Inspection on 09/02/06 for Rosecroft Care Home

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Rosecroft Care Home 06/12/06

Rosecroft Care Home 28/10/05

Rosecroft Care Home 02/12/04

Rosecroft Care Home 21/06/04

Rosecroft Care Home 12/12/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosecroft Care Home Rosecroft 34 Wrawby Street Brigg North Lincolnshire DN20 8BP Lead Inspector Ms Matun Wawryk Unannounced Inspection 09:30 9 & 17 February 2006 th th 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 Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosecroft Care Home Address Rosecroft 34 Wrawby Street Brigg North Lincolnshire DN20 8BP 01652 652213 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) rosecraftcarehome@tiscali.co.uk Abbey Residential Homes Limited Position Vacant Care Home 28 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (28) of places Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th October 2005 Brief Description of the Service: Rosecroft is a purpose built, single storey home situated in the centre of Brigg within close proximity to local amenities. There are good bus routes to Grimsby and Scunthorpe. The home has large well-maintained grounds with ample car parking for visitors. The home was originally owned by the local authority but is now leased long term to Abbey Residential Homes. The home provides accommodation and care for up to twenty-eight people over the age of sixty-five, four of whom may have needs associated with dementia. The home also has the capacity to provide day care facilities. District Nurses and community psychiatric nurses provide any element of nursing care that may be required. The staff ratio is four staff during the morning, three in the afternoon, and three staff at night. The home also has a good complement of domestic and catering staff. The manager is supernumerary and the Care Coordinator has a proportion of their hours designated to care. All bedrooms within the home are single. One bedroom has an en-suite facility. The home has four bathrooms, three of which are assisted and one shower room. There are six single toilets throughout the home close to communal areas. All are accessible to people in wheelchairs. The home has four lounges one of which is a smoking lounge and a large dining room with individual tables set out. The home also has a quiet room/meeting room which is available to service users and their visitors. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on the 9th and 17th February 2006 and took seven hours and thirty minutes to complete. The inspector spoke individually to five service users, in addition the inspector left a number of comments cards for service users and their carers to complete and return to the Commission. The inspector spoke to the manage, a team leader, a senior care worker and two care workers who were working in the home at the time of the inspection. The inspector also looked at a range of paperwork in relation to staff recruitment, induction, supervision, training, rotas, menus, fire records, care plans, activity records, complaints and the servicing of equipment. What the service does well: The home was clean and tidy and had a welcoming and homely feel. There was a core group of staff that had worked at the home for several years and knew the service users well. Service users spoken to said that the staff members were caring and kind, although busy. Service users stated the staff respected their privacy and dignity. Service users spoken to stated that the meals were very good. Service users reported that they had plenty to eat and drink. If they didn’t like the choice on offer they could have an alternative. Staff reported that relatives are made to feel welcome when visiting the home; records and discussions with service users confirmed this, thereby helping service users to maintain family contacts. Training for the staff was given on a regular basis and care staff had had a wide variety of training to help them do their job safely. The home keeps clear records of all medication in the home and when it is given. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 6 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. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Prospective service users have their needs assessed before admission to the home to ensure the home is able meet the service users identified needs. EVIDENCE: The inspector examined individual plans for one recently admitted service user. Records and discussions with staff showed this individual had had their needs assessed prior to admission to the home. However the manager had not formally written to the service user following the assessment stating that the home was able to meet their needs. This is needed to meet legal requirements and must now happen. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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 Care plans generally contained all the information staff needed to meet the assessed needs of service users. In some cases information needs to be more detailed. Personal support is offered in such a way as to promote and protect the service users right to privacy and dignity EVIDENCE: A random selection of four care plans and other associated records were examined. Completed care plans and risk assessments were in evidence in all the files looked at. The care plans and risk assessments had been consistently maintained and were generally very detailed and well organised. Records showed monitoring of care plans and risk assessments had been carried out on a regular basis and a programme of formal care plan reviews had also been initiated. There were some minor deficiencies