Inspection on 27/11/07 for Norton Lees Lodge

This inspection was carried out on 27th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Norton Lees Lodge 27/11/06

Norton Lees Lodge 09/05/06

Norton Lees Lodge 03/02/06

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

CARE HOMES FOR OLDER PEOPLE Norton Lees Lodge 156 Warminster Road Norton Lees Sheffield South Yorkshire S8 8PQ Lead Inspector Michael O`Neil Key Unannounced Inspection 27th November 2007 09:30 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 Norton Lees Lodge DS0000066121.V349739.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. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norton Lees Lodge Address 156 Warminster Road Norton Lees Sheffield South Yorkshire S8 8PQ 0845 6027471 0114 2586740 nortonleeslodge@orchardcarehomes.com www.orchardcarehomes.com Orchard Care Homes.Com Limited 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) Post Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (40) registration, with number of places Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three service users over the age of 60 years may be accommodated at the home. 27th November 2006 Date of last inspection Brief Description of the Service: Norton Lees Lodge is situated in the Norton Lees area of Sheffield close to local shops, other amenities and a bus route. The building is purpose built and has two floors accommodating service users who require dementia care. The home is registered for 40 places. The home has a sufficient number of baths, toilets and showers. All the bedrooms are single and have en-suite toilets. The home is accessible to service users, ramps and a lift are available, and aids and adaptations are in place. A conservatory has been built in the past few months, which has created additional space for the residents. The home has a pleasant enclosed garden. Car parking is available. The manager confirmed that the range of monthly fees from 27th November 2007 were £363 - £545 per week. Additional charges included hairdressing and private chiropody. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Mike O’Neil and Sue Turner regulation inspectors. This inspection took place between the hours of 9.30 am and 3:45 pm. Karen De La Mare, manager awaiting registration with the CSCI, was present during the inspection. The CSCI sent out questionnaires asking people who use the service, relatives and staff about the care and the service provided. Four people, 5 relatives, 7 staff and a health professional returned questionnaires. The manager submitted an Annual Quality Assurance Assessment (AQAA) to the CSCI prior to the actual visit to the service. Some information from the AQAA is included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to 5 staff, 2 relatives and 6 people who use the service. Mike O’Neil also carried out an inspection at the home on 11 September 2007. This was a thematic inspection lasting 3 hours. A thematic inspection is a short, focused inspection that looks in detail at a specific theme. This inspection looked at the quality of care people with dementia experience when living in care homes, focussing on ‘dignity’ as an important part of people’s quality of life. We used the national minimum standards 7, 10, 12 and 14 to do this thematic inspection, with a focus on dignity for people with dementia. Because people with dementia are not always able to tell us about their experiences, we also used a formal way to observe people in this inspection. We call this ‘Short Observational Framework for Inspection (SOFI). This involved us observing 5 people who use service for 2 hours and recording their experiences at regular intervals. The observations recorded included peoples state of well being, and how they interacted with staff members, other people who use services, and the environment. Some information from the thematic inspection is included in the main body of the report. The inspectors wish to thank the staff, relatives and people for their time, friendliness and co-operation throughout the inspection process. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 6 A copy of the previous inspection report was displayed and available in the foyer of the home. Information about how to raise any issues of concern or make a complaint was on display in the foyer. What the service does well: What has improved since the last inspection? The activities programme is much more structured and has improved since previous inspections. Since the last visit further refurbishment of the home has occurred. Externally a new sensory garden is near completion. This will provide a really pleasant outside space for people. Minor repairs requiring attention at the last visit have been completed and domestic touches such as pictures and dried Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 7 flowers have been added to the toilets and bathrooms. This makes the bathrooms feel much more homely and less clinical. The frequency of staff meetings has increased meaning that staff have more opportunity to air their views and receive information. Practice fire drills were being conducted in the home on a more frequent basis and the records identified the required information. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Norton Lees Lodge DS0000066121.V349739.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 Norton Lees Lodge DS0000066121.V349739.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): Standard 3.Standard 6 is not applicable to this home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of people took place prior to their admission to the service. These assessments enabled staff to be aware of peoples needs to ensure that they could be met. This home does not provide intermediate care services. EVIDENCE: Three peoples files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the peoples care plans. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person had a plan of care, however these did not include sufficient detail to ensure that peoples individual needs were being met. Medication procedures protected people’s health and welfare. Staff promoted people’s privacy and dignity. EVIDENCE: Three peoples care plans were checked. The peoples care plans checked were good in that they contained detail about the person’s biography, personality and their preferences and choices. The plans were not adequate however because they did not contain detailed information as to how the persons’ health and personal needs could be fully Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 11 met. One person’s plan had not been reviewed despite significant changes to their mental health. Daily notes were completed but these did not always link with what was recorded in the care plans. Also some staff recorded information that was in an inappropriate language. The inspectors discussed the legality of the documents and stressed the need for staff to be aware of what and how they were recording information. The peoples care plans checked at the SOFI inspection contained the persons, biography, personality and showed involvement of the person or their advocate. However the care plans checked at the key inspection showed no evidence to confirm that people and/ or their relatives were involved in drawing up and reviewing the care plans. The care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that GP’s, dentist, opticians and chiropodists visited the home as requested. Relatives and people said: “The staff are very friendly and they are one in a million” “I’m very satisfied with the care” “The care is good and the staff are very caring” People looked clean, well dressed and appeared to have received a good level of personal care. Medicines were securely stored in locked trolleys within locked cupboards. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Staff said they had completed an in-depth training programme. This gained them the competencies needed to administer medications. There was evidence that managers and trained staff were auditing medication administration procedures. MAR sheets checked showed that people’s allergies, if any, were being recorded on the record. This was a previous requirement issued at the last key inspection. Throughout both visits to the home the inspectors observed that staff were seen to treat people with respect and courtesy. We also observed staff being very warm and accepting to all people who use the service. Staff frequently held or touched people who were distressed and this seemed to provide comfort to people. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 12 At the time of the SOFI observation there was no privacy and dignity policy in place at the home. However a policy has now been developed and was available for staff. Norton Lees Lodge DS0000066121.V349739.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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had a choice of lifestyle within the home and were able to maintain contact with family and friends ensuring that they continued to be involved in community life. A range of activities were on offer, further activities would promote choice and maintain peoples interests. Meals served at the home offered choice and ensured people received a healthy balanced diet. EVIDENCE: People said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. The inspector saw that everyone coming to the home was made to feel comfortable whilst visiting their loved one. People said that they enjoyed the activities available. They said there were plans to go on a shopping trip and to see some Christmas lights. A poster Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 14 advertised a ‘Pantomime’ and information was displayed in the foyer advertising that skittles and a singsong was planned for that day. The activities programme is much more structured and has improved since previous inspections. Some people did say, however, that although better, there still wasn’t enough to do. Carers at the home had the responsibility of carrying out activities, which although they enjoyed, added to their workload. The inspector discussed with the manager the need for an activities worker, to enhance people’s social life and reduce the burden on carers. If there was staff sickness or particularly busy periods in the home, activities, it was felt, would be first thing that would be disregarded. People said that they enjoyed watching television. However, the television reception was very poor making it nearly impossible for people to enjoy a programme. At both visits it was seen that staff made efforts to include people in conversation and in their everyday life. Staff also encouraged people to communicate with each other and provided some social activities to enable this. Lunch was observed at both visits. The mealtime experience for people was very positive. Tables were set nicely with cloths, condiments, matching crockery and fresh flowers. During the morning people had chosen from several meal options and were given their preference. Staff were supporting people with their meal in a polite and discreet way. The menus were varied, and there were plentiful supplies of fruit and vegetables included. People said “We always get a good meal” “The food is very good, with a lovely variety”. Norton Lees Lodge DS0000066121.V349739.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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures were in place and people and their relatives felt confident that any concerns they voiced will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected. EVIDENCE: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This contained details of who to speak to at the home and who to contact outside of the home to make a complaint should they wish to do so. People said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. The home kept a record of complaints, which detailed the action taken and outcomes. Staff spoken to were clear how to respond and record any complaints received. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 16 An adult protection procedure was in place. Staff had undertaken formal training on adult protection, which had equipped them with the skills needed to respond appropriately to any allegations. People spoken to said that they felt safe living at the home. Norton Lees Lodge DS0000066121.V349739.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): Standards 19, 21, 24 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment within the home was well maintained, furhished to a good standard and in the main clean, providing a comfortable, safe environment for people. EVIDENCE: In the main the home was clean and tidy. Lounge and dining areas were domestically furnished to a high standard. Since the last inspection further refurbishment of the home has occurred. Externally a new sensory garden is near completion. This will provide a really pleasant outside space for people. Fresh flowers were being renewed around Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 18 the home. The inspectors were informed that a florist regularly visits the home to renew floral displays. This is a very nice touch for the people of the home. Minor repairs requiring attention at the last visit have been completed and domestic touches such as pictures and dried flowers have been added to the toilets and bathrooms. This makes the bathrooms feel much more homely and less clinical. Clearly the investment in the environment of the home is continuing. It was surprising therefore for the inspectors to find that only one domestic is employed at the home all day. The domestic was seen to be very busy and in the main managing to keep the home clean. However a strong unpleasant odour was noticeable in one bedroom and the odour had spread to the corridor. The chair in this room was also stained and food debris was found under the chair cushion. The smell seemed to emanate from the carpet. A thorough clean of the carpet is required. However in view of only one domestic being employed the movement of furniture to clean the carpet may present a problem. People said the home was always kept clean although one relative did say that they had noted an unpleasant smell in the corridor on occasions. Staff said they were now being provided with a master key, meaning that in the event of an emergency they could gain immediate access to rooms. The hot water temperature in one bathroom checked measured a safe temperature below 45 degrees centigrade. This will assist in maintaining resident safety. Norton Lees Lodge DS0000066121.V349739.