Inspection on 01/05/07 for St Katherine`s

This inspection was carried out on 1st May 2007.

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

St Katherine`s 29/04/08

St Katherine`s 01/06/06

St Katherine`s 08/12/05

St Katherine`s 12/09/05

St Katherine`s 14/03/05

St Katherine`s 18/11/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE St Katherine`s 89 Shaftesbury Avenue Leeds West Yorkshire LS8 1DR Lead Inspector Catherine Paling Key Unannounced Inspection 1st May 2007 09:20 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 Katherine`s DS0000001499.V331817.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 Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Katherine`s Address 89 Shaftesbury Avenue Leeds West Yorkshire LS8 1DR 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) 0113 269 7797 0113 2697807 St Katherine’s (Leeds) Limited Mrs Catherine Horner Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2006 Brief Description of the Service: St Katherines provides personal care only for up to 18 people of both sexes, over the age of 65. The community nursing service provides nursing support. The home is located in a peaceful residential area, close to Roundhay Park and Canal Gardens. Shops, pubs, churches, coffee shops and restaurants are all close by and the home is within easy reach of bus stops. There are four floors, three of which are used by the people living at the home. The office, laundry, storage rooms and staff room are all on the lower ground floor. Access to the upper floors is by passenger lift. Accommodation is provided in a combination of single and shared rooms, all of which have en-suite facilities. The ground floor has a lounge and dining room. There is a garden that is accessible to the people who live at the home. There is a small car park for approximately eight cars. The provider has information for prospective residents in the form of a Statement of Purpose, Service User Guide and an informative brochure. These documents together reflect the service provided. The fees range from £380 to £410. Additional charges are made for chiropody, dry cleaning, hairdressing, newspapers and toiletries. If staff are required to escort residents on out-patients appointments to hospital or for any other appointments a charge of £15 will be made plus any taxis fares. This information was included as part of the pre-inspection information provided in February 2007. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. The focus of inspection is on the outcomes for the people using the service. All of the core National Minimum Standards are assessed at a key inspection and this forms the evidence of the outcomes experienced by the people who live at the home. More information about the inspection process can be found on our website www.csci.org.uk This visit was unannounced and one inspector was at the home from 09.20 until 17.20 on 1st May 2007. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live there and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the inspection visit. A number of documents were looked at during the visit and all areas of the home used by the people who lived there were visited. A good proportion of time was spent talking with the people at the home as well as with the manager, deputy manager and the staff. A pre-inspection questionnaire (PIQ) had been completed before the visit to provide additional information about the home. Survey forms were left at the home for the manager to distribute providing the opportunity for people at the home, visitors and healthcare professionals visiting the home to comment, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. What the service does well: The registered manager is at the home on a daily basis and is highly accessible to the staff and the people who live at the home. She is well supported by the deputy manager and the stable staff team who provide the people at the home with continuity and stability. The staff have a clear commitment to the people at the home, demonstrating patience when carrying out tasks. The manager and the staff are very St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 6 knowledgeable about the needs of the people at the home and involve other healthcare professionals for advice and support when necessary. There is a regular activities programme and the people at the home are encouraged to participate. Feedback in relatives surveys made to the home refer to a ‘well run and friendly home’. What has improved since the last inspection? What they could do better: The work on the care records needs to continue so that staff are provided with enough information to make sure that care needs are not overlooked. The nutritional risk assessment tool must be introduced for everybody living at the home. Some inaccuracies were noted in document provided by an external company. The provider should make sure that all the information available to people is accurate. It was identified that the manager was not always making notifications to the CSCI as required under regulation 37 of the Care Standards Act 2000. The type of information that should be notified includes accidents to the people at the home, deaths at the home and unusual events such as lift breakdown or St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 7 flooding which could effect the smooth running of the home. Policy guidance was left with the manager and her deputy for clarification. The manager and her staff should continue with their programme of improvement. Requirements and recommendations appear at the end of the report Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4. (Standard 6 does not apply to this service) People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Overall, people are provided with enough information to help them make up their mind whether to move into the home although the information in the statement of purpose was not entirely accurate. All the people who come to live at the home have their needs assessed by the manager or her deputy. Introductory visits are included in the admission process. EVIDENCE: There is a Statement of Purpose, Residents Guide and an informative brochure to provide information for people thinking about moving into the home. Overall, these documents reflect the service provided. The provider had engaged an outside company to help in the production of the Statement of Purpose and other guidance documents and a small part of the information St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 10 was not accurate. The provider must make sure that any information about the home accurately reflects the services offered. The provider made a commitment to make the necessary amendments promptly. Visits to the home are encouraged and take place and many of the people who come to live at the home have visited it first. All the individual records that were looked at included detailed pre-admission assessments. These assessments included good detailed information regarding the needs of the people coming to live at the home and the suitability of the placement. One set of records looked at in detail indicated that the person had some mental health problems for which the home is not registered and staff are not trained to deal with. It was agreed a reassessment of needs would be carried out and if the manager felt that the home could continue to meet the needs of this individual then an application would be made to vary the conditions of registration. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Health and personal care needs are met. Care plans need to be developed so that staff have full details of peoples’ needs to make sure that care needs are not overlooked. People living at the home are protected by safe medication practices. EVIDENCE: The records of three residents were looked at in detail as part of case tracking. It was clearly evident that a great deal of work has taken place since the last inspection visit and the development of the individual case records continues. Every person who lives at the home now has an individual file. The file is divided into sections and there is a clear index to help access to the information. All the files contained clear photographs and a physical description; next of kin contact details together with contact names and St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 12 numbers of other healthcare professionals involved in the person’s care were clearly presented. Ways of further enhancing this information were discussed with the deputy manager who has been largely responsible for the development of the records. For example, inclusion of contact details of community nursing staff and clarification of any preferences of relatives for contact, such as making it clear of relatives preferred not to be contacted overnight. Pre admission assessment information were seen in the records and were dated and signed by the person conducting the assessment. Short-term care plans are used to make clear to staff any changes in care. However staff need to remember to discontinue these when the situation has resolved or has become part of long term care needs. Falls risk assessments were include in the detailed manual handling assessments. However although all the people at the home were weighed regularly, nutritional assessments were not yet in place for everyone. In the case of one person there was no specific care plan relating to nutrition even though where the daily records clearly indicated that there was a risk and steps were being taken to manage the risk. Sections in the records contained records of actions taken, for example there was a chart where codes were filled in on a daily basis to indicate how personal hygiene had been addressed that day. A care plan needs to be produced to indicate personal preferences and what support is required from staff. For example, whether the person prefers a bath morning or night, how often, whether they like a daily shave and detail of how much help they need from staff. The new format of the records provide a good foundation but staff now need to make sure personal needs and preferences are clear so that care needs are not overlooked. The quality of the information include in daily records has improved and although the care plans are still limited, changes and detail of care are well documented in the daily notes. This information should be included on care plans to make sure that staff have easy access to the information they need to effectively care for the people at the home. The deputy manager said that the care staff are developing information about individual daily routines that will be added to the records. Some of these were completed and contained good and specific information. Staff treat the people who live at the home with respect and patience. People are free to use their bedrooms as and when they wish and lockable facilities are provided. All the care staff involved in giving medication have received training. There are policies and procedures to support the staff and these are easily accessible St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 13 to the care staff. The provider intends to provide training in the administration of medicines to all the care staff. The local pharmacist provides a good service to the home and this includes training. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. There are enough staff and resources to allow for activities and stimulation for the people who live at the home. The people at the home are able to make decisions about their lifestyle and maintain good contact with family, relatives and friends. EVIDENCE: It was clear from observation and discussion with the people who live at the home that they are encouraged to maintain choice and control over their daily lives. Following discussions with the people who live at the home it was evident that they have the opportunity to maintain a high degree of control over their daily lives. People said they could get up when they wish and choose what time they go to bed. One person who had been at the home for one weeks respite care was enjoying a lie in and a late breakfast. There is a range of regular activities available at the home. An activity organiser visits the home three times a week and organises quizzes, sing a longs and bingo. The people at the home really look forward to his visits. The St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 15 hairdresser visits the home weekly. She has a good rapport with the people at the home and people clearly enjoy her visits. Visitors are made to feel welcome at the home. Responses from surveys state that relatives are confident that they will be kept up to date with changes. It was also commented that there is ‘easy access to management and staff who are helpful’. The chef is aware of people’s likes and dislikes and produces a varied menu for the people at the home. The lunchtime meal is three-courses including soup, a main course and sweet. There is limited menu choice but alternatives are provided if necessary. Brief records are made of activities people have enjoyed but there was currently little information within records of how people at the home like to spend their leisure time. The introduction of the detailed ‘pen pictures’ will go some way to address this. Any specific cultural and religious needs and beliefs should not be overlooked. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The adult protection and complaints policy and procedures ensures that people who live at the home are listened to and are protected from abuse. EVIDENCE: There is a complaints procedure and it is made available to the people who live at the home. All those spoken with said that they knew who to speak to if they had any concerns. People who live at the home are confidant that they would be listened to and that any concerns or complaints would be dealt with promptly. There have not been any complaints since the last inspection visit. There is an in-house procedure about adult protection and the local authority multi agency procedures for the protection of vulnerable adults are available to staff. Local contact numbers are included so that staff can be clear about where to seek advice if they had any concerns. Two of the senior staff had received training provided by the local authority. A programme to disseminate this to the rest of the staff had yet to be implemented. St Katherine`s DS0000001499.V331817.