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Inspection on 19/10/06 for Rosa Freedman Centre

Also see our care home review for Rosa Freedman Centre for more information

This inspection was carried out on 19th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users were unanimously positive about the home, about the staff and the care they receive. The atmosphere in the home was calm and homely. The smaller units enable the service users to receive close, personal attention. The Registered Manager is highly competent and respected by staff and service users alike. The payback of the responsive, proactive management ethos is a well run home with good care consistently delivered to the service users by a stable and skilled staff team.

What has improved since the last inspection?

All five requirements from the last inspection were met. Service users` weight monitoring and recording has improved, the new medication room has been tidied up, overnight staff facilities have been redecorated, the washing machine pump secured in its own housing and fire drills are now done every three months.

What the care home could do better:

Eight new requirements were made at this inspection. The inspector is confident that the home will be able to meet these requirements within the timescales given. The home should review the length of call bell cords to ensure service users can always reach them if they have a fall. While the food is good quality, the home should ensure that different salads are available on a regular basis.There should always be sufficient staff on duty at all times, including during handover, and staffing levels should be kept under review to ensure they match the dependency levels of the service users. All training delivered should be recorded on a training matrix. All statutory training should be kept up to date and night staff should be fully integrated into this programme. The home should continue to develop activities specifically targeted at service users with dementia.

