Inspection on 29/08/06 for St Cuthberts Residential Home

This inspection was carried out on 29th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

St Cuthberts Residential Home 31/10/08

St Cuthberts Residential Home 26/10/05

St Cuthberts Residential Home 28/06/05

St Cuthberts Residential Home 15/11/04

St Cuthberts Residential Home 15/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE St Cuthberts Residential Home Riga Square Hylton Red House Sunderland SR5 5DD Lead Inspector Jim Lamb Unannounced Inspection 29th August 2006 9.30:00 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 St Cuthberts Residential Home DS0000015746.V306608.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. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Cuthberts Residential Home Address Riga Square Hylton Red House Sunderland SR5 5DD 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) 0191 549 9988 0191 549 9978 European Care (UK) Limited Mrs Frances Anne Shields Care Home 40 Category(ies) of Dementia (5), Mental disorder, excluding registration, with number learning disability or dementia (1), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (5), Old age, not falling within any other category (40), Physical disability (10), Sensory Impairment over 65 years of age (2) St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2005 Brief Description of the Service: St Cuthbert’s is a purpose-built care home for 40 older people. The home is in the centre of the Red House Estate in Sunderland. It is close to a sheltered housing scheme, pub, church and local bus routes. The home was built in the mid 1990’s and benefits from a modern, spacious design with wide corridors and good sized communal facilities. The home has 40 single rooms, 30 of which have en-suite facilities. There is a good choice of lounges on both floors. There are accessible toilets and bathrooms with adapted facilities. The standard of décor and furnishings in lounges and dining rooms is generally good and the home offers warm, comfortable accommodation. Some furnishings in bedrooms now need to be replaced due to wear and tear over the past years. The home is registered to provide up to 10 places for older people with physical disabilities. There is good access into and around the home, though it is advised that occupational therapy services should be involved in identifying adjustments to bedroom en-suites to suit individual people’s needs. The home is also registered to provide 5 places for older people with mental health needs and 5 places for older people with dementia care needs. Fees range from £359 to £433. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced key inspection visit. The inspection lasted six hours and involved discussion with the manager, sixteen service users, four relatives and four members of staff. Three service users care records were inspected together with other records relating to the management of the home. Three staff files were also seen. What the service does well: What has improved since the last inspection? New menus have been introduced. These appeared varied and nutritional and provide service users with a good choice. The service users said that the food was very good. New care plan formats have also been implemented. These include a summary of each service users heath and personal care needs. The corridor on the first floor has had new flooring laid. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 6 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. St Cuthberts Residential Home DS0000015746.V306608.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 St Cuthberts Residential Home DS0000015746.V306608.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 6 Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service Each service user has a contract/statement of terms and conditions. Prospective service users have enough information about the home to help them to make a choice about where to live. EVIDENCE: Details of the extra charges, and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Information is available on audiotape and in large print for prospective service users with sight problems. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 9 Three service users’ files were checked and each included a full needs assessment completed by the referring care manager. They contained a range of appropriate information. The service users are involved in drawing up this initial assessment. The home also completes a detailed pre-admission assessment. The service users said that their needs were met and they were happy with the care offered to them. One-service users said, “This is a great place to live, the staff are wonderful”. Another said “ All my needs are taken care of”. The service users and staff confirmed that a range of specialist services was provided. Intermediate care is not provided. St Cuthberts Residential Home DS0000015746.V306608.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 adequate. This judgement has been made from evidence gathered both during and before the visit to the service The new service user care plan format is good however, they are not completed in enough detail to ensure that all the holistic care needs are identified and met. Risk assessments need to be more detailed and agreed and signed by service users or their representatives. Arrangements are in place to ensure the health care needs of the service users are met. EVIDENCE: There was a range of comprehensive assessments in the service users’ care records. These included; moving and handling, dependency needs, skincare and nutritional assessments. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 11 There are risks assessments in place those seen don’t clearly identify the risks involved, example, ‘at risk of falls’. On completion these must be agreed and signed by the service users or their representatives. There are advocacy arrangements, as well as family input, to represent service users; information about advocacy arrangements is displayed. Each service user has an allocated key worker. Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis. New care plan formats have been introduced. The three plans of care examined must be recorded in much greater detail to ensure that the holistic care needs are identified and met. Currently these tend to focus on the service users physical needs but don’t extend to include; emotional, spiritual, cultural and social needs. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Each service user receives support from staff to manage their health care needs. All have access to a range of health care professionals and can register with a GP of their choice. District Nurses provide very good support and maintain their own health care records and they ensure that the home has appropriate aids and equipment in place, Occupational Therapists are also consulted regarding specialist equipment. One service user currently has a superficial pressure sore. There was no care plan in place to provide staff with the information they need to treat and promote skin viability. The manager agreed to implement a care plan immediately. The manager was reminded that service users weights must also be recorded at least monthly; several gaps were identified in the weight charts. The medication systems for ordering, administration and disposal are well managed. Currently no controlled drugs are prescribed. Should this change appropriate procedures are followed. There was evidence that all senior staff had received accredited medication training. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 12 Service users’ said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. They said that staff always treated them with dignity and respect. One service user said, “My key worker is excellent she always helps me to paint my nails and keep my room tidy”. Another said “I can make tea at any time even during the night”. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected 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 from evidence gathered both during and before the visit to the service Service users are supported to live a normal life in the community. They have regular access to a wide range of community activities. They receive support and encouragement to enable them to be in control of their own lives. The meals are varied and nutritional and a choice is available. EVIDENCE: Each service user had a practical social skills assessment carried out. Service users and their representatives are involved in this process and they list each individual’s interests and hobbies. Service users are supported to live a normal life in the home and the community. They are supported and encouraged to be in control of their own lives and to enjoy their own interests and hobbies. One-service users is supported to visit the local pub daily and another visits a friend in the community each day. Regular outings/trips are arranged to local places of interest. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 14 Every month a social evening is arranged for service users and their families, and each Sunday there is a church service held in the home followed by Holy Communion. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines appear to promote independence, choice and freedom of movement. The menus have recently been reviewed. Service users were consulted and menus are based on their known likes and dislikes. The menus appeared to be varied and well balanced and to provide a choice. At least three hot meals are provided each day. Special diets are provided as and when needed. The kitchen was found to be well-organised and clean and stock levels were good. Appropriate checks are carried out including food and fridge temperatures. The inspector observed a large catering teapot was used during the lunchtime meal. This practice was discussed with the manager, it was agreed that individual teapots should be placed on each dining table to promote choice and independence. Without exception, the service users said that the meals were very good. They confirmed that they were always provided with a choice. One service user said, “The food is much better now”. Another said, “My only complaint is that you get to much”. Service users and their relatives have access to small unit kitchens and can prepare snacks and drinks for themselves. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service The staff are competent and skilled and committed to meeting the holistic needs of the service users Procedures are in place to protect service users from abuse or harm. All staff have undertaken Safeguarding Adults training. The service users are protected from financial abuse. The home requires a copy of the DOH No Secrets document and staff will benefit from receiving challenging behavior training. EVIDENCE: There is a complaints procedure and it states that all complaints will be investigated within 28 days. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the manager’s investigation and response. The procedure is written in a way that ensures service users fully understand its contents. The service users said that they had been given copies of the procedure and that staff listened to their complaints/concerns and dealt with them fairly. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 16 A record of complaints is kept. Since the last inspection visit there has been one complaint received. This involved an early morning hospital appointment for one service user, who was not provided with breakfast prior to the transport arriving and being inappropriately dressed. There was evidence that this complaint was investigated and resolved. The home has a Whistle Blowing policy and a copy of the Local Authorities Vulnerable Adults procedures. The home should also obtain a copy of the Department of Health’s, “Safeguarding Adults Document”. All staff should become familiar with its contents. Protection of Vulnerable Adults training is on going for all staff. Staff have not had training in challenging behaviour awareness. This would be beneficial and provide them with appropriate skills to manage and deal with difficult situations that may arise. Detailed financial records are kept on behalf of the service users, and regular audits are carried out. The cash balance held for two service users was checked and both were found to be accurate. Receipts of personal spending are kept. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25 and 26 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service The staff are competent and skilled and committed to meeting the holistic needs of the service users. Each service user has a contract/statement of terms and conditions. Prospective service users have enough information about the home to help them to make a choice about where to live. The staff are competent and skilled and committed to meeting the holistic needs of the service users. There are still a number of environmental matters to be addressed to provide service users with a warm, comfortable, safe and homely environment. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home was clean, and lounge areas were attractive and well-decorated, the first floor corridors have had new flooring fitted. Other areas require substantial decoration and refurbishment. These include; service users bedrooms, bathrooms and toilets. Some toilets should be adapted to accommodate service users with physical disabilities. The first floor dining room carpet is very stained and must be replaced, and new lounge chairs purchased. The grounds were tidy, safe, attractive and accessible. The service users said they were happy with the facilities within the home. They made comments such as, “My bedroom is warm and comfortable and has a nice view”. “The lounge looks great since it was decorated”. “I like the small kitchens because I can make a cup of tea at any time”. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. Service users can see visitors in private in their own rooms. There are smoke-free sitting rooms. The smoker’s lounge did not have adequate ventilation and requires a mechanical ventilation system installed. Lighting was bright and domestic in design. To promote privacy service users have a key to their bedrooms. The room sizes meet the minimum required. There is space on either side of beds to enable access for carers and specialist equipment where necessary. All bedrooms have opening windows and are, centrally heated. The gable end bedrooms require additional heating. This is outstanding from the previous inspection report, and it is essential that this issue be addressed as soon as possible and prior to the winter months. (Freestanding heaters will not be suitable). There was emergency lighting throughout the home. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 19 Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised. The home employs a laundry assistant and COSHH regulations were displayed. The washing machine has the specified programme to meet disinfection standards. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 20 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 from evidence gathered both during and before the visit to the service There is a lack of guidance, direction and training to staff to ensure that service users receive consistent and quality care. The procedures for the recruitment and selection of staff are well managed and protect service users from abuse. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas showed the required numbers of staff were on duty: 5 care staff between 8am and 10pm with 3 night staff between 9.45pm and 8am. Staff said that staffing levels were appropriate. Agency staff are not used. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified in supervision and appraisal sessions. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 21 The staff supervision sessions have lapsed. The manager has recently delegated other senior staff to carry out supervision sessions in order to bring these back in line with the required frequency. 51 of the staff has completed NVQ level 2 and 3 training and others have recently commenced training. The manager must ensure that statutory training is brought up to-date for all staff employed. The training must be identified and targeted at relevant individuals. The manager said that the induction-training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. Staff said they receive paid training. There is has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. The staff turnover is low. The majority of the staff team has worked at the home for several years. The manager said that the company intends to apply for a variation to the homes registration. They propose to increase the DE beds from five to ten. Should this happen, the homes staffing levels will need to be reviewed and increased in order to meet the greater dependency needs of this client group. Additional staff training will also be required in dementia awareness and its associated conditions. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 22 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): 31,33,35,36 and 38. Quality in this outcome area is adequate. This judgement has been made using evidence gathered both during and before the visit to this service. There is no formal system in place for self-monitoring, review and development; therefore there is little evidence that the home is run in the best interests of the service users. Service users health and safety is not appropriately safeguarded because training is not regularly updated. EVIDENCE: The manager has twelve years experience in senior management. The manager has commenced the registered managers award and she is expected to complete this by January 2007. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 23 Staff were clear about their responsibilities. Those interviewed were knowledgeable about the service users care needs and they are keen to improve the service and standards within the home. Staff spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. Service users are told when inspections take place and they are shown inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives and others to see. The organisation has developed a range of new policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed. These included the fire log book, accident records, personal allowance records, water temperatures and Health and Safey manual. There are appropriate maintenance contracts in place. Water storage tanks, gas and electrics are checked annually. The home does not have a formal quality assurance system in place. This was discussed at length with the manager and it was agreed that she will devise a system to monitor and assess all aspects of the service provided. On completion she will devise an annual development plan. The quality assurance system must also include feedback from service users their relatives/friends and professionals involved in the home. Information should then be collated and made available to all prospective service users. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X X 2 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 2 St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 25 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 OP30 Regulation 18 Requirement A detailed staff training programme must be drawn up and a copy submitted to CSCI Care plans and risk assessments must include sufficient information to ensure care needs are fully identified. Risk assessments must be agreed and signed. (Previous timescale of 01 nov 2005 not met) 3. OP24 16 Worn furniture, floor coverings must be replaced, bathrooms, toilets and bedrooms must be included in the home’s programme of refurbishment. Provide CSCI with a programme for refurbishment including timescales. 4. OP33 24 An Annual Development Plan must be developed that includes the objectives identified through the home’s Quality Assurance reviews, and a copy must be DS0000015746.V306608.R01.S.doc Timescale for action 01/10/06 2. OP7 15 01/11/06 01/10/06 01/11/06 St Cuthberts Residential Home Version 5.2 Page 26 supplied to the CSCI.(Previous timescale of 01 Nov 2005 not met) 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. 2. 3. Refer to Standard OP25 OP36 OP31 Good Practice Recommendations Extra heating must be provided to gable end bedrooms to ensure a satisfactory temperature in these rooms. All staff to receive formal supervision at least 6 times a year. The registered manager to complete the registered managers ward by Jan 2007. St Cuthberts Residential Home DS0000015746.V306608.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Cuthberts Residential Home DS0000015746.V306608.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. 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