Inspection on 24/06/05 for Rhodelands Care Home

This inspection was carried out on 24th June 2005.

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

Rhodelands Care Home 26/11/07

Rhodelands Care Home 25/06/07

Rhodelands Care Home 27/07/06

Rhodelands Care Home 19/10/05

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Rhodelands Care Home Babbs Lane Doveridge Derbyshire DE6 5JT Lead Inspector Vanessa Davies Unannounced 24 June 2005 1.30pm 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 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. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rhodelands Care Home Address Babbs Lane Doveridge Derbyshrie DE6 5JT 01543 437030 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Lawerence Arthur Sawbrick - Milbury Mr Stuart McCallum Powell Care Home with Personal Care 7 places Category(ies) of 7 Learning Disability registration, with number of places Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection N/A Brief Description of the Service: Rhodelands is a large detached home in a quiet secluded lane. It is surrounded by large well maintained gardens. All areas of the home and garden are accessible to the service users. There are a number of communal areas including a large, well furnished conservatory. All bedrooms have en-suite bath or shower room. At the time of inspection there was a large log cabin being built within the grounds, it has a sensory room, an activity room and a small canteen with a vending machine to be fitted to meet the needs and expectations of service users. The home provides long term care for adults with a learning disability.Transport to access the community is also provided. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and the first the service has had since registration. The manager was available throughout the inspection. Information was gathered by examining records, speaking with service users and looking around the building. What the service does well: The manager promotes positive working relationships with both the new staff team and the new service user group. He has gathered valuable information within the assessments of need and developed a service user plan from this. Details of likes and dislikes are documented. Prior to any move to the home the service user and relatives are invited to visit and trial visits and stays arranged from this to meet the needs of the service users. Service users confirmed that they are consulted with; they have arranged activities, planned menus, completed shopping and have a choice of which member of staff to work with. Files relating to the service users are kept up to date and stored securely. Family and friendship contact is supported and encouraged, each file examined had a list of friends contact numbers and addresses. Service users rights to privacy and choice are respected and the inspector observed this on the day of the inspection. Complaints are taken seriously and documented. There is a complaints procedure in place. Service users spoken with were confident that any issues they raised with staff would be dealt with appropriately. The organisation has a policy in place to train staff to manage challenging behaviour within 3 months of commencing work at the home. The environment is pleasant and clean. Bedrooms were personalised and individual. The communal areas are large, well furnished and well decorated. Staffing levels are 5 staff throughout the day working with 7 service users. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 6 Fire alarms, lighting and extinguishers are checked weekly. The operations manager completes unannounced visits and seeks the opinions of the service users during these visits. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,4,5 (adults 18-65) 2,3,5 (older people) Pre-placement assessments, planning and service users visits ensured that the move to this service was a positive experience for individuals and enabled staff to meet their needs. EVIDENCE: Each service user file examined had a detailed assessment of need completed either by the home manager, the social worker, or both. There was also detailed information from the previous placement to assist with a positive move. Prior to the move the service users had the opportunity to attend a number of transition meetings between staff at their previous placement and staff at their current placement. Each of the service users and relatives had the opportunity to visit their new home prior to moving. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 9 Each of the files examined had a service user agreement, however they were not signed. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,10 (adults 18-65) 7,14,33,37 (older people) Staff work closely with service users, supporting their decision making and therefore promoting independence. Information on service users was up to date and service users care files are stored securely ensuring confidentiality is maintained. EVIDENCE: Care plans are still in the development stage as the home is very new and needs are changing. There are necessary care plans and risk assessments in place in order to meet needs highlighted within the assessment. The inspector spoke with 3 service users on the day of inspection and observed staff working with 5 service users. Service users who were able to, confirmed that they are consulted about what activities they want to participate in and Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 11 what foods need to go on the shopping list for the weekly menu. It was evident that service users are able to choose which staff work with them and this is displayed on the office door in the form of photographs. Service users spoken with confirmed that staff do consult with them about aspects of their life. Documentary evidence to support this was not examined on this occasion. Service users care files are kept securely within the office and those examined were accurate and up to date. Service users spoken with, who were able to, confirmed their awareness of their care file and were confident that it was kept securely. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 15, 16, 17 (adults 18-65) 12,13 (Older people) Service users are supported to continue with activities enjoyed at their previous home and encouraged to find new activities, helping them to have an as active a life as possible. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 13 EVIDENCE: Service users are still developing activities within their new home and staff are continually learning about likes and dislikes. 