Inspection on 26/09/06 for Wakes Hall

This inspection was carried out on 26th September 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wakes Hall 30/08/07

Wakes Hall 21/02/06

Wakes Hall 09/11/05

Wakes Hall 21/12/04

Wakes Hall 14/06/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Wakes Hall Wakes Colne Colchester Essex CO6 2DB Lead Inspector Ray Finney Final Unannounced Inspection 26th September 2006 10:00 Wakes Hall DS0000017991.V314552.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 Wakes Hall DS0000017991.V314552.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. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wakes Hall Address Wakes Colne Colchester Essex CO6 2DB 01787 222044 01787 222649 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) SCOPE Mrs Carrie Nicola Irvine Care Home 28 Category(ies) of Learning disability (28), Learning disability over registration, with number 65 years of age (9), Physical disability (28), of places Physical disability over 65 years of age (9) Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability, who may also have a learning disability (not to exceed 28 persons) Nine persons of either sex, aged 65 years and over, who require care by reason of a physical disability, and who may also have a learning disability, whose names were made known to the Commission in March 2003. The total number of service users accommodated in the home must not exceed 28 persons 21st February 2006 3. Date of last inspection Brief Description of the Service: Wakes Hall is a large Georgian building situated in a rural community near the village of Wakes Colne. The nearest main town of Colchester is approximately eight miles away. Local facilities include a public house, a post office and public transport links. Although gaining access to these facilities is difficult for people using wheelchairs, the service users have use of appropriate taxi services and the home’s own specially adapted vehicles. Wakes Hall has large grounds and gardens. There are seven self-contained bungalows, one with double bedroom facilities. These bungalows accommodate service users who may be preparing to move from Wakes Hall to more independent accommodation. The main building has been converted to meet the needs of people with physical disabilities and has twenty single bedrooms on two levels. The second level is reached by a passenger lift. There are three bathrooms, four showers and ten toilets. The home is divided into two smaller units within the main building. Each group has separate facilities, which include a living room, a kitchen and a dining area. The home has a day care centre attached with a separate entrance. service users at Wakes Hall use this facility for activities and meetings. The Information about the service may be obtained by contacting the manager. The home charges between £466.76 and £1,323.67 a week for the service they provide. This information was given to the Commission in September 2006. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. Documentary evidence was examined, such as staff rotas, menus, service users’ care plans and staff files. Completed surveys were received from service users. Overall comments received from service users are positive: “It’s good, Wakes Hall”. A visit to the home took place on 26th September 2006; this included a tour of the premises, discussions with service users, members of staff and the manager and observations of interactions between service users and members of staff. On the day of the inspector’s visit the atmosphere in the home was calm and welcoming and the inspector was given every assistance from the registered manager, Carrie Irvine. What the service does well: What has improved since the last inspection? What they could do better: The manager is aware of the need to continue making improvements to the environment, especially as the building is old and needs further improvements. This work is already in progress. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 6 Some improvements should be made to the medicine administration record sheets by ensuring individual service user’s sheets are separated by dividers that contain photographs of service users. This improvement was discussed on the day of the inspection visit and is also planned. 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. Wakes Hall DS0000017991.V314552.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 Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users are admitted on the basis of a full assessment. EVIDENCE: On the day of the inspection visit the manager discussed the assessment process with the inspector. There have been no recent admissions but the manager has some referrals being considered at present. The information provided shows that the manager has a good awareness of assessment and the documentation around the process is appropriate. Four service users’ records examined show comprehensive assessments of needs are in place. There is good evidence that individual needs being assessed are linked to care plans (see evidence for National Minimum Standard 6). Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives. Service users are supported to take risks within the limitations of their capacity to understand. EVIDENCE: The standard on care planning was met when last looked at and further evidence examined at this inspection visit shows that the home continues to provide a good standard of care, taking individual needs and choices into account. A sample of four service users’ records were examined and all contain detailed information about the individual needs of service users and how they prefer to have personal care provided. Care plans examined cover physical needs, health, daily routines, moving & handling, choice/decision making, dietary needs, communication, relationships, religious and cultural needs. One care plan uses photographs to show the correct use of specialist equipment. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 10 Care plans examined are individual and ‘person centred’ and are signed either by the service user or their representatives. There is evidence in the records that annual reviews take place and care plans are reviewed regularly. The manager and other staff spoken with demonstrate a good of awareness of service users’ needs. Staff spoken with and interactions observed between service users and members of staff show that the home supports service users to make choices about their lives. On the day of the inspection visit service user training was taking place. The pilot scheme is happening over three months with both Wakes Hall and another SCOPE home in the area. The facilitator said it is “all about empowerment” and could make a huge difference to the lives of service users. The manager and staff are enthusiastic about the training, which will be evaluated with a view to being extended across the organisation. Discussions with the manager show that the home supports service users to access advocacy services. Service users’ records examined all contain comprehensive risk assessments, both a general risk assessment and other risks specific to the individual service user. Records examined show that strategies are in place to minimise potential risks. Service users are supported to take an active part in home life. On the day of the inspection visit a team meeting took place and staff discussed how to minimise risks for one service user who wanted to cook independently. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users engage in appropriate leisure activities. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied and healthy diet that they enjoy. EVIDENCE: Currently there are no service users living in the home who are able to access paid employment because of their complex needs. However, the home supports service users to take part in a range of activities. The activities programme for October was examined and shows a variety of activities that take place both within the home and in the wider community. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 12 Activities include horse riding, music, ten-pin bowling, trampolining, and ‘Music Unlimited’. Some service users attend Greyfriars College and there is a tutor who facilitates courses in the home. There are courses available in literacy, numeracy, art, cultural studies and computer skills. The home has its own activity centre where a range of activities is available to service users, such as craft and artwork. The home has its own activity centre that is well equipped. There are links with the local darts league, which raises money to provide equipment. Recently they have provided a large flat screen television that is used in the activity centre in the ‘cinema room’. The manager said that service users enjoyed watching the world cup with ‘beer and a curry’ and the atmosphere was great. There is a member of staff who co-ordinates the activities programme. Community facilities such as the park and pubs are regularly used. One service user goes to see Ipswich Town Football matches and others watch Motocross racing. Records examined, staff and service users spoken with and observations on the day of the inspection visit all confirm that the home offers an excellent range of courses and activities that are tailored to meet the needs and wishes of service users. Overall both the activity programme within the home and access to local community facilities is excellent and exceeds the National Minimum Standard. A discussion with the manager confirmed that service users are supported to have holidays of their choice. It had been identified at previous inspection visits that difficulties around insurance cover for staff means that service users who wish to take holidays abroad must be accompanied by agency staff. However, the home ensures that anyone who wants to travel abroad are supported to do so and will make all appropriate arrangements. The home makes sure service users are accompanied by staff who are able to provide appropriate support and who are familiar with the service user’s needs and likes. A canal boat trip is planned for three people in October. There is clear evidence in records examined that service users are supported to maintain family links and personal relationships. Some service users receive regular visits by relatives and others maintain contact by telephone. As previously reported, one service user is supported to maintain family links by going home for overnight stays. Observations of staff interactions show that service users rights are respected; staff do not enter private rooms without knocking first and asking if they can enter. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 13 The arrangement of two separate groups within the main building and accommodation in the bungalows enables the cooks and support staff to tailor meals to meet the individual tastes of service users. As previously reported, service users who are able to comment say that they enjoy the food. The lunchtime meal on the day of the inspection visit was seen to be relaxed and enjoyable. On a tour of the premises, food supplies and storage were examined and there is a variety of food available, including plenty of fresh fruit, salads and vegetables. Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users receive personal support in the way they require and their physical and emotional needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The way service users prefer to receive personal support is well documented in their care plans (see evidence for National Minimum Standard 6). Choices around getting up and going to bed are respected. Observations of interactions between members of staff and service users indicates that service users are supported to make choices in their daily lives. Staff rotas examined show that there is a mixture of male and female staff on duty so that personal care may be provided by a member of staff of the same gender as the service user. Service users are encouraged to have a positive self-image and the service user training around empowerment reinforces this. A tour of the premises confirmed that there is evidence of appropriate aids and adaptations throughout the home, such as overhead tracking, electric hoists, assisted Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 15 baths, electric wheelchairs and standing frames to maximise independence. Records examined show that the home provides a good standard of care in relation to service users healthcare needs. All service users are registered with local General Practitioners and are supported to access healthcare facilities as and when required. Records examined show specialist healthcare support includes physiotherapy, occupational therapy and psychology. Care plans examined contain relevant information about prescribed medication. The home operates a monitored dose system. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately, although the system could be improved by ensuring that individual MAR sheets are separated by dividers containing photographs of service users. The manager raised this issue on the day of the inspection visit and said that she proposed carrying out this improvement. Storage for medicines comprises of two metal cabinets, one for each group, which are securely locked and fastened. There is also a secure fridge for medication that needs to be stored at a controlled temperature, such as insulin. At the time of the inspection visit there were no controlled drugs in use. Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: The home has a comprehensive Concerns and Complaints policy in place, which contains timescales for responding to complaints and information about how to contact the Commission for Social Care Inspection. The manager discussed one complaint that had been received in the past 12 months with the inspector. Documentation around the recording of the complaint and the outcome was examined and has been dealt with appropriately. The home has Adult Protection policies and procedures in place and there is a Whistle Blowing policy to ensure the protection of staff who may wish to disclose any issue of concern. The manager is able to demonstrate a good awareness of responsibilities around protecting vulnerable adults. Records examined show that staff have received training around Adult Protection. Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: Since the last inspection considerable improvements have been made to the environment in the home. A phased Premises Improvement Plan is being carried out; phase one has been completed and phase two is about to commence. A tour of the premises showed that there are new carpets in corridors, on stairs and in some communal areas. Bathrooms have been refurbished, one with a new assisted bath. Toilets are being replaced as part of phase two. The laundry room has been refurbished and there is a new kitchen in the activity centre. Service users’ bedrooms examined all reflect individual tastes and contain ample evidence of personal possessions. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 18 Furnishings throughout the home are domestic in nature and of good quality. The home is clean and bright throughout and is free from any offensive odours. Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are supported by competent and qualified staff who receive appropriate training. Service users are protected by the home’s recruitment policy and procedures. EVIDENCE: At the time of the last inspection more than 50 of care staff held a National Vocational Qualification (NVQ) at level 2 or above, although that figure is now slightly lower at 47 . This was discussed with the manager and the home continues to support staff to acquire NVQ qualifications. Staff spoken with were able to demonstrate a knowledge and understanding of service users needs. The home has a robust recruitment procedure that ensures the protection of service users. The records of three members of staff were examined, including the most recently recruited member of staff. All contain appropriate documentation including application forms, references, Criminal Record Bureau (CRB) checks and required proofs of identity. Discussion with the manager shows that service users are involved in the recruitment process. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 20 Staff records examined show that the home has a broad in-house induction programme and some members of staff are undertaking Learning Disabilities Awards Framework (LDAF) training. The manager provided a Training & Development Needs Analysis for inspection. The home has a comprehensive training programme including Adult Protection, Moving & Handling, Medication, Food Hygiene, Fire Safety, Disability Awareness, Care Planning, Health & Safety, First Aid and Epilepsy. There is evidence in staff files that supervisions are taking place six times a year and annual appraisals are carried out. On the day of the inspection visit, a team meeting took place and the inspector was invited to join the group. Staff spoken with feel well supported. Wakes Hall DS0000017991.V314552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run and had policies and procedures in place to safeguard the rights of the service users. Service users views are taken into account through the Quality Assurance process. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager has a number of years experience and is qualified and competent to run the home. The manager has a City & Guilds 3252 Foundation Management in Care award and also holds a Certificate in Management Studies and a Diploma in Management Studies. She has also completed eight units of the Registered Managers Award that have been verified and now only requires two further units to complete the award. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 22 Throughout the inspection the manager was observed to carry out her role with confidence and she demonstrates an enthusiasm and a commitment to good practice. The home has a Quality Assurance system in place that is based on seeking the views of service users. On the day of the inspection visit the college tutor was spoken with and explained how she uses some of the time spent working with service users to identify choices, likes and aspirations. Quality Assurance is an ongoing process in the home, seeking the views of service users, relatives, staff and other interested parties through a variety of media such as questionnaires, meetings and service user empowerment training (see evidence for National Minimum Standard 7). Evidence was also examined of positive comments received from relatives and one from a healthcare professional. The home provided evidence that the health, safety and welfare of service users are promoted and protected. Records examined show that fire alarms are checked regularly, Fire Drills are carried out and fire extinguishers and equipment was checked in December 2005. The home had a Fire Officer Inspection on 24th July 2006. A log is kept of water temperatures; this was examined and found to be in order. Records examined show that an electrical wiring certificate was issued in July 2006, the lift and hoists were inspected in September 2006, wheelchairs were serviced in January 2006 and COSHH (Control of Substances Hazardous to Health) Assessments were completed in October 2005. Wakes Hall DS0000017991.V314552.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 X 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 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wakes Hall DS0000017991.V314552.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. Standard Regulation Requirement Timescale for action 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 YA32 Good Practice Recommendations The registered manager should continue to support staff to achieve NVQ awards to ensure the home maintains a minimum of 50 of care staff with this qualification. Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Wakes Hall DS0000017991.V314552.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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