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Inspection on 01/10/08 for Southfield

Also see our care home review for Southfield for more information

This inspection was carried out on 1st October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The Registered Manager has been working at the home for many years as well as several other members of staff which results in continuity for people who use the service. People who use the service have access to external professionals to help meet their assessed needs. People spoken with all said the food was very good and that alternatives are always offered. One person said they always have a cooked breakfast 5 days per week. People are able to chose where they eat their meals. The home has been awarded 4 stars by the local Environmental Health Department. The environment is well maintained and people felt the cleanliness was very good. People spoken with were happy with their rooms and some people have views over the local valley. People spoken with all complimented the staff in the home saying they are friendly and helpful.

What has improved since the last inspection?

Since the last inspection the home has reviewed the activities programme they provide and have an activities coordinator in place. Unfortunately the activities coordinator has been away from the home for over a month at the time of the inspection so the home is continuing to monitor the activities provision. All staff have received moving and handling training and a further update is booked in the next few months.

What the care home could do better:

The home needs to look at a more consistent approach to care planning. Whilst every assessed need has a care plan in place, some are more detailed and contain peoples choices, where as others contain limited information. The home must make sure that medication is stored securely at all times. Chemicals used by staff in the home must not be left unattended as this could potentially place people at risk. All requirement checks must be carried out in full prior to the new member of staff commencing work at the home.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Southfield Park Road Stroud Glos GL5 2JQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sharon Hayward-Wright     Date: 0 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Southfield Park Road Stroud Glos GL5 2JQ 01453764892 01453759642 manager.southfield@osjctglos.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Celia Denise Kidd Type of registration: Number of places registered: The Orders of St John Care Trust care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability old age, not falling within any other category Additional conditions: May accommodate one named service user under 65yrs of age. Arrangement will cease when service user reaches 65 yrs of age or leaves the home. Date of last inspection Brief description of the care home Southfield is a purpose built care home, providing long-term personal care for thirtysix older people, with one room designated to provide short-term respite care. The home also accommodates one named person over the age of 65 years with a learning disability. Southfields is managed by The Orders of St John Care Trust, and is situated in a residential area of Stroud. Medical and nursing services are accessed for people if needed, from community resources. The home is built on three floors with a shaft lift and chair lift accessing all areas. Residents private accommodation is situated on the two upper floors, and is provided by 32 single rooms and 2 double rooms. There are a number of assisted bathrooms, shower rooms and toilets situated in convenient Care Homes for Older People Page 4 of 29 Over 65 1 35 0 0 Brief description of the care home locations around the home. The communal rooms are on the ground floor. There is a garden area. There is only limited parking available for visitors to the home. The provider supplies information about the home, including the most recent CSCI report. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: One Inspector carried out this inspection over two days in October 2008. We (The Commission) asked the home to complete an Annual Quality Assurance Assessment (AQAA). We have not received this years AQAA at the time of the report but the home did send us a copy of the one they completed last year to use for this inspection. It gave us information about what the home considers it does well. People living at the home were spoken with to ascertain their views on the care and services provided and any visitors to the home. Staff were observed interacting with people who use the service. The comments received from speaking to people during the inspection have been used in the report. Care Homes for Older People Page 6 of 29 A total of 24 standards were inspected. The Registered Manager was available during the inspection as were other members of the homes team and the staff spoken with throughout the inspection were helpful and co-operative. The judgments contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes in to account the views and experiences of people using the service. The fees range from 363 pounds to 611 pounds per week. Extras to the fees include chiropody, newspapers and hairdressing. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has systems in place to provide people with information about the services offered to enable them to make a decision about the home. Evidence: The home has addressed the requirement issued at the last inspection to send us (The Commission) copies of their updated Statement of Purpose and Service Users Guide. Copies of these are on display in the main entrance to the home. The home also has a web-link where people can read information about the home and the company that manages it. The pre admission assessments of two people admitted to the home since the last inspection were examined. Both contained detailed information about their care needs and medical history. One person was assessed whilst they were in hospital and discharge information from the hospital was available. The other person was assessed at the home on the day they were admitted from another local hospital but there was no recorded evidence that an assessment had taken place prior to admission Care Homes for Older People Page 11 of 29 Evidence: or that a discussion with the hospital had taken place. The Registered Manager felt that this person may have been assessed at the home and then would have returned later on that day for admission once it had been decided the home could meet their needs. The home needs to make sure that staff maintain clear and accurate records. A copy of the letter the home sends to people confirming their needs can be met was seen. Standard 6 does not apply as Southfield does not offer intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs, however some care plans do not always provide staff with enough details to meet peoples needs. The principles of respect, dignity and privacy are always put into practice. Evidence: Three people had their care examined in detail. This includes reading care records, speaking to the person where able and speaking to staff. All 3 people were chosen at random during the inspection. Each person had a dependency tool in place that the home uses as their ongoing assessment as it is based on the activities of living. From this each person has a score that is used by the home. These are reviewed mostly monthly. Each person had a care plan in place for each assessed need. However some care plans were very detailed and contained evidence of peoples choices and some were very basic and didnt contain enough instructions for care staff to follow or peoples choices. The home should consider not using the word regularly in care plans as this is not descriptive enough and could lead to inconsistent practice between staff. Care Homes for Older People Page 13 of 29 Evidence: When care plans are written staff must only write interventions that can be measured for example one care plan stated monitor the need for walking and ensure uses walking frame and another care plan stated remind this person at regular intervals about mealtimes and assist. The home needs to review all care plans to make sure all care staff have the same consistent approach. Reviews were in place for all care plans and one person said they had read their care plans and signed them. The home operates a key worker system and one person was seen to have had a recent review with their key worker. A number of care staff were spoken with about the care of these three people and they all demonstrated very good knowledge of their care needs. A number of people who use the service were asked if they were happy with the care they received and all said yes. Each person had risk assessments in place for nutrition, pressure sores, falls and moving and handling. These all had evidence of ongoing reviews. In one persons moving and handling assessment it had been documented there was a change in their mobility but this had not been transferred to their care plan. Another persons nutritional assessment stated that they need to be weighed weekly but this was found not to be taking place. Records are maintained of external professionals visits to the home. These include GPs, Community Nurses, Chiropodists, Opticians and during the inspection a Physiotherapist and Occupation Therapist were reviewing a number of people. People spoken with also confirmed that they have access to external professionals. One person has just started to have a weekly massage which they said was beneficial to them. The medication systems used by the home were examined. Only senior care staff that have undertaken training administer medication and records were seen of when these care staff had undertaken an update. Records were seen of medication received into the home, administered and where needed returned to the supplier the home uses. The home is looking to alter the form used to record when creams are applied to people in their rooms. The home must make sure that medications are stored securely at all times as it was noticed at one mealtime the trolley was left unlocked and unattended whilst the member of care staff assisted a person. Medication Administration Records (MAR) were examined and it was found that peoples allergies are recorded along with other information and a photograph. Two people were found not to have had a prescribed medication for over 4 days in one case. The care staff explained that this was due to their supplier and that an alternative medication was provided. This will need to be addressed to prevent it from happening again. It was also found that care staff were not administering a cream and nose spray as per the prescription to two people and again this needs to be addressed. One person was selfmedicating and a consent form and lockable facilities were in place. This person was able to describe what medications they were having and when they needed to take them. One medication was selected at random and audit of this took place. This includes counting the medication and checking how many have been given against the Care Homes for Older People Page 14 of 29 Evidence: MAR and it was found all to be correct. The systems for controlled medication were examined and no issues were identified. Temperature records are maintained of the room and medication fridge and these were within the recommended safe limits. A policy for homely remedies is in place and this was signed by the local GPs in 2007, consideration should be given to this being reviewed and updated with any new people to the home. Care plans were seen in place for people who are prescribed prn or as required medication. People spoken with felt that the staff maintained their privacy and dignity at all times. Staff were observed speaking to people in a respectful manner. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their daily lives and can participate in an activities programme that is based on their recreational interest. Evidence: At the last inspection a requirement was issued for the home to provide activities and social occasions based on peoples choices. Since then the home has appointed an activities coordinator. This person has 15 hours a week to provide activities for people however they have been on sick leave for over a month. The Registered Manager said that other care staff are providing activities. Several people who use the service have just recently completed a 10 week course with Art shape and a number of items made by people were on display. The Registered Manager said that outside entertainers visit the home on a monthly basis. During the inspection a Communion service was taking place and arrangements are in place to meet the spiritualist needs of other people who use the service. One person said a Vicar visits them on a frequent basis. A number of people were also having their hair done and the hairdresser visits the home weekly. People spoken with said they are able to chose if they wish to join in activities as some people said they prefer to make their own and other people said they do join in with bingo being a favorite of one person. One person was going out for Care Homes for Older People Page 16 of 29 Evidence: lunch with friends and said that they also go out with their family most weeks. One person who uses the service was away on a holiday that the staff in the home had helped them arrange this. People who use the service who were spoken with confirmed that visiting is not restricted. Visitors were seen at the home on both days of the inspection. A number of rooms were seen that belong to people who use the service and they had their personal belongings on display. People spoken with said they are able to make choices about their daily lives and where people need assistance from staff to achieve this staff were observed offering choices for example what they wanted to drink or have for a meal. Information about advocacy services is displayed in the main entrance along with other information that might be useful to people or their representatives. The home operates on a 4-week rotational menu and this is displayed on a notice board outside the dining room. A relief cook is at the home at the present time due to sick leave but has worked for the company that manages this home for over 8 years. The home has been awarded 4 stars from the local Environmental Health Department in relation to the kitchen area. Health and safety checks are taking place and records were seen of these. People are able to choose off the menu or have an alternative and this was seen at one of the meal times. The home is also able to cater for therapeutic diets. People spoken with all said the food was very good and one person said it was excellent and that they are able to have choices. One person said they can have a cooked breakfast five days per week. A meal time was observed and staff offered assistance discreetly. People are also able to choose where they eat their meals. The cook said he makes cakes and biscuits to accompany the hot drink rounds. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to a complaints procedure that makes sure their views are listened to and procedures are in place to help safe guard people from possible risk of harm or abuse. Evidence: The home has not received any complaints since the last inspection. The home has a procedure in place for managing complaints if they were to receive any. A copy of the homes complaints policy is displayed in the main entrance. People who were spoken with said they would speak to a member of staff or the Registered Manager if they had any concerns or complaints. The staff in the home are due to receive an in house training session about abuse. None of the staff have attended the Alerters guide training provided by the local Council and consideration should be given to this as staff would be able to learn about the local reporting procedures. Consideration should also be given to senior staff attending the Enhanced training provided by the local Council. Staff spoken with said they would report any concerns to the Registered Manager or the on call manager but were unsure of the local reporting procedures. The home has policies and procedures in place for abuse, whistle blowing, managing violence and aggressions and bullying and harassment. No staff have been referred to POVA. Care Homes for Older People Page 18 of 29 Evidence: The personnel files of a number of randomly selected staff that have started work at the home since the last inspection were seen. All had POVAfirst checks and Criminal Records Bureau Disclosures in place. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and well maintained environment. However the actions of some staff could place people at risk. Evidence: A tour of parts of the environment took place and a number of rooms belonging to people were seen. People had their personal belongings on display in their rooms. The home is set over 3 floors with all communal rooms on the ground floor. The home felt very light and airy as it has large windows that let in alot of light. This comment was made by a number of people who use the service. Several people also commented on the views they have of the local valley. A small number of minor maintenance issues were identified and these related to two toilets, one of which recently had a flood and the damage needs to be repaired. Both toilets require a toilet roll holder. People who use the service are able to sit out in the garden in warmer weather. Improvements have been made to the home since the last inspection and this includes a new lift. The Registered Manager said that the home has plans to redecorate the stair wells. The cleanliness of the home is good and people who were spoken with also said the home is always cleaned to good standards. Two rooms were found to have odours and the Registered Manager said they are working hard to address this. The domestic staff need to be remind not to leave their cleaning trolleys with chemicals on unattended as this could place people at risk. Care Homes for Older People Page 20 of 29 Evidence: The laundry area was examined and the home has a procedure in place for managing soiled linen. One person was asked if they were happy with how their clothes are laundered and they said yes and that they are well looked after. The home has policies and procedures in place for infection control and staff were seen wearing protective clothing when required. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to meet the needs of people who use the service. Evidence: The staffing levels for the home were discussed with the Registered Manager who is confident that the numbers of staff on duty are meeting the needs of people who use the service. People who use the service who were spoken with all said the staff were friendly and helpful. Members of staff who were spoken with said it was a nice place to work with a good team of staff who support each other. Some members of staff have been working at the home for a number of years. The home exceeds the recommended 50 of care staff number of care staff with an NVQ 2 or above in Health and Social Care. Three personnel files of staff who have started work at the home since the last inspection were examined. All had the required checks except two did not have a full employment history and one member of staff requires a photograph. The Deputy Manager is the homes in house trainer and she maintains records of all training undertaken and when staff are due an update. The home has plans in place to Care Homes for Older People Page 22 of 29 Evidence: make sure all staff are updated in mandatory subjects for example moving and handling. All shift leaders are trained first aiders but consideration should be given to all staff receiving first aid awareness. The Care Home Support team are due to undertake some training with staff in relation to dementia awareness and person centered care. All care staff that write in care plans must receive training to make sure a more consistent approach is achieved and that peoples choices are included. Staff spoken with confirmed they have access to training and were able to discuss what training they have had and what is planned. The Deputy Manager said that she is the mentor for any new staff. Each new member of staff receives a workbook that is based on the Common Induction Standards. Evidence was seen of an induction checklist signed by the Deputy Manager and Registered Manager once they are completed. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A competent person manages the administration and running of this home to help make sure the health, safety and welfare of people who use the service is protected and promoted. Evidence: The Registered Manager has been managing this home for over 9 years but was moved to another home for several months earlier this year. She has completed the Registered Managers Award and undertakes training courses as required. Staff and people who use the service said she was approachable and they could go to her if they had any concerns. The systems the home has in place for quality assurance were examined. An internal audit has taken place recently but the home is waiting for the report. Regulation 26 visits were seen. The Registered Manager said that questionnaires were sent out to people in July and they are waiting for the feedback from their head office. Six Care Homes for Older People Page 24 of 29 Evidence: monthly reviews are due to take place with people who use the service with their key workers. The Registered Manager said she has not undertaken any auditing lately. Medication and accident records are audited. Forms for suggestions and comments are placed around the home for people to use. The system the home has in place for managing peoples monies were examined. Three were randomly selected and checked against the records, all were correct and auditing of this takes place on a monthly basis. The systems in place for staff supervision were examined. All senior staff supervise other staff and a matrix is in place. Four staff files were randomly selected to check that care staff are receiving the six sessions per year as recommended. Staff are receiving supervision but not the six sessions are recommended. Maintenance records were examined for evidence of servicing of equipment. All were in place. Fire equipment checks are taking place and the home has a fire risk assessment and evacuation procedure. Records were also seen of monthly safety checks undertaken. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The home must make sure that medication is stored securely at all times. To safe guard people who use the service from possible harm. 03/11/2008 2 26 13 Chemicals used by the home 03/11/2008 must be stored securely at all times. To safe guard people who use the service from possible harm. 3 29 19 The home must make sure that all the required recruitment checks are undertaken prior to the new staff member starting work. This will help to safeguard people who use the service. 28/11/2008 4 30 18 Staff must receive training in devising and maintaining care plans. This will provide a consistent approach to care planning 30/12/2008 Care Homes for Older People Page 27 of 29 and provide staff with the information they need to meet peoples needs and choices. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 18 The staff in the home should attend the Alerters guide training provided by the local Council to make sure they are aware of the local reporting procedures. The senior staff in the home should attend the Enhanced abuse training provided by the local Council. All staff should receive first aid awareness training. 2 3 18 30 Care Homes for Older People Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!