CARE HOMES FOR OLDER PEOPLE Rosa Freedman Centre 17 Claremont Way Cricklewood London NW2 1AJ Lead Inspector Margaret Flaws Key Unannounced Inspection 19th October 2006 14.00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosa Freedman Centre DS0000010522.V310690.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. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosa Freedman Centre Address 17 Claremont Way Cricklewood London NW2 1AJ 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) 020 8458 0591 020 8731 6174 manager.rosafreedman@freemantletrust.org admin@fremantletrust.org The Fremantle Trust Mrs Emma Julie McAfee Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (18) of places Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 18 adults of either gender who fall into the category of old age (OP) and who may have dementia (DE(E)). 16th February 2006 Date of last inspection Brief Description of the Service: The Rosa Freedman Centre is a care home registered to provide care for 18 older people, some of whom may have been diagnosed with dementia. One of the places is used to provide respite care. The home is part of a complex that includes a day centre and a sheltered housing scheme. Barnet Council used to run the complex and The Freemantle Trust and Ealing Family Housing Association have now respectively taken over responsibility for the care and property services in the residential home and day centre. The local authority retains responsibility for the sheltered housing scheme. The care home was purpose built in 1989. There are two nine place units with identical accommodation on the ground and first floors. Stairs and a passenger lift link the two units. Both units have nine single bedrooms, a kitchen/diner linked to a lounge, a separate lounge, a bathroom, a shower room and four toilets. The general staff facilities are on the first floor and the main kitchen/restaurant serves the home and day centre and is situated on the ground floor. There is a pleasant, accessible garden to the rear of the home. The Rosa Freedman Centre is in a quiet road next to a park. Local shops are nearby as is the Brent Cross shopping centre. There are good transport links. The stated overall aim is to provide a high standard of care and support that is tailored to meet individual needs taking into account each service users right to exercise choice and self-determination in pursing their own lifestyle. The provider must make information available about the service, including reports, to service users and other stakeholders. The fees for the home are £496 per week. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over an afternoon and early evening. The Registered Manager and the Service Manager were present and helped throughout the inspection. The inspector spoke to seven service users, six staff as a group and three individually. No relatives visited during the inspection. CSCI also received returned surveys from eleven service users, four relatives and two health/social care professionals. A tour of the premises, inspection of care plans, staff and service records comprised the rest of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Eight new requirements were made at this inspection. The inspector is confident that the home will be able to meet these requirements within the timescales given. The home should review the length of call bell cords to ensure service users can always reach them if they have a fall. While the food is good quality, the home should ensure that different salads are available on a regular basis. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 6 There should always be sufficient staff on duty at all times, including during handover, and staffing levels should be kept under review to ensure they match the dependency levels of the service users. All training delivered should be recorded on a training matrix. All statutory training should be kept up to date and night staff should be fully integrated into this programme. The home should continue to develop activities specifically targeted at service users with dementia. 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. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. New service users can be confident that their needs will be fully assessed to determine whether the home can meet these needs. EVIDENCE: The files of four new service users were inspected. All had needs assessments completed by the referrers and by Rosa Freedman staff. There were two vacancies at the time of the inspection and there were no service users on respite. Several service users stated on their returned surveys that they didn’t have any choice about going into the home – a typical comment was “they just put me in here”. Two said that they did not have sufficient information prior to coming into the home. However, Rosa Freeman does ensure that all service users are able to visit the home prior to admission and many come for trial visits or move from respite admissions to permanent placements. But once in Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 9 the home, all service users were positive about the environment and the care they received there. The Service Manager and the Registered Manager explained how they ensure that the service users’ needs are fully assessed prior to admission and how they judge if Rosa Freedman can meet these needs. They said that this approach is of considerable importance at times when, because the home provides respite care, they come under pressure to accept emergency admissions. Staff said that the dependency levels of service users had increased over time; that people came to the home later in their lives and were frailer on admission now. They also said that service users sometimes died within relatively short periods of time, making it more difficult to build relationships with them. Currently, nine of the sixteen service users have a diagnosis of dementia and there is a specialist dementia training programme and organisational framework to meet their needs. The home does not provide intermediate care. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, 10, 11 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The health and wellbeing of service users is well maintained. Risks are assessed and service users treated with respect and their privacy protected. However, the service users’ ability to get help if they fall needs to be reviewed. EVIDENCE: Four service users’ files were inspected. They all contained up to date and regularly reviewed care plans. The service users signed the care plans on each review. There were risk assessments for each service user on file. One service user currently has cot sides fitted to his bed. A proper risk assessment was completed prior to fitting, the service users’ consent obtained and health professionals were involved in the process. Freemantle Trust has a sound policy and procedure relating to the use of cot sides. However, one service user who had a fall from bed couldn’t reach the call bell. A requirement is given that the call bell cord lengths be reviewed to ensure that they can be easily reached by the service users. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 11 A requirement given at the last inspection to improve service users’ weight monitoring and recording has been met. All service users had their weight recorded on their file each month. Service users were observed interacting with each other in a positive manner and displayed a sense of wellbeing: most were clearly capable of expressing their wishes (and did so), and staff were observed to be responsive and respectful of them. They had clearly built good relationships with the service users and demonstrated an understanding of their needs. This was equally true of permanent and agency staff. Agency staff spoken to said that they liked working in the home because they were always well briefed. They said that the team ethos was very supportive, which made it easy to slot into the working day. Service users all have individual rooms, which they can personalise in whichever way they wish. Service users spoken to said that staff respect their wishes for privacy; that they could choose to be in their rooms or in other parts of the home at any time and that they were happy with the personal space the home provided. They also said that staff provided personal care according to their wishes. One medication incident was reported to CSCI since the last inspection. Boots, the home’s medication contractors, mislaid prescriptions and the Registered Manager had to put emergency procedures in place to ensure that the service users received their medications. This process was well handled and there were no adverse results. Staff were observed safely giving medication to the service users on the evening of the inspection. MAR charts and blister packs sampled were in order. The new medication storage area is a significant improvement – the temperature in the room is well regulated and the area is maintained free of clutter and hazards. Service users’ wishes in relation to death were recorded clearly in their care plans. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are beginning to benefit from the employment of an activities coordinator in the home and from the development of specialist knowledge and procedures to support service users with dementia. Families and significant others are supported to maintain their relationships with the service users. Encouraging service user’ choice is central to home’s philosophy. Food is generally varied, healthy and nutritional. EVIDENCE: After over a year of advertising, the home has finally been able to appoint an Activities Coordinator. There is now a strong schedule of activities available, both group and some individual activities. Service users were positive about the change and said that they were enjoying the activities, especially the outings. Over the summer, they visited Regents Park for summer Shakespeare, had a picnic in the country, went to the cinema, to the orchestra and to a BBC studio recording. A Kew Gardens trip was imminent at the time of the inspection. They also said that the Activities Coordinator regularly plays games with them and leads readings and discussions. This was confirmed by the activities schedule. