Inspection on 08/11/07 for The Lodge Dovercourt

This inspection was carried out on 8th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Lodge Dovercourt 04/11/08

The Lodge Dovercourt 30/11/06

The Lodge Dovercourt 23/03/06

The Lodge Dovercourt 19/07/05

The Lodge Dovercourt 29/03/05

The Lodge Dovercourt 08/09/04

The Lodge Dovercourt 25/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 The Lodge Dovercourt 16/18 Beach Road Dovercourt Harwich Essex CO12 3RP Lead Inspector Jenny Elliott Unannounced Inspection 8th November 2007 09:45 The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Dovercourt Address 16/18 Beach Road Dovercourt Harwich Essex CO12 3RP 01255 503678 N\A thelodgecarehome@aol.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) Mrs Nowranee Sookun Mrs Nowranee Sookun Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) 30th November 2006 Date of last inspection Brief Description of the Service: The Lodge is situated near the seafront at Dovercourt. The home changed its category of care from elderly people to people with learning disabilities in 2001. Prior to this it had been operating as a small home. Mrs. Sookun has remained the registered manager during the lifetimes of both registrations and has a background in nursing. The accommodation is comprised of a converted family home, with eight single rooms, one of which is on the ground floor. There is no lift. There are two bathrooms with toilets and additional separate toilets on the ground and first floor. Catering and laundry facilities are at the back of the house on the ground floor. Communal areas consist of a lounge and dining room. The dining room has patio doors opening up onto the rear garden, which is accessed via steps and is mainly laid to lawn with some flowerbeds. The small front garden is paved. Charges to stay at the home are variable depending upon the particular support needs of each individual. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information in this report was gathered from 5 hours spent at the home, questionnaires received from staff and service users and other information received by the Commission. During the inspection the daily routines were observed and time was spent talking to people who live and work there. A full tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: The home should make sure that all the information it holds is of a good quality. The home should work harder to support and supervise staff. The home must make sure that all equipment and services in the home are properly checked so that they are safe to use. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 6 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. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People coming to live at the home, benefit from having information presented in an accessible way. EVIDENCE: The records belonging to two service users were inspected in detail during the visit to the home. Both sets of records included assessments of need. The information contained in the assessments was variable. Some parts of the assessment were largely yes/no questions that gave information about the persons current health or fitness, but did not provide information about how to best help the person. Other areas provided better information, for example how and when to prompt someone to help them with their personal care or how a person communicated and what staff needed to do to support the person in developing their communication. The service user guide included two documents (abuse awareness and contract) that had been produced using widget symbols. This is a good development. The home must ensure that the documents give accurate information. The service user guide includes an organisational structure chart that has at its head, another organisation (currently working with the home on a consultancy basis), this could be misleading and should be reviewed. The The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 9 document also states the manager visits monthly to check on the service whereas the manager is at the home on a regular basis. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home can expect their needs to be addressed in care plans. People living at the home cannot expect that their aspirations will be addressed in the same manner. EVIDENCE: The quality of information contained in care plans was variable. Elements of the care plan were of two types. One was typed and these generally contained very good information about how to support people and/or manage identified risks. The second type was hand written with more vague information. The manager recognised the importance of a consistent approach with people who have autism and must ensure that the information provided for staff is detailed enough to promote this. The manager described two of initiatives that were in place to promote the social skills of one person living at the home. They were both good examples The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 11 of how a home can support a vulnerable person. Neither example was clearly documented in the care plan. One was not mentioned at all. The other was a set of appointments with a specialist nurse. It was evident from the records that not all appointments had been kept. It was also evident that the home had not consulted with the nurse prior to, or on completion of, the course to find out if there should be any changes to the persons care plan. There were entries one person’s records, following a review with the person’s social worker, which detailed activities they would like to become involved in. Although the manager was able to tell me where and how they had tried to implement some of these there were no records to support this and no plan of action to demonstrate the home was continuing to pursue these ideas. For another person there was a good document that described how they had been supported to access the local swimming pool. This had been written in retrospect so that it did not demonstrate fully the planning and review process one would expect from a plan of care. Not all of the documents relating to plans of care or risk were signed or dated, making it difficult to assess their currency. One element of a care plan had been developed in 2005. There were signatures to say this had been reviewed, but no changes had been made in the two-year period. The records seen included notes of GP and other health professional visits. Risk assessments were in place and there were some very good examples which included management plans to deal with incidents. Risk assessments also recognised when restraint might be needed, for example in locking the main door should someone attempt to run off. This is important because it reflects an understanding of dignity and rights. Some positive interaction was noted between staff and service users during the inspection. People living at the home were given information about their day that would help them manage anxiety and people were encouraged to take on small tasks about the home. One of the people living at the home was out for the day at a centre in a neighbouring town. Before they left this person told me they liked living at the home and they enjoyed going to the centre. The other two people stayed in the home for the day. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home can expect to be offered a range of activities to participate in. People who live at the home can maintain contact with their family and friends with the support of staff. EVIDENCE: Although this is a small service it supports people whose autism is manifested in different ways. All of the people experience difficulty accessing the community and dealing with social interaction. Some are able to do so with limited support, others require a great deal of input accessing what many people would consider every day activities. A good example of this is the swimming mentioned in the previous section. The manager described how she had consulted with the operators of the pool and then gradually introduced the person to the new environment. This was documented in the report contained in the relevant person’s file. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 13 The records seen during the inspection also contained information such as important dates, that is family birthdays and anniversary’s and family and friends contact lists. This helps people to maintain contact with people they know outside of the home and is important in respect of the range of experiences they can be offered. As has already been mentioned, one person regularly accesses a specialist centre in a nearby town where they have opportunities for social and educational development. There was evidence from the records of other service users, and discussion with the manager and staff that other people living at the home accessed the local community with staff on a less regular basis. The manager also advised that all of the people living at the home also went swimming. During the inspection one of the people living at the home was seen to help with some dusting, and both people at the home set their places for lunch with the help of a table mat that showed where cutlery and crockery should be place. Both people had limited verbal communication, but they appeared willing in these tasks. The lunch provided for both people was sandwiches. There was a good amount supplied for each person. One person told me the sandwiches were ‘good’ and that they were hungry. Both people ate a good quantity. Mealtime was calm and unrushed. The manager advised me that one person had invited friends from a previous placement to their birthday party. In the early part of the afternoon gentle music was on in the activities room. One person was moving & dancing to the music. A member of staff advised they encouraged this as a form of exercise. The other person was sitting in a chair and rocking. The manager showed me the results of some craft activity that people living at the home had undertaken with staff. These included some impressive pictures. The home had kept a photographic record of how they had produced the work. This included trips out of the home to see real examples of what the picture would represent and to collect material for the artwork, as well as work in the activities room. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home can expect to have care provided in the way they prefer and can expect their physical health needs to be met. EVIDENCE: Both of the records belonging to service users included daily routine summaries that described how the person liked to spend their day, including what they could and liked to do for themselves, and what help was useful to them. These were very informative and would provide a good basis for the provision of personal care in a way that service users preferred. Information contained in other parts of the care plan was not always as informative as this document. There were separate documents contained in staff workbooks that gave clear, succinct information for staff about how to support service users. There was evidence in the records that service users had been assisted to access community health facilities. This included referrals to specialist services. It is important that where this happens the service liaise with the specialist so that the help provided can be reflected in the service users plan of care at the home. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 15 Medication records were inspected and no omissions noted. Where changes had been made to medication there was confirmation of this on file from the GP. There was a good management plan in place for the admission of PRN medication (medication administered on an ‘as needed’ basis). This included a description of the challenging behaviour that may arise from high anxiety levels, the effect of the medication and how long it takes to work, as well as behaviours may exhibit prior to an escalation of anxiety. The final section of the plan stated what staff should do after medication had been administered. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are protected by its recruitment, training and complaints practices and procedures. EVIDENCE: No complaints had been received by the service or the Commission since the last inspection. The complaints procedure was on display in a format that was accessible to people living at the home. The last paragraph of the full complaints procedure gave misleading information about the role of the Commission and should be revised. Staff had received training in the protection of vulnerable adults and were able to describe what they would do if they were concerned about someone living at the home. The staff recruitment records provided evidence that service users were protected by the checks carried out. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home benefit from a homely, comfortable and safe environment. EVIDENCE: A complete tour of the premises was undertaken during the visit to this service. There was a quiet and calm atmosphere at the home for the duration of the inspection. The home was clean and tidy there were no offensive odours. Rooms contained personal belongings, had pictures and other items that reflected the interests of service users. The decorative state was good throughout. New carpet was in the hallways and stairs. There was a ‘Bath temperature record book’ in place that gave the date, name of the person taking a bath and temperature of the bath, each entry was initialled by the person making the record. This will ensure that people living at The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 18 the home are protected from scalding when they have a bath. There were no other records relating to the testing of hot water from other outlets or risk assessments to demonstrate this was not necessary. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home cannot be confident that staff will always have the necessary training, support or supervision to support them. EVIDENCE: The recruitment records relating to two members of staff employed since the last inspection were looked at in detail. They both contained evidence that full checks had been carried out to confirm the identity, any criminal record and experience of the people before they started work. On the day of the inspection there was one care assistant and the manager on duty. There were two service users at the home. In addition to care duties the staff are also responsible for cleaning and preparing meals, a small part of the day was spent writing up notes whilst with service users. The activities available for the two people living at the home were limited. They included games in the activities room and listening to music as well as involvement in daily living tasks (setting the table and dusting). I was advised that usually there would be two staff and the manager on duty, this would enable one to The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 20 one time to be spent with people living at the home and an improvement in the options available. There was not a current training plan available. Staff reported that they had undertaken a basic awareness session on autism and training in how to deal with challenging behaviour. Two staff were engaged on Level 2 NVQ (national vocational qualification) in care. It was not clear what the home expected in terms of minimum levels of training to work in the home. A member of staff told me that they had supervision with the manager every 2 months. This was supported by the records held in the home. The notes of these sessions were sparse, and some of the wording unhelpful in explaining any discussion that took place. For example the notes included ‘lack of understanding’ and ‘lack of initiative’ and the objectives from the supervision were ‘prioritising work, improve initiative’. The next session stated ‘Area discussed lack of communication, lack of understanding’. One of the responses to the question ‘what could the service do better’ on the questionnaires to staff stated ‘support the staff with encouragement’. Another person had written under ‘does your manager meet with you to give you support and discuss how you are working’ ‘points out the shortfalls’. Whilst it is important that the performance of staff is discussed with them, the evidence suggests that this is not always carried out in a constructive way. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from the efforts the manager has made to develop the provision of care in line with good practice. People living at the home cannot be confident that all of the equipment and services at the home are adequately maintained or checked. EVIDENCE: This report describes a number of good aspects in respect of the provision of care. There was, though, some inconsistency in the quality across various documents. The manager advised that she spent most of her time ‘on the floor’ working with service users and this took her away from some management tasks. The manager advised that she was hoping to recruit a senior carer to assist her. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 22 It is positive that the manager has engaged with organisations who are skilled and experienced in working with people on the autistic spectrum. At the time of this inspection the manager was preparing for an accreditation visit from the National Autistic Society. There was evidence from team meeting notes that the manager had addressed issues such as the need to work consistently with service users. Notes from a team meeting on 13.07.07 shows that each person living at the home was discussed to promote a consistent approach from carers. Notes from May 07 show that dignity and respect for people living at the home, and what this means in practice, was discussed. Supervision records and reports from staff suggest that the supervision meetings are less helpful. A current certificate regarding the maintenance and servicing of fire fighting and safety equipment was forwarded to the Commission. Documents in place to demonstrate that appropriate checks had been carried out were incomplete. It was not clear from the gas safety certificate that a maintenance contract was in place. The manager followed this up with the engineer following the inspection and advised that the landlord safety certificate also included maintenance. It was positive to note that clear records were being kept in terms of the temperature of baths, but there were no records for other hot water outlets. An inspection carried out by the Environmental health officer in May 2006 carried four requirements. Two of these were checked (storage of raw and cooked food in fridge and sealant on kitchen sink) both had been addressed by the home. The home also had public liability insurance in place. Accident reports showed that there had been 8 accidents or incidents in the period march 2007 to the date of the inspection. Registered homes are required to notify the commission of these, but no notifications had been sent. It was positive to note that a Quality assurance survey had been carried out in 2007. A copy of the results from this were sent to the Commission on 27.06.07. The results were based on surveys sent to relatives, professionals and staff. The service should find a way of measuring satisfaction with service users. Generally surveys assessed levels of satisfaction, but it was clear that some suggestions for improvement had been made and the report describes action taken by home. The Lodge Dovercourt DS0000017969.V354572.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 2 2 X X 1 x The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 5 Requirement Timescale for action 31/01/08 2. YA6 15 3. YA22 22 4. YA42 13(4)(a to c) The home should review the information contained in the service user guide to make sure it is accurate. This refers to information about the organisation and CSCI. The home must ensure that all 31/01/08 elements of care plans clearly describe how service users needs are to be met. The home must review its 31/01/08 complaints policy to ensure it accurately reflects the regulatory role of CSCI. The Registered Person must 31/12/07 ensure that adequate checks are made to the premises to ensure that all spaces, services and equipment are fit to be used by service users. This requirement has been repeated from the last inspection. The Lodge Dovercourt DS0000017969.V354572.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 2 3 Refer to Standard YA32 YA36 YA38 YA39 Good Practice Recommendations The home should clearly state minimum requirements in respect of staff training. The manager should review their supervision practice to ensure it motivates staff to provide a good service. The home should develop the quality assurance process to include views of people living in the home. The Lodge Dovercourt DS0000017969.V354572.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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 The Lodge Dovercourt DS0000017969.V354572.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. 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