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Inspection on 14/11/05 for Ogilvie Court

Also see our care home review for Ogilvie Court for more information

This inspection was carried out on 14th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Although there have been changes within the staff team during 2005 and a change of manager and Responsible Individual, staff assisted with the inspection in a positive manner. Some staff have worked at the home for several years and were very knowledgeable about residents; they were responsive to residents` needs and worked well as a team. Staff morale was good.

What has improved since the last inspection?

There were no identified improvements since the last inspection in June 2005, however the home is going through a period of change. Providing the manager is given adequate support and is able to address the requirements of this inspection, the home and staff need to review the home`s strengths and weaknesses, and to set objectives for the short and long term.

What the care home could do better:

The home`s Statement of Purpose is out of date and must comply with the regulations and the National Minimum Standards. There has been little progress made in the past three years to improve the standard of some buildings at Ogilvie Court. Requirements for Craegmoor to address the problems have been identified in previous inspection reports but no confirmation has been received as to what work will be carried out or when it will commence.The acting manager has not received a satisfactory induction programme or formal supervision. The recruitment of an administrator is required as a matter of urgency to support the manager in the day-to-day running of the home. On two days of the inspection, there were insufficient senior staff on duty to monitor and supervise the support staff adequately. The home will not meet the target of 50% of staff obtaining a National Vocational Qualification level 2 by the end of December 2005. Staff training records were not readily available for inspection. Health and safety matters such as risk assessments of the building, documents relating to the servicing of equipment and fire precautions should be more accessible and always available for inspection. The maintenance of a log of events would be beneficial. The home has a Quality Assurance system in place but no action has been taken in the past year to conduct a survey to obtain the views of residents, relatives and all other interested people, such as health care professionals and social workers.