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 13 The Deputy Manager, who is also the Dementia Care Leader, said that they are currently developing life story work with the service users. Because the home has a number of service users affected by dementia, it is required that they explore more options for activities for these service users; that the Activities Coordinator is quickly trained in this area so that the service users benefit from ongoing improvements and are able to build on the positive outcomes already apparent as a result of having the new activities role. The service users were pleased with the new flat screen televisions purchased for the lounges and said they were curious about the prospect of having laptops computers to use and access the internet. Service users described their relationships with family and friends and how the home supported them to maintain these relationships. The Registered Manager also said that they are currently investigating if two service users could, in line with their wishes, be transferred to other parts of Great Britain and Ireland to be closer to their roots and their families. Service users said that their choices and wishes are well respected. For example, one service user, who had initially been reluctant to come into the home, said that he liked it because the staff left him alone to get on with life the way he chose, “I can live my own life here”, he said. He chose to eat in his room and to watch television there. During the inspection, an evening meal of bacon and eggs was served. There were other choices available. Menus for the day are written on a white board in the kitchen area of each unit. There is the option of a cooked breakfast for those who want it. Service users spoken to and surveyed said that they were happy with the food in the home. One service user made a request for more salads to be provided regularly and a requirement is made regarding this. Fridge temperatures were recorded daily and the unit kitchens were kept clean and tidy. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home’s complaints’ and adult protection policies and procedures are sound to protect the wellbeing of the service users and staff and service users know what to do if necessary. EVIDENCE: The complaints and compliments book was examined. There was a mixture of both received and of seven complaints received, five were substantiated. There was evidence of appropriate actions taken in response. Service users said they would feel confident to complain if they needed to and that they would know what to do. The home has a sound adult protection policy and procedure. Staff have been trained in its application and given an understanding of the principles of adult protection. The Registered Manager has completed a Train the Trainer course in this field and will deliver training to new staff in the future. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is well maintained and resourced in the service users’ interests. They are consulted on physical and environmental developments to determine what they would like. The home is clean and hygienic. EVIDENCE: The home has a gradual refurbishment programme in place. Since the last inspection, the shower areas have been refitted and the corridors, lounges and some rooms have been repainted. The garden has also been improved. The home has refurbished the boiler system, which has had a history of faults, and is currently replacing all valves on the radiators in the service users’ rooms. A requirement to cover the washing machine pump in the laundry has been met. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 16 After receiving a significant donation and consulting with service users about what they would like the money spent on, the Registered Manager purchased new flat screen televisions for the lounges and laptop computers for the service users to use. The home is currently being wireless enabled so there is internet access throughout the premises on the laptops. The home was clean and hygienic on the day of the inspection. The laundry was inspected and was in good order. Cleaners work in the home each day. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are protected by home’s safe recruitment practices. In some cases, they may be put at risk by gaps in staff training, which are easily rectified by the home, and by occasional gaps in staffing cover. EVIDENCE: Freemantle Trust is currently undertaking a re-contracting exercise with staff. Staff, the Registered Manager and the Service Manager said that this process had affected team morale but, “all credit to the staff, who have been excellent”, had no perceivable impact on the service users and the care that they receive. Consultations with staff are ongoing and service users and their relatives have been kept informed at consultation meetings. The Registered Manager said that there have been no staff cuts at Rosa Freedman. Management posts have been restructured and two of these posts currently remain vacant. The home is staffed by one staff member on each unit with a floating staff member between the units and a duty manager on each shift, during the day. At night, two staff are supported by an on-call sleep-in manager. Service users said staff were always available if they needed them. However, two relatives surveyed said that they had noticed staff shortages at particular times, for example, during the staff handover periods. It is required that the home ensure that there are always sufficient staff on duty to meet the service users’ needs and that they keep this under three monthly review against service user’ dependency levels. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 18 Four staff files were checked, including the files for new staff. All had the scheduled pre-employment checks in place and new staff inductions were well documented and signed off by the inductees. Sixty percent of staff have NVQ2 or above and a high number of staff hold a first aid certificate. Staff training records are hard to follow. They need to be easily referenced on a training matrix so that it is clear what training each staff member has received. A requirement is made to cover this. There were some gaps in mandatory training areas and it is required that all staff are kept up to date in key areas. It is also required that all night staff receive the full programme of training that is provided to day staff. Staff have received training in medication, dementia care and dementia care mapping, person centred care, continence promotion, wheelchair safety, pressure care, falls prevention, nutrition, medication, mental health and activities. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can feel confidant that they live in a well run home and that their interests and health and safety are well protected by the systems in place. They can also be assured that the staff who work with them are well supported to deliver their care. EVIDENCE: The home continues to be very well run by Emma MacAfee. Staff and service users praised the manager highly for ensuring their wellbeing. The Freemantle systems also provide a good framework for running the home. The Administrator explained how the service users’ finances are managed by the home. The system had good safeguarding protections for the service users’ financial security. Service users are regularly consulted to ascertain how they would like the home run. Formal feedback is documented in the Freemantle Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 20 surveys, in Regulation 26 reports sent to the CSCI and regular consultation meetings. Supervision for all staff was regular, up to date and appropriately documented. The fire records were checked. In the past, the home has had problems with the fire alarm system and on the day of the inspection, there was a fault awaiting repair. Two fire system related issues were reported to the CSCI since the last inspection. On one occasion the emergency lighting failed to work; on another occasion, when there was a small fire in a service user’s bedroom, a smoke detector failed to work. These issues have been addressed and all appropriate checks and repairs done. The fire records showed daily checks on escape routes, weekly fire alarm tests. Fire drills are now done three monthly, which was required at the last inspection. All other health and safety certificates were checked and were up to date and in order. Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP8 Regulation 12(1) Requirement The Registered Persons must ensure that the call bell cord lengths be reviewed to ensure service users can reach them if they fall from bed. The Registered Persons must ensure that activities for service users with dementia are developed and advanced. The Registered Persons must ensure that fresh salads are available regularly. The Registered Persons must ensure that sufficient staff are on duty at all times, including during handover periods. The Registered Persons must ensure that staffing levels are kept under review, to ensure that they match the dependency levels of the service users. The Registered Persons must ensure that all training delivered is recorded on a training matrix. The Registered Persons must ensure that all statutory areas of training are kept up to date. The Registered Persons must ensure that all night staff are DS0000010522.V310690.R01.S.doc Timescale for action 31/12/06 2. OP12 16(2) 28/02/07 3. 4. OP15 OP27 16(2) 18(1) 31/12/06 31/12/06 5. OP27 18(1) 31/12/06 6. 7. 8. OP30 OP30 OP30 12(1) 12(1) 12(1) 31/12/06 31/12/06 31/12/06 Rosa Freedman Centre Version 5.2 Page 23 fully integrated into the home’s training programme. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosa Freedman Centre DS0000010522.V310690.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Rosa Freedman Centre DS0000010522.V310690.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. 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