Inspection on 24/01/07 for Parklands

This inspection was carried out on 24th January 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parklands 27/08/09

Parklands 12/09/07

Parklands 06/03/06

Parklands 28/06/05

Parklands 20/10/04

Parklands 01/06/04

Parklands 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB Lead Inspector Mr Val Flannery Unannounced Inspection 24 January 2007 10.20 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 Parklands DS0000006679.V307454.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. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Address Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB 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) 01625 879215 01625 850676 www.clsgroup.org.uk CLS Care Services Limited Jennifer Anne Jones Care Home 40 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (40) Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users in the category OP (Old age, not falling within any other category). Within that number one (1) service user in the category of MD(E) (Mental disorder excluding learning disability or dementia) may be accommodated. When the home no longer cares for the service user in the category MD(E) the home reverts to forty (40) service users in the category OP. 6th March 2006 Date of last inspection Brief Description of the Service: Parklands is registered to provide personal care for forty older people. The home is in Poynton, next to the library and medical centre. A range of shops, pubs, a church and other facilities are within walking distance of the home. There is a passenger lift between the ground and first floor of the two-storey building. All the bedrooms are single with hand-washing facilities. There are enough baths and toilets provided for the number of residents in the home. Several communal lounges are located around the home and there is a large dining room on the ground floor. The inner courtyard has a fishpond and bridge and can be used by residents. Residents can also use the garden at the back of the home. A range of aids including bath hoists, wheelchairs, grab rails and other lifting equipment are available for residents with mobility problems. Staff are on duty twenty-four hours a day to deliver care to residents. ‘The fees for the home range from £410 to £430 per week. This information was provided by the manager on the 24 January 2007 Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 24 and 31 January 2007and lasted 8 hours. The visit was carried out by Val Flannery, Regulatory Inspector This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires from CSCI were also made available for residents, families, health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents, a relative and staff were spoken with and they gave their views about the service. What the service does well: Information about the services offered by the home is on display in the entrance area to the home and is given to people who may be moving into the home so that they know what services are provided. Staff meet with possible residents before they move in so they can carry out an assessment to make sure the person’s needs can be met at the home. Care plans are made for all residents so staff and other people providing care for them know what they have to do to meet residents’ needs. Residents and their families are asked about how they want to be cared for. There are policies and procedures at the home to make sure that residents receive their medicines as they were prescribed. Relatives are able to visit the home as they wish. Residents are able to receive visitors in the communal areas or in private in their own rooms so they can keep up their contact with family and friends. Residents are able to use local community facilities either by themselves or with support from staff or families so they can carry on getting out an about. A choice of food and drinks is offered to residents throughout the day to help them make sure they get a varied and healthy diet. The home has a complaints procedure and a clear procedure to protect residents from harm so they and their relatives know their concerns will be listened to and they will be safeguarded. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 6 Because the home is in the centre of the town, close to a large car park and local shops, it is easier for relatives and friend to stay in touch with residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and/or their relatives are able to visit the home before making a decision about moving in. This ensures they have the information to show that their needs can be met at the home. EVIDENCE: Residents and/or their representatives are given a copy of the statement of purpose/service user guide to the home. Copies are also on display in the entrance area to the home with a copy of the previous inspection report. Information about the home was seen in a number of residents’ bedrooms. Residents spoken with said they were unsure if they received this information before they moved into the home. They also said that their relative/other representative had visited the home on their behalf. Four residents’ files were seen during the visit. One of the files contained an assessment of need provided by the local authority and one done by staff from the home. The other files contained either an assessment done by the local Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 9 authority or one done by staff from the home to show the person’s needs could be met at the home. Copies of the local authorities contracts with CLS to provide care are kept in the home service manager’s office as are copies of the contract of residency agreements between CLS and the individual residents. The residents and relative spoken with were ‘things were better in the home now that fewer agency staff are used’. A number of residents commented that ‘some staff are better then others’ when helping them with their needs. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is committed to ensuring the privacy and dignity of residents is respected. However, a number of staff are not following good practice guidelines on how this should happen so residents may not be given the level of privacy and dignity expected. EVIDENCE: Four residents’ records, including plans of care, were seen during the visit. These contained personal details, a record of visits by doctors and nurses and other information about the residents. Residents said staff will ask them about their care needs and that staff will help them with personal care tasks such as using the bathroom and moving about the home. During the visit staff were seen asking residents if they were ‘ok’ and if they needed help. The residents and a relative also said that the doctor, nurses and so on visit residents when needed. A care team leader was seen speaking over the telephone with the pharmacist and district nurse about the healthcare needs of a resident. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 11 Two of the residents’ plans of care did not have risk assessments on falls in place. CLS has produced a document called ‘My Life’ in which the residents’ life history/likes/dislikes are recorded. However, this has not been completed for all residents. The relative spoken with said she has attended meetings where the care her mother receives is reviewed. Information was also seen on another resident’s file that a review of her care needs had been carried out, over the telephone, with the care manager from the placing authority. Copies of CLS’ policy and procedures on the administration of medication to residents are kept in the home. Records showed that staff who give out medicines receive training and are monitored by the manager. A care team leader was seen giving medication to residents in a satisfactory manner. The medication administration records that were checked at the visit had been completed correctly. The manager said that one service user is responsible for her own medication. A lockable drawer is provided in her bedroom where she can keep her medication. She also said that a risk assessment is in place to ensure the safety of the resident. Although respecting the privacy and dignity of residents is an important aspect of the philosophy of care within CLS, a number of examples were seen where this did not happen. The following observations were shared with the manager during feedback following the visit: • • • • Staff did not always knock on bedroom and toilet doors before entering A member of staff was seen transferring a resident in a wheelchair but the wheelchair was tipped back with only the two rear wheels on the ground A group of staff were seen talking loudly in the lounge area whilst the residents were playing bingo Staff were keen to get their ‘jobs’ done, for example, lay the tables for the lunch, clear away the tables as quickly as possible following lunch and other household chores. Staff were ‘doing for’ residents rather than ‘with residents’ The timing of the resident’s afternoon tea break could have been planned to fit in with a break in the bingo session. • Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of the home are, wherever possible, planned around residents’ care needs. This helps residents stay as independent as possible. EVIDENCE: The residents and relative spoken with said that having fewer agency staff and more ‘regular’ staff has ‘improved things in the home’. Residents ‘are happier’ now that they are supported by staff who know them and are aware of the level of help they need with day-to-day living. Residents said they are encouraged to be as independent as possible, for example, moving about the home, using the bath/toilet, dressing/undressing and deciding where they spend their time. A number did comment that although staff intentions are good, some staff are ‘better then others’. They also said that it will ‘take time for some of the staff to get to know the job’. During the visit relatives and others were seen visiting the home. The relative spoken with said she ‘can visit any time she likes’ and feels able to talk with staff about any concerns/worries she may about the care offered. She said Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 13 that staff are usually ‘very good’ about keeping her informed about issues affecting her relative. One resident said he likes to visit a local pub, which he is able to do by himself. Another resident said she was waiting for family to collect her and take her out for lunch. Residents’ records showed that they are given help to use community facilities such as shops and places of worship. The location of the home in the centre of Poynton allows for easy access by family and friends. During the visit the cook was seen talking with residents about the choices available for the mid-day meal. Residents spoken with said the food has improved and that they like the choices offered. A number said the meals are well presented and ‘you get plenty’. They also said they have their meals in the main dining area or in their bedrooms if they choose. The cook he said he is aware of the need to ensure the food offered is nutritional and is what the residents want. Staff were seen offering residents hot and cold drinks throughout the visit. CLS have introduced a code of practice, ‘Marvellous Mealtimes’, which is geared towards improving the ‘dining atmosphere in all of our homes’. The manager she said she is in discussion with staff about the benefits of the scheme for residents and also how they can be involved. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has complaints and adult protection procedures in place to ensure residents and others are able to raise concerns and are protected from abuse. EVIDENCE: A copy of the complaints/compliments procedure is on display in the entrance area of the home. Details on how to contact the Commission for Social Care Inspection were also on display. The record of complaints showed that concerns about odours in the home, activities, a member of staff and care issues were dealt with satisfactorily by the home. Residents and the relative spoken with they know to whom, and how, to raise issues of concern. CLS Care Services has an adult protection policy and procedure, which includes the government guidelines ‘No Secrets’. A copy is available in the home. The manager confirmed that there have been no adult protection issues since the last inspection. Staff spoken with said they would refer any complaints or adult protection issues they receive to senior staff in the home or the on-call manager. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained to provide warm, safe and comfortable surroundings for the residents. This helps ensure residents can move about the home and maintain their independence. EVIDENCE: All the bedrooms are single and have hand-washing basins. The bedrooms seen during the inspection contained residents’ personal possessions such as furniture, photographs and ornaments. Residents said the bedrooms suit their needs and that they are offered keys to their rooms. A lockable storage space is also provided in each bedroom. There are enough toilets and bathrooms, located around the home, to meet the needs of the residents. All have locks on the doors for privacy but staff can open them in an emergency. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 16 Hoists and lifting aids are provided to help residents with mobility problems. Other aids such as wheelchairs, grab rails and lifting equipment are also provided in the home. There are care call points in all bedrooms, bathroom/toilets and communal areas. There are lounges on the ground and first floors. The large communal area on the ground floor and the lounge on the first floor are also used as dining areas. During the visit one of the communal areas on the ground floor was being redecorated as were some of the bathrooms. There is an inner courtyard, with a goldfish pond, bridge and sitting area, and an enclosed garden area to the rear of the home for residents to use. Residents and the relative spoken with said the home is ‘always clean and comfortable’ and that their bedrooms meet their needs. There is not enough space in the home to store wheelchairs, lifting aids and other equipment. On the day of the visit the equipment was being stored in corridors, bathrooms and under stairwells. The carpet in parts of the ground floor was stained and dirty. However, during the visit a member of the domestic staff was seen cleaning the carpet in the entrance hall. The manager said there is a programme in place for cleaning the carpets in the home. Discussion also took place with the manager on the damage to doors and walls caused by wheelchairs, particularly on the ground floor. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are enough staff on duty to meet the needs of the residents. However, staff need more training and supervision to further develop the services offered to residents. EVIDENCE: Staffing rotas showed that there is normally one care team leader and three care assistants on duty during the day, afternoon and evening. There is normally one care team leader and one care assistant on duty during the night. Support staff on duty included general assistants, cook, kitchen assistant, laundry staff and the home service manager. The staffing rotas showed that a number of care staff work thirteen hours days. The manager she said she is monitoring these staff to ensure their ability to care for the residents is not affected by their long hours. She also said that these staff have chosen to work their contracted hours in this way. Information provided by the manager before the visit took place showed that six of the seventeen care staff have achieved an NVQ Level 2 or above. Staff also have access to a range of training including fire safety training, manual handling, first aid, protection of vulnerable adults training and supervisory skills. Staff spoken with said they receive support and individual supervision from senior staff in the home. A number of staff also commented that ‘it’s much better now that fewer agency staff are needed’. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 18 During the visit the personnel files for four staff were checked. These contained a completed application form, two written references, an employment history and, on two of the files, a record of induction training. Risk assessments are carried out on staff as necessary. The manager said that Criminal Record Bureau checks are carried out on all staff. Residents spoke about the ‘improvement in the staffing’ within the home. However, they also commented ‘some staff are better then others’. During the visit, staff were seen helping residents with daily living tasks like moving about the home, dressing/undressing and eating their meal. However, although there were opportunities for staff to sit and spend time talking with residents or joining in the bingo this did not happen. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is keen to ensure the home is run well but improvements in some staff practices are needed to ensure that it is run in the best interests of the residents. EVIDENCE: The registered manager for the home has worked for CLS in a senior capacity for a number of years. She said that she is due to complete her NVQ Level 4 in care and registered managers award in February 2007. She also said that she has attended training that will help her in the day-to-day running of the home. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 20 Residents and the relative spoken with said they are generally satisfied with the way the home is run. Staff spoken with said the manager is supportive and will offer advice and guidance. During the inspection discussion took place with the manager about the roles and responsibilities of the senior care staff team in the home. Areas discussed included: • care team leaders’ role in monitoring and supervising care staff in their delivery of care to residents; • the role of the care team leaders in managing staff, particularly when the day-to-day household ‘tasks’ are completed. Discussion also took place on the staff practice of bringing their own food into the home and sitting down, as a group, for a mid-morning meal in the residents’ dining area. The manager said there are areas that she is working on to further develop the care team leaders and care staff members’ skill making sure the home is run in the best interests of the residents. During the visit, satisfactory service records were seen to show that equipment in the home is safe. Also seen were records to show that that a fire risk assessment was in place and that evacuation drills and fire safety training are carried out. In September 2006 the home conducted a satisfaction survey to find out the views of residents, relatives and other professionals on the service offered by the home. A copy of the report of the findings of the survey was seen during the visit. This showed an overall satisfaction with the service offered but areas for improvement were also identified. The information provided by the manager before the visit to the home took place identified that: ‘Families organise their savings and personal allowance and leave an amount for the service users in the safe at Parklands. People have savings accounts with CLS for personal allowance’. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X 3 2 X 3 Parklands DS0000006679.V307454.R01.S.doc Version 5.2 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 OP7 Regulation 13(5) Requirement Risk assessments must be in place for all residents as required, particularly in relation to falls and moving and handling The privacy and dignity of residents must be maintained at all times Timescale for action 31/03/07 2 OP10 12(4)(a) 31/03/07 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 3 4 5 6 Refer to Standard OP3 OP7 OP10 OP19 OP30 OP31 Good Practice Recommendations The care needs assessment developed by the home should be completed for all prospective residents The ‘My Life’ document should be completed as part of the all residents’ plans of care. All staff should receive further training on maintaining the privacy and dignity of residents The damaged paintwork should be repainted/repaired. 50 of care staff should be qualified to NVQ Level 2 or equivalent. The care team leaders should receive guidance and/or training on managing staff. DS0000006679.V307454.R01.S.doc Version 5.2 Page 23 Parklands 7 8 OP36 OP38 Staff supervision sessions should cover all aspects of care and the philosophy of CLS with regard to meeting outcomes for residents. The practice of storing equipment in corridors and under stairwells should be reviewed. Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Parklands DS0000006679.V307454.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!