Inspection on 17/06/06 for St Bonaventures

This inspection was carried out on 17th June 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Bonaventures 26/09/07

St Bonaventures 19/02/06

St Bonaventures 11/12/05

St Bonaventures 15/12/04

St Bonaventures 19/05/04

St Bonaventures 26/03/04

St Bonaventures 14/10/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

Hudson Road

Whitewalls

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 St Bonaventures 62 Kenworthy Lane Northenden Manchester M22 4EJ Lead Inspector Ann Connolly Key Unannounced Inspection 17th June 2006 09:30 St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 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 St Bonaventures DS0000021625.V297873.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 Adults 18-65. 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. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Bonaventures Address 62 Kenworthy Lane Northenden Manchester M22 4EJ 0161 945 6265 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) St Bonaventures Trust Ms Patricia Mitchell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th February 2006 Brief Description of the Service: St Bonaventure’s is a care home providing personal care only for a maximum of six adults with a learning disability. A homely environment is provided and strong emphasis is placed on providing residents with the necessary support to develop through participation is structured activities, education, occupation and ordinary life experiences/ opportunities. The home is situated in the Northenden area of Manchester, within easy reach of shops and community amenities. It blends well with neighbouring properties, having been converted from a domestic property. There are gardens to the front and rear of the property and car parking within the grounds. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on the Commission for Social Care Inspection (CSCI) records, information provided by people who use the service, staff in the home and by the provider (i.e. the owner) of the home. A site visit to St Bonaventures took place on 17 June 2006 and the home was not told about the visit beforehand. During this visit the inspector had a look around the home and looked at paperwork that must be kept by the home to show that is it being run properly. Another way that was used to find out more about the home was by talking with some of the residents and staff who were in the home on the day of the visit. The manager was on annual leave at the time of this visit, on of the staff on duty was able to provide assistance and information to the inspector. Each resident in the home had been sent a care home survey questionnaire by CSCI asking him or her what he or she thought about the care in St Bonaventures. None of these were returned before the visit took place, however residents were able to express their views direct to the inspector and four of the six residents were spoken alto of time of the visit. Also the care home questionnaire sent to the home had not been returned. All key standards were looked at during this visit. What the service does well: During this visit there was a relaxed homely atmosphere and residents in the home appeared settled in their environment. Staff were seen to have good relationships with the residents and appeared kind and sensitive in their approach and were observed in meaningful communication with the residents. In all communication with residents staff were observed responding positively to residents in an appropriate manner respecting their rights and wishes. There was evidence of an open exchange and residents seemed confident in expressing their views. Care plans were detailed and it was evident from discussions with the residents that they felt involved in developing their care plans. One resident spent time with the inspector talking though her care plan and showing the key parts of her plan that she had been involved in. Residents in the home were encouraged and supported to maintain links with families and friends, and to participate in social activities and residents in the home had just been of a holiday to Wales. There was evidence that residents participated in activities, which included attendance at local colleges, local St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 6 employment, trips to local pubs and attendance at the Saturday club, which provides an opportunity to be involved in a range of activities. It was evident from discussions with residents in the home that in addition to expressing their views they also felt confident in approaching the staff and the manager with any issues of concern. One resident said, “ If I had a complaint the manager would sort it out for me, that what she is supposed to do”. This resident was also heard expressing views about food to the staff, and gave details of her preferences to staff. Staff on duty responded appropriately to her comments and said that these would be looked into. What has improved since the last inspection? What they could do better: The home carried out reviews on the care plans, although there was no consistency on the timing of reviews and one care plan the review was outstanding. Care plans must be reviewed regularly to ensure that all identified needs are met. The registered provider must arrange to visit the home monthly and prepare a report on the conduct of the home and a copy of this report must be kept in the home and be made available to the Commission. Although some staff had attended courses in Adult Protection, some staff were more confident than others in what to do in the event of an allegation of abuse. This report has recommended that that the manager uses 1:1 supervision with staff to reinforce good care practice and important aspect of care work such as Adult Protection. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes assessment process ensured that the needs of residents were fully assessed. EVIDENCE: There have been no new admissions since the last inspection, however it was evident from discussions with staff that they had a good understanding of the pre admission assessment process and the importance of using information obtained in the assessment to develop the care plan. Information contained in the care plan provided evidence of a person centred approach in carrying out assessments and in developing the care plans. From discussions with residents in the home it was evident that they felt involved in the process, and had contributed by saying how they wanted to be supported. All information about care needs and the interventions required were documented in the three care plans examined during this site visit. The home had a policy on admissions, and as part of the admission process all prospective users of the service are invited for trial visits to meet other residents and are provided with information about the home to help them to decide if the home was suitable for them. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, residents’ needs and personal goals were identified and met, however, some care plans failed to reflect current and changing needs. EVIDENCE: Care plans were detailed and comprehensive, and were written in the first person to reflect the involvement of the resident. Each resident had a daily care plan/ activity guide, which set out the daily routine and support needs of that resident. Aims were identified within the records and included the staff support to meet the aims. Risk assessments were in place and a record was maintained of their review. It was evident from discussions with residents that they were involved in developing their care plans and they were familiar with the documentation. During this site visit, one resident spent time with the inspector talking through her care plan, and showing the inspector key parts of her plan that she had been involved with. It was evident from this discussion that certain aspects of this care plan had not been updated. Activities, which were set out St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 11 for this resident no longer, took place, and there was no evidence of any review to highlight these changes. This care plan did not reflect recent changes in care needs where it was identified that this resident required ongoing treatment and support to manage dental hygiene. Although there was evidence that reviews had been carried out these were not consistent. The last review date for one care plan was January 2005. The home must ensure that care plans identify fully the individual goals and needs and accurately reflects the support required to meet those goals. Residents’ goals and the support must be reviewed and evidenced at least every six months. Discussions with residents in the home provided evidence that they are supported to take risks as part of an independent lifestyle. During this visit residents were supported to access a range of activities, and it was evident that they were encouraged to maintain links with their families and friends. One resident went out to celebrate his birthday with his family, whilst another resident went to visit his family for the weekend. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to participate in a range of specialist and community based social, leisure and educational activities and staff actively encourage and supports residents to maintain relationships with their families and friends. EVIDENCE: The majority of daily activities attended by residents involved attending specialist services for learning disabled people. Residents attend a local centre for people with learning disabilities, and specialist local college courses. One resident has ongoing employment, and his support plans clearly identifies how staff need to support him to maintain his employment. One resident will be travelling abroad with his family this year, and it was evident that plans were in place to support the resident and his family with St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 13 these plans. Another resident takes trips to Lourdes, and was already planning her visit there for next year. The home maintained documented evidence of meeting held with residents in the home. A recent meeting was held on 07/06/06 to discus a forthcoming holiday to Wales. It was evident that residents were consulted on how they wanted to spend their leisure time during the holiday. The holiday had taken place, and during this visit residents spoke positively about their experiences on holiday and recalled a number of activities which they had participated in, for example trips to the pub, physical exercise activities such as football and cricket, and a trip to a local craft centre. During the summer month’s residents are involved in discussions to decide what social activities they wish to try. These include visits to the cinema, bowling, eating out and day trips to local attractions. Residents are encouraged and supported to maintain and develop their independence skills through participation in domestic tasks within the home. One resident said she did all her own cleaning in the bedroom with some support from staff. Another resident confidently made cups of tea for visitors and staff in the home. Three residents in the home are able to travel independently into the community to visit local shops, go to work and to visit family and friends. The remaining three residents are supported on a one to one basis to access activities. Residents daily routines are listed on a weekly activity sheet and in their individual care plan. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 14 Meals are usually taken together in the dining room. Most residents who were spoken to spoke highly of the meals served in the home. A diary of all meals served is maintained by the home to ensure that nutritional intake by residents is monitored to ensure that a well-balanced meal is provided. During this visit, staff were observed consulting with residents about what they would like for their lunch. As it was a warm sunny day, most residents opted for sandwiches, which were served outside on the patio furniture. One resident was served a special meal, appropriate for her dietary requirements. One resident expressed some concerns about some of the food served and commented that she didn’t like the large supermarket value food, e.g. baked beans. The member of staff on duty said he would feed this back to the manager and that meals could be the subject of discussion at one of the residents’ meetings. One resident is provided with a diet, which is appropriate to their religion and beliefs, another resident has opted for a vegetarian diet. During this visit, staff were engaged in positive interactions with residents. Staff spoke appropriately to residents and it was evident that there was a positive and relaxed atmosphere with a meaningful exchange of communications between staff and residents. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supported residents to maintain their personal and healthcare needs and policies and procedures were in place for the safe handling of medication to keep residents safe and well. EVIDENCE: Residents were encouraged and supported to maintain their personal care skills. If any intervention was required to support residents, it was clearly recorded in their care plan. It was evident from discussion with residents and from examination of records that residents were supported to have access to healthcare services. Two residents said they saw the practice nurse for various treatments. There were records of residents attending hospital appointments, and history of contact with speech therapists. At the previous inspection a requirement was made for the home to develop records for recording the return of medication. This requirement had been addressed, and the home used a ledger to record any medication returned to the pharmacy and this was appropriately signed by the supplying pharmacist. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 16 Medication records were in order and the stock levels balanced with the Medication Administration Records (MAR). St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to support residents in making a complaint and to protect them from abuse. EVIDENCE: During this visit there was a positive open exchange of communication between residents and staff, and residents appeared confident in expressing their views openly. One resident said she would tell the manager if she had concerns. The same resident was able to point out the procedure for making a complaint, which was available to all residents in picture format. The home maintained a book to record any complaints made about the service. There were no recent records of complaints made to the home, and the Commission for Social Care Inspection had not received any recent complaints about this service. Since the last inspection staff had attended training in Adult Protection. There was also written notification to the manager that additional places for staff were available. This meets the requirement made at the last inspection where shortfall had been identified in staff understanding of Adult Protection Procedures. During this visit, staff were able to demonstrate an understanding of issues surrounding abuse. Some staff were more confident than others in explaining the procedures for reporting an allegation of abuse, stating that, although they had received ‘good and interesting training,’ it was ‘easy to forget’. It is recommended that the manager uses the supervision process to reinforce good care practices and uses 1:1 supervision as an opportunity to St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 18 assess staff knowledge of key important areas of practice, for example understanding of Adult Protection. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and well-maintained environment for residents. EVIDENCE: The home provides a homely and comfortable environment, which is well maintained and tastefully decorated in a modern style. During this visit, the home was clean and tidy and free from any unpleasant odours. Furnishings throughout the home were of a good standard and fitted in with a homely domestic style. Residents’ bedrooms were bright and pleasantly decorated and personalised with their own ornaments, photographs, and entertainment equipment. Residents took pride in showing off their bedrooms, and pointing out favourite items, certificates of achievement obtained at college. At the time of the visit, it was a pleasant summer day, and residents were enjoying the warm weather in the pleasant outdoor facilities. Outdoor patio furnishings and sun umbrellas provided a safe and pleasant area. Gardens were well maintained. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 20 The laundry facilities were sufficient to support laundry requirements for the home. There were sufficient numbers of toilets and bathrooms both on the ground and first floors. The bathroom on the first floor was temporarily out of action, and due to be repaired, however, residents said that they could use the ground floor bathroom. These facilities ensured that residents had sufficient personal privacy. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were supported by a competent staff team. EVIDENCE: The duty roster and details in the service user guide confirm that there are two staff on duty from 7:00am until 10:00pm. A night care assistant is on duty from 10:00pm on sleep in duty. There are no dedicated domestic or cook, these jobs are carried out by the staff team, and residents are encouraged to participate where appropriate. Staff on duty were able to confirm that most staff have either completed or are in the process of completing NVQ training. One member of staff on duty had completed NVQ level 3 and another member of staff was in the process of completing NVQ level 3. Staff on duty said that they had access to ongoing training and development opportunities and said that they felt well supported by the management. One member of staff said that the manager could be approached at any time in between formal supervision sessions, and was always available to give advice and support. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 22 Residents spoke highly of staff and it was evident from observations that residents felt relaxed and at ease with the staff providing support. Residents were observed in positive communications with staff. The manager was on annual holiday leave at the time of this visit, and it was not possible to have access to staff files. However, during the inspection in December 2005, staff files were examined and it was noted that all appropriate documentation was on files including two written references, Criminal Record Bureau Checks (CRB). There were also copies of supervision notes. During this inspection the two members of staff on duty confirmed that they had a CRB on file and confirmed that they were in receipt of regular supervision. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home where staff are fully supported by the manager, where there is a strong emphasis on meeting the needs of residents and operating within a system, which ensures the safety and well being of residents in the home. EVIDENCE: Staff on duty confirmed that the manager operated an ‘open door policy’ where staff and residents were encouraged to approach the manager with any issues of concern. The duty roster and details in the service user guide confirm that there are two staff on duty from 7:00am until 10:00pm. A night care assistant is on duty from 10:00pm on sleep in duty. There are no dedicated domestic or cook, these jobs are carried out by the staff team, and residents are encouraged to participate where appropriate. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 24 Policies and procedures had been developed in picture format to ensure that residents had access to information in a variety of formats and select the one most appropriate for them. Policies and procedures were in place for health and safety, and appropriate insurance and public liability cover was in place. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 15 Timescale for action The home must ensure that care 07/07/06 plans identify fully the goals of people living in the home and accurately reflect the support required to meet those goals. A person’s goals and the support must be reviewed and evidenced at least every six months. Requirement 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 AP23 Good Practice Recommendations It is recommended that the manager uses the supervision process as an opportunity to reinforce good care practices e.g. staff understanding of key policies and procedures such as Adult Protection. St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 St Bonaventures DS0000021625.V297873.R01.S.doc Version 5.2 Page 28 - 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!