Inspection on 31/10/06 for Pretoria Court Complex Care Home

This inspection was carried out on 31st October 2006.

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

Pretoria Court Complex Care Home 03/10/07

Pretoria Court Complex Care Home 19/12/05

Pretoria Court Complex Care Home 11/07/05

Pretoria Court Complex Care Home 03/11/04

Pretoria Court Complex Care Home 21/04/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Pretoria Court Complex Care Home Corbridge Road Medomsley Consett Durham DH8 6QY Lead Inspector Mrs Sue Lowther Unannounced Inspection 09:30 31st October & 1 November 2006 st X10029.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 Pretoria Court Complex Care Home DS0000000741.V321898.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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pretoria Court Complex Care Home Address Corbridge Road Medomsley Consett Durham DH8 6QY 01207 561880 01207 563094 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) Alliance Care (Trendlewood) Limited (wholly owned subsidiary of Four Seasons) Mrs Christine Munro Marr Care Home 91 Category(ies) of Old age, not falling within any other category registration, with number (67), Physical disability (26) of places Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical disability - up to 24 persons with a physical disability (younger adults) may be accommodated in the Stanhope Suite only, commensurate with the home’s statement of purpose. The home may accommodate up to two persons with a Physical Disability in Edmundbyers House only. 19th December 2005 2. Date of last inspection Brief Description of the Service: Pretoria Court Complex is a large, partly purpose built establishment, located in a rural setting with spectacular views from many rooms overlooking the Derwent Valley. It is provided by the Four Seasons Health Care group. The care home complex provides accommodation for service users with nursing or personal care needs. It is staffed with registered nurses and care staff, who are supported by a team of ancillary staff, including cooks, domestics and handyman. The home is divided into separate units to enable service users with different care requirements to be catered for: Edmundbyers House (37 beds) and Blanchland House (30 beds) (currently vacant) are for older persons (over 65 years); Stanhope Suite (24 beds) is for younger adults with physical disabilities (18-65 years). All bedrooms are single rooms and there is a good range of sitting and dining areas for communal use. Most bedrooms are supplied with en suite toilet and wash hand basin. There are pleasant garden and patio areas around the home and ample parking space for visitors. The Registered Manager for the whole complex is Mrs Christine Munro Marr. A Deputy Site Manager, Mrs Anne Johnson, who is responsible for the Stanhope Suite, supports her in her duties. A Deputy Manager is also in post. At the time of the inspection the fees charged were between £365 and £490. The cost of hairdressing, chiropody, newspapers, aromatherapy and holidays is not included. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Pretoria Court Care Home took place on the 31st October and 1st November 2006. Records were examined and a tour of the building took place. Time was spent talking to service users, staff and relatives. The manager supplied some information on a pre-inspection questionnaire. The inspector talked to service users, relatives and staff. The comments made are reflected in the report. The inspection focussed on key standard outcomes for service users. What the service does well: What has improved since the last inspection? The home has reassessed the environment with regard to the suitability for people with sensory disabilities. The manager said that all service users had been assessed on an individual basis and that risk assessments are in place. Equipment is provided where an individual assessment highlights a need. Stanhope suite has undergone a major refurbishment programme to provide a bright, cheerful and homely environment for service users. The call bell system has been upgraded in Edmundbyers unit as recommended in the last report. It was recommended in the last inspection report that the views of service users should be sought about the quality of services provided. The company have introduced a new quality assurance survey, which will be made public. Pretoria Court Complex Care Home DS0000000741.V321898.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. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (OP). Standard 2 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures are in place to ensure that the home can meet the needs of the people who go to live there. The home does not provide intermediate care. Therefore assessment of Standard 6 (Older People) is not required. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 9 EVIDENCE: The manager said that she or her deputy visits the prospective service user before admission to the home. The service user and their relatives are involved in this process. Six care plans examined showed that a pre-admission assessment had been carried out. These provide the basis for the plan of care to be developed so that staff can meet all of the needs of service users. All of the people spoken to said that they were supplied with sufficient information before moving into the home. One service user said, “ I came to look around the home and staff told me everything I needed to know”. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 (OP). Standards 6, 9, 16, 18, 19 & 20 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that health care needs of service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager said that all of the service users have care plans. Six were looked at during the inspection. These were comprehensive and well written. These help staff make sure that each resident gets the support and assistance that is needed. Records examined showed that service users receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. Medication systems were looked at during this inspection. The home uses a monitored dosage system. All of the medication was signed for on the medication administration records. Service users and relatives said that the staff are polite, friendly and treat people with respect. One relative said, “The staff here are marvellous you just have to ask and they will do all they can.” Another said, “The staff are absolutely brilliant. They keep me informed and telephone me regularly”. All of the people spoken to confirmed that their privacy is maintained. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 (OP). Standards 12, 13, 15 & 17 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 13 EVIDENCE: The home employs an activities co-ordinator. A good programme of activities takes place both inside and outside of the home. The indoor activities include indoor games, parties, aromatherapy and quiz nights. Outside activities include visits to the pub, cinema, seaside and theatres. The staff base activities on life stories. Some service users showed these to the inspector. Most of the people said that they liked the food and that a choice is always available. One service user said, “ The food is excellent and you get a choice”. Service users’ nutritional needs are considered and recorded in care plans. Specialist diets are provided where necessary. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 (OP). Standards 22 & 23 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: Information is available for service users and visitors to the home on how to make a complaint. Service users and families views are obtained through regular contact and an ‘open door policy’. Service users and relatives said that they feel confident in discussing any issues with the manager. One person said, “I can approach the l the manager when I have a problem and it is dealt with immediately”. There were no complaints recorded in the home since the last inspection. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 15 Training in adult protection is provided for all of the staff during their induction and is updated on a regular basis. This ensures the safety and protection of service users. Staff spoken to said that they are aware of the procedure and would take any concerns immediately to the person in charge. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 (OP). Standards 24 & 30 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 17 EVIDENCE: The inspector looked around the home and found it to be light and airy. The last inspection report recommended that the services and facilities provided should be reassessed to ensure that positive outcomes for people with disabilities (for example, sensory disabilities) are being maximised. The manager said that all service users had been reassessed and that risk assessments are in place. Equipment is provided where an individual assessment highlights a need. The call bell system has been upgraded in Edmundbyers unit as recommended in the last report. Ventilation in some bathrooms still needs to improve in the interest of health, safety and welfare. The programme of window frame replacement needs to be restarted as required in the last inspection report to ensure that service users have full protection from the weather. The manager told the inspector that a start date has been agreed. Service users said that they could take their own possessions into the home to make their rooms more pleasant and homely. The communal areas of the home were clean and service users confirmed that their bedrooms are always cleaned to a good standard. Service users and relatives said they liked the environment. Comments included “I looked around several other homes but chose this one for the big room.” Another said, “ I chose this home for the garden and the room size”. There were no unpleasant smells apparent on the day of inspection. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 (OP). Standards 32, 34 & 35 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment processes. This includes the vetting of staff through the use of Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 19 The staffing rotas were examined during the inspection. Staff felt that there are sufficient staff to meet the needs of the people who live in the home. Relatives who returned questionnaires said that there are always sufficient numbers of staff on duty. Training has recently taken place in fire safety, continence care, wound care safe handling of medicines and protection of vulnerable adults. Certificates to confirm this were seen in staff files. One recently recruited member of staff told the inspector that she had received an induction programme and found this to be good. It provided her with all of the information she needed to support her in looking after the people who live in the home. The home should continue with the training of staff to National Vocational Qualification (NVQ) level two to achieve the National Minimum Standard target of 50 . Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 21 Standards 31, 33, 35 & 38 (OP). Standards 23, 37, 39 & 42 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager is well qualified, with several years experience in working with older people. One member of staff said, “The manager is good, she is approachable and supportive”. Meetings are held every monthly. Service users and families are welcome to attend. This gives people an opportunity to make their views about the home known. It was recommended in the last inspection report that the views of service users should be sought about the quality of services provided. The company have introduced a new quality assurance survey, which will be made public. The manager said that the area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. Copies of these reports are kept in the home. The administrator is responsible for the record keeping with regard to service user finances. The company audits these on a monthly basis to ensure that residents are protected. The manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. The electrical wiring certificate was not up to date as remedial work was being done at the time of the inspection. This must be provided to the CSCI on completion of the work. Pretoria Court Complex Care Home DS0000000741.V321898.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 X 2 X 3 3 4 X 5 X 6 N/A 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? 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 OP19 YA24 Regulation 13 & 23 Requirement Ventilation to some bathrooms and shower rooms needs to improve in the interest of health, safety and welfare. The programme of window/window frame replacement needs to be restarted, to ensure residents have full protection from the weather (for example, wind and rain). The electrical wiring certificate was not up to date as remedial work was being done at the time of the inspection. This must be provided to the CSCI on completion of the work. Timescale for action 31/01/07 2. OP19 YA24 13 & 23 31/05/07 3. OP38 YA42 13 & 23 31/12/06 Pretoria Court Complex Care Home DS0000000741.V321898.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. Refer to Standard YA32 Good Practice Recommendations The home has further to go before it achieves the target of at least 50 of its care staff qualified to National Vocational Qualifications (NVQ) level 2 or above in care (it expects to reach this percentage within the next 12 - 18 months). However, staff training is otherwise good. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. Pretoria Court Complex Care Home DS0000000741.V321898.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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