Inspection on 17/10/06 for Sandygate Residential Home

This inspection was carried out on 17th 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

Sandygate Residential Home 20/12/05

Sandygate Residential Home 26/07/05

Sandygate Residential Home 02/12/04

Sandygate Residential Home 29/06/04

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 Sandygate Residential Home Sandygate Wath Upon Dearne Rotherham South Yorkshire S63 7LU Lead Inspector Janet McBride Key Unannounced Inspection 17th October 2006 09:45 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 Sandygate Residential Home DS0000055221.V311203.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. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandygate Residential Home Address Sandygate Wath Upon Dearne Rotherham South Yorkshire S63 7LU 01709 624968 01709 878258 paulhulbert@ntlworld.com www.winniecare.co.uk Winnie Care (Highgrove) Ltd 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) Sabina Caddick Care Home 54 Category(ies) of Dementia - over 65 years of age (54), Old age, registration, with number not falling within any other category (54) of places Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Physical Disability - 1 client only. Mrs Caddick completes the Registered Managers Award by 2005. One specific service user under the age of 65, named on variation dated 9th May 2005, may reside at the home 20th December 2005 Date of last inspection Brief Description of the Service: Sandygate Care Home is a purpose built home offering personal care and accommodation for 54 older people. The home is built on two floors with access via a passenger lift or stairs. There are two units within the home; the upstairs unit offering residential care for older people and the downstairs unit provides care for older people with Dementia type illnesses. The home is located just off the main road of Sandygate in the town of Wath Upon Dearne. There are local shops and facilities close by and other community amenities. All the bedrooms are single and have en-suite facilities; there are assisted baths and showers on each floor for service users whom require them. Outside there is a safe enclosed garden on the lower floor and a sun terrace on the upper floor for service users to use. There is a private visitors lounge on the lower floor. Fees range from £ 329:00 to £ 370:00:per week, as at October 2006,and additional charges are made for hairdressing and Chiropody with various prices. The Statement of Purpose and the Service User Guide, which is available on request, this as information about the services available to residents and their families. The home last published inspection report and other various information was available in reception area of the home. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this Unannounced Key Inspection at Sandygate Wath, which took place on the 17th of October 2006 for 8 hours. The home is registered for 54 beds; at the time of Inspection 49 residents were residing in the home. Pre-Inspection work was carried out for example, analysis of notifications and any other relevant documentation. During the Inspection various documentation and records were examined for example, medication records, staff rotas, staff training files and case tracking of three residents care plans, which were cross-referenced with medication records and any other relevant documentation. Tour of the premises and direct and indirect observation of staff interaction with residents throughout the visit and information was gathered from as many different individuals as possible that had contact with the residents in their environment, for example individual interviews with members of staff, including the manager. Talking to some of the residents within the home and feedback from relatives and visitors on the day. The Inspector would like to thank all the staff and residents for their cooperation in the Inspection process, and any issues or concerns that were raised were discussed with the manager at the end of the Inspection. What the service does well: Atmosphere within the home appeared good on both units with lots of verbal communication between staff, residents and visiting relatives, the home as a flexible approach in how residents spend their day with opportunities for residents to participate in variable activities if they wish. One resident said, “I have absolutely no complaints whatsoever and I don’t know what could be done better”. The visitors said that they felt confident with the manager and staff, and they went on to say that they felt that all members of staff were very approachable and extremely thoughtful. All said they knew how to make a complaint and felt certain that it would be dealt with if they had to raise any concerns or complaints about the home. Appropriate staffing and skill mix, to meet residents care needs; this ensures residents are in safe hands at all times, care plans seen provides the basis for Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 6 the care to be delivered, and records show residents receive health and personal care based on their assessed individual needs. Staff was indirectly observed throughout the inspection, good interactions between staff and residents and staff encouraged residents to make choices whenever possible. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sandygate Residential Home DS0000055221.V311203.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 Sandygate Residential Home DS0000055221.V311203.