CARE HOME ADULTS 18-65 Ogilvie Court America Road Earls Colne Colchester Essex CO6 2LB Lead Inspector Brian Bailey Unannounced Inspection 10:00 14 , 15 & 28 November 2005 th th th Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 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 Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ogilvie Court Address America Road Earls Colne Colchester Essex CO6 2LB 01787 222355 01787 222495 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) Speciality Care (Rehab) Limited Manager post vacant Care Home 28 Category(ies) of Learning disability (28), Physical disability (1) registration, with number of places Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 28 persons) One named person under the age of 65 years who requires care by reason of a learning disability and who also has a physical disability The total number of service users accommodated in the home must not exceed 28 persons 8th June 2005 Date of last inspection Brief Description of the Service: Ogilvie Court is a care home providing personal care and accommodation for twenty-eight adults with a learning disability that varies from semi-independent to requiring full support from staff. The home is owned by Speciality Care (Rehab) Limited, which is a part of Craegmoor Healthcare. An acting manager has been appointed and an application for registration of a manager has to be submitted to the Commission for Social Care Inspection (CSCI). Ogilvie Court is a large property with spacious grounds situated in a rural setting some three miles from local shops and is not accessible by public transport. The home is divided into four separate buildings; all bedrooms are for single occupancy. The Lodge house is primarily for semi-independent residents and East, West and Front Units are for more dependent residents. A day care unit is located within the grounds, which is in daily use for all residents. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 14th 15th & 28th November 2005. This was the second inspection of Ogilvie Court in the inspection year 2005/6. The registered manager had resigned and left the company at the end of October 2005. An acting manager was in post and on duty on the second day of the inspection. During the inspection, a partial tour of the premises was carried out, which focused on three units, Front, East and the Lodge. Residents and staff were spoken to and a random sample of residents’ care records were examined, incident and accident records, staff rosters and training, health and safety, the Quality Assurance system, activities and medication were checked. What the service does well: What has improved since the last inspection? What they could do better: The home’s Statement of Purpose is out of date and must comply with the regulations and the National Minimum Standards. There has been little progress made in the past three years to improve the standard of some buildings at Ogilvie Court. Requirements for Craegmoor to address the problems have been identified in previous inspection reports but no confirmation has been received as to what work will be carried out or when it will commence. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 6 The acting manager has not received a satisfactory induction programme or formal supervision. The recruitment of an administrator is required as a matter of urgency to support the manager in the day-to-day running of the home. On two days of the inspection, there were insufficient senior staff on duty to monitor and supervise the support staff adequately. The home will not meet the target of 50 of staff obtaining a National Vocational Qualification level 2 by the end of December 2005. Staff training records were not readily available for inspection. Health and safety matters such as risk assessments of the building, documents relating to the servicing of equipment and fire precautions should be more accessible and always available for inspection. The maintenance of a log of events would be beneficial. The home has a Quality Assurance system in place but no action has been taken in the past year to conduct a survey to obtain the views of residents, relatives and all other interested people, such as health care professionals and social workers. 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. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. The home’s Statement of Purpose does not provide sufficient accurate information for prospective residents or their representatives to be clear about the services the home provides to meet their needs. EVIDENCE: The home’s Statement of Purpose had been amended since the last inspection but contains a number of errors. All references to the Registered Homes Act and Essex County Council as a regulator need to be changed to CSCI and details of the previous manager amended. A schedule of room sizes is also required. The statement must reflect the requirements of The Care Homes Regulations 2001. Regulation 4 (1) c. Schedule 1. A service user guide was available and a copy was placed on the file of each resident. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9. Residents are enabled to contribute to the daily life and routines of the home and to take risks to the extent of their abilities. EVIDENCE: Not all residents spoken to were able to give an opinion about how they were cared for and whether they are given opportunities to make choices and lead an independent lifestyle. A few residents did however state their preferences, the type of activities they enjoy and of their involvement in the day to day running of their house. One resident spoken to said, “I like washing up” and described making lunch and going to the Gateway Club, the pub, shopping and the trampoline. Residents were observed to come and go as they please around the site although there were some restrictions about entering other units without an invitation. Residents also spoke of enjoying the day centre activities, particularly the pottery sessions. Staff confirmed that residents are encouraged to make decisions although one member staff felt that some residents were able to achieve more than at present. A resident was seen to like spending time with staff in the kitchen; staff felt that the person’s potential to assist more in the kitchen would be developed following the imminent departure of another resident from the unit. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15 and 16. Residents benefit from being supported as individuals and that they are given every opportunity to exercise their rights and to maintain contact with their family and friends. EVIDENCE: The home is in a rather remote location, which limits easy access to the local community unless the home’s own transport is used. The home is not served by any public transport. Outings to local towns and villages have taken place and include trips to pubs and for shopping. Individual holidays are organised for residents. Residents had free access to all areas of the land including the day centre and gardens. Gates at the front of the site restrict some residents from wandering away from the home, although residents living at the Lodge are able to open the gates for visitors. Residents spoken to said they enjoy taking walks in the area with staff. Some residents were observed to hold keys to open their own private rooms. From observation, residents were able to choose when they wanted to be left alone. Staff entered bedrooms uninvited. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 11 There were no set rules about visiting times. Staff confirmed that relatives and friends were welcome at anytime and they were able to spend time with their relatives in their private rooms, the communal rooms or the extensive grounds. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19. Residents are supported by staff that understand their role in ensuring individualised care services are provided. Residents’ health care needs are met appropriately. EVIDENCE: Discussion with staff and residents along with written information and actions observed during the inspection provided evidence to show that residents were provided with personal support and care in a manner, which maximised their independence, privacy and dignity. Times for getting up and going to bed were noted to be flexible and support regarding personal hygiene was given according to need. Aids were available for those who needed them and the care plans sampled contained detailed information regarding the support received from specialist services. Staff spoken to described the procedures they follow when they observe any resident appearing unwell or behaving in a manner that is unusual. They spoke of not delaying the passing on of this type of information to senior staff and of seeking external guidance as appropriate. An example was noted of staff raising concerns with health care professionals about the health care needs of a resident. The resident was said to have possibly been affected by a change of medication and who had also recently developed a poor appetite. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has an adequate complaints procedure and systems in place to protect residents from harm, although the manager should ensure that all staff and particularly those staff left in charge are fully aware of the vulnerable adult procedures. EVIDENCE: The complaints policy was seen, which contained information on who to complain to with expected response times. Contact details of the current registration authority were up to date. Complaints have been received by the home and CSCI over the past eleven months. Issues raised included inaccurate recording, low morale of staff, cancelled outings, low staffing levels, reliance on agency staff and possible adult protection matters that questioned strategies used by staff during difficult situations. The issues have been appropriately investigated and the majority were not up-held. Over the past twelve months staff training has taken place on abuse and adult protection issues, but this training needs to be provided to all staff and to be regularly updated. The home has written guidelines concerning the protection of vulnerable adults procedures. The acting manager was aware of the procedures and of the home’s responsibilities, but must ensure that all staff left in charge of the home are fully conversant with procedures and know whom to contact should a situation arise. Comments from individual residents regarding staff attitudes towards ensuring that their choices and individual needs are respected at all times were positive, Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 14 although there are many residents at Ogilvie Court who are unable to express their views and feelings about the support from staff. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30. There has been little progress to improve the standard of some of the buildings in the last three years and although the work outstanding does not pose a risk to residents, it does not create a pleasing and pleasant environment to live in. EVIDENCE: Despite repeated requirements made in inspection reports over the past three years, very little remedial work has been carried out to improve the standard of accommodation used by some residents. Work carried out in East unit has undoubtedly improved its appearance but the repairs have been of a temporary nature and there are already signs of deterioration. Rooms used by service users for activities during the day and some outbuildings at the front of the site, although not used by residents, are of a poor standard. The kitchen in the Front unit required upgrading; tiles around the sink were in need of re-grouting and a drawer front was missing. Staff said they were awaiting a new cooker to be delivered. Carpets in the hallway of the unit were cleaner than seen at the last inspection but were still stained and further cleaning was required. A bedroom in the Front unit needs to be redecorated Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 16 The grounds were well maintained and fresh produce from the gardens was in evidence in the kitchens for residents. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 35. Residents enjoy the benefits of a competent and experienced team of staff providing care and support. Staff have a good understanding of the residents’ support needs but further training opportunities, including the National Vocational Qualification, will be of benefit to the home. EVIDENCE: A staff roster was available to show that staffing levels were being maintained and that the need to employ agency staff had decreased. On the first day of inspection, fifteen staff plus two in day care were on duty and an additional staff member was due on at 6.00pm until 10.00pm. No agency staff were on duty. Staff were again observed to be supportive of each other and to respond appropriately to residents. Staff were knowledgeable about the needs of residents and worked well as a team; when residents exhibited certain behaviour patterns, they remained calm and were not confrontational in their efforts to diffuse situations that could have escalated. The staff teams reflected the