CARE HOMES FOR OLDER PEOPLE
The Herons Care Home Swiney Way Toton Nottinghamshire NG9 6GY Lead Inspector
Stephen Benson Key Unannounced Inspection 25th July 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Herons Care Home DS0000008691.V303127.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. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Herons Care Home Address Swiney Way Toton Nottinghamshire NG9 6GY 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) 0115 946 0007 0115 946 1363 Derwent Housing Association Limited (Supported Housing Section) Jennifer Cooper Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: The Herons, part of the Derwent Housing complex, is a purpose built home in a residential area of Toton, close to the Tesco superstore and opposite the Chetwynd Army Barracks. The home provides care for up to 38 older people, with rooms on two floors with a passenger lift between the levels. All the rooms are single and en-suite. The home is well maintained, pleasantly decorated and clean. The gardens are well maintained and are regularly used by the service users and there is a gate to the adjacent school where community links have been formed. The manager said on 25th July 2006 that the fees for the service range from £319 - £349.32 per week depending on dependency needs. There are additional charges for hairdressing and chiropody The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. The inspection lasted for 5 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection What the service does well:
Anyone wishing to move into the home needs to complete an application form and they are able to visit the home. An experienced member of staff will meet with the person to see whether their needs can be met within the home and other relevant information is obtained. Prospective residents are able to ask questions about the home. Residents spoke of visiting the home before moving in. The evidence shows that the home makes sure that they can meet the needs of any new residents. Residents’ health care is closely monitored and responded to. Residents spoke of various healthcare appointments they had attended. Positive comments were received from a district nurse over the healthcare within the home. The evidence shows that residents’ healthcare needs are met within the home. Staff were aware of good practices in promoting residents privacy and dignity and seen carrying these out. Residents felt that their privacy and dignity is promoted by staff. The evidence shows that residents’ privacy and dignity is promoted in the home. Residents are kept informed as to what is going on in the home and are notified of any changes through a memo sent to them. Staff spoke of residents making their own choices over what they did and said they are not forced to do anything. Residents said they keep as much of their independence as they are able to. The evidence shows that residents are helped to exercise control over their lives. The building was clean and tidy throughout and in a good state of repair. Residents said they felt the home was kept to a high standard of cleanliness. The evidence shows that residents live in a clean and well-maintained building.
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
Staff must know how to use the care plans so they can refer to them on how to meet the needs of the residents and the plans must be fully reviewed so that they show the current needs of residents. Residents said that a keyworker asked them about their care and that the care they receive is excellent. Medicine Administration Records must be fully completed so that they show when residents have had their medication and the home’s procedures for the administration of medicines are kept under review to prevent a mistake being made when giving residents their medication. Some residents spoke of selfmedicating and others being given their medication. Staff felt that residents joined in more when the home had an activities coordinator. Some residents said they would like more to do but some residents do not join in. The home must provide regular activities so that residents have opportunities to take part in organised activities if they wish. (Is this section not evidence Residents said that they knew if they made a complaint this would be passed onto the manager. A record must be made of the outcome of investigations into any complaints made about the home and show any action taken as a result. This will show that any complaints made by residents are taken seriously and acted upon. Staff have not been trained in adult protection. Residents said they were treated well be staff. Staff must be trained in how to prevent residents from any form of abuse and there must be an up to date copy of the Adult Protection Procedures available for staff to refer to. This will ensure that residents are protected from abuse if the situation should arise. There must be sufficient aids and adaptations in good working order to assist residents with their independence and mobility. Residents would like to be able to open their windows more than the restrictor allows during hot weather and that the garden was not kept as well as it used to be.
