Inspection on 13/03/06 for The Manor Nursing Home [Bishop`s Hull]

This inspection was carried out on 13th March 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Manor Nursing Home [Bishop`s... 05/11/08

The Manor Nursing Home [Bishop`s... 15/08/07

The Manor Nursing Home [Bishop`s... 14/06/06

The Manor Nursing Home [Bishop`s... 06/09/05

The Manor Nursing Home [Bishop`s... 03/02/05

The Manor Nursing Home [Bishop`s... 25/05/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Manor Nursing Home Haydon Close Bishops Hull Taunton Somerset TA1 5HF Lead Inspector Stephen Spratling Unannounced Inspection 09:15 13 & 27 March 2006 th th X10029.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 Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 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 and 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 Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Manor Nursing Home Address Haydon Close Bishops Hull Taunton Somerset TA1 5HF 01823 336633 01823 335116 manor@barchester.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) Barchester Healthcare Homes Limited Care Home 86 Category(ies) of Old age, not falling within any other category registration, with number (86), Physical disability (20) of places The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Elderly persons of either sex, not less than 60 years, who require general nursing care Twenty-one places for persons of either sex, in the age range of 20-59 years, who require general nursing care, to include one named service user, as detailed in the letter dated 20th December 2004. To reduce to twenty (20) places when a younger adult is discharged. Up to three places for personal care. Registered for a total of 86 places in categories OP and PD. One respite care place allocated to a named younger adult, as stated in letter dated 24/08/04. 5th September 2005 3. 4. 5. Date of last inspection Brief Description of the Service: The Manor Nursing Home was purpose built and is set in attractive landscaped gardens with ample car parking space. Accommodation is mainly provided in single bedrooms all of which have en-suite facilities. The home has a variety of specialist equipment to meet of needs people with physical disabilities. Corridors are wide and equipped with handrails. There are a variety of communal areas, which are comfortably furnished; one lounge is set aside for the use of younger residents. Residents are free to spend time where they wish and with whom they wish; visitors are welcome at the home without appointment. The home employs registered nurses, carers, activities staff, catering and housekeeping staff to care for residents and provides them with the services they need. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three Inspectors, Stephen Spratling, Susan Lyons & Brian Brown (Pharmacist), first visited this home unannounced on the 13th March 2006. Unfortunately on that day they found that several residents and staff had symptoms of an infectious stomach bug. To avoid the risk of inspectors spreading the infection further around the home only the Medication management systems were assessed, by a specialist pharmacy inspector, as this could be done without contact with residents. The law requires that care homes be inspected twice in a 12 month period and with this in mind inspectors returned to the home on the 27th March 2006 (Year end 31st March 2006). As two residents still had an infectious stomach bug, and having had advice from Somerset Health Protection Service, a limited inspection, which did not involve direct contact with residents or staff, was conducted. During the course of the inspection the inspectors spoke with the home manager, looked at the care records for eight residents, the records held regarding four members of staff, together with other records. Prior to the inspection the home manager had completed a questionnaire about the service and eight residents had completed and returned commission questionnaires. Only a limited number of standards were assessed during this inspection and as inspectors were unable to speak to residents and staff some evidence collected could not be corroborated. Readers are strongly advised to read this report together with the report of the last inspection dated 6th September 2005. The commission is currently considering the application for Registration of the new manager of this care home, Sue Iddon. Sue has many years experience as deputy manager of the home. What the service does well: The home conducts good assessment before admitting people to the home, which helps to make sure that they are able to offer people the care they need. They use this information and consult with residents to develop care plans that generally provide good detail about how individual residents should be cared for. They work hard to recognise the risks that residents face but respect residents right to choose to take informed risks and support them to do so as safely as possible. Proper procedures are followed to ensure that staff recruited are suitable to work with vulnerable people. The home management actively listens to residents and acts on their suggestions and criticisms. Operation of good systems help to make sure the home is safely maintained. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 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 Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) 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 Good assessment practice helps to ensure that residents needs can be met. This home does not offer and Intermediate care service. EVIDENCE: Residents care records seen all contained adequate assessment information, which had been gathered before and developed since they had been admitted to the home. The information had been collected in a systematic way and was mostly reflected the residents care plans. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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, 9 & 10 Good care planning practice helps to ensure that residents’ physical and personal care needs are met in a consistent way. Good attention to keeping residents safe is well balanced with a respect for residents right to take risks and to make choices about what they do. The management of medication within the home is much improved though further improvements could be made to ensure residents are fully protected. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 10 EVIDENCE: Care plans were sampled for eight residents. They all showed evidence of residents having been offered opportunity to be involved in their development and mostly reflected residents personal preferences e.g. preferred time for going to bed or for one person the fact that they prefer to spend time in their room but that they like the door to be kept open. Care plans seen reflected needs identified through the assessment process and with one exception, provided good description of how residents personal and health care needs should be met. Care plan variably reflected residents need to be supported to lead active lives; most did not provide adequate description of how this should be done (See standard 12). Individual risk assessments were seen to be available on individual residents care plans. They contain details of the risk and how it is to be managed by staff. The record of one person who clearly has very complex and changing care needs, was detailed and recorded discussion between nursing staff and the resident where risks of a particular activity were explained to the resident but that also reflected respect for the residents wish to take risks. All eight residents who had completed commission questionnaires indicated that they think staff treat them with respect. The upstairs medication room temperature is now well controlled using a portable air conditioning unit and there are proposals to refurbish the room and install a permanent air conditioning unit. Most products with a reduced expiry date after opening were seen to have been labelled with the date of opening. The receipt of some medication into the home was not recorded. An inappropriate pack size of some medication was in use as a homely remedy. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 While residents do benefit from help to take part in activities and entertainments, more work is needed to ensure opportunities are available and suitable to each individual. EVIDENCE: “Social Activities Assessments” were seen in residents’ records though they were not all completed. The home programme of activities available seen was quite varied and include trips out of the home. Records were seen of when residents had participated in activities but were very limited and it was not possible to see whether residents had been offered the opportunity to take part in activities and had declined the offer. For example one persons records The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 12 indicated they had been involved in only one recreational activity in the past month. Of eight residents completing commission questionnaires seven indicated that they think the home provides suitable activities, one person indicated that they sometimes do. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents cannot be confident that appropriate action would be taken if they were being abused. EVIDENCE: The daily diary record of one resident, written early March 2006, mentioned a relative raising concern to staff that the resident had a burn and a bruise; they was however no further mention or evidence that efforts had bee made to establish the cause of these injuries. The manager said that she had not been made aware of these injuries as she should have been; but did agree to look into the matter and involve adult protection services if appropriate. The manager said that she could not provide evidence that staff have received training/update regarding their responsibilities to report potential signs of abuse, since the last inspection when this was also raised as a concern. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this inspection. EVIDENCE: The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 & 30 Residents trust and like care staff but cannot be confident that they have all received the training they need to ensure they can provide care in the safest and most effective way possible. Service users are protected by the robust recruitment procedures followed at the home. EVIDENCE: Both visitors who returned commission questionnaires confirmed that they think there are always enough staff on duty. Seven of eight residents responding to commission questionnaire indicated that they are always well cared for, one person said sometimes. All answered yes to the question “do the staff treat you well”. On the pre-inspection questionnaire the manager wrote that 56 of care staff have NVQ2 or above. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 16 The inspectors looked at the record files of four members of care staff; all contained the required pre-employment recruitment checks. One contained record of the staff member having undergone a formal induction and another showed evidence of the staff member having done fire and manual handling training, the files did not contain any other information to confirm that these staff members had received training to support them to do their jobs well. The manager acknowledged that training records were not complete and evidence that all staff receive regular and appropriate training was not available. She said that a senior nurse had recently been given the responsibility of addressing training needs and now works 20 hours per week to achieve this. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 36 & 38 The home operates adequate systems to help maintain and improve the quality of care residents receive. Residents are protected by proper systems, which are followed when the home helps them manage their money. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 18 Residents can not be confident that staff receive the supervision and support they need to ensure they are always working effectively and in the best way. Residents can be confident that the building is safely maintained though not all staff have received the training they would need to know how to respond properly in case of a fire. EVIDENCE: Evidence was seen from the residents’ meeting minutes that where residents have concerns, questions or ideas that action is taken in response. The manager said the meetings have been well attended. It was also good to note that residents had made positive comments about staff and the care they receive. The Company undertakes an annual quality assurance exercise when residents their representatives and other professionals are invited to complete questionnaires. The results of these are fed into a report and action plan. The results of the most recent staff quality assurance exercise were given to inspectors. The home also has comment forms on the reception that can be completed anonymously if preferred and placed in a box for the manager’s attention. Currently the home is only holding money for one resident. This was checked against the records and receipts and seen to be correct. One of the four staff record files seen contained record of a staff member having received formal one to one supervision and this had been prompted by an allegation of poor practice. The manager acknowledged that a system of formal supervision for staff is not in place, something which she is working to address. The last fire drill was recorded as having taken place on 22nd March 2006. Fire training records were seen and although a lot of training has taken place recently some staff are not recorded as receiving any fire safety training. Records supplied by the home and service records indicate that the electrical wiring was tested in 2004, hoists in January 2006 and the boiler was checked in January 2006. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 19 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 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 1 ENVIRONMENT Standard No Score 19 X 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 x 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 3 34 X 35 3 36 2 37 X 38 2 The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 20 Yes Are there any outstanding requirements from the last inspection? 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 OP9 Regulation 13 (2) Timescale for action The registered person shall make 13/05/06 arrangements for the safe administration of medicines in the care home. This refers to the need to ensure that only those products available for purchase over the counter are available as homely remedies. The registered person must 27/05/06 make suitable arrangements, by staff training or other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. (previous timescale of 06/10/05 not met) The registered person must after 27/04/06 consultation with the Fire authority make arrangements for persons working in the care home to receive suitable training in fire prevention… Fire officers require that all care staff should receive fire training at least twice within a twelvemonth period. Requirement 2 OP18 13 (6) 3 OP38 23 (4) (d) The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 21 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 YA14OP7 Good Practice Recommendations Care plans should set out in detail action that should be taken by care staff to ensure that all aspects of the…social care needs of residents are met. Records when activities are offered to residents need to be improved. 2 OP9 It is recommended that as part of the regular audit of Medication Administration Record charts that the failure to record the receipt of medicine is raised as an issue. The registered person should ensure that there is a staff training and development programme which meets National Training Organisation (NTO) workforce targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. All members of staff should receive induction training to NTO specifications within 6 weeks of appointment to their posts, including training on the principles of care, safe working practices, the organisation and worker roles, the experiences and particular needs of the service user group, and the influences and particular requirements of the service setting. All staff should receive foundation training to NTO specifications within the first six months of appointment, which equips them to meet the assessed needs of the service users accommodated, as defined in their individual plan of care. All staff should receive a minimum of three paid days training per year and have an individual training and development assessment profile. 3 OP30 The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 22 4 OP36 Staff should receive regular, recorded supervision; it is recommended that this occur at least six times a year for full time staff and should be in addition to regular contact on day to day practice. Supervision should include: i. translation of the homes philosophy and aims into work with individuals; ii. monitoring of work with individual service users; iii. support and professional guidance; and iv. identification of training and development needs. Staff who supervise colleagues should be trained to do so. The Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Manor Nursing Home DS0000003300.V274693.R01.S.doc Version 5.1 Page 24 - 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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