Inspection on 23/06/08 for Silver Court

This inspection was carried out on 23rd June 2008.

CSCI found this care home to be providing an Adequate service.

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

Silver Court 27/06/07

Silver Court 24/07/06

Silver Court 12/10/05

Silver Court 01/06/05

Silver Court 29/11/04

Silver Court 28/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Silver Court Halsford Park Halsford Lane East Grinstead West Sussex RH19 1PD Lead Inspector Beth Tye Unannounced Inspection 11:00 23rd June 2008 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 Silver Court DS0000014716.V363462.R02.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. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silver Court Address Halsford Park Halsford Lane East Grinstead West Sussex RH19 1PD 01342 321717 01342 321202 jane.ashcroft@anchor.org.uk www.anchor.org.uk Anchor Trust 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) Mrs Soonita Shaw Care Home 42 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (20) of places Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 22 persons in the category DE(E) Dementia to be accommodated. 27th June 2007 Date of last inspection Brief Description of the Service: Silver Court is a care home, which is registered to accommodate up to fortytwo residents in the category (OP) old age, not falling within any other category. This includes up to twenty-two residents who are over 65 years of age who also have dementia. It provides personal care only. Silver Court is a purpose built single storey building providing single flat let accommodation with ensuite WC and shower facilities to all residents. The accommodation is laid out in four units, three of whom have ten flats whilst the fourth has twelve flats. Each unit also provides a communal lounge and a dining room with a kitchenette. The property is located in a quiet residential area on the outskirts of East Grinstead close to shops and a local post office. Attractive garden and patio areas are also available to residents. The fee levels range from £493 to £762 per week. Additional charges are made for the following services: chiropody, hairdressing, dentist, optician, telephone, and newspapers. The registered provider is Anchor Trust, who has appointed Mrs Jane Ashcroft to be the Responsible Individual and to supervise the overall management of the care home. The registered manager is Mrs Soonita Shaw who is responsible for the day to day running of Silver Court. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The unannounced inspection visit was carried out by Ms Beth Tye and was arranged to assist the Commission in assessing the home’s compliance with the key standards of the national minimum standards for care homes for older people. Planning for the visit took into account information received on the service since the last inspection. The Annual Quality Assurance Assessment was returned to The Commission for Social Care Inspection (CSCI) and informed us areas of improvement, which have been carried out and also identified areas for further improvement. Survey forms received from people living in the home, relatives and members of staff also contributed to our planning. On the day of the visit the inspector spoke with residents, relatives and staff. The team leader on shift was able to assist with the inspection as the manager was on external training. Four sets of admission assessments and the individual plans of care for people living in the home were looked at. A case tracking exercise for these residents was undertaken to examine how their assessed needs were being met. Other records sampled included rotas, staff training records for five members of staff, the record of complaints, quality assurance, and records relating to health and safety issues in the home. The premises were viewed including communal areas, kitchens, bathrooms and bedrooms. A number of interactions between people living in the home and staff, arrangements for lunch and medication records and storage were observed. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There have been a number of complaints to the home and CSCI in relation to low staffing numbers. The home has used a significant number of bank staff to meet the short fall of staff vacancies. More recently the manager has undertaken a recruitment drive and all care staff posts are now filled. At the time of the visit two new staff were receiving induction training. All staff need to receive one to one supervision at least six times a year. Records showed and comments from staff indicate that staff are seen in groups during team meetings Records received after the site visit indicate some staff are receiving individual supervision but more often were seen as a group during team meetings. One staff member commented that ‘we don’t always get the chance to say what we need to because other staff are there’ another commented that the management was ‘not always supportive’. A Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 7 requirement has been made to ensure the manager provides one to one supervision no less than six times a year. Staffing records demonstrated that not all the staff on shift had completed the mandatory training programme. Some of the topics related to health and safety issues, such a moving and handling, infection control and fire safety. A requirement has been made to ensure all staff are equipped with the training and knowledge to meet residents assessed needs. 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. The summary of this inspection report can be made available in other formats on request. Silver Court DS0000014716.V363462.R02.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 Silver Court DS0000014716.V363462.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Prospective users of this service have the opportunity to make an informed choice about whether or not the home is suitable and able to meet their individual needs. Prospective residents needs are identified and planned for before they move into the home and reviewed on a regular basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken to confirmed they are given up to date information about the home prior to admission, including a Service Users guide and complaints procedure. This information helps them (and their families) to make an informed decision about moving to the home and what to expect. The Annual Quality Assurance Assessment (AQAA) returned to CSCI stated that prospective residents are fully assessed prior to admission by the manager. This ensures the home will be able to look after them. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 10 All residents have pre admission assessments and updated care plans. Care records showed that information gathered through the initial assessment informed the care plans. These identified relevant areas of need including, nursing, mobility, communication, health and social needs. This information is reviewed on a monthly basis by senior staff. Risk assessments are in place for each of the residents and these contained information relating to their specific needs and assessed areas of risk. This promotes independence for residents in all aspects of daily living. Previous requirements made at the last inspection in relation to assessment have now been met. All records are kept in a locked cabinet only accessible by care staff to ensure confidentiality. Intermediate care is not provided at the home. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Care records set out residents needs in full and are reviewed regularly. Health needs are met with the support of health professionals. Medication is managed safely by the home. Residents’ privacy and dignity is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were examined as part of the case tracking process. The care plans seen detailed all aspects of health, personal and social care and the actions staff needed to take to meet these needs. A key worker system is operated in the home. Information seen on care files was up to date and easily accessible. There was evidence to demonstrate the key working staff undertake monthly reviews and up date the care plans as changes occur. All aspects of care planning are agreed prior to admission and again during regular reviews, demonstrating that residents and their families are Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 12 encouraged to participate in decision-making. Signatures of residents and/or their family members on care records supported this. Staff were asked about their care of residents and those spoken to were knowledgeable about the residents and their specialist care needs. Individual risk assessments are in place, for example: risk of falls, pressure area damage and nutrition. All action taken is recorded on care files and daily records. This gives staff a better understanding of need and responses in addition to supporting residents to maintain independence safely where possible. Records showed that residents have access to other community based health professionals as required. Outcomes and action required by staff is recorded on individual care plans. This provides staff with up to date knowledge about appropriate care practice. Case tracking, feedback, observation and discussion with the residents and the staff confirmed good practice is maintained in the home and residents are treated with dignity and respect. Residents commented ‘the staff are very good here’, ‘home is very nice’ and ‘I have everything I need’ The medication administration procedures were discussed with the team leader on duty. Policies and procedures are in place to ensure safe medication administration. Medication is audited on a monthly basis prior to disposal and a senior at the end of each shift checks records. Medication administration charts were seen during the visit and the majority were completed correctly. One sheet had gaps from the morning round which the senior staff member had to complete. Overall the records indicated that residents are receiving their medication as prescribed. Photographs of residents are with their MAR charts as an extra safeguard towards safe administration. Previous requirements from the last inspection have now been met. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good A range of activities is offered to residents. Family and friends are made welcome when they visit. Residents enjoy the quality and choice of meals provided by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a full time activity co-ordinator who has assessed each resident within the home to build a picture of their preferences for activities and interests. Activities are organised at the home on a daily basis, offering stimulation to those residents who are less able to explore interests outside the home. These include art and crafts, reminiscence groups, music, quizzes, bingo and entertainment. Activities are displayed on community notice boards and in rooms. The home also publishes a monthly newsletter, which outlines forthcoming events within the home. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 14 Residents confirmed that they could choose what they want to do as far as social events and also what times they go to bed and get up in the morning. Flexibility enables individuals to have choice and express a preference in their daily routines. Staff escort residents to community events and appointments as required. Residents and relatives confirmed that the visiting arrangements for the home are open and visitors can come and go as they please and are made welcome by the staff. Resident’s and relatives meetings are held on a regular basis. These meetings give the residents and their families the opportunity to comment on how they view the home and contribute to decision-making. The menu offered at Silver Court offers a wide range of balanced, home cooked food. The cook is experienced and qualified to fulfil his role. The menu offered takes in to account the preferences of residents and specialist dietary needs. This promotes choice for the residents and provides an opportunity for them to eat what they prefer. An alternative meal is on offer at lunchtime and teatimes. Residents spoken with said they enjoyed the food and there was plenty to eat. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents who use this service or their representatives are able to express concerns, and have an access to a robust, effective complaint procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaint procedure, which is outlined in the statement of purpose and displayed throughout the home. It was noted during the visit that a total of 13 complaints had been made to the manager of the home since September 2007. Some of these had been reported to the Commission. These had related to a concern about staffing levels and care practice within the home. Complaints are recorded and investigated with feedback to complainant within 28 days with the actions taken in line with the homes policy and procedure. All residents and visitors spoken to said they knew who to complain to and that they would not hesitate to do so if they thought it appropriate. Staff induction and training records indicated that all staff have received training in safeguarding vulnerable adults. Although some of the staff on shift on the day of the visit had only recently started at the home and were still undertaking their induction and training programme. Some outstanding training related to health and safety aspects within the home. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 16 The inspector is unable to comment on the homes recruitment procedure, which ensures all staff under go appropriate checks prior to employment. This was due to the managers’ absence on the day of the visit and senior staff being unable to access staff files. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents live in a safe, well-maintained environment. Resident’s rooms are personalised with their own possessions. The home is clean, pleasant and hygienic This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector walked round the premises accompanied by the team leader on duty. It was noted the premises were very clean, tidy and well maintained. Silver Lodge offers a high standard environment to its residents. Policies and procedures for the control of infection are in place however training records examined demonstrated that not all staff on duty at the time of the visit had undertaken infection control training, to ensure staff are able to demonstrate good practice in this area and minimise cross-infection within the home. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 18 The inspector viewed several bedrooms. It was noted that the door to each room had been fitted with a doorbell and a number, presenting the accommodation as individual flat-lets. Residents have been able to personalise their own rooms by bringing small items of furniture, pictures, ornaments and family photographs. Each flat-let has been equipped with an en-suite shower/WC. There are aids and adaptations to meet the needs of the residents presently accommodated. The communal areas are clean and furnished on a homely fashion with plenty of suitable chairs for residents. There is a pleasant garden with seating for those who like to go outside. The inspector also viewed the lounge and the dining room in Ash and in Bluebell, the two units that make up the accommodation used by residents who have dementia. These are very clean and tidy, well maintained and decorated to a good standard. Residents told the inspector that they were very comfortable and thought the accommodation was very good. All radiators throughout the home have been covered. The fire procedures, environmental risk assessments and safety checks were recorded and detailed. A call bell system is provided in every room so staff can attend an emergency situation swiftly, should it arise. The maintenance log showed all maintenance is completed as required on a regular basis. This means the resident’s environment is kept safe and well maintained at all times. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Residents in the home are supported by a committed and caring staff team. Recruitment records and reference checks were not accessible on the day of the visit. There has been insufficient permanent staff prior to the visit and a reliance on bank staff to cover a high number of shifts. There is now a full complement of staff. Records demonstrated that not all the staff on shift had completed a mandatory training programme. A requirement has been made in respect of this. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Recruitment policies and procedures are in place, to ensure staff employed by the home have the necessary skills and experience to fulfil their roles. The inspector was unable to evidence CRB checks, references or terms and conditions for staff members, as the manager was absent and had the only key to the personnel cabinet. It was concluded from examining the duty rotas, speaking to staff, residents and relatives that due to a high staff turnover, permanent-staffing levels prior to the visit has been insufficient to fully meet the needs of residents. The home has been using high levels of bank staff to cover these shifts. Since the visit the manager confirmed that bank staff receive the same induction training as permanent staff. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 20 The team leader confirmed that the manager had recently completed a recruitment drive and there were now no vacancies for care staff at the home. On the day of the visit two new members of staff were undertaking an induction. The new staff in post will significantly improve staffing levels and consistency of care practice within the home in the future. However this could not be fully assessed as staff are new to post and not yet confident their roles and responsibilities. This area will be re-assessed at the next inspection People using the service and their relatives feedback that the staff in the home ‘meet needs well’’ and ‘are very committed’ another acknowledged that ’staffing levels have improved recently’. Staff members spoken to, demonstrated commitment and an understanding of the resident’s needs. Training records for 2008 show that staff complete the BTEC induction certificate, which includes mandatory training such as infection control, manual handling and fire safety appropriate to the needs of residents. The records for 2007 were not available so it was difficult for the inspector to conclude whether staff required refresher courses or were awaiting full training. The records seen indicated that some of the staff on shift during the visit had not completed the BETC induction or had not received their certificate. Of the seven staff on shift, only one had completed dementia awareness training, two had completed infection control, three had completed manual handling and fire safety. There was no record that any had completed continence training. It was concluded that the staff available at the time of the visit were not fully equipped to meet the resident’s complex needs with the training they had completed in 2008. A requirement has been made in respect of this. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate The home has a registered manager in post. Staff are not appropriately supervised. Staff have not undertaken relevant training to ensure the health and welfare of residents is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home has returned to post following maternity leave and is registered with the Commission. Risk assessments both individual and generic are carried out in the home, safety procedures are posted and the team leader confirmed that all new staff receive induction training. Although induction details were not recorded on the training records. Records seen indicated that not all staff had completed the mandatory training including, manual handling, fire safety and infection control Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 22 included in the BTEC induction certificate. Due to this the inspector could not conclude that the residents were in safe hands at all times. Fire training for staff was not up to date and this could pose a possible risk to the safety and welfare of the residents. A requirement has been made in respect of staff training. Records seen demonstrated that accidents and untoward incidents are recorded with any remedial action that is needed. Whilst records were not examined on this occasion, information supplied by the registered provider before this visit took place indicated that an annual development plan for quality assurance is in place. Residents meeting are held each month and relatives are invited on a quarterly basis. Minutes are taken with records of any action that is required following requests or concerns expressed. This does indicate that the residents and relatives are listened to and have input into the running of the home. From examining records and comments form staff prior to the visit and during the visit staff in the home are not receiving adequate supervision by the manager. Records demonstrated that staff were often seen as a group during team meetings. Records received after the site visit indicates that some staff are receiving individual supervision. One staff member commented that ‘we don’t always get the chance to say what we need to because other staff are there’ another commented that the management was ‘not always supportive’. Lack of supervision is a shortfall noted in the last inspection report. The National Minimum Standards requires that all staff ‘receive one to one supervision no less than six times a year’. A requirement has been made in respect of this. Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 23 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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 2 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 3 2 Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 24 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 OP30 Regulation 18 (1c) Requirement Timescale for action 30/11/08 2. OP38 12 (1a) 3. OP36 18 (2) The registered person shall ensure all persons employed at the home receive training appropriate to all the work they are to perform The registered person shall make 30/11/08 proper provision for the health and welfare of service users. This must include training relevant to health and safety. The registered person shall 30/11/08 ensure all staff are appropriately supervised 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 Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Silver Court DS0000014716.V363462.R02.S.doc Version 5.2 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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