1 service user spoken with clearly enjoys shopping and had been out on the morning of the inspection. Each file examined had detailed information about previous likes and dislikes and activities the service users used to do. The staff are continuing with these activities and are keen to develop new activities. The log cabin being built will house a canteen and the manager is eager to purchase a vending machine, this will meet particular needs of one service user who used to enjoy going into a local canteen and purchasing his own drinks from the machine. The manager stated that it will also support independence and money management. The files examined had contact details of friends and family and the manager stated that previous friendships were supported as much as possible. Staff were observed respecting service users rights, on the day of inspection. One service user decided that he wanted to have a lie down on his bed prior to any activity. One service user was asked to show the inspector around his home but he declined and the manager did the tour instead. Service users are all involved with the menu choosing and the food preparation as much as possible. Menus are prepared on Sundays with each service user choosing a meal for a day in the week and shopping is done on Mondays, again with service users. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) N/A Not examined on this occasion. EVIDENCE: None of the areas within this section were examined on this occasion. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 (adults 18-65) 16,35 (older people) Service users felt staff listened to what they had to say and this gave them confidence that the staff team would address any issues raised. Policies are in place in respect of Adult Protection, however there is a potential for service users to be at risk of abuse due to the lack of staff training in this area. EVIDENCE: Service users spoken with were confident that staff listened to them and addressed any issues they may have. The complaints record was not examined on this occasion. Training records examined evidenced that 7 members of staff have received training in NVCI (Non violent physical crisis intervention) to assist them with the management of any aggressive outbursts. Only 1 member of staff has completed and abuse awareness training course. There is a clear policy and procedure in place relating to Adult Protection and managing challenging behaviour. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26,27,28,30 (adults 18-65) 20,21,24,26 (older people) Service users bedrooms are personalised and provide sufficient privacy, ensuring their comfort and independence. EVIDENCE: The inspector was invited to look at one service users bedroom, it was very personalised even though the service user had not lived in the home for long. 4 bedrooms on the ground floor have an en-suite bath or shower and 3 bedrooms on the first floor all have en-suite; 1 with a bath and 2 with a Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 17 shower. There is a large furnished conservatory, a large lounge area and a separate dining area off the kitchen. The kitchen is fully fitted and meets the needs of the service users. The home was very clean on the day of inspection. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35 (adults 18-65) 28,29,30 (older people) Although staff appear to be meeting the current needs of the service users lack of training could potentially put service users at risk or lead to specific needs not being met. EVIDENCE: Staff spoken with were aware of their roles and responsibilities. All staff observed on the day of inspection worked very well and positively with the service users. There are 16 members of staff employed at the home, there are 5 staff on duty in the morning and 5 staff in the afternoon, 1 member of staff sleeping in and 1 waking night staff. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 19 The inspector examined 4 staff files; 3 had 2 references, a Criminal Records Bureau check, 2 proofs of identity and a job description. However, 1 file had no references or Criminal Record Bureau check, the manager stated that these had possibly gone to Head Office. There are gaps in the staff training, the manager stated that this was due to service users moving in and staff needing to help them settle. No members of staff have completed the LDAF (Learning Disability Award Framework) award. A number of staff need to complete First Aid, Fire Safety, Food Hygiene, Abuse Awareness and managing aggression (NVCI). Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,39,40,42 The home is managed by an experienced manager who is working hard to build relationships between a new service user group and a new staff team, in order to ensure that the service users fulfil their needs and expectations. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The manager has relevant experience and the necessary skills to manage this service. He works with an open door policy and a number of staff and service users came to speak with him during the inspection. There are detailed policies and procedures in place to safe guard service users. Staff are aware of these and able to access whenever necessary. The Operations Manager completes monthly, unannounced monitoring visits, in addition to other visits throughout the month. During these visits she seeks opinions of the service users and documents them. The fire files are up to date. Alarms, emergency lighting and extinguishers are audited on a weekly basis. Fire drills are completed 2 monthly. Accident records are clear and up to date. Fridge and freezer temperatures are completed daily and within safe limits. Staff must ensure that food opened and stored in the fridge are dated. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 2 Standard No 22 23 Score 3 2 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x 3 x 3 x 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING x x 3 3 3 x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 3 2 3 2 2 x x 3 3 3 x 2 x Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rhodelands Care Home Score x x x x 37 38 39 40 41 42 43 C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc N/A 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 23,32,35 Regulation 18.1 a i, 13.6 Requirement The Registered Person shall make arrangements by training staff to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. The Registered Person must ensure that staff receive the training appropriate to the work they undertake. The Registered Person must have two written references and evidence of a criminal record certificate on file for each person working at the home. Timescale for action 31.10.05 2. 32,35 18.1 a i 30.11.05 3. 34 7,9,19 Sch 2 (5) (7) 31.08.05 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. Refer to Standard 5 32,35 42 Good Practice Recommendations The Registered Person should ensure that the service user agreements are signed. The Registered Person should ensure that staff receive training in courses highlighted within the report. The Registered Person should ensure that opened food stored in the fridge is dated with the date opened. C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 24 Rhodelands Care Home Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection South Point, Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Rhodelands Care Home C52-C02 S62996 Rhodelands V238335 240605 Stage 4.doc Version 1.40 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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