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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff were provided to meet the care needs of people. However the registered provider must be satisfied that the domestic and activity staffing levels are adequately maintained. Recruitment procedures promoted the protection of people and staff had completed training, including induction. EVIDENCE: Staff rotas showed that there was sufficient staff employed to meet the needs of people. Staff said that there were usually enough staff, except sometimes at holiday times and if there was staff sickness. There is only one domestic and no activity coordinator employed. Extra pressures are therefore placed on care staff to undertake duties that may remove them from providing direct personal care for people. Staff said they worked well together as a team and enjoyed working at the home. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 20 The required 50 of care staff had not achieved their level 2/3 NVQ qualifications, although the manager said a number of staff had enrolled or were undertaking their NVQ training. Staff were able to talk about the various training courses that they had attended, which included all of the mandatory training, for example, Moving and Handling, Food Hygiene, Adult Protection, First Aid and Fire. Other specialised topics for example report writing had been delivered by the Sheffield Partnerships for Older Peoples Projects (POPP’s) team. Some staff said they had received specific training covering areas such as understanding Person Centred Care, how to communicate with people with dementia and understand the perspective of people with dementia. Staff said they had undertaken this training on a 3-month distance-learning course and through in-house training. This training enabled staff to have the skills needed to support people with dementia. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Three staff files checked identified that the member of staff had received induction training when they commenced work. The recruitment records of 3 recently employed staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them. These were satisfactory. Protection Of Vulnerable Adults (POVA) checks had been made. Enhanced Criminal Record Bureau (CRB) checks had been obtained for the staff members. Norton Lees Lodge DS0000066121.V349739.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): Standards 31, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures and ethos of the home ensure that the home is run in the best interests of people who use the service. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: The manager is aware for the need to re submit her application to the CSCI to register as the manager. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 22 The manager said she is close to achieving her Registered Managers Award (RMA). She hopes to complete the course and obtain the qualification by January 2008. The manager showed commitment to improve the service of Norton Lees Lodge. Everyone spoken to and information from questionnaires confirmed that people, staff and relatives were all happy to approach the manager at any time for advice, guidance or to look at any issues. The home had an active quality assurance system. There was evidence of internal auditing of the homes environment, services and records. Staff meetings were held and minutes of these meetings were seen. The frequency of these meetings has increased since the last key inspection. The responsible individual visited the home on a regular basis, a report was written following the visits. People who use the service met regularly with the management of the home. Minutes of these meetings were seen. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Fire records stated that weekly testing of the fire alarm system had occurred. A sample of records showed servicing of the homes utility systems had occurred. Practice fire drills were being conducted in the home on a more frequent basis and the records identified the require information. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. This will promote the safety and welfare of the people. Norton Lees Lodge DS0000066121.V349739.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X 3 X 2 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 2 X 3 X 3 3 X 3 Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Peoples care plans must contain sufficient detail and be regularly reviewed to ensure that people receive a consistent high standard of care. Reviews of the care plans must include the wishes and opinions of people or their advocates. Daily notes recorded must link with what was recorded in the care plans. Notes made by staff must promote and uphold a person’s dignity. People must have the opportunity to exercise their choice in relation to social and leisure activities. (Television) All areas of the home must be kept clean and free from offensive odours. Timescale for action 01/03/08 2. OP7 12 15 01/03/08 3. OP7 12 15 01/03/08 4. OP12 16 01/03/08 5. OP26 23 01/01/08 6. OP27 18 Staffing levels must be reviewed. 01/02/08 The registered provider must be satisfied that staffing levels are adequately maintained. DS0000066121.V349739.R01.S.doc Version 5.2 Page 25 Norton Lees Lodge 7. OP31 8,9 (Domestic and activity support staff) The manager must forward an application to the CSCI to enable the registration of manager process to commence. 01/02/08 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 OP28 OP31 Good Practice Recommendations 50 of care staff should be trained to NVQ level 2 or equivalent. The manager should be trained to NVQ level 4 or equivalent in management. Norton Lees Lodge DS0000066121.V349739.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Norton Lees Lodge DS0000066121.V349739.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!