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 7 There must be up to date training records showing that staff have been provided with all the required training to enable them to safely care for the residents. Residents said that staff seem to be trained and thee is a good atmosphere. The registered manager has been off work for several weeks and residents said they thought that some temporary arrangements should be made as they like to know who is in charge. The registered person must notify the Commission for Social Care Inspection that the registered manager is absent from the home and the arrangements made for the running of the home in the meantime. 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 Herons Care Home DS0000008691.V303127.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 The Herons Care Home DS0000008691.V303127.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: The senior on duty said that any prospective new resident completes an application form and are then assessed by staff from the home. This is usually a senior member of staff but can be more experienced care staff. Where residents are funded by the local authority copies of the community care assessment are also obtained. Staff said that information is passed onto them in advance of any new person being admitted to the home and if on duty will meet them when they visit. Staff said they did not see any pre assessments but the senior on duty said
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 10 that these are available to staff to look at. Staff should be made aware of the location of any assessments and that these are available for them to look at. The file of one resident included an assessment completed by a team leader 5 days prior to their admission into the home. The assessment was completed on the home’s own form and the administrator showed an exchange of letters which answered questions raised by the resident. A resident spoken with said that she wrote to the home asking for a place and was invited to visit. There is no arrangement made for the home to provide an intermediate care service. The Herons Care Home DS0000008691.V303127.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 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 available evidence including a visit to this service. Residents health, personal and social care needs are set out in an individual plan of care but are not being used by staff. Residents’ health care needs are fully met. Residents are not protected by the homes procedures for dealing with medicines. EVIDENCE: Care plans seen were generally fully completed and signed by residents. There were some gaps in some areas including medical appointments and some reviews were not being properly completed. Staff said that they complete the daily logs but don’t usually use the plans to refer to and that they are aware that staff ask other staff if they are unsure of how to care for a resident rather than going to the care plan. It was felt that
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 12 the information is not easy to refer to. The senior on duty said that she thought the care plans were good and felt this was a training issue for staff. Residents said that they have a keyworker who asks if they are satisfied with their care. Residents added that the care provided is excellent and cannot be faulted and that they are encouraged to do as much for themselves as they can. Staff said that they are kept informed of any treatment a resident is having and they use forms to record any regular intervention they have to provide. Staff said that they had been given a briefing on caring for residents during the current heat wave. Residents said that they see district nurses and doctors when they need to and can either have a private consultation or with staff present. They also said that there is a visiting optician, dentist and chiropodist. A visiting district nurse said that the home was very good and they know what is going on with each resident. The nurse said that staff call them out when needed and are able to discuss needs over the phone. The home has a designated medicine room and medication is stored using a monitored dosage system. Only trained staff administer medication, however there have been 4 drug errors reported this year, these seem to have occurred as a result of residents not being observed to take their medication. Following the last one the home’s procedures were reviewed and amended so that residents are no longer left to take any medicines unobserved. The correct procedures were followed after the drug errors and medical advice was sought for safety reasons. Staff were seen to appropriately administer medication, however there were some gaps seen in the Medicine Administration Records. Further training is planned for staff on safe handling of medicines and this includes the night staff. Self medication forms were seen for some residents and the person in charge said that there are four residents who self medicate. One resident said that she self medicates and keeps her medicine securely in her room, but is aware that staff give others their tablets. The manager said that one of the principles of care within the home is maintaining residents’ privacy and dignity and this is stated at the beginning of each care plan. Staff described good practices in promoting privacy and dignity by closing doors and drawing curtains and felt that it would be a useful topic to discuss in The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 13 a staff meeting. Staff were observed providing assistance in a dignified manner. Residents said that staff always knock on doors and that staff are very respectful. Residents also said that help is provided in a dignified way. The Herons Care Home DS0000008691.V303127.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home does not always match their expectations. Residents maintain contact with family and friends. Residents are helped to exercise control over their lives. Residents receive a wholesome and balanced diet. EVIDENCE: Staff said that there is a weekly bingo session but in other activities residents tend to drop out, however through discussion staff recalled a number of activities that are no longer provided that residents used to enjoy. These included movement to music, sing a longs and knitting. Staff said that more people used to join in when there was an activities coordinator and that activities tend to be better received in the mornings. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 15 The senior in charge said that staff need to be empowered more to provide activities and agreed that there had been a drop in the amount of activities provided. There is a file to record any activity in which includes a list of who participated and feedback on the activity, but this has not been completed recently. Residents said that they do not feel that there is enough to do and that there can be a lack of enthusiasm from other residents. A recent boat trip was enjoyed by those who went. Residents said a local neighbour comes to run a weekly bingo session but that is the only regular activity and dominoes had fizzled out. One resident has a notice to put up saying, “do not disturb” when she is praying. Staff said that they get invited to concerts at the local school and some residents go to help children with their reading. Residents have also been asked to go to speak to pupils about times in history they have lived through. There have been trips out to the local pub and an outing for a meal at another pub is being planned. A resident said that she has friends and family who come and take her out. The senior in charge said that residents are sent a memo of any change taking place inviting comment for example providing cold teas during the current hot weather or if there is an opportunity for them to do something. Staff said that residents are able to do what they want and they are not forced to do anything. Some residents will eat different meals in different dining rooms so they can mix with more residents; others choose to have their meals in their rooms. Residents said that they are able to keep as much independence as they are able and decide what and when they will do things. The cook said that she has introduced a new menu for the hotter weather. The menu shows that there is a choice of meal as well as standard alternatives. The cook said that there is a cooked breakfast each morning in one of the dining rooms. Residents said that the breakfast is good and there is always a choice for lunch and tea. Residents said that they would like opportunities to have more of a say in the menu planning. The senior on duty said that these are provided through residents meetings, however no recent reference to this was made in the minutes. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 16 There are three dining rooms around the home all of which provide a pleasant environment to eat in. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints will be listened to. Measures are not in place to protect residents from abuse. EVIDENCE: The manager showed two different books in use to record any complaints or comments in. There were a number of complaints recorded in the books, which were mainly about the food. There was one issue seen in a resident’s file which should have been recorded as a complaint. Neither of these described any action taken as a result of the complaint or the outcome as required. Staff said that they would pass any complaints made on to the senior on duty. They said that they hear a lot of grumbles from residents over things like the tea trolley being a few minutes late but they explain this is because they have been attending to someone else. Residents said that they knew that any complaint would be referred to the manager. The Adult Protection Procedures in the office were not complete or up to date. The senior in charge said she had not received training in adult protection and did not know the procedures to follow in the event of any allegation or incident