cultural/gender composition of residents. Staff spoken with considered that staff morale was good and they felt supported by the home’s senior staff, but without being specific, they were less enthusiastic about the provider. A staff-training schedule was not available although this was seen at the previous inspection. Reliance on a team leader’s memory was necessary in Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 18 order to ascertain which staff had completed training courses. The staff roster showed that thirteen staff had completed a National Vocational Qualification at level 2 and three staff at NVQ level 3. One staff member was taking NVQ 2. With a total of forty-one care staff employed, the home will not meet the National Minimum Standards target of at least 50 of staff having gained an NVQ 2 by the end of December 2005. The home will need to provide a plan to CSCI to show how and when the target will be achieved. Induction training and staff meetings were not looked at but will be checked at the next unannounced inspection. Staff spoken to confirmed the training they had undertaken and said that this had included an induction and basic health and safety, but not all staff had received regular supervision. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Until the acting manager is provided with adequate support and guidance and there are sufficient senior staff on duty on each shift, the home will continue to find it difficult to meet and maintain the Minimum National Standards and as a consequence, residents will be disadvantaged. EVIDENCE: The home has been through a difficult period since January 2005. It was necessary for senior management to carryout disciplinary investigations because of the alleged behaviour of a few staff and this resulted in the employment of some staff being terminated. The provider kept CSCI reasonably informed of events and decisions taken. A manager was appointed and registered by CSCI but had resigned at the end of October 2005 and the approved Responsible Individual also left the company in November 2005. An acting manager had been appointed, but at the time of the inspection had not received induction training or supervision. An application for the registration of a manager must be submitted to CSCI. The home’s Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 20 administrator had also resigned; although interviews for a replacement were due to take place. On the first and third day of inspection, a team leader was in charge of the home but there were no other senior staff or administrative support on duty. The team leader managed the situation well and responded to all calls from support staff for assistance or advice, but had little time to focus on other matters. Staff spoken to remarked on the approachability and accessibility of the senior staff including the acting manager. Several staff expressed concerns about the number of staff on duty at night, as there are situations that arise when they consider residents are placed at risk. There was no evidence to show that a Quality Assurance system survey of residents, relatives and other interested people had been carried out in the past year. The home’s Health and Safety records were not readily available and for information to be retrieved. Portable electrical appliances had not been checked in the past year. Records did show that a fire drill had been held on 12/7/05 and the fire extinguishers and fire alarm system had been serviced in 2005. Regular checks of the fire detection system are made by the home. COSHH data sheets were seen, but there was no evidence of when the boilers were serviced. It was recommended to the acting manager that a member of staff is delegated the responsibility for all health and safety matters including training and that the records are maintained more effectively. All staff spoken to confirmed they had received the basic health and safety training. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 3 X 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ogilvie Court Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 1 X 2 X X 2 X DS0000017898.V265147.R01.S.doc Version 5.0 Page 22 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 YA1 Regulation 4 Requirement The registered provider must ensure the home’s Statement of Purpose is amended to reflect the recent management changes and meet the requirements of the Care Homes Regulations 2001. The registered provider must ensure that all staff are trained in recognition and responding to suspected adult abuse. All staff left in charge of the home must be made aware of the procedures for reporting suspected abuse. The registered person must provide the Commission for Social Care Inspection with details of when repair work will commence to improve the environment. (Timescale of 1/8/05 not met.) The registered provider must ensure the kitchen units in the Front are repaired or replaced and the tiling around the sink is repaired. The registered provider must ensure a bedroom in the Front unit is redecorated. DS0000017898.V265147.R01.S.doc Timescale for action 31/01/06 2 YA23 18 01/02/06 3 YA24 23 31/12/05 4 YA24 23 01/03/06 5 YA25 23 01/02/06 Ogilvie Court Version 5.0 Page 23 6 YA32 18 7 YA33 18 8 YA35 18 9 10 YA37 YA39 9 24 11 YA42 12 The registered provider must submit a plan to the local CSCI office showing how and when the target of 50 of staff will have obtained a National Vocational Qualification. The registered provider must ensure there are adequate management and senior staff on duty. The registered provider must ensure that information is readily available at the home to show the training that has been undertaken by staff. An application for the registration of a manager must be submitted to CSCI. The registered provider must ensure that a Quality Assurance system and survey is carried out to obtain the views of residents, relatives/friends and other interested people such as health care professionals. The manager must ensure that all matters relating to Health & Safety are up to date including the checking of portable electrical appliances and staff training and information is kept in a file that enables easy access. 31/01/06 01/01/06 31/01/06 31/01/06 01/04/06 01/01/06 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 YA36 Good Practice Recommendations All staff should receive supervision at least six times a year. Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ogilvie Court DS0000017898.V265147.R01.S.doc Version 5.0 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. 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