CARE HOMES FOR OLDER PEOPLE
Olivia Residential Care Home (2) 7 Beechcroft Avenue New Malden Surrey KT3 3EG Lead Inspector
James O`Hara Key Unannounced Inspection 14th May 2007 11:00 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 Olivia Residential Care Home (2) DS0000013427.V336658.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. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Olivia Residential Care Home (2) Address 7 Beechcroft Avenue New Malden Surrey KT3 3EG 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) 020 8949 1701 F/P 020 8949 1701 maggie@ktbart.fre/online.co.uk Mrs Lucja Bart Mrs Lucja Bart Care Home 6 Category(ies) of Dementia (6), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (6), Old age, not falling within any other category (6) Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16th October 2006 Brief Description of the Service: The home is situated in a quiet residential area, yet close to both local amenities and town centre facilities. The home is much influenced by Polish language, food, religion, media and culture. This meets the needs of residents ideally, as some of the residents are Polish and it is clear that this influence is much valued by those who live here. It should be noted that the service is not exclusive to residents from Poland, but any prospective residents should be aware of the influence of Polish culture in the Home. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key unannounced site visit was carried out between 11 am and 1.30 pm on a Monday morning/afternoon. Methods of inspection included a tour of the premises, observation of contact between staff and residents, discussion with all of the residents and the registered manager Mrs Lucia (Maggie) Bart. Records examined included residents care plans, staffing and training records, medication, and health and safety records. Recommendations from the previous inspection were also discussed with Mrs Bart. A large number of residents and relative’s questionnaires were also returned to the Commission as feedback. What the service does well:
The overall impression when visiting the home is that it is well organised and well managed. Mrs Bart is highly competent in caring for older people. Other professionals, residents and their relatives see her as someone who consistently provides high quality services. It is evident that Mrs Bart is very committed to meeting the needs of the residents. The home has a Statement of Purpose that provides prospective residents and their representatives with the information they need to make an informed decision about whether or not to move into the home. Significant time and effort is spent when planning and admitting residents to the home. Mrs Bart considers the needs of any prospective resident carefully before agreeing admission to the home. Prospective residents and their family, always have the opportunity to visit and spend time in the home prior to agreeing admission. Suitable arrangements are in place so that the resident’s health care needs are identified and met. The home has its own questionnaires that it employs as part of a quality monitoring system. One of these had been completed and returned by a Community Staff Nurse; she stated, “ I consider this a very positive environment for elderly residents-they appear to be very well cared for ”. A local Catholic Priest who visits the residents at the home said, “I consider this a very happy home. All of the residents feel safe and content, there is a homely atmosphere”.
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 6 Residents said that they where happy living at the home, they liked the staff, they liked the food and the fact that the home was always clean and warm. One resident said, “The manager is marvellous she gets us everything we want, this is a very happy home”. In a questionnaire returned to the Commission one relative stated that she had a very good relationship with Mrs Bart. She also stated that the home offers more care than they are contracted to do and the home shows a lot of interest in the residents and the home creates a family atmosphere. Another relative stated “I am highly satisfied with the care my aunt receives, the staff are always highly professional in their approach to residents and their relatives, the home ensures that the well being and care of each resident is catered for in an individual level to a professional and personally tailored standard, in my opinion the home operates to the highest standards”. Mrs Bart said that she is constantly listening to the opinions of the residents, their relatives and other interested parties about the service provided in the home and that she is always trying to improve things for the residents. What has improved since the last inspection? What they could do better:
There were three recommendations set at the last inspection. These have been addressed. As a result of this inspection two new recommendations have been set. These are in relation to staff team meetings and staff supervisions. The inspector would like to thank the residents, Mrs Bart and staff for their support on the day of the inspection. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Olivia Residential Care Home (2) DS0000013427.V336658.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 Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides people who plan to use the service and their representatives with the information they need so that they can make an informed decision about whether or not to use the service. No new service user has moved to the home since the last inspection however all the procedures are in place should they be needed. EVIDENCE: The home has a Statement of Purpose that would provide any prospective residents or their representatives with the information they need to make an informed decision about whether or not to use the service. The registered manager is Polish and the home is much influenced by Polish language, food, religion, media and culture. This meets the needs of residents ideally, as some are Polish.
