CARE HOME ADULTS 18-65
The Old Post Office Newport Road Haughton Stafford St18 9JH Lead Inspector
Jane Capron Unannounced 27 July 2005 10.15am 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 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 Stationary 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 Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service The Old Post Office Address Newport Road Haughton Stafford ST18 9JH 01785 780817 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Old Post Office (Haughton) Ltd CRH 5 Category(ies) of LD - 5 registration, with number MD - 5 of places The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: All five service users to have a learning difficulty Date of last inspection 3 March 2005 Brief Description of the Service: The Old Post Office is a five-bedded care home providing services to service users of either gender with a learning disability. The service users may also have needs relating to mental health and may display some challenging behaviours. The home provides the service users with a wide range of activities and there is regular community access. They have links with local colleges. All service users are involved in undertaking independent living tasks. The home has a policy for the use of physical intervention. The home is located in the village of Haughton some seven miles west of the town of Stafford. The village’s facilities include a couple of shops, pubs and a church. The home has its own transport. The care home is a detached property that has been internally refurbished to provide good quality accommodation for the service users. The care home provides single bedded accommodation and all rooms have ensuite facilities. The home provides a large lounge and dining room and a large domestic style kitchen. Externally the home has a secure rear garden that provides parking for approximately five cars and has a patio area and grassed area providing seating suitable for the service users. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over a period of approximately six hours. Discussions took place with the management of the home; several care staff and three of the five residents. Observation took place of staff supporting and interacting with all the residents. The accommodation was examined. A range of documentation was examined including residents’ care plans. The arrangements for the adminstration of medication were also inspected. There have been no complaints received since the last inspection. One additional visit was made to follow up on requirements made following the last inspection. This identified that all requirements had been completed or plans were in place to address them. The home’s Care Manager has been in post since March 2005 and is currently undertaking the registration process with the CSCI. What the service does well:
The residents spoken to liked living at the home and felt that they had a good lifestyle. They stated that they got on well with the care staff and the manager. Staff were understanding of residents’ needs and preferences and staff interacted positively with residents. There was a relaxed and friendly atmosphere. Staff were aware of the communication methods needs of residents with specialist communication needs. The residents were provided with a good level of choice both over their life within the home and over activities out of the home and educational opportunities. Each resident had a full weekly schedule that included independent living tasks and social activities. Participation levels at the home were good with each resident contributing what they were able. They were involved in such tasks as vacuuming, dusting, doing their laundry, setting and clearing the table and making drinks. Residents were involved in developing the menu and doing the food shopping with staff. All residents went on holiday. The home had developed comprehensive care plans that identified the individual needs of the residents. Both care plans and risk assessments were reviewed on a regular basis. The home had a high standard of accommodation. The home was well furnished and decorated in a homely and domestic style. Bedrooms were of a good size and were all ensuite. Bedrooms had suitable storage and all the residents had personalised their bedrooms. All bedrooms were lockable.
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 6 The staffing levels allowed for flexibility to provide the necessary support for residents to be individually supported and to access activities and to attend college. What has improved since the last inspection? What they could do better:
Whist providing a good quality service the home did need to ensure that all the residents had the necessary eyesight checks and dental checks. Also there were a small number of gaps in the medication records and the home needed to ensure that the full medication needs of the residents were being met. The home’s recruitment procedures were generally showing that all the pre employment checks were being completed however there was one file that only had one reference and therefore this system needs to be tightened up in order to provide the protection needed by the residents. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 7 The home had plans in place both for specialist training for staff and for staff to undertake NVQ training. The home needed to ensure that these areas were pursued to provide a highly skilled and knowledgeable staff group. 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 Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 The home’s assessment procedures should ensure that the needs of prospective residents are identified thus ensuring that only people whose needs can be met are admitted. The knowledge of the home’s staff and the home’s working links with other services was making sure that the current residents were receiving the necessary support. EVIDENCE: Although there had been no admissions since the last inspection all the current residents had been assessed prior to a place being offered at the home. This assessment covered health and personal care, social, educational and leisure needs. The staff at the home knew the needs of the current residents and how these should to be met taking in account their individual preferences. The home accessed the local health practice and had the services of a private psychiatrist who visited monthly or more often if necessary. The home used local dental and optician services. The residents accessed the local advocacy service if needed. The home had developed links with local colleges. The home has the necessary information to involve other care and health specialists as necessary. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 The home’s care planning systems provided the necessary information for staff to be able to satisfactorily meet the needs of the residents. The home supported residents to make decisions over their lives and to participate in a range of activities related to the running of the home providing them with opportunities to have their views heard and to have more control over their lives. The risk assessments in place provided residents with the support necessary to take reasonable risks and not to have unnecessary restrictions placed upon them. EVIDENCE: The home had developed comprehensive care plans for each resident and there was evidence that the residents were involved in the care planning and evaluation process. The plans covered health and personal care needs, social, educational and leisure needs. Individual procedures had been developed to respond to incidents of aggression and where able these had been discussed and agreed with the resident. Records of such incidents were being kept.