in care plans that need to be addressed. One service user only had one care plan for mobility. The local authority assessment indicated the service user was a diet controlled diabetic and had Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 11 some memory related problems. Neither of these issues were referred to in the homes care records. Similarly daily records indicated some assistance with personal care was needed, but again this was not reflected in the homes care records. One of the care plans viewed was non-specific in terms of care requirements for a service user at risk of developing pressure areas for example, records identified the service user was receiving district nursing support, however a detailed care plan for pressure area care had not been developed. All the service users were registered with a GP. A record of routine eye tests, dental and chiropody checks had been maintained. There was no evidence to show service users had had over 70 health checks. The registered person should ensure routine checks, with the service users permission are requested. Records indicated service users had their weight monitored, but not consistently. The home did not have sit on scales for service users with poor mobility. When questioned the manager confirmed that sit on scales had been ordered. The registered person must ensure all service users have their weight regularly monitored. Care plans should set out how frequently this should happen. The systems for the safe handling of medication were examined. The home uses a Monitored Dosage System. Records had been maintained for the receipt, administration and disposal of medication and there was a procedure for handling and recording receipt and return of medication. It was reported that no service users were self-medicating. Senior care officers were responsible for administering medication. Records identified staff had completed accredited medication training. The inspector examined four service user medication administration records. All records had records had been satisfactorily maintained. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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): 13, 14 & 15 The home provides flexible daily routines to meet the needs of service users. Service users are encouraged and supported to maintain family links and friendships. The meals in the home are good offering choice and variety. EVIDENCE: Staff reported that service users visitors are made welcome at any reasonable time. Visitors are required to sign in and out when entering and leaving the home for health and safety reasons. The home does not provide a separate visitors room, however there is a range of communal spaces that visitors can use. Key workers helped service users to maintain family contacts by sending cards at significant occasions such as birthdays and Christmas where this was needed. This means service users are enabled and supported to maintain family contacts. This was confirmed in discussions with service users. Service user spoken to said daily routines were flexible. Service users said they were able to choose how to spend their day, what clothes to wear and which visitors to receive. There were no set times for rising or retiring. The home provides three meals a day and a light supper. Likes and dislikes are recorded on admission. A number of service user were spoken. Service users, in describing the food, stated the meals were ‘very good’ with ‘plenty of Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 13 choice’. The portion sizes were good with one service user saying that they ‘got too much’. Another service user stated that she was ‘very fussy’ but it was the ‘best food she had tasted’. Two service users commented that when they had jacket potatoes these were nearly always under cooked. This matter was raised with the manager, the manager gave an assurance that she talk to the cook to address the problem. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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 & 18 The home has a satisfactory complaints procedure and complainants can be assured their complaints will be acted upon. The arrangements for the management of adult protection matters must improve through the provision of training for staff. EVIDENCE: A complaints procedure was in place. In discussion with the inspector staff reported understanding of the procedure and knew whom to contact to make a complaint. The inspector also spoke to five service users; all commented that they knew who to report concerns or complaints too. The home had a copy of the local authority Multi Agency Adult Protection Polices and Procedures and an internal procedure for adult abuse. Staff spoken to reported that would feel confident in reporting concerns and issues to the manager and/or senior staff. The inspector examined a sample of ten staff training records. This showed not all staff had had adult protection training. The registered person must ensure all staff are provided with this training. This is needed to ensure staff are able to recognise adult protection issues and to ensure staff are fully aware of their responsibilities and reporting arrangements. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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, 24 & 26 The home was clean and free from offensive odours. Service users bedrooms were found to be safe, homely and furnished with their own possessions to varying degrees. EVIDENCE: The inspector carried out a tour of the home. The home was clean and tidy and had a welcoming and homely feel. Policies and procedures for the control of infection were in place along with the provision of protective clothing. The manager reported that a fire risk assessment had been completed but was unable to furnish the inspector with a copy. Please refer to comments detailed on page of this report. Ample car-parking space is provided and CCTV is not used in the home or grounds. All bedrooms examined were clean and tidy and were furnished and decorated in a homely style. The residents spoken to stated that they were happy with their rooms. Many people had furnished their bedrooms with a range of Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 16 personal items, some even bringing in items of furniture to reflect their own individual choice and taste. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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 & 30 Staffing levels are generally satisfactory. The home operates sound recruitment and selection practice. The arrangements for the provision of induction training must improve. EVIDENCE: The roles and responsibilities of staff are clearly defined and understood and staff demonstrated understood the management and reporting structures for the home. Feedback from staff indicated staffing levels in the home had improved since the last inspection. Staff commented that they were able to fulfil their roles and responsibilities. All the service users spoken to with the exception of one were very positive about the staff and their attitudes towards them. One service user on respite stated she intended to cut short her stay and gave the following reasons for this ‘staff had sunk a vest’ ‘food was not up standard’. This matter was discussed with the manager who gave an assurance she would speak to the service user to try and resolve the service users concerns. From discussion with staff and records examined it was evident there was a commitment to NVQ training. The home employs sixteen care workers including senior carers. of these six had achieved an NVQ award. The registered person must continue the programme of NVQ training to ensure a Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 18 minimum of 50 of care workers obtain an NVQ or equivalent. This is needed to meet NMS 32. The home had a recruitment policy and the manager assured the inspector that the home works within equal opportunity policies and procedures. Examination of a random selection of 3 files for staff who had commenced employment since the last inspection showed that the manager had ensured all required records and checks had been obtained before the workers started working in the home. The home had a procedure and supporting documentation for induction and shadowing of more experienced workers is included as part of the programme. . The inspector examined the induction records for three staff, records for two workers were found to be incomplete. No induction records were available for the third member of staff. In discussion with the inspector one staff member commented that the induction ‘could have been better’. The registered person must ensure new staff are provided with an induction, which meets the Skills for Care (formerly TOPPS) specification. This is needed to ensure staff have the skills and knowledge to equip them with the basic skills to complete their role and tasks. Records examined showed staff had been provided with a broad range of service user specific training for example, continence management, medication training and risk assessment training etc. Whilst most staff had been provided with essential training e.g. moving and handling, hoist training, first aid etc. A small number of staff still needed to be provided with this training. This is needed to ensure the safety and welfare of service users and staff and this must now be provided. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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, 32, 35 & 38 The management arrangements for the home are generally satisfactory. However there is currently no registered manager for the home. The new manager has submitted an application to register with the Commission. The arrangements for the management of health and safety must improve through the provision of essential training for staff. This is needed to ensure the health and safety of service users and staff. EVIDENCE: From records and discussion with staff and service users it was evident the current manager has worked hard to address requirements set in the last inspection report. All of the staff and service users spoken to stated the manager was efficient, approachable and effective. Service users reported the manager was regularly seen walking about the home. Mechanisms were in Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 20 place for the manager to provide and receive feedback from staff and service users through resident meetings, staff meetings, handovers and informal contact. Staff and service users said the manager was very accessible and that they were able to relate to her in a positive way. National Minimum Standard 31 and 32 cannot be met because the manager is currently not registered with the Commission. The manager has submitted an application and this is currently being processed. Since the last inspection the manager had reinstated the staff supervision programme. Records showed a number of staff had been provided with supervision, although a small number of staff still had not had a supervision session since the last inspection. The manager was aware of the requirement to provide staff with a minimum of six supervision sessions annually and gave an assurance this would happen. This remains an outstanding requirement from previous inspections and must now happen. The inspector examined a sample of annual