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 10 It should be noted that the service is not exclusive to residents from Poland, but any prospective residents should be aware of the influence of Polish culture in the Home. One resident moved away since the last inspection. Mrs Bart stated that this was because the resident’s needs had changed and the home could no longer meet his needs. No new residents have moved into the home since that last inspection. Mrs Bart stated that if a new resident were to move into the home then this would follow a referral from a care manager. Mrs Bart would obtain a care manager needs assessment and other appropriate information prior to completing the homes own assessment to see if the home is suitable placement for the new resident. Residents and their family would also be encouraged to visit the home to see if they liked it before they decide to move in. It is evident from previous inspections that significant time and effort is spent when planning and admitting residents to the home. Mrs Bart considers carefully the needs assessment for each prospective resident before agreeing admission to the home. Prospective residents and their family, always have the opportunity to visit and spend time in the home prior to agreeing admission. Mrs Bart said that she would be prepared to visit the prospective resident and their family to get to know them. The home does not offer intermediate care. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place so that the resident’s health care needs are identified and met. EVIDENCE: All residents are registered with a local General Practitioner. The General Practitioner carries out medication reviews. Medication is stored in a locked cabinet in the dining room and on the day of the inspection records accurately reflected administration details. Evidence was seen that a local pharmacist visited the home on the 12th of March 2007. The home has a book for the receipts and returns of medication. Mrs Bart stated that the pharmacist supports the home with medication related issues. The pharmacist recommended and supplied the home with a dosett box system for administering medication. Mrs Bart stated that this system is much better and easier to manage.
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 12 It was recommended at the last inspection that the registered manager develop a daily register of controlled medication. Mrs Bart stated that controlled medication is no longer stored in the home as the resident prescribed that medication has moved to a nursing home. One resident’s file was examined at random. The file included a recent placement review carried out by a care manager from The Royal Borough of Kingston, a Royal Borough of Kingston placement agreement and the homes own care plan. The file also included a record of the resident’s appointments with health care professionals. Mrs Bart stated that all of the residents care plans are reviewed on an annual basis. Reviews involve all relevant parties, including residents, family members or representatives, key-worker and care managers. The homes visitor’s book indicated that a chiropodist visited the home on the 19th of March 2007 and an Optician the home on the 24th January 2007. Mrs Bart’s daughter is a qualified occupational therapist. At the last inspection in October 2006 a District Nurse was visiting the home, she said that the home was a lovely place and that the manager communicates very well with the health care team. If the manager had any concerns about the residents she would contact us immediately and we would always be happy to help. The home has its own questionnaires that it employs as part of a quality monitoring system. One of these had been completed and returned by a Community Staff Nurse; she stated, “ I consider this a very positive environment for elderly residents-they appear to be very well cared for ”. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are being provided with a range of opportunities for recreational and social activity that is in accord with their social, cultural and religious needs. EVIDENCE: The home has sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focussed, regularly reviewed, and can be quickly changed to meet individual residents needs. Two residents are from Poland and are able to maintain links with the wider Polish community through access to satellite television broadcasting in the home. These residents are supported to maintain links with the local religious community, both through assistance with transport to and from church and visits to the home from a Polish priest. One resident said that it is very important to her that she can practise her religious faith. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 14 Mrs Bart stated that one of the residents is Church of England and is supported to go to Church if and when she wishes. The home’s menu contains a number of Polish dishes, reflecting the preferences of some of the residents. On the day of the inspection lunch consisted of chicken, potatoes, mixed vegetables. This was sampled and was well presented and tasty. All of the residents said that they enjoyed the food provided in the home. Mrs Bart said that residents are offered opportunities to go on car trips to Kingston and Richmond Park, shopping and walks. Activities in the home include group exercise (facilitated by Mrs Bart’s daughter, a qualified Occupational Therapist) drawing and knitting, reading newspapers and books and watching Polish television. I was obvious during the inspection that residents were treated with great respect and dignity and they were able to do the things they wanted to do. The home has its own questionnaires that it employs as part of a quality monitoring system. These had been completed and returned. Comments included; Catholic Priest “I consider this a very happy home. All of the residents feel safe and content, there is a homely atmosphere”. Community Staff Nurse “ I consider this a very positive environment for elderly residents-they appear to be very well cared for ” A number of comment cards were returned to the Commission as feedback from residents and their relatives. Residents had been supported to complete the questionnaires and all were positive about the care provided to them in the home. This was supported by the resident’s comments during the visit. All said that they where happy living at the home, they liked the staff, they liked the food and the fact that the home was always clean and warm. One resident said, “The manager is marvellous she gets us everything we want, this is a very happy home”. In a questionnaire one relative stated that she had a very good relationship with Mrs Bart. She also stated that the home offers more care than they are contracted to do and the home shows a lot of interest in the residents and the home creates a family atmosphere. In another questionnaire a relative states “I am highly satisfied with the care my aunt receives, the staff are always highly professional in their approach to residents and their relatives, the home ensures that the well being and care of
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 15 each resident is catered for in an individual level to a professional and personally tailored standard, in my opinion the home operates to the highest standards”. In another questionnaire a relative stated, “I could not ask for better care and my aunt is very happy”. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 16 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that any concerns they may have are listened to and acted upon. The home has suitable vulnerable adult protection and abuse prevention measures in place so that residents are protected from abuse, neglect and/or harm. EVIDENCE: The home has an appropriate Complaints procedure, a copy of which is included on the Statement of Purpose. A large number of comment cards were returned to the Commission as feedback from residents and their relatives. All stated that they would know how to raise their concerns or make a compliant about the service. Mrs Bart stated that there had been no complaints made to the home since the last inspection. The home has adopted the Protection of Vulnerable Adults policy developed by the Royal Borough of Kingston, the host authority for the service. All current staff has attended Adult Protection training.
