Inspection on 24/09/07 for Plantation View

This inspection was carried out on 24th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Plantation View 06/09/06

Plantation View 15/12/05

Plantation View 05/05/05

Plantation View 11/01/05

Plantation View 17/06/04

Plantation View 27/01/04

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

CARE HOMES FOR OLDER PEOPLE Plantation View 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ Lead Inspector Janet McBride Key Unannounced Inspection 24th & 27th September 2007 10:15 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 Plantation View DS0000032827.V351236.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. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plantation View Address 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ 01302 539678 01302 533038 NONE NONE Doncaster Metropolitan Borough Council 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) Christine Elizabeth McKay Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Plantation View is owned and managed by Doncaster Metropolitan Borough Council. It is registered care home and provides residential care and accommodation for 27 older people with a diagnosis of dementia. The home is situated in a residential area of Doncaster close to main access routes to the town centre. Accommodation is provided in a single storey purpose built facility, which as twenty-seven single bedrooms. There are several lounges for people who use the service, these are close to units of bedrooms and a reminiscence room furnished with memorabilia. The main dining area is situated at the entrance to the home, with a second smaller dining area available to the centre of the home. There are interconnecting corridors that provide a circulatory route around the home. Fees range from £330:00 to £490:00 per week, as at September 2007. Additional charges are made for hairdressing, chiropody, some personal toiletries, magazine, newspapers and transport/taxi, these costs are variable. For further information contact the home. The Statement of Purpose and the Service User Guide, which is available on request, as information about the services available for people at the home and their families. The home last published inspection report was also available on request. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this Key Unannounced Inspection, which took place over two days starting on the 24th September 2007 for eight hours. The home is registered for twenty seven places, at the time of inspection twenty seven people were receiving services at the home. Prior to the inspection the manager submitted an Annual Quality Assurance Assessment giving information regarding the home and services provided. Pre-inspection work was carried out on the information received and other relevant documentation, for example analysis of statutory notifications and complaint records. During the inspection documentation and records were examined, for example medication, complaints, accident records, staff rotas and staff training files. Two care plans were cross-referenced with other relevant documentation relating to those people who use the service, to evaluate how well their care needs were met. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible that had contact with people within the home, including individual interviews with the manager, members of staff and visitors. Surveys were sent out prior to the inspection from the Commission for Social Care Inspection (CSCI). None were sent to people who use the service as all had a diagnosis of dementia and communication was difficult and may have been to stressful for people to complete. Six were sent to relatives, all were received back. Five professionals who visited the home were contact by telephone and asked for their comments. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. They were also asked what the service did well, and what improvement could be made. The inspector would like to thank all the staff, relatives and people receiving services within the home for their co-operation in the inspection process. Any issues or concerns that were raised were discussed with the manager at the end of the inspection. What the service does well: The atmosphere within the home was good and people that use the service appeared very happy, all were dressed appropriately to their gender, e.g. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 6 Ladies looked nice with matching clothes all had stockings and shoes on, hair was neat and tidy, and some had lipstick and jewellery on. All the men had been shaved and looked well cared for. Very positive comments were received from relatives about the care and staff at the home e.g. • “Very high standard of care is provided at the home.” • “If our relative feels anxious she is encouraged to ring us.” • “It is a most welcoming place and the care staff interact with the residents.” All said the home meets the needs of their relative and they were happy with the care provided. All said they are kept informed of any issues and were updated on care problems and changes in medication or dietary needs. Comments on what relatives and visitors thought the home does well e.g. • “Very high standard of care is provided at this home.” • Feel the staff are very committed in their care for residents.” • Provide a safe and caring environment for all.” • They organise outings and parties for all residents and families.” Comments from professional were just as positive. What has improved since the last inspection? What they could do better: Ensure that the home as 50 of staff trained to NVQ Level 2 or equivalent as soon as possible. Good practice suggests nutritional assessments should be completed for all people on admission to ensure nutrition is monitored and reviewed. Staffing should be monitored to ensure when day care is offered at the home staffing is appropriate to meet all people’s care needs and not encroach on Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 7 peoples care needs who live at the home. Therefore day care residents care needs should be reassessed to determine staff levels are appropriate to meet all peoples needs DMBC should ensure that all staff personal files contain evidence to show that a thorough recruitment procedure as been followed. The registered provider should consider installing a system that ensures the manager can access the internet to gain information, send and receives emails. This would also encourage research and development of the 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. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People that use the service had information about the home and services provided. People were individually assessed prior to admission to ensure their needs would be met. EVIDENCE: The home offers residential and respite care but not intermediate care. Keeping within the homes registration and statement of purpose, all people within the home had a diagnosis of dementia. Records showed that people that use the service were fully assessed prior to moving into the home, with other professionals involved if required. People had the opportunity to visit and stay to discuss suitability of the home and services prior to admission. Relatives who completed surveys confirmed they had the relevant information about the home and the services provided. