful information about the environment, staffing, complaints procedure, social activities and information about the philosophy of the home. This information is made available to all prospective service users or anyone seeking information about the home. It is the home’s policy that full assessments are carried out by the social worker and copies being made available to the manager before admissions are arranged. The home carries out their own assessments of the individual in their own setting to make sure 1 Northbourne has the necessary skills and facilities to meet their need before offering a place. The assessment details of the most recently admitted service user shows that the home continues to follow this policy. In the most recent admission to the home, pre-admission visits were arranged for the service user to see the place for herself and to meet the service users who currently reside in the home. There were introductory visits to the home leading up to the actual date of admission. The prospective service user’s advocate also played a crucial role in ensuring safe transfer into 1 Northbourne. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff provide personal care and healthcare support which are consistent with the expressed wishes of the service users. Care plans and other assessment documents identify the social and healthcare needs of the service users. The detailed plans enable the staff to provide care that is effective and consistent. The home has good procedures in place for the safe administration of medicines. This promotes and health and welfare of the service users. Service users are treated with respect and dignity, which has enhanced their self confidence and self-esteem thus empowering them to determine the way they are looked after. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 12 EVIDENCE: All service users have care plans, which set out their care needs and action plan for meeting these needs. The staff continue to review the care plans on regular basis making sure that the current care needs of the service users are being addressed. Where there are changes in the care needs of the individuals, the care plans are altered to reflect their current care needs. The home provides the necessary support in meeting the healthcare needs of the service users. Record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services are maintained. The daily report records contain details of contact with medical practitioners and other professionals. Service users confirmed that their healthcare needs are fully met and continue to enjoy good health. The arrangements for the storage and administration of medicines in the home are good. The drugs administration system was examined and there were no discrepancies. The home carries out a weekly check of medicines to make sure that any mistakes are corrected in time. The service users confirmed the view that the staff treat them with respect and dignity. This was also confirmed by a volunteer who visits the home regularly. Staff were noted to treat service users with respect. Staff were observed to knock on service users door before making entry thus promoting their privacy and dignity. Staff actively sought permission from service users before going into their room. There was sense of empowerment amongst the service users. They were consulted on most aspect of the running of the home and also about what they would like to do. Assistance with personal and intimate care was provided in a discreet and dignified manner. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is positive ethos amongst the staff group to involve the service users in community activities, thus giving them a sense of belonging, respect and a great deal of control over their lives. The home provides the care and support that allows the service users to maintain their way of life and to exercise choices. The home supports families, friends and the local community to maintain contact with the service users, thus promoting their sense of belonging and worth. The service users receive nutritious diet, which contributes to their health and wellbeing. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 14 EVIDENCE: The service users are actively involved in the planning of their care, including social and recreational activities. The care needs of the service users are clearly identified and methods of addressing those needs are stated. This provides the means by which all staff follow the same care regime making sure that the service users receive consistent service from them. There is evidence of service users’ religious and recreational needs being fully met thus meeting their religious and spiritual needs. Service users confirmed that they enjoy the activities organised for them, including visits to the home by the local vicar. The service users have opportunities available to them to visit the local shopping centre to shop for clothes and to go have meals out. The role of the volunteers greatly enhance the opportunities for the service users to visit places of interest on regular basis. This has enhanced the quality of life for the service users and allowed them to be part of the local community. Staff provide support for some of the service users to visit friends and also to visit a local club at night where organised social activities are available. One service user described his recent holiday abroad and had pictures from his holiday to share with the staff and the other service users. He described these arrangements as excellent and feels this has enhanced his quality of life. The manager and staff confirmed that the local vicar continues to visit the home regularly and to offer pastoral care for those who wish to have it. Service users confirmed that the daily routines are organised flexibly to take account of individual likes and dislikes. On the day of the inspection, arrangements had been made for some service users to go into Newcastle and others went for a walk to the local beauty spot. The service users clearly enjoy the individual support they receive to continue to engage in community activities. Examination of past menus indicate that the home provides wholesome and nutritious meals for the service users thus promoting good health. The menus provide evidence of varied and nutritious meals. Service users were extremely complimentary of the food and confirmed that they are provided with good choice and that there is always plenty of food for them. The manager confirmed that the service users regularly go out to the local pubs and restaurants for a meal. Sometimes some service users have Chinese takeaway meal. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and practices in the home ensure that the service users are protected from all forms of abuse. EVIDENCE: The satisfactory observations made in the last inspection report about these standards still remain satisfactory. The home continues to have in place a satisfactory policy and procedural guidance on abuse and staff are aware of how to use the ‘Whistle Blowing’ policy should this become necessary. The Service User Guide and Statement of Purpose have summaries of the complaints procedure. These are also in pictorial form and copies are available to service users, advocates and their relatives, thereby providing the opportunity for them to complain if they wish. Service users confirmed that any concerns or complaints they may have would be treated seriously with the view to safeguarding their welfare. Suitable training on protection of vulnerable adults (POVA) has been provided for the staff working in the home. The staff who were spoken with showed good understanding of the POVA procedures and showed awareness of the need to protect service users from all forms of abuse. The home procedures in No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 16 safeguarding adults is in line with the Gateshead Council safeguarding adults procedures. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, 25, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, warm, appropriately equipped and well maintained offering service users a homely and safe environment in which to live. EVIDENCE: No. 1 Northbourne is a home designed to accommodate a small group of older people, some of whom may have mobility problems. Access into and within the home is good and meets the needs of those service users who have mobility difficulties or have use of walking aids such zimmer frames or wheelchairs. There is a specialist bathing facility to promote independent use by those who are capable of doing so. All the bedrooms and toilets have suitable lock on the doors. This provided the opportunity for service users to remain independent and to enjoy good levels of privacy. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 18 The home is close to local shops, other amenities, and to local transport routes. Staff continue to support the service users to visit the local shops on regular basis. Staff and service users also describe their regular trips to the fell, a local beauty spot. Those service users who have such support expressed their gratitude for the opportunity to continue to visit the local facilities. The home is comfortable and access within it is good and provides the opportunity for the service users to remain mobile and independent. Window restrictors have been fixed to all windows and all radiators have suitable coverings, which ensures security and safety for the service users. Checks of hot water at randomly selected bathrooms confirmed that hot water did not exceed 43°c. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. The training record shows that some staff are due for refresher training in food hygiene and infection control. The home was noted to be clean and free from offensive odour. This enhances the self-esteem of the service users. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home maintains sufficient care staffing levels to meet the current care needs of the service users. The home follows proper recruitment procedures, which protects service users from abuse, thus safeguarding their safety and welfare. However, in one of the staff files, the references were not considered appropriate. The home provides good training for the care staff to equip them in providing good quality care, thus promoting the health and wellbeing of the service users. EVIDENCE: Past rotas confirmed that the required staffing levels have consistently been maintained to ensure that the care needs of the service users are met. The home continues to increase the staffing levels to take account of busy hours of the day. However, in discussions with the manager the inspector advised her to continue to monitor the staffing arrangements for the night shift. At the moment there is only one waking night staff on duty. However, with the increasing frailty and advancing age of the service users, this arrange would at No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 20 some point need to be re-assessed to make sure that the needs of the service users continue to be met in a safe and secure environment. The company’s recruitment policies and procedures are generally adhered to by the manager. The files of the most recently appointed staff members were examined. Appropriate references have been obtained and the necessary checks have been conducted, including CRB enhanced checks. Staff confirmed that they have all had CRB checks done on them. However, in the case of one staff member, the references were not considered to be appropriate as one of them was provided by the employee’s relative. The other reference from the employer came from a private address instead of the company’s official headed notepad. The training provided for the staff included moving and handling, first aid, fire safety training, food hygiene, falls prevention and protection of vulnerable adults awareness training. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable arrangements for managing the service users monies. The current arrangements ensure safe and proper accounting, thus protecting them from financial abuse. There are good care practices in place that protected the health and safety, and welfare of the service users and the staff. Staff receive one-to-one supervision from the manager. This helps in the development of staff skills for the benefit of the service users. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has been in post for some time now and has established her management style in the day-to-day running of the home. Staff confirmed that the manager runs the service in a way that benefits the service users and the service as a whole. Staff commented on the positive relationship that she has with them and the service users. This was evident on the day by the way the manager interacted with both staff and service users. This was positive, professional and friendly. The system for managing the service users’ monies remain good and show complete accountability. Receipts for purchases made on behalf of service users are available on individual files. Withdrawals or payments made on behalf of service users are counter-signed by the service users, their relatives or staff member. There are detailed company Health and Safety policies, which provide guidance to staff on the management of health and safety issues. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The records indicated that the staff have had training in food hygiene, fire precaution, moving and handling and first aid. All portable appliances have been tested. All the servicing records that were examined were up to date. These included fire fighting equipments, servicing of hoists, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 X 4 X 4 3 4 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP1 15 Regulation Requirement Timescale for action 2 OP29 19(1)(c) The service user must be reviewed to reflect the current staffing structure and the current 30/09/07 contact details of the Commission. It should also contain all the information required to be included under the regulations. Appropriate references must be obtained for new staff, and also to ensure that these are 30/09/07 authenticated. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP27 OP37 Good Practice Recommendations The manager should keep under review the staffing levels on night shift to make sure that the increasing needs of the service are met all times. The case files for the service users should be properly organised to make sure that information is easily accessible to the reader. No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 No. 1 Northbourne DS0000007431.V350436.R01.S.doc Version 5.2 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. 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!