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Inspection on 29/01/08 for Ocean Hill Lodge

Also see our care home review for Ocean Hill Lodge for more information

This inspection was carried out on 29th January 2008.

CSCI found this care home to be providing an Poor service.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

During the course of the inspection considerable care and kindness was noted from the staff to the service users in the delivery of care. The registered provider employs the staff on a contract basis with hours that suits them, consequently there are a number of different shift hours being worked. The staff appreciate this and the registered provider stated that it helped retain the staff. This in turn is appreciated by the service users who all spoke enthusiastically about the "wonderful staff at Ocean Hill Lodge". Daily recording records kept at the home are of a generally good standard.

What has improved since the last inspection?

Medication practices have improved. The recording and administration of controlled drugs is now carried out according to that required by the care homes national minimum standards. Recommendations made in the last report, have in part, been activated. A quality assurance survey is currently taking place. The registered provider has now obtained the Registered Managers Award. The majority of staff have received adult protection training.

What the care home could do better:

There must be a care plan for each resident which sets out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the resident are met. Care plans must be reviewed by care staff in the home at least once a month to reflect changing needs and current objectives for health and personal care, and actioned. Evidence is made available to indicate that where practicable, the resident and their representative are involved in the review process. The adult abuse protection policy should include a flow chart or description of how and to whom an allegation of abuse must be reported. Policy and procedure documents require an urgent review to ensure they are up to date and fully reflect the service currently being provided. Staff must receive formal supervision at least six times a year.