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 10 A number of staff had completed dementia training, staff demonstrated good knowledge and a keenness to improve their practices to develop a greater knowledge of this client group. The scale of charges was discussed with the manager and any extras that people pay for, which are documented on page 5 of this report. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Care plans provided staff with the information they needed to meet the care needs of people that use the service, this ensured that the majority of peoples needs were identified and met. EVIDENCE: Two care plans were tracked of people that use the service, these care plans were cross-referenced with medication records, accident records and any other relevant information. Care plans were developed shortly after admission, using the initial assessment of need and any other relevant information gathered by professionals, family and friends. Health, personal and social care needs were set out in an individual plan of care, including religious beliefs and the wishes and arrangements that people wanted in the event of their death. Various risk assessments were completed dependent on individual needs. Records were maintained of peoples weight on a regular basis, however good practice would be to complete a nutritional assessment on admission to ensure that nutrition is monitored and reviewed. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 12 The district nurse provided the main link to all medical services including dietician, continence advice and general health checks as required by the G.P. The home had a lot of input from the mental health liaison team who visit on a regular basis. The manager said their input of this support and advice promoted peoples health and well-being and may have avoid hospital admissions. Medication policy and procedure were discussed with the person in charge and records checked. All staff responsible for the administration of medication had completed the accredited medication training. Examination of records, storage and recording of medication was completed. All were found to be satisfactory with a big improvement of the handling of medicines and record keeping. All the issues raised on the last inspection had been addressed. All people receiving services had a diagnosis of dementia, therefore the majority of people could not make decisions. It was documented in care plans when relatives, advocates and multi disciplinary teams were involved in decisions making. Staff were able to describe care needs of people within the home, and knew which people were able to make independent choices. However they said they encouraged all people to make some everyday choices e.g. what to eat and what to wear, this promoted the choices and dignity of people living at the home. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People within the home were provided with some stimulation and interesting activities. They were offered a wholesome and appealing balanced diet with a varied selection of food available to meet people’s tastes and choices. EVIDENCE: Daily routines appeared flexible and varied, daily newspapers were available for general reading and stimulation. Information was available in care plans of people’s hobbies, life events, likes and dislikes. Activities within the home were varied, staff organised social events for people who live at the home and their relatives and friends. Outings were arranged both on an individual and group basis, this was dependent on weather and staffing. Comments received from relatives and visitors spoke positively about the support staff gave to maintain relationships and encourage visitors to the home, and that they were always made to feel welcome. They said visiting was not restricted, and that family and friends were allowed at any time and visits took place either in their own bedrooms or in one of the lounges. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 14 Comment from relatives said, “staff encouraged their involvement within the home and resident and relative meetings were held on a regular basis”. “The staff organise outings and parties for all resident and families that are very enjoyable.” “My relatives overall wellbeing as improved tremendously since being at this home.” “I recently accompanied my relative to a nostalgic sing-a –long outside the home, the benefit of such an event for all was fantastic and immeasurable.” Staff said they encouraged people to make choices whenever possible, they gave examples of how they ensured that peoples rights are promoted and their privacy and dignity preserved, e.g. ensure that all personal care is given in private, make sure people are appropriately dressed, call them by the name they prefer. Food and mealtimes were discussed with the cook, who gave examples of food available, times of meals and confirmed that people had access to food and drinks 24 hours a day. Menus were available and people were asked what they wanted. Special diets were available and any liquidised food was served separately this ensured that people within the home and staff could recognise different foods. At mealtimes, the food was well presented lunch was unhurried and assistance was given to people if required. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. The homes complaints procedure was accessible and displayed within the home. Policies and procedures were in place on adult protection, this promoted and protected people who use the service. EVIDENCE: There was a comprehensive complaints procedure, which was on display in the home. Doncaster Metropolitan Borough Council (DMBC) had replaced their viewpoint leaflet with Happy or Not leaflet to encourage people within the home and relatives to tell DMBC what they think about the services that were provided. Complaint records showed that the home had not received any complaints since the last Inspection. Relatives said they were aware of the complaints procedure and if they were unhappy or had any concerns they would talk to the manager, who is very approachable. The home had the DMBC policy on Adult Protection and Whistle blowing. Staff confirmed they were aware of these polices and procedures, and were able to verbalise the action they would take on receiving any allegations. The manager had been seeking further training and updates on adult protection and the mental capacity act to ensure staff were fully aware and updated in the protection of vulnerable adults procedures. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 16 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, 24 and 26. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People who use the service live in a comfortable and accessible environment with any specialist equipment they required to maximise their independence. The home was clean and tidy and provided a well-maintained environment. EVIDENCE: This is a purpose built home with choice of communal space and with single bedrooms, providing privacy for people living at the home. The home had a rolling maintenance programme, which ensured that decorating, and the renewal of furnishings; carpets and curtains were replaced as necessary. A tour of the premises, which included all communal areas and some bedrooms, showed that a number of these areas had been decorated and new Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 17 carpets fitted. Communal rooms were comfortable, bright and cheerful and looked very homely with pictures and ornaments around the home. A number of comments were received on the surveys about the homes cleanliness and all said it was a pleasant and comfortable environment at all times. Laundry facilities were checked and found satisfactory. Comments were received on the surveys about the grounds and gardens, it was suggested that these could be improved and that the home provide more seating areas to use in the better weather. The manager said that the gardening team at DMBC could spend more time at the home to improve the flowerbeds and trim the borders. With regard to furniture for the garden the home do have some however the weather had not permitted this being put out on a regular basis. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. The home had a very stable staff group who had undertaken basic and induction training, and continued to develop their skills by attaining NVQ level 2 or 3 in care. This ensured people at the home were supported and protected by competent staff. EVIDENCE: Staffing was discussed with the person in charge and the duty rota examined, this clearly identified staff within the home and their role, gave a clear accountability of management and ancillary staff. Three staff vacancies had been filled since the last inspection, but the home still as some staff on longterm sick leave. Observation on the day, checking of duty rotas confirmed there were sufficient staff to meet the needs of people who use the service. One issue had always been raised with regard to day care, no extra staff being allocated for this service. It was observed that some people receiving day care appeared to take up more staff time than people who lived at the home. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 19 Each member of staff had an individual training file, these were examined and training opportunities were discussed with the manager and staff. New members of staff had five days induction to the home this was confirmed when speaking to two new staff members, other staff said that training was offered on a regular basis. Records indicated that a number of the staff team had accessed various courses, e.g. dementia, medication, moving and handling and first aid courses. A number of staff had also achieved National Vocational Qualification level 2 or 3 in care (NVQ) with other members of staff continuing to work towards attaining this qualification. The home also had four NVQ assessors within the home. Staff were observed to carry out their duties in a professional manner and showed consideration for peoples individual needs, and appeared to work effectively together as a team. Comments from relatives when asked about staff skills said, “Staff seem to have the skills and experience to look after my relative” “ from observation on my regular visits I feel the majority of staff are well qualified”. Comments from a visiting GP and district nurses seen on the day were positive about the care that people receive and staff at the home. Staff employment files are kept centrally by DMBC and three new files were requested to examine. One out of the three files checked had met all the requirements of legislation and employment law, for example two references, Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks were made prior to staff being employed. The other two files did not contain this evidence, however the manager and both the new staff confirmed that the required employment checks had been undertaken prior to commencing work at the home. Good practise would be for DMBC to complete a form, which would be placed in each person file that is kept at the home to evidence that all this information had been obtained. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People who use the service were protected by sound management practises. The financial interests of people were safeguarded, good health and safety procedures ensured they were protected. EVIDENCE: The registered manager had been at the home for a number of years she has the competence and experienced to run the home well. Throughout the visit she demonstrated a good understanding of managing the care at the home. She said she operated an open door policy, to discuss any concerns or queries people may have. Prior to the inspection the manager submitted an Annual Quality Assurance Assessment giving information regarding the home and services provided. This was completed very well and contained a lot of useful Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 21 information, the manager had to complete this by hand as the home was not able to access the internet to receive this information, or be able to save and update this information for it to be used at a later date. The home does not have an e-mails address therefore the home cannot send and receive e-mails, or get information from the internet. Quality assurance systems were in place and the manager could evidence they monitor the quality of care and services within the home. Recent surveys were sent out to relatives and visitors, to gain their views on care, staff, environmet and what improvements could be made. These suggested that the manager and staff were very approachable, and stated their satisfaction with the home and care provided. Very positive comments were received throughout this visit and on surveys that were sent out prior to the inspection. When asked what the home did well comments as follows, “Provide a safe and caring environment for all residents which, gives families peace of mind.” “My relatives overall wellbeing has improved tremendously since being at this home.” Visits are completed by the care manager on a monthly basis to the home to monitor the services, her findings are reported on a Regulation 26 report with a copy to the local Commission for Social Care Inspection office. Finances were discussed with the homes manager, arrangements were satisfactory with appropriate records kept and secure facilities within the home. This safeguarded the money of people living at the home. Maintenance and service records examined, these were up to date with current certificates. The required Health and Safety policies and procedures and the relevant notices were displayed throughout the home. Fire safety procedures were in place, records examined showed they were current and up to date. Plantation View DS0000032827.V351236.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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP8 OP27 OP28 OP29 OP31 Good Practice Recommendations Nutritional assessments should be completed on admission to ensure nutrition is monitored and reviewed. People who live at the home and day care residents care needs should be reassessed to determine staff levels are appropriate to meet all peoples needs. A minimum ratio of 50 of staff must be trained to NVQ Level 2 or equivalent as soon as possible. All staff personal files should contain evidence to show that a thorough recruitment procedure as been followed. The registered provider should consider installing a system that ensures the manager can access the internet to gain information, send and receives e-mails. This would also encourage research and development of the service. Plantation View DS0000032827.V351236.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Plantation View DS0000032827.V351236.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!