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The people at the home live in a safe and well-maintained environment with the necessary refurbishment and redecoration being addressed. EVIDENCE: Clear progress was being made with the refurbishment and redecoration of the premises. The call system has been replaced and all radiators have been guarded. The home is comfortable and was clean and odour free with redecoration ongoing. Bedrooms are comfortable and the people who live at the home have personalised their rooms. The programme of redecoration of bedrooms is ongoing with some still needing decoration and some carpets replacing. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 18 The kitchen was clean, tidy and well organised. Although fly nets are fitted to the window it was broken and was awaiting repair. The chef said that the kitchen was no longer being used as a thoroughfare. A recent inspection by the environmental health officer had not raised any major issues. The laundry area was clean and tidy. A new tumble dryer had been provided since the last inspection. Staff follow satisfactory infection control procedures. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Overall the numbers of staff on duty are adequate to meet the needs of the people living at the home. Staff are well trained and knowledgeable about the needs of the people at the home. EVIDENCE: There is a stable staff group with little staff turnover providing stability and continuity for the people living at the home. There are enough care staff available on the day shift and they are supported by domestic and catering staff. There is one waking night care staff and one carer ‘on-call’ in the building. There are arrangements in place to make sure that the on-call member of staff can be contacted promptly if necessary. The suitability of only having one waking member of night staff must be kept under review, taking into account the layout of the building and dependency levels of the people at the home and the fact that night staff have a responsibility for doing the laundry at night. There is a training programme in place at the home to ensure that staff are updated in mandatory training. In addition the manager provides training in a St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 20 variety of other topics to make sure that staff are equipped to carry out their caring role. The home has exceeded the 2005 target of 50 of the care team having completed National Vocational Qualification (NVQ) at level two or above. In addition, one member of staff has completed NVQ at level three and a further two have been registered to undertake NVQ level 3. The recruitment files of two recently appointed domestic staff were looked at. All the required checks were being carried out for staff including criminal record bureau (CRB) checks before staff start work at the home. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The management of the home is well organised. The interests of the people living at the home are seen as very important to the manager and her staff and are safeguarded at all times. EVIDENCE: The registered manager is experienced in the care of older people, and although she undertakes training to update her skills, she does not intend to pursue NVQ (National Vocational Qualification) in Care or the Registered Manager’s Award (RMA). Instead, she is supporting her deputy through both awards with the intention that she will apply for registration with the CSCI St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 22 (Commission for Social Care Inspection). The deputy manager has completed her NVQ level 4 in care and is to start the RMA very soon. The informal systems in place for monitoring the quality of the service have been enhanced by the addition of a quality audit tool. All the home staff are involved in the completion of the audit that refers to all the services and facilities at the home. The projected completion time for the whole audit is in the region of six months and the start date was March 2007. The manager is also committed to involving the staff in all aspects of running the home and has given individual responsibilities. For example, one member of staff has catalogued all the equipment in use at the home; another takes the lead in testing the fire safety systems and another oversees the stocking of the first aid boxes. The manager meets with the people who live at the home daily and regularly sees the relatives. Surveys have been circulated for the relatives and other health professionals who visit the home. The responses have been positive referring to staff attitudes as ‘excellent’ and that the home is a ‘well run and friendly home that my mother is happy to reside in’. The manager now needs to collate and circulate the outcome of the survey information together with information about any planned actions as a result of the survey. Staff meetings are held regularly with the most recent on 7th March 2007. The meetings cover a wide range of topics and include the proposal to include ‘end of life’ plans within the records. It was evident that not all notifications had been made to the CSCI as required under Regulation 37 of the Care Homes Regulations 2000. Information and policy guidance was left with the manager for clarification. Magnetic closures connected to the fire alarm system have been fitted to all the bedroom doors so that the people living at the home can keep their bedroom doors open safely. Fire safety training has been provided for specific staff at the home who now take on the role as fire marshals and train other staff. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 N/A 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 24 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 OP4 Regulation 14 Requirement Timescale for action 24/08/07 2 OP7 15 3 OP8 13 (4) (c) 4 OP33 37 If, following a full re-assessment the provider feels that the care needs of the person with mental health problems can be met at the home then an application must be made to the CSCI for a variation to the conditions of registration. All the people using the service 21/12/07 must have a detailed care plan that gives staff clear instructions on how to deliver care. This will ensure that people receive care that meets their individual needs. All the people using the service 01/10/07 must have their nutritional needs assessed. If a person is identified as being at nutritional risk than a plan of management must be in place to make sure that people receive the nutritional support they need. The provider must make sure 24/08/07 that notifications are made to the CSCI as required. St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The provider should make sure that all the information available about the services and facilities at the home is accurate. This is so that people who wish to use the service can make an informed decision about doing so. Arrangements should be made to cascade the adult protection training to all the staff as soon as possible to make sure that all people living at the home are safe. The current arrangements for one waking and one sleeping night staff should be kept under review, taking into account the dependency levels of the people at the home and the layout of the building. The provider should collate the information from the quality surveys and made it available to all interested parties. 2 3 OP18 OP27 4 OP33 St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Katherine`s DS0000001499.V331817.R01.S.doc Version 5.2 Page 27 - 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!