CARE HOMES FOR OLDER PEOPLE Ocean Hill Lodge 4/6 Trelawney Road Newquay Cornwall TR7 2DW Lead Inspector Mike Dennis Unannounced Inspection 29th January 2008 04:05 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 Ocean Hill Lodge DS0000063399.V357804.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. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ocean Hill Lodge Address 4/6 Trelawney Road Newquay Cornwall TR7 2DW 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) 01637 874595 01637 874595 oceanhilllodge@hotmail.co.uk Mrs Sandra Dunn John Howard Dunn Position Vacant Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (18), Old age, not falling within any other category (18) Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named service user under the age of 65yrs with dementia 12th.June 2007 Date of last inspection Brief Description of the Service: Ocean Hill Lodge is a care home registered to offer personal care and accommodation to a maximum of eighteen residents over the age of sixty-five, who may also have a mental disorder. The home is situated in the seaside town of Newquay, within walking distance of the shopping centre and Trenance gardens. The boating lake is near and residents are assisted to enjoy the walks and coffee shop. For residents who are unable to get to town, services such as hairdressing and chiropody are arranged at the home. On the ground floor there is a smoking lounge, lounge/dining room and patio garden area. There is a chair lift to the first floor. All rooms are singles, with the exception of two rooms, which have been combined for a couple. There is limited parking to the rear of the home and on street parking to the front of the premises. The residents are encouraged to take their meals in the dining room, although this is flexible depending on their wishes. Family and friends are welcomed to the home. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. The key unannounced inspection at Ocean Hill Lodge took place over the hours of 0900 to 1600. During the course of the inspection the registered provider was on duty for part of the day. A senior care assistant facilitated during the morning. During the course of the inspection residents were met and spoken to, case tracking took place for five residents and one visitor was spoken to. During the course of the day staff on duty were also spoken to. The premises were inspected and records were also inspected relating to the welfare of the service users. The home is able to offer short term stays (when there is a bed available) as well as longer term care. The weekly cost of the care is £349.01 As stated above the rating for this service is poor. This rating is given due to the fact that Care plans are not complete and have not been reviewed, policies and procedures have not been reviewed, and, staff are not receiving regular recorded supervision. These issues were reported on in previous reports and yet have not been complied with. We determine that the actual delivery of care is good. Compliance the statutory recommendations listed in this report need urgent attention to facilitate an improved star rating. What the service does well: During the course of the inspection considerable care and kindness was noted from the staff to the service users in the delivery of care. The registered provider employs the staff on a contract basis with hours that suits them, consequently there are a number of different shift hours being worked. The staff appreciate this and the registered provider stated that it helped retain the staff. This in turn is appreciated by the service users who all spoke enthusiastically about the “wonderful staff at Ocean Hill Lodge”. Daily recording records kept at the home are of a generally good standard. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 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. Residents’ needs are assessed so that they can be assured that the home can provide the care required. EVIDENCE: The manager visits prospective residents and completes a needs assessment. A standard format for assessment and care planning is used. When completed in sufficient detail, this record covers the assessment issues specified in the standard and the diverse needs of prospective residents. The residents’ records case tracked contained completed and comprehensive needs assessments. The home staff carry out an assessment for both private purchasers and those commissioned by the local authority. The home’s assessments do not always state who was present at the assessment. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 9 The records for a resident case tracked included the assessment and commissioning documents from the local authority. The assessment part of the care planning records were completed in good detail. This home does not provide Intermediate Care. Ocean Hill Lodge DS0000063399.V357804.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): 7, 8, 9, 10 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health, personal and social care needs are not adequately set out in individual plans of care. The plans of care are not regularly reviewed and amended. Medication procedures are appropriately followed EVIDENCE: At this time compliance for the statutory requirement to improve the recording system for plans of care is not met. The registered provider is in the process of re-doing all the care plans in the home. This is a very large task and progress is slowly being made. The time-scale for compliance has been extended in this inspection report for a second time and a serious note should be made of this date. In addition once the care plan has been updated regular reviews must then be evidenced as having taken place. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 11 We case tracked five residents care plans. In two cases partial information had been transferred to a new recording system, (Standex System of recording). In another two cases good care plans were recorded but these had not been reviewed for several years. In the final case there was the original care assessment but no follow up care plan. This resident has been at the home for some 6 months. In some cases these plans were not dated or signed and no evidence was presented as to who was present at the time of their inception. In addition there was no evidence to suggest these plans of care had been reviewed. There was no evidence to suggest that residents are not having their care needs met but the records do not support the level of care delivery. Daily records are completed by the care staff. These records clearly evidence that the staff provide a good standard of care to residents. Particular credit is given to the staff for the regular amount of bathing that is taking place at the home. The residents are able to make a complete choice as to how many baths they would like in a week and this choice is then met by the care staff. The daily records are full, comprehensive and informative and include information as to daily activities, interests and numbers of visitors received. Occasionally the terms “all fine” and “usual day” were found. Staff need to avoid using such terms. Apart from this criticism records are of a good standard. Residents are registered with local surgeries and receive appropriate health care support services as required. This includes for example support from community nurses. Records indicate that the home has good working relationships with health care professionals and that they are working in a preventative way by making referrals very early when there are problems. The local pharmacy provides support and training to the home and the care staff on an annual basis. On the day of the inspection medication administration records for the main medication were found to be completed appropriately. Improvement is noted in recording practices for the Controlled Drugs. A new register has been purchased and is being used correctly. We conducted a short audit of controlled drugs against the register and all was found to be satisfactory. During the course of the inspection all the residents spoken to expressed very positive comments on the kindness of the staff. A number of them said “nothing is too much trouble for them”. Observations of staff and resident interaction confirmed that the staff at the home are very kind and that they treated each resident as an individual with respect and consideration. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14, 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. Residents are supported to follow a lifestyle, which accords as far as possible with their own choices and preferences. The diet provided is varied and nutritious with attention to individual preferences. EVIDENCE: Residents were observed to exercise choice to enjoy the privacy of their own rooms or join other service users in communal areas for company or meals. Residents confirmed that they access community facilities and services with support. Most afternoons the registered providers and or staff are involved in an activity and or outing with the service users. The home has it’s own transport to facilitate this. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 13 During the course of the day relatives/friends visited the home and were observed to be made to feel very welcomed. Visiting is “open” and encouraged. All visitors are asked to sign the visitors’ book for the fire regulations. One visitor was spoken to during the course of the inspection. She expressed very positive comments about the home. The home will organise occasional visiting entertainers, group activities and church services at the home. A chiropodist, hairdresser and mobile library also regularly visit the home. External activities in the specialist vehicle include trips to the coastal areas, garden centres and the local boating lake and café. The home utilises the services of an activities co-ordinator. The meals provided in the home are good with special diets and choice catered for. All records of meals provided are in place at the home (as required by legislation) and the cook(s) know the service users well. Each resident spoken with expressed very positive comments on the standard of the meals at the home. The main meal of the day was roast lamb, roast potatoes and cabbage and carrots followed by peaches and cream. Anyone not wanting the roast lamb was able to have a salmon salad. In the afternoon a carer spends time with each service user asking them what they would like for tea. On the day of the inspection this was individual sandwiches of choice or poached egg on toast followed by cakes and buns. The home works with the District Council Environmental Health Department on keeping records in place for “Safer food and better business” good practice. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. 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. The home has a satisfactory complaints procedure that would ensure that complaints are listened to and acted upon. There are arrangements to protect service users from abuse. More information as to the processes to follow when an allegation of abuse is made must be added to policy documents. EVIDENCE: The home has in place a clear and simple complaints policy and procedure that includes the address and telephone number of the CSCI and the timescales for complaint investigation. The home maintains a complaints log that includes the action taken to resolve the complaint. A further record is held on the individual file of the service user. The registered provider and all but the newest of staff have attended Adult Protection training run by Cornwall County Council. Further training is booked for all staff to ultimately receive this training. It is appropriate for the adult protection policy and procedure to be developed and expanded as at this time it does not include clear procedures for informing agencies with an alert. The policy should include a flow chart to describe the steps to be taken when an allegation of abuse is made and how to set up an Adult Protection Strategy Meeting Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 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 design, layout and facilities provided at Ocean Lodge, enables residents to live in a safe and comfortable environment. EVIDENCE: Ocean Hill Lodge is positioned in a very accessible position and convenient location to access all the facilities of Newquay. A limited amount of car parking is available in the rear grounds of the home with additional parking on the road. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 16 Communal space within the home includes a large combined lounge with dining room and a separate television lounge, which is also the smoking lounge. Bedrooms are available on the ground and first floor of the home. All bedrooms are individually furnished and decorated. Access to the first floor of the home is by stair lift if required. The home is generally well maintained, very homely if not slightly cluttered in some of the communal areas. This is due to a lack of storage areas for equipment. The home provides appropriate equipment to support service users (where required) in their day to day living. Safety measures are in place to protect those service uses with a dementia. The home was found to be very clean on the day of the inspection. The laundry is small, with one industrial washing machine and one domestic tumble drier. Improvements to the building are in hand. On the day of inspection, contractors were completing the installation of a new wet room shower and toilet. A company representative arrived to give a quotation on installing an overhead lifting device. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 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. Evidence is in place that staff are recruited correctly, staffing levels are satisfactory and training is on going and planned. The staff were noted to be very capable, kind and caring during the course of the inspection. The staff are appreciated by the residents. EVIDENCE: On arrival at the home there were appropriate staff numbers and skills mix available to provide for the residents welfare. The rota showed that four carers are on duty during the morning and this reduces to three for the afternoon and early evening. One waking and sleeping carer is provided for residents that may require attention at night. A cook, domestic and maintenance staff support these arrangements. The staff presented very well during the course of the inspection with appropriate skills and good, positive and kind attitudes during their interactions with service users. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 18 The home maintains a good communication system at handover meetings where senior carers delegate daily tasks and responsibilities to carers. Evidence is in place that satisfactory recruitment procedures are being followed for the employment of new staff. There is a large amount of training for staff booked and ongoing and planned to take place. The statutory requirement for ensuring that a staff member who has a first aid qualification is on duty at all times has been met. Fire drill training for all staff is up to date as is moving and handling training. There are plans on a rolling programme for more staff to attend adult protection training, dementia and mental capacity act training. There are currently 17 care staff employed. Eight of these have attained an NVQ qualification, two are currently undertaking NVQ level 2 and a further two are doing their nursing training. It is recommended that individual staff training files are kept with a chronological record of all training. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33,34, 35, 36, 37, 38 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. The registered provider and staff are providing a good standard of care. The overall rating given as a result of this inspection does not reflect this statement, due to the fact that the care homes legislation is not being met in terms of maintaining records, policy and procedure documents. EVIDENCE: The registered provider manages the home on a day to day basis and has attended a “skills for care” conference on management training. The registered provider has completed the NVQ level 4 in care and has now completed the Registered Managers Award. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 20 The records inspected around policies and procedures that are the documentation for all practices in the home are considerably out of date. The majority of policies and procedures have not been reviewed since 2003. This must be addressed as a priority and was included in the last inspection report as a statutory requirement. An extended time scale for compliance is given. Previous inspection reports have suggested that the registered provider would benefit from additional support to undertake and complete the administrative role. This recommendation is included in this inspection report. Whatever decisions the Registered Providers make, it is imperative that all records, policies and procedures are maintained, kept up to date in accordance with the Care Standards Act, the National Minimum Standards and the Care Homes Regulations. The Registered Providers are in the process of implementing a quality assurance survey. Questionnaires have been sent to relatives and the returns are now awaited. All the service users are encouraged to hold their own finances or if this is not possible a family member/representative is asked to have these responsibilities. Consequently, there is no money being held on the premises on behalf of the service users. We were told that supervision and support of staff is regularly undertaken as and when required. There was no evidence to confirm this statement. All staff must have a formal supervision at least six times per year. A record must be kept of the content of this supervision. Health and Safety training has taken place and the majority of staff have attended courses. There is now as required a staff member on duty at all times with a first aid qualification. It is appropriate for all health and safety policies and procedures to be reviewed. Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 1 8 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 3 3 1 1 3 Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 22 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 The registered provider must develop the Service Users plan of care to incorporate health, personal and social care needs to enable it to inform and direct care. A service user plan of care generated from a comprehensive assessment (see Standard 3) must be drawn up with each service user and provides the basis for the care to be delivered. NOT PREVIOUSLY MET AFTER AN EXTENDED TIMESCALE. 2 OP3 14 The registered provider must detail who was present when pre-admission care assessments are conducted to ensure that the resident, his/her representatives (if any) and relevant professionals have been party. 01/04/08 Timescale for action 01/05/08 Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 23 3. OP37 17 The registered provider must ensure records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained, up to date and accurate to include the review of all policies and procedures. NOT PREVIOUSLY MET. 01/04/08 4 OP36 18 All staff must receive formal supervision at least 6 times per year. A record must be kept to evidence this. 01/05/08 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 Refer to Standard OP30 Good Practice Recommendations For all training to be evidenced as taking place for the staff. It is recommended that an individual training and supervision file is kept for each staff member. The registered provider should consider the use of additional support, a review in the management role, time management skills and resources needed to ensure compliance with the responsibilities of a registered manager. 2 OP31 Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Ocean Hill Lodge DS0000063399.V357804.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!