appraisal records for staff, the majority of which were out of date. These are needed to ensure the homes training plans and priorities accurately reflect the training needs of staff to enable them to meet the stated aims and objectives for the home as set out in the statement of purpose. The manager was aware of the need to provide annual appraisals and gave an assurance that priority would be given to ensuring these happened. The manager for the home was not an appointee for any service users. When questioned the manager confirmed the home charges a Top Up fee. The manager reported that two service users paid the Top Up fees from their personal allowances. This practice is illegal and the registered person must contact the responsible local authority for advice. There were comprehensive procedures in place for health and safety and safe and a current insurance certificate for the home was available and was displayed prominently in the home. The inspector examined a sample of ten staff training records; this showed some staff had not been provided with essential training for example moving and handling, fire safety and hoist training. The registered person must ensure all staff are provided with essential training and update training as needed. This is needed to meet health and safety requirements and must now happen. The manager reported that a current fire risk assessment was in place but was unable to locate a copy of the assessment on the day of the inspection. Prior to issue of the draft report the Commission received written confirmation that the risk assessment was now available in the home. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 21 The manager was not able to confirm the date of the last maintenance check on the homes fire system. Prior to issue of the draft report the Commission received written confirmation that the fire system remains the responsibility of North Lincolnshire Council. The manager gave an assurance that the matter would be looked into as a matter of priority. Similarly the manager was not able to confirm the date when a maintenance check had been carried out on one of the homes mobile hoists. The manager gave an assurance that all required records would be located. Where needed required works will be carried out. The registered person must ensure all maintenance records are in place and available for inspection. The team leader confirmed a maintenance checked had been carried out on the homes fixed electrical systems and that recommended works had been completed. Records confirming this were not available on the day of the inspection. There were no records to show that a maintenance check had been carried out on the homes call bell system. The manager reported the system was safe and in good working order. Portable Appliances Testing was out of date. Prior to issue of the draft report the Commission received confirmation in writing that required checks had been carried out. Regular monitoring of the hot water, emergency lights and fire alarm and records had been carried out, although some gaps were noted. The manager gave an assurance these checks would be undertaken on a more regular basis. Available records were satisfactory. Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 1 x x 2 2 x 2 Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The registered person must ensure that care plans address all areas of assessed needs. Monitoring arrangements and the tasks staff are required to undertake must be clearly set out in care plans. The registered person must ensure staff are provided with formal supervision as a minimum of six times a year. Timescale of 31/12/05 not met The registered person must ensure staff are provided with an annual appraisal. The registered person must ensure that staff receive induction and foundation training to meet NTO targets The registered person must ensure care plans set out how frequently service users weight must be checked and ensure this happens. The registered person must ensure that all staff complete moving and handling training and other essential training. DS0000045639.V264120.R01.S.doc Timescale for action 31/03/06 2. OP36 18(2) 31/03/06 3. 4. OP36 OP36 18 18 31/03/06 31/03/06 5. OP8OP7 13 31/03/06 6. OP38 18 31/03/06 Rosecroft Care Home Version 5.1 Page 24 The registered person must ensure that mandatory training is kept up to date. 7. OP3 14(1)(d) The registered person must ensure that the home consistently writes to new service users or their representatives, following assessment, formally stating their ability to meet needs. The registered person must seek clarification with the relevant local authority regarding the service users paying a third party top-up fee directly from the service users personal allowances. The registered person must inform the CSCI regarding the final outcome. The registered person must ensure staff are provided with adult protection training 31/03/06 8 OP35 12(1)(a)& 20(1)(a) 30/04/06 9 OP18 18 30/04/06 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 OP11 Good Practice Recommendations The manager could consider formulating a palliative care plan that can be individualised and swung into action when the service user becomes terminally ill. The registered person should consider the replacement of fluorescent lighting in some lounges and corridors. The registered person must continue the programme of NVQ training to ensure 50 of care workers obtain an NVQ or equivalent. 2. 3 OP25 OP28 Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Rosecroft Care Home DS0000045639.V264120.R01.S.doc Version 5.1 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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