Inspection on 13/09/06 for The Beeches (Wath)

This inspection was carried out on 13th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Beeches (Wath) 17/03/09

The Beeches (Wath) 27/02/08

The Beeches (Wath) 06/11/07

The Beeches (Wath) 02/02/06

The Beeches (Wath) 13/09/05

The Beeches (Wath) 14/12/04

The Beeches (Wath) 18/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 The Beeches (Wath) The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire S63 7AA Lead Inspector Janet McBride Key Unannounced Inspection 13th September 2006 09:50 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 The Beeches (Wath) DS0000055216.V310279.R02.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. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches (Wath) Address The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire S63 7AA 01709 761803 NONE paulhulbert@ntlworld.com 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) Winnie Care (Highgrove) Ltd Julie Morgan Care Home 44 Category(ies) of Dementia - over 65 years of age (44) registration, with number of places The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit four persons 60 years of age and over. Date of last inspection 2nd February 2006 Brief Description of the Service: The Beeches is a purpose built registered care home providing personal care for up 44 older people whom have dementia. The home is situated in the Wath Upon Dearne area of Rotherham and is owned by Winnie Care (Highgrove Ltd). They also own other homes in the surrounding area. The home is organised into two units of twenty-two single rooms, one on the lower and one on the upper floor. There is a lift to gain access to the upper floor for service users unable to use the stairs. All rooms have en-suite facilities. There are two sets of single bedrooms that have adjoining doors in order to provide two double rooms if they are requested. There is a small, enclosed garden with a patio area for service users to use and car parking spaces are provided at the side of the building. Fees range from £ 370:00 to £ 410:00:00per week, as at September 2006,and additional charges are made for hairdressing, Chiropody and taxis. The Statement of Purpose and the Service User Guide, which is available on request, this as information about the services available to residents and their families. The home last published inspection report was also available on request. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this Unannounced Key Inspection at The Beeches Wath, which took place on the 13th of September 2006 for 7:30 hours. The home is registered for 44 beds; at the time of Inspection 35 residents were in the home. Pre-Inspection work was carried out for example, analysis of notifications and any other relevant documentation. During the Inspection various documentation and records were examined for example, medication records, staff rotas, staff training files and case tracking of three residents care plans, which were cross-referenced with medication records and any other relevant documentation. Tour of the premises and direct and indirect observation of staff interaction with residents throughout the visit and information was gathered from as many different individuals as possible that had contact with the residents in their environment, for example individual interviews with seven members of staff, including the manager. Talking to some of the residents within the home and feedback from relatives and visitors on the day. The Inspector would like to thank all the staff and residents for their cooperation in the Inspection process, and any issues or concerns that were raised were discussed with the manager at the end of the Inspection. What the service does well: During the visit there was a relaxed but busy atmosphere in the home, with visitors in and out most of the time and residents socialising with their peers and staff. Social activities are arranged by the home and residents are able to participate if they wish, and staff encourages links with the local community. Feedback from relatives and visitors state that they are kept informed of matters and issues that affect the resident, and are satisfied with the overall care provided also have access to the homes complaint procedure and Inspection reports. The home management ensure they keep the inspector updated with any issues that happen within the home, and the registered provider addresses any requirement made at Inspections. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Beeches (Wath) DS0000055216.V310279.R02.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 The Beeches (Wath) DS0000055216.V310279.R02.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): 3. Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to the service. Most resident’s needs are met, with pre assessments being completed before they move into the home and residents are issued with contracts/statement of terms and conditions to ensure they are fully aware of the services and facility provided. EVIDENCE: The home offer accommodation and personal care to residents and most residents who are admitted to the home have memory problems or are diagnosed with dementia; therefore there is regular involvement of; a consultant psychiatrist and CPN services that visit the residents. Evidence was seen in care plans that were case tracked, that care management assessments had been completed for residents placed by funding Authorities, and that self -funded residents had a written assessment prior to admission completed by the management of the home. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 9 Residents and or their families can visit the home prior to admission, and all residents have an initial six-week trial period prior to the placement becoming permanent. The range of fees is documented on page 5 of this report, also any extras that are charged, and residents are issued with contracts/statement of terms and conditions to ensure they are fully aware of the services and facility provided. The Beeches (Wath) DS0000055216.V310279.R02.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 using the available evidence in records, talking to staff and a visit to the service. Residents receive health and personal care based on there assessed individual needs, and is referred to any specialist services when required. Staff not keeping relevant records up to date affects this outcome. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 11 EVIDENCE: Three care plans were case tracked, which shows that each resident as a comprehensive care plans that set out in detail what care is needed; with various assessment and risk assessments completed depending on need. Nutritional assessment were found to be completed on each resident when admitted to the home, and record of food consumed at each meal and residents weights checked on a monthly basis, but not all the records were up to date. Records show that key worker reviews most care plans on a monthly basis, but one care plan did need to be updated and reviewed Resident’s health care needs were discussed with the manager and staff that were interviewed, who confirmed that most residents who are admitted to the home are diagnosed with dementia; therefore there is regular involvement of; a consultant psychiatrist and CPN services that visit the home and are available for the home to contact if they have any concerns. Records checked show that all residents are registered with a GP and district nurses are involved with some residents other services used is incontinence services, dietician and access to dental and chiropody services when needed. The home keeps records of any accidents or incidents within the home, the accident book was examined and found appropriate records are kept, including written information if residents have attended Accident and Emergency, and if these were taken as a precautious measure or the residents required hospital admission. Medication standards were assessed, the home has appropriate policy and procedures for staff to follow, and staff that administer medicines have completed an accredited medicines course. Random MAR sheets were checked and found that staff were not stating why they had omitted medication or signing hand written MAR sheets. Records of controlled drugs were found satisfactory with all appropriate documentation. Stocks of medicines were checked and found that stock was not rotated on a regular basis and this needs addressing, also the fridge temperature was checked but not on a regular basis. All issue found were discussed with the manager during the Inspection. During the Inspection staff were observed delivering care to residents their approach and attitude was polite and patient in their interaction with residents. Staff that was interviewed gave good examples of how they deliver care to such vulnerable residents and preserving their dignity at all times. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 12 Comments were received from relatives during the inspection that stated they were happy with the care at the home and that staff keeps them informed of any care issues, one relative said they know how to complain or contact our services if required, but usually if any issues are raised they feel confident about speaking to staff at the home. The Beeches (Wath) DS0000055216.V310279.R02.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 using the available evidence, interviewing staff, residents including observation at mealtime. Flexible choice in how residents spend their day and opportunities for residents to participate in variable activities if they wish. Residents to receive a wholesome and appealing balanced diet with a selection of choices for meals. EVIDENCE: Routines of daily living and social activities are quite flexible and residents have the opportunity to take part in internal and external activities. The homes activities co-coordinator was interviewed who gave examples of what’s taken place over the summer months, e.g. trips to Bridlington, Bakewell and Twycross zoo. They try to offer activities that suit the client group and some activities are offered on a one to one basis, evidence was seen that residents life history and hobbies are recorded and in residents meeting they were asked what sort of social activities they would like to attend. The home encourages links with the The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 14 local community and has links with the local school; and some residents visit the local pub, they also go into the local community for shopping. Newsletter on notice board to inform resident’s families and visitors of any forth-coming events. Residents can receive visitors at any reasonable time and they can meet in private if they wish. Evidence that residents/ relatives meetings take places and during these meetings are consulted on various issues, e.g. activities, meals and personal care. Staff interviewed stated they encourage residents to exercise choice whenever possible and external advocates are used if required. The cook was interviewed and menus examined, these show that meals are varied and nutritious, food offered to residents during inspection looked appetising and portions were of a good size. The cook informed the Inspector that they use a lot of local amenities e.g. fresh vegetables, fruit and meat from local shops, and food and drinks are available 24 hours a day. One staff interviewed made comments how they ensured that residents received extra drinks during the hot weather. One residents informed the Inspector that he had put weight on since his admission “the food is so lovely” and “I have bacon and eggs for breakfast and a two course meal at lunchtime” and other food throughout the day “every time we have a cup of tea we can have biscuits as well”. Nutritional assessments are completed, also record what food is consumed and ensure that residents are weighed on a regular basis, however some records were not up to date. The Beeches (Wath) DS0000055216.V310279.R02.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): 16 and 18. Quality in this outcome area is Good. This judgement has been made using the available evidence in records, interviewing staff, residents and visitors on the day. Adult protection policies, procedures and training for staff are in place at the home. Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. EVIDENCE: The home has an appropriate complaints procedure with all the relevant details, the manager had documented on the pre inspection record that they had received four complaints since the last Inspection. Records show that three of the complaints was investigated and dealt with quickly and effectively with a recorded outcome, and feed back to the complainant, and the forth complaint is still being investigated. The home has adult protection policy and procedures in place. Staff confirmed during interviews on the day that they are aware of these policies and procedures including of whistle blowing policy. Also had received updated training in abuse and this was also discussed in their supervision sessions. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26. Quality in this outcome area is Good. This judgement has been made by a visit to the service talking to visitors and tour of the premises. Well-maintained and renewal of equipment ensures that residents live in a safe and comfortable environment, with private space that allows them to have their own possessions around them. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 17 EVIDENCE: Tour of the communal premises on both units were examined, all the accommodation provided meets the minimum standards and are furnished to promote comfort, carpets and some lounge chairs have been replaced on both units, however the carpet on the downstairs unit is already were marked as it is light in colour. Two of the relatives seen made comments about the new carpet “the carpet looked very nice when it was first laid but as stained very quickly as it is to light and now at times looks shabby”. Tour of all the communal areas within the home was clean and tidy and well maintained. A notice board that displays planned activities and other items of interest for relatives and visitors is situated in the entrance lobby of the home. Random bedrooms were examined on both units, the bedroom doors have suitable locks that staff can access in an emergency if needed, but not all residents are capable of holding keys to their bedrooms. All the accommodation provided meets the minimum standards and are furnished and equipped to meet resident’s needs. Residents can bring personal furnishings with them on admission, and some rooms had been personalised by individual residents families. Some issues were raised during a tour of the bedrooms, some of the bedding looked very worn and thin and when cot sides were checked for safety one fitting was quite loose and another didn’t have the correct cot sides fitted, all of which was discussed with the manager and will addressed immediately. One bedroom did have an odour and did require the carpet to be cleaned on a regular basis, if they cannot get rid of the odour the carpet must be replaced. When any issues have been raised at previous inspections the company have address these as soon as possible. Laundry facilities at the home are satisfactory; Staffs who were interviewed gave good examples of how they ensure that infection control is maintained within the home. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is Good. This judgement has been made using the available evidence in records, interviewing staff and a visit to the service. Appropriate staffing and skill mix, to meet residents care needs, and on going development of staff to ensure they have the skills and knowledge to carry out their role. EVIDENCE: The new management structure was discussed with the manager and the duty rota was examined, she now as three deputies within the home, this ensures one deputy is available for each unit. Duty rota shows that the appropriate staff were on duty for the assessed needs of residents (and that the home do have both male and female staff) the activities organiser is extra to the care numbers, other staff members include cook and kitchen assistant, domestics on each unit, handyman and admin support. The manager is supernummary and the deputies have some management hours each week, either the manager or her deputies are on call at all times. Recruitment files of new staff were checked and found that the home operates a thorough procedure based on equal opportunities, references obtained and ensuring satisfactory police check for the protection of residents. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 19 All staff files show they have received contract of terms and conditions, and staff confirm they are given copies of the code of conduct. Staff training was discussed with both the manager staff that was interviewed and files checked. One new staff member was interviewed who confirmed she had an induction to the home and as completed fire training and aware of health and safety issues, she stated she will be going on a TOPSS induction course. Other staff interviewed confirmed they had completed their statutory training with regards to fire, moving and handling, food hygiene, first aid and health and safety. The home are committed to have 50 of staff with NVQ qualification, at the present out of the 33 staff members, eleven staff has already completed NVQ training and ten other members of staff are on NVQ courses. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is Good. This judgement has been made using the available evidence in records, talking to staff and a visit to the service. Residents live in a home that is run and managed by a manager that is experienced to run the home and ensures so far as is reasonably practicable the health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The manager as the skills and experienced to run the home and as just completed the registered managers award, and his going to complete a dementia course later in the year to ensure she’s aware of the conditions that are relevant to most of her client group within the home. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 21 Records show that the home has various monitoring systems in place and these audits were available to examine. Although most of the residents are not capable of giving feedback on the service and care provided, the home send out questionnaires to relatives and visitors and offer support meeting at the home, minutes are taken and these were available to examine, and relatives and visitors seen on the day were very happy with the care provided at the home. Equality and diversity within the service was discussed with the manager, who commented that the home ensure they address these issues for example the home document a residents religion and if they wish to continue to practice, special diets are catered for, equal opportunities when recruiting staff both male and female staff members. Procedures are in place to ensure the financial interests of residents are safeguarded, and a number of records were checked and found that residents have own bank accounts and any balances are kept separate, random accounts were checked with the administrator and found correct and written records were also satisfactory. Secure facilities are available with records of any possessions that are given for safekeeping. Health and safety was discussed with the manager, staff that were interviewed, also maintenance and service records examined. The manager has the required Health and Safety policies and procedures and displays the relevant notices around the home. Records show that all records were up to date with the exception of some weekly fire checks not recorded. Maintenance and service records examined were up to date, with current certificates for lift and hoists within the home, the only issue raised was about cot sides, these must be appropriate for the bed and kept in good order. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 3 X X X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 2 Standard OP7 OP9 Regulation 15(2)(b) 13(2) Requirement Care Plans staff must ensure care records are kept up dated and reviewed. Medication 1) Hand written MAR must be signed by two staff. 2) Staff must record why they omitted medication. 3) Stocks of medicines must be rotated. 4) Fridge temperature must be checked and recorded. New bed linen must be purchased. The Registered provider should ensure that a minimum of 50 of care staff have NVQ Level 2. Cot Sides must be appropriate for the bed they are fitted to and kept in good order. The Registered manager must ensure that fire checks are completed and records kept. Timescale for action 30/11/06 01/10/06 3 4 5 6 OP24 OP28 OP38 OP38 23(2)(c) 18(1) 23(2)(c) 13(4)(c) 23(4)(c) (v) 01/12/06 01/01/07 01/10/06 01/10/06 The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP31 Good Practice Recommendations The manager should complete a Dementia course to ensure she’s aware of the conditions that are relevant to most of her client group within the home. The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 The Beeches (Wath) DS0000055216.V310279.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!