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 11 Plans showed specific areas of restriction and these were supported by risk assessments. Residents were involved in the day-to-day activities within the home and were involved in such areas as undertaking domestic tasks, cleaning and tidying their bedroom and communal areas and doing their laundry. They were also involved in making drinks, laying and clearing tables. They were encouraged to plan the weekly menus. The level of involvement depended on each resident’s abilities but all contributed to the tasks. The home supported and encouraged residents to take decisions over aspects of running the home and over their lives. The level of decision making depended on each resident’s decision making skills but all made a range of decisions including how to spend their time, what activities to take part in, what courses to take at college and when to spend time in the communal areas or in their bedroom. Residents went shopping to buy their own clothes. Plans, where appropriate, had been developed to increase the residents’ involvement in managing their own finances. Residents had meetings about the home’s menus and over choosing activities they wanted to undertake. The current management has supported residents to have more say in the routines of the home by involving them for example in setting times for loud music to be turned off at night. The home has also introduced a monthly service user questionnaire to gain residents’ views of the service. The home had developed a range of risk assessments that were being evaluated on a monthly basis. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,17 Residents were encouraged and supported to undertake independent living skills providing them with the opportunity to maintain and develop their skills. The home supported residents to engage in a wide range of educational, social and leisure activities both in and out of the home providing them with a full and varied lifestyle. The home’s meals provided the residents with choice and variety and took account of their preferences. EVIDENCE: The home encouraged and supported residents to take part in a range of independent living tasks including domestic tasks within the home, going shopping for personal items and food shopping and meal planning. Staff supported residents to develop positive relationships with other residents and to keep in touch with relatives. Staff were aware of issues relating to specialist communication needs. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 13 Most of the residents had undertaken courses at college over the last academic year and all were registered to attend from September. Some of the residents were taking part in summer college courses. Courses included cooking, gardening, flag making, art and independent living skills. All the residents accessed the community on a regular and often daily basis. They used the local shops, went into the nearby towns to do shopping, go to the hairdressers and for meals out. Several residents went to a local pub for drinks and meals out and to play indoor bowls. Activities included regular trips out, walks, bowling, swimming and one resident went to a local golf driving range. Within the home residents had their own TVs and music facilities in their bedrooms. The home also had a range of games, and equipment for drawing and writing. The home had TV and video facilities. Residents confirmed that they were involved in choosing activities and were able to choose the things they wanted to do. All residents had been on holiday to Wales and plans had been made for some to have a further holiday later in the year. Staffing levels were flexible to enable activities to take place both in the evenings and for spontaneous activities to occur. The home had its own transport, a car and a people carrier. Residents stated that they were involved in meal planning and that although there was a weekly menu they were able to have something that was not on the menu. The menu was quite flexible taking into account trips out and who was present in the home at mealtimes. The home provided a varied menu, which took into account healthy eating and residents’ preferences. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 The systems in place provided the necessary support to ensure that the personal care needs of the residents were met in a manner that respected their privacy and dignity and promoted their independence. Whilst the home supported the residents to access GP and specialist health care services the home needed to ensure that all residents had the necessary dental checks and eye tests. Whilst the home had suitable systems in place for the administration of medication the home needed to ensure that all medication administered was correctly recorded thus ensuring that the medication needs of the residents were being fully met. EVIDENCE: The personal care and health care needs of the residents were identified in their care plans. The actions needed by staff to support residents were shown. Staff had a good understanding of the residents’ needs and were aware of issues relating to maintaining privacy and dignity and in supporting residents to be as independent as possible. Observation showed staff interacting positively with residents, showing them respect and listening to their views. Residents confirmed they had a good range of clothing and that their hair and nail care was attended to. The home funded a psychiatrist that visited monthly or more often if required. The home had a key worker system in place and
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 15 residents were aware of their key worker. One resident used the services of an advocate. The residents attended the local GP surgery and had access to their services including counselling. Residents were supported to attend for hospital and medical appointments. Residents received chiropody care but the records seen did not confirm that all residents had received dental and eye checks. The weight of residents was taken regularly and any necessary changes identified through weekly and monthly evaluations. The home operated a monitored dosage system for the administration of medication. Medication was being stored appropriately. An examination of the medication administration records showed that they were a small number of gaps that did not show that medication had been administered. Staff had received some basic training in the administration of medication from the chemist supplying the medication. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home’s complaints system was satisfactory providing residents with the opportunity to have their concerns heard and acted upon. The home’s protection procedures and the information provided to staff should protect the residents and ensure that any incidents are appropriately responded to. EVIDENCE: The home had a complaints procedure in place and all residents were provided with a copy. The home provided opportunities for residents to raise issues both through house meetings, individual discussions and monthly questionnaires. The residents spoken to felt listened to. The responsible individual visited on a monthly basis and spoke to residents. The home had developed links with an advocacy service. The home had received no complaints since the last inspection. The home had an adult protection procedure in place and all staff were required to read this document. Adult protection was part of the staff induction programme. The recruitment process ensured that staff were checked against the POVA list and were subject to a CRB check. The home had procedures in place to respond to incidents of aggressive or challenging behaviour. Most staff had received the necessary training in physical intervention and another course was planned. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25, 26,27,28 The home had a high standard of accommodation, both private and communal, providing residents with a homely and comfortable place to live. Bedrooms provided residents with good-sized accommodation that respected their privacy and provided them with the opportunity to make the room reflect their interests and personalities. Whilst the home was providing the residents with a clean environment it needed to ensure that paper towels were always provided in the communal toilets. EVIDENCE: The home provided a good standard of accommodation. The home had suitable communal rooms having a lounge, separate dining room and large kitchen. All bedrooms were for single occupancy and had ensuite facilities. Externally the home had a rear garden that had seating for the resident. The garden was fenced providing a secure setting. The home was furnished and decorated in a homely and domestic style throughout. The home was well maintained and the home had access to a maintenance person.