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 17 Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall impression when visiting this home is that it is well decorated, homely, comfortable, clean, and hygienic and meets the needs of the currents residents. EVIDENCE: The home is situated in a quiet residential area, yet close to both local amenities and town centre facilities. The home has a dining room with tables and chairs; Mrs Bart stated that given the choice residents generally like to eat in their rooms. The home offers access to toilet and shower facilities on the ground floor, whilst a bath is available on the first floor. Toilets and bathrooms in the home were found to be clean, functional and attractive on the day of inspection.
Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 19 A new shower unit has been fitted in the ground floor bathroom since the last visit. The home appears to meet the current needs of residents well. There is evidence of regular consultation with appropriate health care professionals to ensure that the needs of the residents are met. Mrs Bart stated that she is considering installing a stair lift for the current residents and future admissions. Observation revealed that residents are afforded the opportunity to personalise their rooms to reflect their tastes and preferences. All bedrooms have been fitted with call bells. There is a large well-kept garden at the back of the house. There is comfortable garden seating, Mrs Bart stated that residents enjoy sitting outside on warm days. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager and her family run the home. This continuity of care is undoubtedly one of the home’s strengths and contributes to a family atmosphere. EVIDENCE: Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 21 The home is run as a family business, Mrs Bart is supported by her daughter a fully qualified occupational therapist and a member of staff who lives in. Mrs Bart’s husband and another daughter also work at the home when required. This continuity of care is undoubtedly one of the home’s strengths and contributes to the family atmosphere. Mrs Bart stated that a member of staff is leaving in June however another member of staff, a qualified nurse, will come from Poland to work at the home also in June. Mrs Bart was advised that she must obtain a POVA clearance check for the new member of staff prior to her employment at the home. The home a training programme. This includes training on Food Hygiene, First Aid, Fire Safety, Moving and Handling, Medication, Health and Safety and Protection of Vulnerable Adults. Mrs Bart stated that the new member of staff would attend all of the above training. Mrs Bart stated that since the last visit staff has attended health and safety, safe handling of medication and moving and handling training. Mrs Bart’s daughter has also completed an NVQ level 2 qualification. Mrs Bart produced evidence of team meetings however the last meeting took place in September 2006. Mrs Bart stated that she and her family and the member of staff has regular daily communication. However in order to provide further evidence that the home is addressing the individual needs of its residents, identify training needs, discuss issues relating to the home, changing legislation, regulation and the feeding down and feeding up of information it is important that regular formal recorded staff team meetings take place. It is recommended that the registered manager reinstates regular staff team meetings at the home. It is recommended that the registered manager carries out regular formatted recorded supervision with the new member of staff. Two of the four residents are from Poland. The input of Polish staff members familiar with the language and customs of a Polish Home is of particular value. The ability of staff to converse with residents in their first language is clearly beneficial to meeting their individual and collective needs. Mrs Bart stated however that the home offers support to residents from any culture or religious persuasion. She stated that staff at the home is able to communicate in seven different languages. Criminal Records Bureau Checks were seen for all members of Mrs Bart’s family and the current member of staff. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well managed whilst maintaining an atmosphere of calm and conviviality. The management approach of the home creates an open, positive and inclusive atmosphere. EVIDENCE: Mrs Bart is highly competent in caring for older people. Other professionals, residents and their relatives see her as someone who consistently provides high quality services. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 23 Mrs Bart stated that she is constantly listening to the opinions of the residents, their relatives and other interested parties about the service provided in the home. Mrs Bart stated that she is always trying to improve the service for the residents. Mrs Bart holds the Registered Managers Award and NVQ level 4 in Care, she has a great deal of experience in the management of small care homes and brings her range of skills to bear in the day-to-day operation of the service. Mrs Bart stated that she does not have overall control over any of the resident’s finances. Three relatives hold power of attorney and one resident is under the court of protection. If Mrs Bart purchases items for the residents she will keep receipts and request reimbursement. A recommendation was set at the last inspection that the registered managers seeks the advice of the fire officer regarding the wedging open of resident’s doors in writing and send a copy of this to the Commission. Fire safety door guards have been fitted to fire doors since the last visit. These are connected to the homes fire alarm system and release the doors to close when the alarm is activated. Mrs Bart provided evidence that the home smoke detectors are checked on a regular weekly basis. The homes fire equipment was checked on the 26/04/07. Mrs Bart stated that a fire officer from the London Fire & Emergency Planning Authority would provide further training to staff in June 2006. Certificates were seen for Portable Appliance testing 08/05/07, Legionella testing 19/09/06, Landlords Gas Safety 05/09/06 and Environmental Health visited the home on the 16/08/05. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP30 OP30 Good Practice Recommendations It is recommended that the registered manager reinstates regular staff team meetings at the home. It is recommended that the registered manager carries out regular formatted recorded supervision with the new member of staff. Olivia Residential Care Home (2) DS0000013427.V336658.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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
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