Inspection on 15/07/08 for Parkhill Lodge

This inspection was carried out on 15th July 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkhill Lodge 17/07/07

Parkhill Lodge 25/09/05

Parkhill Lodge 11/04/05

Parkhill Lodge 11/01/05

Parkhill Lodge 17/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Parkhill Lodge Larch Road Maltby Rotherham South Yorkshire S66 8AZ Lead Inspector Marina Warwicker Key Unannounced Inspection 15th July 2008 09:30 Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 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 Parkhill Lodge DS0000033263.V367892.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 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. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkhill Lodge Address Larch Road Maltby Rotherham South Yorkshire S66 8AZ 01709 813040 01709 790325 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) NONE Rotherham Metropolitan Borough Council (LDS) Lilian Rigby Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 22 17th July 2007 2. Date of last inspection Brief Description of the Service: Parkhill Lodge is owned and operated by Rotherham Metropolitan Borough Council. It is a care home offering accommodation for people with learning disabilities on a long stay, short stay and respite care basis. The home provides accommodation for up to 22 people in single room accommodation. It is situated in its own grounds with gardens and patio area and is within walking distance of Addison Day Centre. The home is a short bus journey on routes 101 and 102 from Maltby. The charge for the week depended on the age and the allowances people were entitled to. On the day of our visit the charges ranged from £52.65 - £102.90 per week. There were no extra charges for other services. Parkhill Lodge DS0000033263.V367892.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 3 stars. This means that the people who use this service experience excellent quality outcomes. An inspection of this residential home was carried out on Tuesday 15th July 2008. We visited the home between 9.30 am and 2.30 pm. Three people who use the service were consulted on the day. We also spoke with all the staff who were on duty. A further ten relatives and three professionals were contacted by post to obtain their views on the service. Comments received from the surveys have been included in the body of the report. Any comments received after the publication of this report will be shared with the management of the home. We spoke to people using the service and the staff to get an insight into the quality of life and the standard of care and dignity given to the people. We also looked at the quality of food and activities provided at the home for people. The premise was inspected, which included bedrooms of people using the service, the communal areas and the service areas such as the kitchen and the laundry. The private areas were accessed with the permission of the people and/or the staff at the home so that we respected the people’s wishes. Samples of records such as the care plans, staff recruitment and training files were checked. We would like to thank the people who live at Parkhill Lodge, the staff and the manager for their contribution towards this process. What the service does well: People who wish to move into Parkhill Lodge have their individual aspirations and needs assessed by the staff at the home to make sure they are able to provide the identified care and support. The people also have opportunities to ‘test drive’ the service before moving in permanently. The peoples’ changing needs and personal goals are reflected in their individual plans and their key workers regularly keep them informed of any changes to their support. The people using the service are able to make decisions about their lives, get assistance as they need. They are confident that the care workers will support Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 6 them and they are able to take risks as part of maintaining an independent lifestyle. The people are able to take part in appropriate activities, which suits them. They are accepted in the local community and encouraged by staff to develop friendship circles and be responsible for their actions. The staff at Parkhill promote healthy diets and help people using the service to enjoy their meals and mealtimes. The people are provided personal, physical and emotional support in the way the appropriate way. They are supported by the staff to manage their own medication if they so wish and able to do so. The staff awareness of the home’s policies and procedures protect the people. The people using the service feel their views are listened to and acted on by the staff and that they are protected from abuse, neglect and self-harm by being supported by trained and competent staff. The people using the service live in a homely and safe environment. Competent and qualified staff support the people using the service at Parkhill Lodge. The home’s recruitment policy and practices protect the people from unsuitable staff working with them. The people using the service benefit from this well run home. The health, safety and welfare of the people using the service and the staff are promoted and protected. What has improved since the last inspection? What they could do better: The staff must receive training on aging and dealing with end of life of the people. They would not only be competent but also be confident in dealing with such unexpected situations. The and The The The home is in need of external and internal upgrade to achieve an improved updated environment for those who occupy the property. bathrooms and the toilets need upgrading. staff changing room needs an upgrade. kitchen staff need an area where they are able to change. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 7 An annual development plan for this home must be based on a systematic cycle of planning-action-review, reflecting the aims, objectives and the outcome for the people using the service. As part of refurbishing the management must look into the layout of the bathrooms and ensure they are fit for purpose. The staff must refrain from leaving unnecessary space in the daily progress records. This could allow information to be added at a later date and therefore invalidate the data/record. All staff working at the home need to attend training on mandatory subjects relating to health, safety and welfare at appropriate intervals to be safe and maintain safety of those they are responsible for. The manager and the staff must continue delivering the excellent personalised care to the people living at Parkhill Lodge. However, the providers need to make a commitment to improving the building and the facilities for people using the service to remain an excellent service. 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. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 8 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 Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 &4 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who wish to move into Parkhill Lodge have their individual aspirations and needs assessed by the staff at the home to make sure they are able to provide the identified care and support. The people also have opportunities to test drive the service before moving in permanently. EVIDENCE: We spoke with the people who were present on the day of inspection and interviewed the staff and checked the individual care files in order to assess this outcome area. The manager informed us that she had updated the service user guide to reflect the present arrangements of the Commission for Social Care Inspection contact details. Copies of the service user guide were available for us to check. Three care files were checked. They had person centred care needs assessments, which identified the individual’s needs. The information was written in a user-friendly manner using pictures and words. The information was comprehensive. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 10 There was written evidence that people had trial periods at the home before accepting permanent places. This was confirmed by the staff. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The peoples’ changing needs and personal goals are reflected in their individual plans and their key workers regularly keep them informed of any changes to their support. The people using the service are able to make decisions about their lives, get assistance as they need. They are confident that the care workers will support them and they are able to take risks as part of maintaining an independent lifestyle. EVIDENCE: We checked care plans and spoke with people using the service and the staff. The three care plans checked had documentary evidence setting out the peoples’ personal care needs, social support they require and health care needs. These plans had been drawn up with the involvement of the individuals Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 12 themselves and their families or representatives. The plans are made available in the format suited to the person. The people using the service had a special rapport with their key workers and gained appropriate support from them to live a meaningful life. Evidence was seen in the care plans where others had made decisions in the best interest of the person. (e.g. by other health & social care professionals and the reason why this had happened was documented.) E.g. a person needed to be separated from the communal area if he/she became noisy, so that they do not become agitated and offensive. This helped the person to feel safe and enjoy life in a pleasant environment. In the care plan we saw evidence of risk assessment and the actions staff continued to take to minimise risk and at the same time promote peoples’ independence. We were given some examples of this, e.g. People using public transport, people helping with cutting grass, carrying out cleaning duties and helping with baking & cooking. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people using the service are able to take part in appropriate activities, which suit them. They feel part of their local community and are encouraged by staff to develop friendship circles and be responsible for their actions. The staff at Parkhill promote healthy diets and help people using the service to enjoy their meals and mealtimes. EVIDENCE: We used the evidence from direct observation, comments from the people using the service and the staff together with the records kept by the staff to monitor this outcome area. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 14 People continued to take part in the activities they were involved in before they came into the home. The staff have helped the people to find out their strengths and take on opportunities to receive further training. We witnessed the staff support people in managing their money and be in control of their finance. The local community centre was used by some of the people. ‘Friends of Parkhill Lodge’ who were the local councillors and volunteers together with the people living at Parkhill Lodge had raised money to improve the safety of the garden areas. The area looked safe, private and provided space for a variety of activities. The daily routine was individualised. The people had their own day plan/timetable and with the support of their key workers they continued to complete them. Although the occupancy on the day of our visit was 20, seventeen of the people had gone out engaged in various activities. The people were attending colleges, visiting day centres and going shopping. The three people who had stayed at the home were involved in different activities. They were relaxed, looked contented and got on with their routines. The mealtime was relaxed, unrushed and flexible to suit the activities and schedules of the people using the service. The kitchen facility was available to those who wished to cook their own meals or snacks and the key workers supported the people. One of the senior officers was in charge of auditing the meals cooked at the home and monitoring the nutritional needs of the people using the service. The staff officer encouraged the people and the staff to plan and prepare healthy nutritional meals. It was appreciated that the staff were only able to persuade people to have a healthy meal. The people had the right to choose what they ate. The staff often had their meals with the people and thereby influenced the choices offered. I had lunch with the three people and the staff on the day of our visit. It was a buffet lunch and we all enjoyed it very much. The lunchtime was used to get to know the people and the staff better. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 ,19, 20 & 21 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The staff provide personal, physical and emotional support to those living at the home in the way prefer and require. They are supported by the staff to manage their own medication if they so wish and able to do so. The staff awareness of the home’s policies and procedures protect the people. EVIDENCE: We saw people wearing their own clothes and dressing according to their likes. One of the people had a hair appointment and attended it using transport. The majority of people living at Parkhill were able to take care of their personal needs with little support. The staff were seen to respect the people’s dignity and privacy by speaking to them with respect and consulting them on any issues relating to their individual needs. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 16 The care plans had recordings when people had appointments with health care professionals and how the people were to attend. On the daily records there were comments on the outcome of the appointment. We witnessed that records kept by the staff included all medicines received, administered and disposed of by the supplying pharmacists. Each person using the service had a medicine administration record which identified the medication they were prescribed. The medicine administration sheets had signatures of the staff who had administered the medicine. There was also documentation of the people consenting for medication. The staff who were allowed to handle medication said that they had to complete training on safe handling and management of medication. During the staff interviews we ascertained that the staff had not received any formal End of Life care training. Some staff had worked with older people and have had experience in looking after people who were dying. Discussions took place with regards to staff having some training in this area since a death among this client group could be unexpected and could cause severe grief among staff and the people using the service. To act in a proactive manner the staff would benefit by having training on end of live and palliative support. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people using the service feel their views are listened to and acted on by the staff and that they are protected from abuse, neglect and self-harm by being supported by trained and competent staff. EVIDENCE: During the staff interviews they knew the local safeguarding adults procedures and they were able to verbalise what abuse was and how they would identify it within the home. The staff training files had evidence that they had received training on Protection Of Vulnerable Adults. The management said that they had not had any formal complaints in the last 12 months. The staff said that due to the nature of the people using the service sometimes misunderstandings occurred and by talking things through, things were often straightened out. We witnessed a healthy relationship between the staff and the people using the service. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 29 & 30 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people using the service live in a homely and safe environment. The home is clean and hygienic. However it requires upgrades in areas to make it comfortable and to be in line with current trends. EVIDENCE: This home existed before the Care Standards Act 2000. Individual bedrooms had a hand basin and the people had to use communal toilets and bathroom facilities. The bathrooms were not easily accessible and their layout and fittings were out of date. Some parts of the home were dark and in need of decoration and modernising. However, we found the home clean. The staff had access to a handyperson who regularly visited the home and carried out basic maintenance. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 19 The staff changing areas and overnight staff room would benefit from renovation and refitting. This would raise staff morale and make them feel appreciated. The laundry area too needed reorganising and people using the service may benefit by the provision of a domestic washer/dryer so that they could do some of their washing. The bedrooms were furnished and personalised according to the wishes of the person using the room. There were sufficient communal areas to be used by the people and these looked homely and cosy. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Competent and qualified staff support the people using the service at Parkhill Lodge. The home’s recruitment policy and practices protect the people from unsuitable staff working with them. EVIDENCE: We spoke with staff, observed their interaction with the people using the service and also checked the staff recruitment files and training records. The staff had the skills and experience to support the people living at the home. To improve their communication with the people the staff have commenced Makaton training. Most staff have completed NVQ level 2 and progressed to level 3 &4. The staff were approachable and comfortable with the people living at the home. The staff turnover is low and we were informed that, this was due to staff enjoying the jobs they do and the good team support. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 21 We were informed that the RMBC -Rotherham Metropolitan Borough Councilhuman resource department kept the staff recruitment files. However, the manager assured us that all the staff files were to be transferred to the home and that work had started to transfer the files. The staff during their interviews said that they received structured induction and were supervised until they were competent. The staff also received regular supervision from their seniors and the records were available at the home. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people using the service benefit from this well run home. The health, safety and welfare of the people using the service and the staff are promoted and protected. EVIDENCE: The registered manager and her team of senior officers helped to develop the service so that it is able meet the stated purpose, aims and objectives. We noted that there was a clear sense of direction and leadership, which the people using the service and the staff understood and appreciated. Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 23 There was continuous self-monitoring by the senior staff so that changes could be introduced to make improvements. We received a comment that when people using the service were at home the key workers were too busy and very rarely did they get time to spend 1:1 quality time. The management may wish to address this in the next staff and resident meeting. During record checks we noted the staff leaving lines between daily progress reports. This was pointed out to one of the senior officers and explained the reason for not leaving any space. (To avoid information being added after the event.) The staff training on moving & handling and health & safety were to be carried out by the internal trainers. There were some gaps in the annual mandatory training schedules but plans had been made to address this. Parkhill Lodge DS0000033263.V367892.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 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 Standard No Score 1 3 2 4 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 2 3 X 3 X 2 2 X Parkhill Lodge DS0000033263.V367892.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. 1. Standard YA21 Regulation 18 Requirement The staff must receive training on ageing and dealing with end of life of the people using the service. So that they will not only be competent but also be confident in dealing with such unexpected situations. The home is in need of external and internal upgrade to achieve an improved and updated environment. The bathrooms and the toilets need upgrading. An annual development plan for this home must be based on a systematic cycle of planningaction-review, reflecting the aims, objectives and the outcome for the people using the service. As part of refurbishing the management must look into the layout of the bathrooms and ensure they are fit for purpose. The staff must refrain from leaving unnecessary space in the daily progress records. This could allow information to be added at a later date and therefore invalidate the DS0000033263.V367892.R01.S.doc Timescale for action 15/10/08 2. YA24 23 26/11/08 3. YA27 23 26/11/08 4. YA41 17 20/08/08 Parkhill Lodge Version 5.2 Page 26 data/record. 5. YA42 13 All staff working at the home must attend training on mandatory subjects relating to health, safety and welfare at appropriate intervals. 20/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkhill Lodge DS0000033263.V367892.R01.S.doc Version 5.2 Page 28 - 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. 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