Inspection on 14/03/07 for Place Court

This inspection was carried out on 14th March 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

Place Court 28/02/06

Place Court 14/09/05

Place Court 13/10/04

Place Court 21/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Place Court Place Court Camps Road Haverhill Suffolk CB9 8HF Lead Inspector Jane Offord Unannounced Inspection 14th March 2007 13:00 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 Place Court DS0000036919.V332770.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. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Place Court Address Place Court Camps Road Haverhill Suffolk CB9 8HF 01440 702571 01440 762191 tom.crichton@socserv.suffolk.gov.uk 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) Suffolk County Council Mr Tom Crichton Care Home 32 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (25), of places Physical disability (1) Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Place Court is a care home for older people, registered for 32 places, which is owned and managed by Suffolk County Council. The home dates back to 1963 although it reopened after refurbishment in 1995. The home is situated within walking distance of Haverhill town centre. The home is on two floors and has a shaft lift for full access throughout. There are private gardens for service users’ use. The accommodation is divided into four units, Cedar, Hyacinth, Orchid and Ivy. Each unit has between seven and nine bedrooms and is self-maintained save for the main kitchen facilities. Orchid and Ivy provide personal support for older people who are unable to manage all the daily activities alone. Hyacinth provides support to older people with a diagnosis of dementia. Cedar provides four beds for rehabilitation and three beds for short-term care. Admission to the home is through Suffolk County Council, Social Care. The fees range between £64.65 and £368.00 weekly and do not include the cost of hairdressing, chiropody, newspapers, transport and telephone calls. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 13.00 and 17.45. The manager had been in the home during the morning but left for an appointment and the senior team leader was running a moving and handling training session. The team leaders from the morning and afternoon shifts were very helpful collecting files and answering questions. This report has been compiled using information available including evidence from the inspection visit. During the day a number of residents’ and staff files were seen, part of a medication administration round was observed, a tour of the home was undertaken with a member of staff but all areas were revisited again later and some staff and residents were spoken with. The policy folder, the duty rotas, the menus, some maintenance records and the training records were all looked at during the inspection. On the day the home was clean and tidy with fresh flowers in many rooms. All the rooms and corridors have a lot of natural light and some look over attractive secure gardens. Residents were using all areas of the home and staff were supporting them in a friendly, respectful manner. Residents looked comfortable and well dressed. A number of visitors came and went and all were welcomed by staff. What the service does well: What has improved since the last inspection? No requirements were left following the last inspection but there was evidence that staff were receiving ongoing training for the work they were performing and developing their practice. There was some evidence that a quality assurance system has been developed and is being used. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Place Court DS0000036919.V332770.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 Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Quality in this outcome area is adequate. People who use this service for rehabilitation can expect to be helped to maximise their independence but people for residential care cannot be assured that a pre-admission assessment of needs will be undertaken by the home prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ files were inspected and there was no pre-admission assessment documentation in any of them. In discussion with a team leader they said people were visited in hospital but no notes were made of their needs. Reliance was placed on the reports generated by social workers and health professionals. People wanting short stay care were invited to spend a day at Place Court before admission and a report of their day was made but not a specific assessment of need. These reports were kept on file and available if the person became a permanent resident at a later date. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 9 Residents who require support to regain their independence to return home have input from the Intermediate Care team. The team includes a physiotherapist, an occupational therapist and a social worker. Carers in the home who work in this unit have additional training in rehabilitation given to them by staff in Newmarket hospital. One rehabilitation resident said they had been assessed for a Zimmer frame to help with their mobility, as they did not wish to become wheelchair dependent. Residents’ rooms on this unit are fitted with a lockable cupboard to store their medication and encourage selfmedication in preparation for the return home. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. People who use this service can expect to have their health needs met and a care plan in place, be treated with respect and protected by the medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of three new residents were seen and showed interventions for individual needs. They covered areas of support such as communication, personal hygiene, continence, mobility, night needs and diet. There were risk assessments for moving and handling, tissue viability and nutritional screening tools and weight records in all the files. One file had a risk assessment for the resident to self-medicate with one medication only for Parkinson’s disease; another had a risk assessment as the resident refused to have footplates on their wheelchair. The files all had contact details of health professionals involved with the care of the resident and details of visits to or by them with notes of the treatment prescribed. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 11 Care practice was observed during the day and staff spoke respectfully with residents spending time chatting about day-to-day events or the television programme that was showing. Staff knocked on doors prior to entering a room and residents spoken with said all the staff were kind and willing. The team leader was completing the lunchtime medication administration round at the start of the inspection. Their practice was safe and hygienic on the day. Medication is stored in locked cupboards in each unit kitchen. The cupboards were locked each time the carer left to administer tablets to a resident. Medication that requires refrigeration is stored in locked boxes and kept in the kitchen refrigerator. The temperatures of the refrigerators are monitored to ensure they are functioning at safe levels for storage of food and medicines. The medication administration records (MAR sheets) were seen and showed they were correctly completed with signatures or an appropriate code in the boxes to indicate the medicine had been given or omitted for a reason. Reasons for omitting a dose were recorded on the reverse of the MAR sheet. The controlled drugs (CD) register and store were seen. The CDs were correctly stored within two locked cupboards and those that were checked tallied with the records in the register. The home has a comprehensive medication policy covering ordering, prescribing, storing, administering and disposal of medicines. The team leader said they had had training from a local pharmacy for the use of the monitored dosage system (MDS) that is supplied to the home. They had also had a competency assessment before being allowed to give medication alone. The training records showed that medication updates were given regularly to staff managing medicines. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. People who use this service can expect to be encouraged to maintain contact with family and friends, be offered meaningful pastimes and have a wellbalanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ files seen all contained a life history giving details of family connections. Contact information for relatives and the next of kin were recorded. There was evidence that the family were involved in reviews of the placement for the resident, which took place after the first two months of the resident’s stay at the home. Some visitors were seen in the home during the inspection and the staff welcomed them. The information about each resident in their files included details about their interests and preferred activities. One had recorded, ‘XXXX enjoys country and western music’. The daily records had information about the activities the resident had participated in during the day and whether they had enjoyed it. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 13 There was attractive evidence in one kitchen of the artwork done by one resident and staff said that they do cooking sessions with the residents each week as well as helping with jigsaws, organising quizzes, reading, playing cards and board games and using the reminiscence room. In the good weather trips are arranged to garden centres, for shopping and visiting the seaside. Bingo is arranged for the weekends and the Salvation Army come to give a service and hymn session. Staff said the secure gardens are used a lot in the nice weather and there was a selection of garden furniture and a summerhouse for the residents’ use. Although the kitchen in each unit has the facilities for making hot and cold drinks and storing some snack food the main meals are prepared in a central kitchen and transported to the units in hot trolleys. The main kitchen was visited and the cook showed the food stores and the refrigerators and freezers. There was a wide range of dry goods and fresh fruit and vegetables. The cook said they make all the cakes and pastry used in the home. On the day of inspection the main meal was chicken and mushroom pie with potatoes and fresh vegetables. There are always alternatives for any resident who does not like the main option such as a choice of fish, jacket potatoes, omelettes, soup or sandwiches. Residents spoken with said they enjoyed the food in the home. Left over food seen stored in refrigerators was covered and labelled with content and date. Temperatures of refrigerators, freezers and the hot trolleys were recorded daily and showed they were all functioning at a level for safe food storage. Hot dishes are probed before being taken to the units and these readings are recorded. Following a visit from the Environmental Health Officer last year the home received a Food Hygiene Award for 2006/07, ‘In recognition of the high standard of food hygiene on these premises’. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. People who use this service can expect to have any concerns taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Neither the service nor CSCI have received a complaint about this home since before the last inspection. The home has a complaints policy linked to the County Council’s policy that offers an investigation and written response to any complaint. It meets the standard required. Residents spoken with were able to identify the person they would feel able to make a complaint to or raise a concern with. The home has a copy of the guidelines issued by the Vulnerable Adult Protection Committee of Suffolk for staff reference and their policy reflects those guidelines. The home also has a whistle blowing policy to protect any staff who raise concerns about staff practice. Staff spoken with were clear about their duty of care and what they would do if they felt there were some concerns about a resident. Training records showed that protection of vulnerable adults (POVA) training is regularly updated for care staff but ancillary staff were not included. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, 26. Quality in this outcome area is adequate. People who use this service can expect to live in a well-maintained and comfortable home but cannot be assured that the infection control policy is always followed or that hot water is always delivered at a safe temperature. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is divided into four small homely units. On the day of inspection they were all visited and found to be clean and tidy with no unpleasant odours anywhere. The furniture and soft furnishings were attractive and appropriate for the client group. Many rooms had vases of fresh flowers. Residents in the special needs unit were protected from wandering out of the unit by a secure door system but the rest of the residents had the freedom of the home. Corridors and stairways were well lit with natural light from the large windows and there were views into the garden and further over to a local park. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 16 All the residents’ bedrooms have en suite facilities and in addition each unit has assisted bathrooms and toilets. All the rooms seen were personalised with photographs, pictures, ornaments and small pieces of furniture. The communal bathrooms and toilets were all clean and tidy. The home employs a maintenance person who undertakes day-to-day repairs and some weekly and monthly safety checks. A diary is kept for reporting faults and repairs or replacements required and the maintenance person signs when the work is completed. Weekly checks are carried out on water temperatures. The records showed that the water temperature for two of the communal baths was as high as 56 degrees centigrade and had been over the recommended safe temperature of 43 degrees centigrade for more than a month. The bathroom in the special needs unit was visited and found to have a small notice on the taps saying, ‘use with care, water is hot’. Each unit has a small laundry with a washing machine that has automatic product feed. One laundry room was seen and was tidy. The team leader said that doing the residents’ laundry was usually the responsibility of the night staff. The home has an infection control policy that includes the management of soiled linen. Protective clothing is provided and soiled linen is placed in alginate bags that go directly into the washing machines on a sluice wash programme. One carer spoken with said they would hand sluice soiled linen prior to placing it in the alginate bag. This practice does not comply with the infection control policy. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. People who use this service can expect to be supported by adequate numbers of trained staff, however can not be fully assured that thorough recruitment practices have been followed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three new staff members were inspected and showed that criminal record bureau (CRB) checks were received before staff commenced in post. Two references were taken up for each member of staff and identity checks were made. Some files had no recent photograph of the member of staff and one had an incomplete work history with no evidence this had been explored during the interview. The duty rotas were seen and showed that there is a team leader on duty throughout the twenty-four hours supported during the day by six carers and at night by two carers. To help getting residents to bed there is an overlap of an hour between 21.00 and 22.00 with the night staff and two of the day carers. In addition there is a full team of ancillary staff including kitchen staff, domestics, a maintenance person three times a week and administration help. The registered manager is usually working in the home during the daytime and is supernumerary to the team numbers. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 18 Staff records contained evidence that an induction programme ‘Skills for Care’ had been undertaken. It covered areas such as moving and handling, personal care, communication, food hygiene and abuse. There was also evidence that the first shifts done by the member of staff were ‘shadow’ shifts working closely with an experienced staff member. The induction process and ‘shadow’ shifts were confirmed in discussion with carers who had commenced work recently. On the day of inspection the senior team leader was leading a day of moving and handling training for staff. Records showed that staff were updated annually on moving and handling and other mandatory subjects such as abuse, health and safety, first aid and infection control. There was evidence that a fire prevention video with drills and evacuation had taken place on 12th March 2007 and had been attended by around twenty staff who all completed a questionnaire about the learning. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is adequate. People who use this service can expect to have their opinions sought. However they cannot be assured of the homes thorough approach to health and safety matters until issues regarding hot water temperatures and infection control have been sufficiently addressed and resolved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post for over two years and has past experience at managing care homes. They have a social work qualification and hold a diploma at NVQ level 4 in management of care services. Staff spoken with indicated the manager was approachable and offered leadership. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 20 Residents’ personal money is managed as in other local authority homes at a central recording point with petty cash being held in the home. Statements of transactions and a balance are available to residents and families or appointees. These are sent out on a regular basis or on request. In the past there has been evidence that residents have meetings and that their views on life in the home are sought. At the last inspection there had been information about a proposed quality assurance system that was to be set up. Staff said they were aware that some questionnaires had been sent out to families recently but were unable to locate a specimen one. Since the day of inspection the manager has supplied CSCI with a copy and a letter that was sent out to invite relatives to a meeting at Place Court. The questionnaire covers staff attitudes, meals, social events at the home, involvement in the care of the resident, the environment and whether people know how to make a complaint. The manager has not received all comments back yet or started to collate them. This will be followed up at a future inspection. Staff files contained supervision notes that showed wide-ranging discussion had taken place about care practice, training and development. Care staff spoken with confirmed they had supervision every two months. Ancillary staff said they very rarely had any supervision. There was the certificate of registration on display in the entrance hall together with a copy of the last inspection report and a certificate of employers liability insurance. Documentary evidence was seen of service checks on hoists, rise and fall beds and Parker baths. The emergency repair diary contained telephone contact numbers for major maintenance emergencies such as a gas leak or the boiler breaking down. The home employs a maintenance person who undertakes day-to-day repairs and some weekly and monthly safety checks. A diary is kept for reporting faults and repairs or replacements required and the maintenance person signs when the work is completed. Weekly checks are carried out on water temperatures. The records showed that the water temperature for two of the communal baths was as high as 56 degrees centigrade and had been over the recommended safe temperature of 43 degrees centigrade for more than a month. The bathroom in the special needs unit was visited and found to have a small notice on the taps saying, ‘use with care, water is hot’. Each unit has a small laundry with a washing machine that has automatic product feed. One laundry room was seen and was tidy. The team leader said that doing the residents’ laundry was usually the responsibility of the night staff. The home has an infection control policy that includes the management of soiled linen. Protective clothing is provided and soiled linen is placed in Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 21 alginate bags that go directly into the washing machines on a sluice wash programme. One carer spoken with said they would hand sluice soiled linen prior to placing it in the alginate bag. This practice does not comply with the infection control policy. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X 1 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 14 (1) (a) Requirement Timescale for action 30/04/07 2. OP25 13 (4) (a) (c) 3. OP26 13 (3) 4. OP29 19 (1) (b) (i) The registered persons must ensure a pre-admission assessment of need is undertaken and recorded for all prospective residents. The registered persons must 14/03/07 ensure that hot water is delivered to taps at or near the recommended temperature of 43 degrees centigrade. The registered persons must 14/03/07 ensure that the infection control policy is known and implemented by all staff. The registered persons must 14/03/07 ensure that all documents listed in schedule 2 are kept in staff files and available for inspection. Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 24 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 OP18 Good Practice Recommendations The registered persons should ensure all staff have regular updated training in recognising abuse and the POVA procedures. The registered persons should extend the supervision programme to include all staff in the home. OP36 Place Court DS0000036919.V332770.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. 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