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 18 of abuse. Staff said that they had not had training in adult protection and they were not familiar with The Adult Protection Procedures. Residents said that staff treated them very well and they had not seen anybody being treated badly. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The premises are well laid out giving residents a number of options where they can spend their time. Corridors are of a good size enabling wheelchair users to move around the building. One resident was seen having difficulty returning to the building and the senior in charge said that new front doors are on order which residents will be able to open automatically. There were some grab rails in bathrooms and toilets causing staff difficulties because they do not retract as they are intended. This causes difficulties supporting residents and poses some risk of injury. Also it was felt that more of these were required. The senior in charge said this has not been bought to
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 20 her attention. Residents said that they wanted to open their windows further than the restrictors allow in the hot weather. The senior in charge was advised that a risk assessment could be carried out to establish whether this was a safe thing to allow for some residents. Residents said that they thought the building was lovely and kept to a high standard of cleanliness but disappointment was expressed that the garden was not maintained to the high standard it had been previously. The laundry service received positive comments from residents. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 21 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 available evidence including a visit to this service. Residents needs are met by the numbers and skill mix of staff. Staff are expected to undertake duties they have not been fully trained for resulting in residents not being in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Staff said that there are 5 care staff on in the mornings and 4 in the afternoons. At night there are 2 staff, 1 awake and 1 on call (a senior). In addition there are seniors on each day shift and domestic, catering, and administrative staff. Residents said “we are told if they are short staffed and they do bring in agency staff. We have got some lovely carers here”. The senior on duty said that there are 3 night care staff having their National Vocational Qualification level 2 being verified at present, but was not aware when the next intake of staff was due to take place. Staff said that they have The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 22 been spoken to about undertaking National Vocational Qualification training but nothing has happened about this yet. A form was seen identifying staff due to undergo mandatory training, but the senior on duty said that arrangements for this have not yet made. Staff training records were not up to date to show what training staff have done. Staff spoken with had not completed all the mandatory training. Residents said that staff seem to be trained in their work and there is a good atmosphere here and that staff speak well of this home compared to others they have worked in. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 23 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Temporary management arrangements are required to run the home in the absence of the manager. Residents have opportunities to express their views on how the home is run. Residents’ financial interests are safeguarded. The health, safety and welfare of residents are protected. EVIDENCE: The manager has been off work for sometime, the senior in charge said she believed it has been for about six weeks. This has not been notified to The Commission for Social Care Inspection as required .under Regulation 38 (Care Home Regulations 2002).plain english.
The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 24 The senior in charge said that management responsibilities have been shared out amongst the senior staff and they will “back each other up” Staff said there have been some differences in the running of the home whilst the manager has been off as they have not been having staff meetings, supervision or training and they thought someone should be at the helm. Residents said that they did not think it was satisfactory to be without a manager and if the manager was off then there should be other arrangements made. The senior in charge said that residents are able to express their views in monthly meetings and there are also monthly meetings where staff can express their views. The senior in charge also said that there are survey forms sent out to residents and relatives but she was unaware where these were as another senior is dealing with these. Staff said that residents are asked for views and comments on the home in the monthly meetings and they often hear their views over mealtimes. Residents said that there are monthly meetings and one resident said she makes a complaint about not having a gardener is made at every meeting. The lift was being serviced during the inspection and there were safety notices seen around the building. The senior in charge said that all required health and safety checks and tests are carried out but the documentation for these was not checked due to time constraints. The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 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 3 X 3 X X 3 The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 26 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 Standard OP7 Regulation 15 Requirement The registered person must ensure that care plans are properly reviewed and staff receive training on how to use them The registered person must ensure that Medicine Administration Records are fully completed and that medicine administration procedures are kept under review to ensure no drug administration error occurs. The registered person must ensure that sufficient and suitable activities are provided in the home The registered person must ensure that a record is made of the outcome of all complaint made and any action taken The registered person must ensure that there are up to date Adult Protection procedures in the home and that all staff have received training on these The registered person must ensure that there are sufficient aids and adaptations and these are kept in full working order
DS0000008691.V303127.R01.S.doc Timescale for action 01/10/06 2 OP9 13 01/09/06 3 OP12 16 01/11/06 4 OP16 22 01/09/06 5 OP18 12 01/12/06 6 OP19 23 01/11/06 The Herons Care Home Version 5.2 Page 27 7 OP30 18 8 OP31 38 The registered person must 01/12/06 ensure that all staff have received the required training and that training records are kept up to date The registered person must 01/09/06 provide the information stated in Regulation 38 (4) (b) concerning the absence of the manager and the arrangements to be made for the running of the home 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 Refer to Standard OP3 OP15 Good Practice Recommendations The registered person should ensure that staff are aware of the location of new residents assessments and that they are able to see these The registered person should ensure that residents have regular opportunities to contribute to the home’s menu The Herons Care Home DS0000008691.V303127.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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