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 18 Bedrooms were of a good size and provided good private accommodation. Bedrooms were lockable and two of the residents chose to lock their bedrooms. Bedrooms had suitable furniture and had TV aerial points. Most residents had their own TV in their bedrooms. One resident had tea-making facilities in their bedrooms. All bedrooms were highly personalised showing the individual interests and personalities of the occupant. The home had two separate toilets and a bathroom with shower over and toilet. The separate toilets had facilities for paper towels but one dispenser was empty. The home had a small laundry that was suitable to meet the needs of the residents. The home was clean and tidy. Staff confirmed that there were supplies of aprons and gloves. Some infection control information was provided as part of the induction training. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34 The home’s staffing levels were able to provide the necessary support for residents to be able to have their individual needs met and to provide them with the support to regularly access community activities. The residents were benefiting from staff that were well motivated and aware of the residents needs but an increase in qualified staff could lead to a more highly skilled and knowledgeable workforce. Whilst the home’s recruitment procedure was to ensure that all preemployment checks were completed the home needed to ensure that these documents are always provided in order to protect and support the residents. EVIDENCE: The staffing levels were suitable to meet the needs of the residents some of whom at times required 1:1 support. The home had a minimum staffing level of three care staff and a manager on duty throughout the day but this could rise to 5 or 6 staff on shift to provide residents with support to attend college, and to undertake regular trips into the community. The homes’ staffing levels allowed good flexibility for staff to be provided at times needed by the residents. Night cover was for one waking night care staff and a sleep in member of staff. The home had increased the number of permanent staff since the last inspection.
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 20 Staff were observed relating positively with resident and there was relaxed interaction between staff and residents. Staff spoken to were aware of the individual needs of the residents. Staff were well motivated. The home had a low number of staff trained to NVQ level in part due to being let down by training providers. Plans were in place for staff to receive this training through a local college. The examination of personnel files showed that prospective staff completed application forms and a health questionnaire. Files showed that satisfactory CRB and POVA checks had been completed. References were present on file although one file only had one reference available. All new staff undertook induction training. Staff had an individual training programme that identified the type of training required. The home had recently undertaken a training analysis and the home was awaiting the outcome of this. Training identified was relevant to the needs of the residents and included specialist training covering the specific conditions of the residents and methods of responding to behaviours that challenged. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 The home’s systems for monitoring and evaluating the service provided the information for the home to be developed to provide a better care experience for the residents. The home provided an environment where the health and safety of the residents was protected. EVIDENCE: The current manager has been in post since March 2005 and was in the process of being registered with the CSCI. The home has a number of quality systems in place. These include a range of monthly audits including evaluating care plans, risk assessments, checking environmental issues and staffing issues. The home also undertakes monthly resident questionnaires and the residents have regular meetings. These measures assess the quality of service and the views of the service from the
The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 22 residents’ point of view providing the home with the information to develop the service. The home had a Health and Safety procedures in place. The additional visit that took place in May 2005 identified that the home was undertaking the necessary fire checks and fire drills. Staff had undertaken fire training and this was provided by an outside company that specialised in fire training. A risk assessment had been put in place to address the safety of staff. Windows had restrainers fitted and all hot surfaces had been covered. The water was kept at temperatures within the required range. All baths and basins had regulators fitted. The home had a secure garden providing the residents with a safe area for sitting. Staff had received the necessary training in aspects of health and safety including food hygiene, lifting and handling and first aid. Hazardous substances were stored securely. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 4 3 4 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 4 4 4 4 4 x 2 Standard No 11 12 13 14 15 16 17 3 4 4 4 x x 3 Standard No 31 32 33 34 35 36 Score x 2 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
The Old Post Office Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 24 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. 2. 3. 4. 5. Standard 19 20 30 32 34 Regulation 13(1)(b) 13(2) 13(c) 18(1)(c )(i) 19 (1)(b)(i) Requirement To ensure that residents have sight tests and dental check up To ensure that the adminstration of medication is correctly recorded To ensure that the paper towel holders in the communal toilets are kept stocked. To show progress in increasing the number of staff trained to NVQ level 2 or above. To ensure that all preemployment checks are made and that the documents are kept on file Timescale for action 14/9/05 28/7/05 1/8/05 1/9/05 28/7/05 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 20 &30 Good Practice Recommendations To consider staff receiving more indepth training in infection control and in the safe handling of medication. The Old Post Office E51-E09 S57119 Old Post Office V241326 270705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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