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): 2, 3, 4 Quality in this outcome area is Good. This judgement has been made using the available evidence in records, interviewing staff, residents and visitors on the day. Residents are fully assessed prior to moving into the home, with other professionals involved if needed, this ensures that residents care needs will be met, and staff collectively have the skills to deliver the appropriate care to residents. EVIDENCE: The home offers residential and personal care for older people and the downstairs unit provides care for older people with Dementia type illnesses, but does not offer intermediate care, but residents can have trail visits if required. Each resident within the home as a written contract with the company, two of these were seen one for an resident funded via social services and another resident who is privately funded both met standard two of the National Minimum Standards. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 9 Evidence during case tracking confirmed that all residents are assessed prior to admission, and it was also evident that when residents are admitted to hospital they are re-assessed to ensure the home still meets their care needs. Input from other professionals was noted and there involvement in assessments and care including regular reviews with either social workers or mental heath team. Care staff within the home has received training on dementia care and challenging behaviour to ensure that staff are appropriately trained to deliver the care. Sandygate Residential Home DS0000055221.V311203.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 Quality in this outcome area is Adequate. This judgement has been made using the available evidence in records, talking to staff and a visit to the service. Residents receive health and personal care based on their assessed individual needs, and a care plan provides the basis for the care to be delivered, but staff not keeping medication records up to date affects this outcome. EVIDENCE: Three care plans were case tracked, which shows that each resident as a comprehensive care plans that set out in detail what care is needed; with various assessment and risk assessments completed depending on need. All residents are registered with a GP and have access to health care facilities, for example hearing, sight test and chiropody is available. Records show that residents had been assessed for nutrition, pressure care, and risk of falls also resident’s weights checked on a monthly basis. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 11 District nurses are involved in residents care, and records show that a number of other professionals come into the home to see residents; Consultant Psychiatrist visits the EMI unit at the home every three months, and this is very beneficial to both residents and staff, as this not only monitors mental health and medication, but also gives staff the chance to discuss any concerns they have. Medicines in the custody of the home were discussed with the manager and staff, records checked on both units and observation of staff administering medicines to residents. Some issues were raised when examining random MAR sheets; for example some Mar sheets not signed and left blank, also some staff had not recorded why they had omitted medication and one drug not being given for three days as this was out of stock. Controlled drugs checked and found that one member of staff had not signed the book or the amount of tablets left. Other issues raised and discussed with the manager, no written evidence how often residents have medication reviewed, as a number of residents on PRN medication but were only having them on rare occasions, therefore this needs to be reviewed. Staff informed the Inspector that they are trained on how to treat residents with dignity on there induction, and from observation on the day and speaking to a number of staff it was evident that staff treat residents with respect at all times, and ensure any personal care is conducted in private. It was also noted that staff responded to residents call buzzers promptly, this was confirmed when speaking to those residents that could give their opinions and from the recent surveys show that residents are very happy with the staff team stating “ they feel very cared for” and “staff are excellent”. Sandygate Residential Home DS0000055221.V311203.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 Quality in this outcome area is Good. This judgement has been made using the available evidence, interviewing staff, residents including observation at mealtime. Residents to receive a wholesome and appealing balanced diet with a selection of choices for meals, and flexible approach in how residents spend their day with opportunities for residents to participate in variable activities if they wish. EVIDENCE: Routines of the home appear varied on both units on the residential unit it was very evident after speaking to a number of residents that exercise their rights in relation to all aspects of life within the home, and a number of residents offered comments and life within the home. “ I can choose what I want to eat” and “what I wear”. Religion was discussed with residents and if wish to continue to practice holy communion is held on a monthly basis also some residents stated they have visits from own vicar or priest. On the EMI unit not many of the residents were able to give their opinions, therefore observation of staff interaction and interviewing of staff members. Atmosphere within the home appeared good on both units with lots of verbal communication between staff, residents and visiting relatives. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 13 During the Inspection care staff were observed, and through discussion with residents and visitors it was evident that they are supported to be as independent as possible and make choices if they are able to do so. Staff informed the Inspector that any restrictions due to risk management concerns are documented and explained to the resident and their family. All residents were dressed appropriately for their gender, with any aids they required. Activates were discussed with the manager as the activities co-ordinator was not available, they have planned activities usually Monday to Friday most weeks and evidence was available to see what as been organised for the run up to Christmas, links with the local community is maintained as residents can visit the local shops and town. Visitors are welcome to visit at reasonable hours and a pleasant private sitting room is provided for visitors who wish to use it, and lots information was available for visitors including the last Inspection report in the reception area of the home The home has a varied menu, kitchen staff on both units serves the meals, and the daily menu should be displayed on a board in the dining room for residents, however some times this is not always on display. Observation at the lunchtime meal on both units, on the EMI unit some residents require their meal to be liquefied and need to be fed by staff, it was nice to see that staff sat with the resident on an individual basis. Residents on the residential unit made very positive comments about the food on offer at meal times within the home. Sandygate Residential Home DS0000055221.V311203.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, 17, 18 Quality in this outcome area is Good. This judgement has been made using the available evidence in records, interviewing staff, residents and visitors on the day. Adult protection policies, procedures and training for staff are in place at the home, and residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. EVIDENCE: The home has an appropriate complaints procedure, and the complaints documentation is organised to demonstrate clear progression through the complaints process and actions taken, the home have recently updated the information to include the new phone number of the Commission for Social Care Inspection, record checked show no complaint since the last Inspection. Visitors seen on the day were aware of the complaints procedure and all stated they feel comfortable in approaching the manager with any issues or concerns. When a resident lacks the capacity to exercise their legal rights, the home offer resident’s access to advocacy services if they wish, this was on display within the home. Residents informed the Inspector that they usually participate in general and local elections either by post or visiting a polling station. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 15 The home has policy and procedures in place, and evidence was seen that the home continue to update staff on abuse and whistle blowing polices and procedures and operate RMBC adult protection procedures, staff were interviewed and all aware of these and could stated what action to take if they suspected abuse, also aware of the whistle blowing policy. No referrals had been made to adult protection since the last Inspection. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 16 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, 20, 24, 26 Quality in this outcome area is Good. This judgement has been made by a visit to the service talking to visitors and tour of the premises. Well-maintained premises and the renewal of equipment ensure that residents live in a safe and comfortable environment, with private space that allows them to have their own possessions around them. EVIDENCE: The home was purpose built and the location and layout of the home is suitable for its stated purpose, the home is registered for 54 beds and at the time of Inspection 49 residents was in residence. Two units within the home; the upstairs unit offering residential care for older people and the downstairs unit provide care for older people with Dementia type illnesses. The home has suitable aids and adaptations for elderly infirm residents, e.g. corridors have handrails; bathroom and toilets have the appropriate aids. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 17 The entrance and reception area to the home is very pleasant and welcoming, both units have a dining room and communal lounge and a quiet room and visitors room on the downstairs floor for any resident to use. Tour of both units during the Inspection was found to be clean and tidy and fresh smelling in all communal areas. All residents have single bedrooms rooms with en-suite facilities, random bedrooms were seen on both units, most had been personalised and furnished well with some residents having own TV, video player, fridge and phone. Two issues were raised one bedroom had a window that was faulty and requires re fitting. Cot sides that were fitted to one bed were not suitable as this bed had special mattress which made the bed higher than normal therefore requires special cot sides. Laundry facilities were seen, the home have a large laundry room that is well organised, two washing machines that has the specified programming ability to meet requirements, and two dryers. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is Good. This judgement has been made using the available evidence in records, interviewing staff and a visit to the service. Appropriate staffing and skill mix, to meet residents care needs, and on going development of staff to ensure they have the skills and knowledge to carry out their roles and ensures residents are in safe hands at all times. EVIDENCE: Staffing was discussed with the manager, who remains to be supernummary at all times and she as two deputies within the home and staffing includes both male and female staff within the home. Duty rota shows that the appropriate staff were on duty for the assessed needs of residents, the manager produced a calculation record to show how many staff they need for the dependency levels of residents within the home, and evidence was seen that staffing levels had been increased on the EMI unit as residents dependency levels had increased. Recruitment files of new staff were checked and found that the home operates a thorough procedure based on equal opportunities, references obtained and ensuring satisfactory police check for the protection of residents. All staff receive contract of terms and conditions and given copies of the code of conduct. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 19 The home has a training and development plan, and a training matrix was available as well as staffs own training file. Development of staff was evident by some staff achieving NVQ qualifications, 42 care staff within the home and 16 have completed NVQ level 2 or 3 and 5 other members of staff are on NVQ courses at present with 6 staff waiting to be signed up for NVQ course. The staffing matrix also highlighted what training was mandatory for example staff who work on the EMI unit have to complete dementia training and senior care staff must complete medication training. When speaking to new members of staff they confirmed they had received induction training and undertakes the TOPSS induction also is being encouraged to do NVQ training when appropriate. One issue raised the deputy should have training on supervision and appraisals of staff to ensure she can carry out this procedure successfully and appropriately Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 20 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, 38 Quality in this outcome area is Good. This judgement has been made using the available evidence in records, talking to staff and a visit to the service. Residents live in a home that is run and managed by a manager that is experienced to run the home and ensures so far as is reasonably practicable the health, safety and welfare of residents and staff are promoted and protected at all times. EVIDENCE: Discussed with the manager about her role and own development found her fully aware of her responsibilities within the home, as she the necessary experience to run the home; and continues to work towards her NVQ registered managers award. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 21 Numerousness standards and issues were discussed with the manager throughout the Inspection for example, equality and diversity within the service and it was evident that there is a reasonable awareness and understanding of this subject and is commented in various standards within the report. Evidence of quality assurances within the service and records were available to examine; service users satisfaction questionnaires were sent out in June 2006 and 36 of 52 service users responded. Response on the care they receive was 16 excellent and 55 good; no service users rated the home as fair or poor. Staff attitudes got either an excellent or good response. The manager stated that any issues raised by service users when completing these questionnaires are addressed and rectified. Monitoring visits are carried out by the company’s operations manager Moira Ockendon and up to date regulation 26 reports were available at the home. Finances and financial recording were discussed with the homes administrator, and resident’s records and balances were checked all were found correct; they are stored separately with accurate recording of transactions and receipts kept. Some residents control their own finances, with the help of relatives. Health and safety was discussed with both the manager and staff that were interviewed, records checked and observation of staff using equipment. All of which was found satisfactory, with staff being aware of health and safety policy and procedures, records seen were all up to date and satisfactory, with up to date current certificates for lift and hoists within the home. Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X X 2 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 2 X 3 X 3 X X 3 Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 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 OP9 Regulation 13 (2) 17(1) Schedule 3(3)(i) Requirement Medication; 1) Mar sheets must be signed by staff when giving medicines. 2) Staff must record the reason why they omit medication. 01/11/06 3) Stocks of medication must be available for all service users. 4) Two staff must sign when controlled drugs are given. 2 3 OP24 OP28 Damaged bedroom window requires repair that was identified on Inspection. 18(1)(a)(c A minimum ratio of 50 trained ) (i)(ii) members of care staff (NVQ Level 2 or equivalent) is achieved excluding the registered manager and/or care manager, and in care homes providing nursing, excluding those members of care staff who are registered nurses. DS0000055221.V311203.R01.S.doc Timescale for action 23 (2)(b) 30/11/06 31/01/07 Sandygate Residential Home Version 5.2 Page 24 4 OP30 18(1)(a)(c Staff that conduct appraisals and ) (i)(ii) supervision must have the appropriate training to perform this task. 9(2)(b)(i) The registered manager achieves NVQ 4 in management. 31/01/07 5 OP31 31/01/07 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 Sandygate Residential Home DS0000055221.V311203.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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