Inspection on 25/10/06 for Salisbury House

This inspection was carried out on 25th 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.

Other inspections for this house

Salisbury House 25/06/09

Salisbury House 05/06/07

Salisbury House 06/02/06

Salisbury House 03/11/05

Salisbury House 20/09/04

Salisbury House 27/05/04

Salisbury House 09/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Salisbury House 83/85 Egerton Park Rock Ferry Wirral CH42 4RD Lead Inspector Debbie Corcoran Unannounced Inspection 25th October 2006 10:00 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 Salisbury House DS0000018935.V310762.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. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Salisbury House Address 83/85 Egerton Park Rock Ferry Wirral CH42 4RD 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) 0151 645 6815 Salisbury Management Services Ltd Mr Russell Michael Canner, Mrs Marika Canner Mr Russell Michael Canner Mrs Marika Canner Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only thirty four (34) elderly persons may be accommodated. Two (2) named elderly persons with a mental disorder (excluding learning disability) may be accommodated. One (1) named adult with a learning disability may be accommodated. Date of last inspection 6th February 2006 Brief Description of the Service: Salisbury House is a large detached house with well-maintained gardens. It is situated in a quiet area of Rock Ferry Birkenhead, close to local shops and other amenities. There are a number of communal areas where residents can spend time together chatting, reading, watching TV, listening to music or indeed just enjoying the relaxing character and views of a well-maintained property and gardens. The domestic furnishings and decoration are of a high standard throughout the home. The home has access to a minibus, which can be used to take residents out on various trips. The current scale of charges for this home are between £365.73 and £450.00 per week. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home was not announced beforehand and took place over a period of approximately 8 hours. Throughout the day a number of residents were met on an individual basis and most of residents were met at some point throughout the day. A tour of the premises was carried out and this included all areas of the home. Records were examined and these included assessment information and care plans for a number of the residents, medication records, staff files, staff training and health and safety records. The manager had provided written information on the home to the Commission before the visit was carried out and some of this information has also been used as evidence for completion of the inspection. In addition to this questionnaires were sent to residents and their relatives and information gained from these has also been used to support the conclusions of the inspection. What the service does well: The findings of the inspection were positive and the majority of residents spoken with were positive about all aspects of the home. New residents are only admitted to the home following an assessment of their needs. This is to ensure the home has the appropriate information so as to determine if the person’s needs can be met at the home. New residents are invited to visit the home before moving in. Residents are well supported with their health needs. Residents are supported to see a GP or nurse when appropriate and feedback from residents was that staff are good at responding to their health care needs. A choice of good quality food and meals are provided to the residents and the catering arrangements and kitchen are well organised. Residents are included in a good level of activities. An activities co-ordinator is employed at the home for 20 hours per week and the home has a mini bus for excursions. Regular activities include residents attending a tea dance every week, chair exercises, sing a long, arts and crafts, bingo, beauty, music, walking, coffee mornings, and entertainers brought in to the home. There are also occasional day trips. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 6 Residents are encouraged to make choices about the running of the home and about their daily routine. Residents and relatives’ views are being sought and used to improve the quality of the service provided. Residents can attend a resident’s meeting and are given the opportunity to complete surveys to give feedback on the home. The home is well presented both inside and out and is homely, comfortable and welcoming. Aids and adaptations are in place to promote the independence of residents and there is a passenger lift for residents to use if they have difficulty climbing stairs. Resident’s bedrooms are nicely presented and include many of their own belongings and this personalises their rooms Staff are being provided with some good training opportunities and further training is planned for the near future. Over half of the care staff are qualified to a National Vocational Qualification (N.V.Q) level 2. The home has good management arrangements. The home owners are the registered managers of the home and there is also a deputy manager who is appropriately trained and qualified and there is also an assistant deputy. What has improved since the last inspection? What they could do better: Each of the residents has a care plan. These need to be improved upon to include more detailed information on how to meet the resident’s needs. The majority of residents also have a ‘person centred plan’ in addition to their care plan and this is good practice. However both of these documents together still fail to provide sufficiently detailed information as to how to meet the care and health needs of the residents. The manager is advised to review some of the procedures for recruiting new staff. It is recommended that the manager carry out an analysis of staff training so as to clearly demonstrate the training which staff have had. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 7 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. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 5, 6 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Resident’s needs are assessed before they move to the home and Community Care assessments are attained. Residents are invited to visit the home and spend time there before deciding whether or not to move in. EVIDENCE: Before a new resident moves to the home an assessment of their needs is attained from Social Services. Assessment information was looked at for three recently admitted residents. For each of these residents an assessment of needs had been provided by Social Services and in addition to this a senior member of staff at the home carries out a further assessment of the person’s needs. Prospective residents are invited to visit the home before moving in and residents can do this on a regular basis whilst awaiting a place to become available. Residents are provided with a statement of terms and conditions as to their residency. These are signed by the resident and their relative as appropriate. Standard 6 is a key standard to be assessed however the home provides longterm care only and does not provide intermediate care. Salisbury House DS0000018935.V310762.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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Each of the residents has care plan but there is room for improvement in the amount of detail in these so as to ensure that they clearly reflect how to meet the resident’s needs. Residents are well supported to remain healthy and staff refer for medical assistance appropriately. Procedures for the receipt, storage, administration and recording of medication are good. EVIDENCE: Each of the residents has a care plan. The care plans for three of the residents were examined in some detail. Residents and members of their family are involved in developing their care plan and are requested to read and sign their care plans as appropriate. The level of information in care plans varied but overall the plans do not include sufficient detail so as to inform staff as to how to meet the needs of the resident. Care plans should clearly detail how the needs of the person are to be met at the home. The majority of residents also have a ‘Person centred plan’ (PCP). These provide a valuable source of information on what is important to know to support the person. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 11 These plans are a very good tool, however as discussed with the deputy manager they do not provide the level of information required to identify how to meet the needs of the residents for all aspects of their health and personal care and well being. Resident’s care and support is reviewed on a monthly basis and a monthly summary is written. The manager reported that there are plans to support the residents to complete a ‘life diary’ and these will be used to support the residents to reflect on their lives and provide care staff with valuable information as the resident’s social history. The use of ‘person centred plans’ and ‘life diaries’ indicate that the resident’s are being valued as individuals and there is a genuine interest in the resident’s past and future. Risk assessments are carried out when a resident is thought to be at risk of harm from any given activity. For example with managing their own medication or with their mobility. All residents were noted to be well presented and their appearance indicated that they are well cared for. Residents records show that they are well supported with their health needs. Residents are supported to see a GP or nurse when appropriate and feedback from residents was that staff are good at responding to their health care needs. Some of the care staff have been provided with training in topics such as ‘care of ageing skin’ and diabetes and forthcoming training includes training in nutrition and diet. Residents are weighed on a monthly basis and monitoring records are kept of this and for other health related issues. Medication is appropriately stored, administered and recorded. Medication is administered by senior staff who have been provided with medication training and who hold a certificate for this. The majority of medication is provided in blister packs. Medication storage and administration records were checked and found to be well managed. Salisbury House DS0000018935.V310762.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, 15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported to be involved in indoor and occasional outdoor activities. Residents are encouraged to maintain their independence and exercise choice. A choice of good quality food and meals are provided to the residents and the catering arrangements and kitchen are well organised. EVIDENCE: Residents are supported to be involved in activities and during discussions with residents they gave good feedback on the activities at the home. An activities co-ordinator is employed at the home for 20 hours per week and the home has a mini bus for excursions. Regular activities include residents attending a tea dance every week, chair exercise, sing a long, arts and crafts, bingo, beauty, music, walking, coffee mornings, and entertainers brought in to the home. A hairdresser was visiting the home at the time of the visit and many of the residents were having their hair styled. In the afternoon an entertainer visited the home. Residents had recently had a trip to Blackpool. Residents and their family members are requested to provide the home with information on the resident’s background, interests and their social needs and this information is recorded in the ‘resident’s person centred plan’. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 13 Residents are encouraged to make choices about the running of the home and about their daily routine. Residents and relatives views are being sought and used to inform practice and improvements to the quality of the service provided at the home. Residents have the opportunity to attend a resident’s meeting and are given the opportunity to complete surveys to give feedback on the home. Resident’s relatives are also invited to complete surveys on the quality of the home and the deputy manager reported that there are plans to include relatives in reviewing the care of the residents. Many of the residents are well able to express their needs and preferences and contribute to changes at the home. The manager reported that the home is going to be refurbished and the residents have been involved in choosing the new décor. All residents are given their post directly, residents are encouraged to manage their own medication when possible and to manage their own money when possible. Visitors are welcome in the home at all reasonable times. The standard of food and meals provided at the home is good. The residents gave good feedback on the quality of meals. Residents comments included “the food is always very good”. Many resident surveys were returned to the Commission and these all included good feedback on the meals provided. The main meal of the day is served at lunch time and the cook prepares home cooked food from fresh ingredients. The home has a 4 weekly menu and this indicates that the residents have a choice of healthy well balanced meals. The meal served during the inspection was nicely presented and appeared appetising. Residents spoken with during lunch said that they were enjoying their food. Residents are served refreshments regularly throughout the day. Salisbury House DS0000018935.V310762.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, 18 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Policies, procedures and practices are in place for dealing with complaints and for aiming to protect residents from abuse or neglect. EVIDENCE: The home has a complaints policy and procedure which is time scaled appropriately and includes contact details for the Commission. Information on how to make a complaint is posted on a notice board. There have been no complaints since the last inspection. Resident survey forms returned to the Commission indicate that the residents know how to make a complaint and feel that staff listen and act on what they say. The home has a policy and procedure on adult protection. This was examined and found to be misguiding as it informs the reader to carry out an investigation and makes insufficient reference to the need to refer to relevant agencies for example Social Services or the police. Staff have signed as having read and understood the adult protection policy. Some staff have been provided with adult protection training, it was reported that this will be provided to all staff in the near future. A record of accidents and incidents is maintained. These records were checked and there were no particular issues noted from these. Salisbury House DS0000018935.V310762.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, 22, 23, 24, 25, 26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home which is homely, well maintained, safe and comfortable. Bedrooms are nicely decorated and personalised with the resident’s own belongings. The home is presented as clean and hygienic and health and safety practices are adopted. EVIDENCE: A tour of the premises was carried out. The home feels homely, domestic and welcoming and provides a safe well maintained environment for residents. The decoration and furnishings across the home are of a good standard. The home provides 9 single bedrooms and 14 shared bedrooms. This means that the majority of residents are staying in a shared bedroom and the manager should ensure that the national minimum standards for sharing rooms are being followed. All areas of the home were viewed including resident’s bedrooms and all were appropriately presented. The standard of decoration and furnishings in all of the rooms was good. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 16 Residents are encouraged to bring personal belongings to keep in their rooms and the rooms are therefore personalised. The home has a number of lounge areas, a dinning area and a conservatory. Residents who have difficulty with their mobility can access the first floor by using a passenger lift. Aids and adaptation are in place to enable residents to remain safe and have full use of facilities in the home. The manager reported that the whole home is going to be refurbished and residents are being given an opportunity to choose new décor. The home was presented as clean and hygienic. Domestic staff are employed for all major domestic activities. Staff adopt safe working practices so as to safeguard residents and themselves. Salisbury House DS0000018935.V310762.