Inspection on 03/10/06 for Southfield

This inspection was carried out on 3rd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Southfield 01/10/08

Southfield 04/01/06

Southfield 25/07/05

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Southfield Park Road Stroud Glos GL5 2JQ Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 3rd October 2006 09:30 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 Southfield DS0000064615.V309124.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. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfield Address Park Road Stroud Glos GL5 2JQ 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) 01453 764892 01453 759642 The Orders of St John Care Trust Mrs Celia Denise Kidd Care Home 36 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (35) of places Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 4th January 2006 Date of last inspection Brief Description of the Service: Southfield is a purpose built care home, providing long-term personal care for thirty-six 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 residents 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 locations around the home. On the ground floor there are two homely lounges, an activities room, and a very spacious dining room. There is also a small shop situated in the corner of the dining area for residents convenience. The garden area is attractively designed but there is only limited parking available for visitors to the home. The provider supplies information about the home, including the most recent CSCI report to anyone who has expressed an interest. Current fees range from £337.15 to £533. Hairdressing, chiropody and any personal items are charged extra. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection of Southfield over two days in October 2006. During the visit, she chose four of the residents for particular scrutiny. She spoke to each of these people and in three cases a relative, read their care records, visited their bedrooms and, where possible, observed their interaction with members of staff. The inspector read selected personnel and recruitment records, walked around the property and observed the service of a mid day meal during her visit. She also spoke with some of the staff who were on duty on these days. Finally, she had the opportunity to talk to the Manager, her deputy and the administrator, particularly in relation to general management issues. All were open and most cooperative in providing information as requested. CSCI surveys were distributed to residents, relatives and members of staff working at the home. Nine were returned from residents although in the majority of cases, a relative or named member of staff completed the form for them; unfortunately no completed surveys were received from staff but two comment cards were sent in from relatives and advocates. Many of their comments and opinions are reflected in the content of this report. What the service does well: All residents admitted to the home are subject to rigorous assessment processes to ensure that the home is able to meet their needs. Staff employed at Southfield are friendly and welcoming to anyone visiting the home. They have also developed good working relationships with the residents living there, treating them with respect and kindness. Particular comments about “their patient kindness” and “the wonderful staff” were included in the questionnaires. Residents are offered a good choice and standard of food. Everyone who was questioned spoke positively about the food provided. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 6 Any complaints or concerns raised about the home are addressed promptly and, where necessary, efforts are made to rectify the issue identified. There are robust policies and good staff training in place to protect residents against any form of abuse. The residents are accommodated in a clean well decorated home; the sturdy furniture is appropriate to the needs of the people living there. There is a good focus on improving the quality of care provided to residents at the Home. Health and Safety issues are also managed well. 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. Southfield DS0000064615.V309124.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 Southfield DS0000064615.V309124.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): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A comprehensive assessment process plus the provision of literature about the home, although now requiring some revision, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: A selection of information about the home is provided to each person interested in being admitted to Southfield. However the content has still not been fully reviewed and updated following the change of ownership in early 2005. The inspector was informed that the new brochures would be available in the near future. A contract outlining the terms and conditions for admission to the home, had been provided to each of the residents who were selected as part of a case Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 9 tracking exercise during the inspection of the home. Signed copies of the completed documentation were seen in their personal files. Full assessments are undertaken on each prospective resident; completed records relating to these visits were seen in the care files. It was evident that a very comprehensive assessment is undertaken to ensure that the home is able to meet the prospective resident’s needs. The home also retains the Social Services Assessments or reports supplied by any individuals previously responsible for providing care to this person. All are used for reference during the admission processes. The daughter of one resident explained that she had visited a number of homes prior to selecting Southfield for her Mother. This lady had been most impressed by the reception she had received, the friendly atmosphere in the home and the facilities provided for the people living there. The staff had been particularly helpful in answering all her initial queries and in providing reassurance about the planned move. Intermediate care is not provided at this home. Southfield DS0000064615.V309124.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Although the care documentation does not always fully provide the staff with the guidance they require to care for the residents’ needs, good care is delivered to the people living at this home. Medication systems are managed well, ensuring that residents should not be put at any risk of potential errors. Residents are also treated with courtesy and respect. EVIDENCE: Care plans are prepared for each person based on a general assessment of the resident’s care needs. The care records relating to the four selected residents were read in detail on this visit. It was evident in most cases that the resident had been involved in the preparation of these plans, having signed the completed documentation. On the whole, clearly written specific care plans are prepared to address any identified care needs. These are reviewed and normally updated appropriately. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 11 However, the plans relating to one person did not clearly reflect her current condition and did not provide full guidance to the staff. On observation, it was evident that this person was actually receiving attentive and appropriate care. Risk assessments were prepared to identify the risk of developing a pressure sore, any risks associated with moving and handling, and the risk of falling. Associated care plans had been developed where required. The details of any accidents, which had taken place, were clearly recorded. Any visits from medical and care personnel are documented, as is any advice or instructions provided. A District Nurse visited the home to attend to residents during the inspection; a record was made of the treatment she had given. It was also recorded in the selected care files that residents had received chiropody and dental care. One lady was admitted to hospital for investigations following a change in her medical condition. The medication administration systems relating to the four selected residents were observed on this occasion. Medication storage and the management of controlled drugs were also inspected. It was observed that all the medication storage cabinets were securely locked, including the dedicated refrigerator. Drugs were administered and stored correctly; controlled medications were also managed appropriately. Those members of staff responsible for administering medications have had formal training in the processes; update training is now being sourced for these people. Throughout both days of the inspection, members of staff were observed and overheard addressing the residents in a respectful but friendly and encouraging fashion. All personal care appeared to be given behind closed doors. Carers were also observed knocking on doors prior to entering bedrooms. Southfield DS0000064615.V309124.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Although some opportunities are provided for varied and stimulating activities to occupy the residents and thus improve their quality of life, these do require further development to suit everyone living at Southfield. Residents are facilitated to maintain any links they wish with family, friends and the local community, thus adding interest to their lives through social contact. They are also enabled to exercise choice in their daily lives. The meals are nutritious and balanced, offering a good choice and variety to the people living at Southfields. EVIDENCE: During conversation, residents confirmed that they are able to get up and retire when they wished and to spend their days how they would like, within their own capabilities. Some people did comment that there is sometimes little Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 13 to do in the home although they do enjoy the activities when they are arranged. A daily programme is advertised on the notice boards but staff did agree that it is not always possible to provide adequate diversions for the people living at this home. The activities organiser is currently on maternity leave and the carers find it difficult to allocate time to these duties. One lady did say that she enjoyed playing scrabble with some of the other residents; another was preparing to go out for a shopping trip with a member of her family. The majority of the residents, however, sat quietly in one of the communal areas or in their bedrooms. Friends and relatives are welcome to visit at any time so long as the resident is content to see them. Three relatives spoke with the inspector during her visit. Each said they were satisfied with the care the residents were receiving. One lady commented that, “the staff always greet me and seem pleased to see me. It does make a difference. I really enjoy coming here.” Residents were observed exercising choice in a variety of ways particularly in relation to their food, whether to remain in the lounge after lunch and one person chose not to go out for a walk with a visitor. Advice on how to source advocacy, if required, is displayed prominently in the home. Residents’ signatures on care records showed that they had had sight of and input into care plans, which had been written about them. The service of the mid day meal was observed on this visit. The majority of residents sat in the large sunny dining room with a few preferring to remain in their bedrooms. They were provided with a good choice of food and those residents requiring assistance to eat their food were helped in a patient and sensitive manner. The meal appeared to be a congenial time with a lot of conversation at the individual tables and with the staff who were serving the food. Every resident who was questioned spoke most favourably about the meals with one person commenting that, “You get such nice food here, I really enjoy it.” Another said, “My only complaint is that you are given too much food but I couldn’t waste any – its too good.” The kitchen was clean and tidy; appropriate cleaning regimes were in place. Southfield DS0000064615.V309124.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. Residents are offered a good level of protection against abuse. EVIDENCE: Information on how to make a complaint is advertised on the notice boards in the home; it is also explained in the brochures provided by the home. The residents who responded to the survey and who spoke to the inspector confirmed that they were aware of the processes; one person had recently raised a small concern with her key worker, “and the problem was dealt with straight away”. Observation of the ‘Complaints File’ showed that there had been no formal complaints about the home in recent months, only minor issues, which had been addressed and rectified in a timely fashion. The number and content of concerns and complaints is closely monitored by the Orders of St John Care Trust. The Trust has developed comprehensive policies to address all forms of abuse. These are readily available for members of staff to read. Whistle blowing procedures are also included in this documentation. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 15 All members of staff in the home had the opportunity to attend workshops on abuse and challenging behaviour earlier in the year. POVA (Protection of Vulnerable Adults) legislation is correctly followed at Southfield. Southfield DS0000064615.V309124.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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents are provided with a good standard of clean comfortable accommodation. EVIDENCE: While walking around Southfield, it was evident that the home is furnished and decorated to a good standard. The wide corridors provide easy access to all areas. Many of the rooms have particularly attractive views of the garden and surrounding countryside. It was reported that the handyman has recently resigned from his post and a replacement is currently being recruited. In the meantime, the home is receiving support from other areas, as required. Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 17 A visit was made to the bedroom of each person who had been selected for case tracking. All the rooms had been personalised with photographs, treasured possessions and in some cases, some small items of furniture. One person took pleasure in describing the background of some of the many ornaments in her room. Staff are to be congratulated for ensuring that this area was clean despite the large number of fragile possessions, which were displayed on every available surface. The whole property appeared clean and reasonably fresh; there was only slight evidence of mildly offensive odours in a few areas. Although not specifically identified to any of the staff, a further visit to these areas later the same day showed that these issues had been appropriately addressed. The laundry is equipped with industrial style machines; it was tidy and organised with washing segregated appropriately. Residents’ clean personal clothing was discreetly named and stored in separate boxes in preparation for return to their bedrooms. The laundry was kept locked when no members of staff were working in that room. Southfield DS0000064615.V309124.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents receive care from a stable workforce but some improvements in the recruitment processes and updated training for some of the staff would help to ensure residents are fully protected. EVIDENCE: There were twenty-nine residents living in the home at this time. During the inspection it was observed that there were five carers on duty each morning, four carers each evening and three carers during the night to care for the residents living at Southfield. Those questioned considered that these numbers were adequate at the current time. However, three relatives have remarked in the questionnaires that the home is sometimes short of staff and that those present struggle to cope with all the work. Of the twenty-four carers employed at the home, eight have achieved a National Vocational Qualification, Level 2 or equivalent, and four are undergoing the training. Additional carers are being encouraged to undertake this course of study as the deputy manager is aware that at least 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent. Personnel files relating to all nine staff employed since the last inspection were read in detail. Each person had completed an application form providing a full Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 19 employment history. Records had been maintained of the interview processes and POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed. Two written references were provided for each applicant. There was also documented evidence that each person had been inducted to his or her respective post. Although recruitment practices met the statutory requirements there were some aspects of recording that could have been better; this pertained to risk assessing the employment of staff under certain circumstances. This particular issue is being addressed separately to this inspection. Members of staff working at Southfield attend a variety of training appropriate to their roles; certificates of attendance were maintained on file. The deputy manager takes responsibility for coordinating the training. Her completed records showed that manual handling training is now overdue for the majority of the staff although fire training and other mandatory topics are addressed appropriately. The deputy manager has completed a course in manual handling training and intends to address the shortfall within the next few weeks. Two senior members of staff were attending computer training during the inspection. Some of the carers were booked to attend dementia care training during the week following the inspection. Southfield DS0000064615.V309124.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are good management systems in place to ensure that the financial interests, and the health, safety and welfare of people using the service are safeguarded. There is also evident commitment in the Home to improve the services for the benefit of the residents living there. EVIDENCE: The Manager of the home has extensive experience in the care of elderly people. She has recently completed the Registered Manager’s Award and also Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 21 attends regular training workshops to assist her to undertake her duties. The deputy manager and the home’s administrator support her in her role. The Home has a good focus on quality improvement. Any complaints, accidents or adverse incidents, and satisfaction with the provision of food are all monitored closely. A relatives’ satisfaction survey has recently been conducted by the Orders of St John Care Trust. The Manager has received a generalised feedback on the results but is not yet aware of any specific details about the home. Once these have been identified, a quality improvement report will be generated. The home was successfully audited for the ISO 9001 award at the end of 2005; a follow-up visit to assess continued compliance coincided with the inspection. The administrator looks after the personal monies for most of the residents. These are kept in individual envelopes and are locked away securely. All transactions are fully documented and countersigned. Checks of the files relating to the four residents selected for case tracking showed that these are all recorded accurately. Each resident’s status in relation to ‘Power of Attorney’ is also maintained on file. Records were provided to show that statutory maintenance/inspection of equipment and services is arranged in a timely fashion. Where faults are identified, these are rectified as necessary. However, there were a considerable number of ‘out of date’ records in the file, making it difficult to establish the current status for each facility. Water temperatures are checked at outlets on a monthly basis; in recent months these have remained within safe levels. Fire extinguishers had been serviced recently; those identified as requiring replacement were addressed during the inspection. An Environmental Health inspection was undertaken at the end of the year; issues highlighted for improvement have now been corrected. Southfield DS0000064615.V309124.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 1 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4(2) 5(2) Requirement The home must send the revised copies of the Statement of Purpose and Service User Guide to the CSCI upon completion. (This requirement has been repeated from the last inspection.) Staff must ensure that all elements of care planning are fully detailed, in order to clearly demonstrate how residents needs are to be met; this is with particular reference to deteriorating care needs on this occasion. (This requirement has been repeated from the last two inspections.) Opportunities must be provided for residents to take part in social activities of their choice. Members of staff must be adequately trained in manual handling techniques. Timescale for action 30/11/06 2. OP7 15(1) 30/11/06 3 4 OP12 OP30 16(2m) 18(1ci) 13(5) 30/11/06 30/11/06 Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations At least 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent Southfield DS0000064615.V309124.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Southfield DS0000064615.V309124.R01.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. 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!