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, 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported by staff who are qualified and provided with good training opportunities. Staff recruitment and selection practice aim to protect residents but there is some room for improvement in these practices. EVIDENCE: At the time of the visit there were 3 care staff on duty and the manager and deputy manager. This decreases to 2 care staff and a senior / manager in the afternoon and through the night shift. The deputy manager reported that additional staff are brought in when needed. New staff undergo an induction when they commence employment at the home. The deputy manager reported that a new induction programme is about to be implemented. Staff training opportunities are good and staff have been provided with up to date training. A sample of staff files showed staff have been provided with training in topics such as safe administration of medication, fire safety, moving and handling, food hygiene, first aid, abuse, health and safety. The manager has attained a range of training materials in order to provide staff with ‘in house’ training in topics such as abuse, moving and handling, eye care, food hygiene and infection control. The deputy manager reported that training sessions for staff have now been booked on a weekly basis. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 18 It is recommended that the manager carry out an analysis of staff training and uses this as a tool to clearly demonstrate training across all members of the staff team and to identify training needs for staff and to inform planning for training. 55 of care staff have attained a National Vocational Qualification (N.V.Q) level 2 in care and a number of staff were reported to be working towards the award. The manager reported that staff are supported with good training opportunities and he has introduced an employee of the month and further incentives to staff. Employee questionnaires are also carried out annually. The residents gave good feedback on care staff and described staff as “very nice” and one resident said that “staff come quickly when they’re needed”. Many residents and relatives returned questionnaires to the Commission and the responses in these indicate that staff listen to and act on what the residents say and that staff are available when they are needed. Staff files were examined in order to assess the home’s staff recruitment and selection practices and procedures. Pre employment checks had been carried out prior to the appointment of new staff, however these were not clearly evident in the files for all new staff. Pre employment references were not appropriate in all cases. The manager must ensure that potential new employees provided appropriate references. The details of this were discussed with the manager during the visit. Salisbury House DS0000018935.V310762.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, 38 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run in the best interests of the residents. The home has a system for regularly checking on the quality of the service provided. Residents are encouraged to manage their own money. Policies, practices and procedures are in place to safeguard the health, welfare and safety of service users and staff. EVIDENCE: The home is well run in the best interests of the residents. The home has good management arrangements and a clear staffing structure. The home owners are also the registered managers of the home and there is also a deputy manager who is trained to NVQ level 4 and has attained the Registered Manager’s award and there is also an assistant deputy. Staff roles and responsibilities are clear. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 20 Residents manage their own money when appropriate. When residents are supported with managing money this support is appropriate and monies are recorded and accounted for. The home uses feedback from residents and relatives as a means of quality assurance. The deputy manager has analysed this feedback and has developed an action plan which identifies targets to achieve to improve the service. Residents feedback was that they are well listened to and numerous examples were given which indicate that the residents and their relatives are consulted with. Staff records indicate that staff are provided with regular and recorded supervision sessions with a manager. Staff meetings take place on a regular basis. Health and safety policies, procedures and practices are in place to safeguard the well being of residents, staff and visitors. Health and safety records were examined. These showed that health and safety checks, for example fire safety checks, are carried out regularly. Maintenance certificates were seen and found to be up to date. Salisbury House DS0000018935.V310762.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 3 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 x x x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Salisbury House DS0000018935.V310762.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 OP7 Regulation 15 13 (4) (c) Requirement The registered person must ensure that each resident has a comprehensive care plan which describes the care needs of the residents for all aspects of their personal and health care. The registered person must review the home’s adult protection policy and procedure with particular attention to ensuring that staff are aware of the limit of their responsibilities and are guided as to contacting relevant authorities. Timescale for action 25/12/06 2. OP18 13 (6) 25/12/06 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 OP29 Good Practice Recommendations The registered person should review the staff recruitment and selection practices particularly in relation to attaining appropriate pre employment references. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 23 2. 3. OP18 OP30 The registered person should ensure that all care staff are provided with training in adult protection. The registered person should carry out an analysis of staff training and uses this as a tool to clearly demonstrate training across all members of the staff team and to identify training needs for staff and to inform planning for training. Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Salisbury House DS0000018935.V310762.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!