Inspection on 16/10/07 for West Bank Care Home

This inspection was carried out on 16th October 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

West Bank Care Home 06/11/09

West Bank Care Home 15/10/08

West Bank Care Home 23/01/07

West Bank Care Home 17/05/06

West Bank Care Home 16/01/06

West Bank Care Home 11/05/05

West Bank Care Home 08/11/04

West Bank Care Home 26/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 West Bank Care Home 21 Crow Tree Lane Bradford West Yorkshire BD8 0AN Lead Inspector Linda Trenouth Unannounced Inspection 16 October 2007 09:30 th West Bank Care Home DS0000001145.V344901.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 West Bank Care Home DS0000001145.V344901.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. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Bank Care Home Address 21 Crow Tree Lane Bradford West Yorkshire BD8 0AN 01274 547864 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) kimhjomeen@yahoo.co.uk Mr Sariff Jomeen vacant post Care Home 10 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (5), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2007 Brief Description of the Service: West Bank is a care home for adults who are recovering from a mental illness. The house has been converted to provide accommodation for male and female adults under and over the age of 65 years. A lounge and dining room are situated on the ground floors. Two domestic style bathrooms and three single toilets are situated over the three floors. The home is close to public transport and some parking is available within the grounds. There is a large garden with a summerhouse, which can be used by people living in the home. The fees charged are between £314.30 and £428.40 per week. Some of the extras charged for are transport, cigarettes, and clothing. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We visited the home unannounced and stayed for approximately 6 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. The deputy manager was available throughout the inspection. During the visit we looked at the records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure that the home continues to provide a good standard of care. We sent comment cards to people living at the home, relatives, visitors, and spoke to social and health care professionals, to give them the opportunity to comment on the service. Four comments cards were received from people who live at the home. The owner of the home completed a self-assessment form called an AQAA, which is information we ask for every year and is used as part of the inspection process. We talked to the deputy manager at the end of the inspection and contacted the owner later in the week about the outcomes of the inspection. Requirements made during this visit can be found at the end of the report. What the service does well: People are given good information about the home and a contract before they move in, which helps them decide if the home is what they want. People living at the home say, and comment cards confirm, that people feel that the staff are kind and helpful. People say that they their healthcare is good and health care professionals feel the staff do a good job making sure personal health needs are supported. Staff training is important to the home and over 50 of staff have completed NVQ (National Vocational Qualification) or an equivalent training. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. West Bank Care Home DS0000001145.V344901.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 West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People are given good information and full assessments are completed before they move into the home, which makes sure that their needs can be met. EVIDENCE: The care records confirmed that everyone is given a service user guide and a completed contract. This makes sure that people are well informed about their rights when living at the home. People living at the home and staff say that everyone has the opportunity to look around the home and stay before they make a decision to move in. People’s needs are assessed before coming into the home by the care management teams in their local area, this is to make sure that the care home can meet all the needs of the individual. West Bank Care Home DS0000001145.V344901.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People are not always involved in making decisions within their care plans and planning the care and support they receive. EVIDENCE: The care plans have improved but need to develop further by giving more detail about what care and support each person needs. The care records of one person with mental health problems contain only a very basic care plan that does not include any detail about the person’s mental health needs. The guidance for staff regarding his condition was: “keep an eye on him if he gets depressed,” the plan did not guide staff in how to care for that person. Although there is some detailed information from the placing authority about the person’s mental health needs and required level of support, this information had not been transferred into the person’s care plan. This could lead to staff not being aware of signs that the person was becoming unwell and could lead to delays in addressing any health needs. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 10 The staff review the care plans but they must also be reviewed with the individual (including family, friends and advocates as agreed with them) a minimum of every six months. This is to make sure that any changing needs are identified and that people and their representatives are fully involved in any changes to their care plan. Where individual rights and liberty are restricted this must be part of an ongoing risk assessment and regularly reviewed. For example restricting people’s cigarettes, managing their personal allowance and limiting their access beyond the home, are all matters that must be discussed and agreed with the individual and then recorded in the care plan. This is to make sure that everyone is involved in all aspects of decision-making in their lives and their rights are always protected. In previous visits to the home the sharing of a bedroom has been discussed. The home has one shared bedroom which permanent and short stay residents have shared. People must be properly supported and given a choice in deciding if they want to share a bedroom. One individual has had to share with three different people during the last year. All the staff require mental health and care planning training to meet the needs of everyone living at the home. West Bank Care Home DS0000001145.V344901.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 People who use the service experience adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People who use services are not able to achieve their full potential, independent living skills are not seen as important and staffing levels do not give time to support individuals helping them in their personal development. EVIDENCE: People and staff say that there are some board games, dominoes, and bingo that they can play. They also said that they had been offered two trips in this year to Skipton and Knaresborough. Some of the people are independent and come and go freely from the home and do not want anything organised for them. Others like to spend time in their rooms where they listen to music and watch television. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 12 One person said that a new TV with free view had been put in the lounge and now he had 88 channels of TV to watch. This is clearly something that he and others value. People at the home say that they are buying some fireworks to have a fire work display in the garden. They say that this was very enjoyable when it was held last year. There is a written record of activities, however this is an account of what the people do and arrange themselves. There is no record of individual planned activity. One health care professional commented: “there is little activity and organisation of events for people living at the home.” On each shift there are two staff in the home. The two staff on duty during the day clean the home and prepare all the meals, as well as providing all the care and support to people. The staff say that they do sit with people and spend time talking to them in the lounge and dining room. Because the staff clean, cook and care this does not provide enough time to support people in their individual interests. Staff say that they have to double lock the doors when they are cleaning, as they are not able to always watch one person who is at risk of absconding. One staff member must always be with people in the communal areas of the home to make sure they are safe. The owner must check with the fire officer that locking the fire exit in this way is safe. Staff need clear guidance about how to support and enable people and promote their independence. However it is very difficult for staff to support people in this way when there are only two staff on duty. The owners need to look at ways in which people can be given opportunities to take part in different activities both in the home and the community. Some people in the home could be more involved with day-to-day tasks such as cleaning their own room, preparing food and managing their own laundry. The deputy manager felt that the individuals are not really interested in helping in the home. The menus are planned weekly and displayed for everyone to see. The main meal of the day is at teatime. The people say that the food is good with plenty of variety and they all get enough to eat. People say that on a Sunday they have a roast dinner. People at the home say that if they miss a meal, i.e. if they are unexpectedly late back staff will make a sandwich of their choice. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 13 During the morning some people made drinks for themselves and some helped others to have a drink. They say that the drinks are at set times but they can make a drink in between these times if they want. This is important to make sure that people have choice and are not constrained by rules or routines in the home. A new menu has been devised and some ideas from people living at the home are put into the menu planning. One person said that he had asked for some different puddings i.e. “jam roly poly” and this has been arranged. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The staff make sure that the people’s health care needs are met. EVIDENCE: The care records show that people have regular monitoring of their health needs and contact with healthcare professionals. Staff said they thought the home is good at consulting healthcare professionals when they want advice and support. The medication is locked away and the staff make sure they give and record medication in a safe way. The pharmacist has trained the staff to give medication safely. The medication records are completed correctly. The staff say that they fill in the records when they give the medication. This makes sure that mistakes are not made and that people are safe. The staff said that the pharmacist is very supportive and they feel they could contact him with any queries. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 15 People told me that they are encouraged to use the community health facilities independently, the owners of the home support people where this is necessary. This is important in maintaining a person’s independence. One health care professional spoken to felt that staff had worked very hard to encourage personal hygiene and meet the health needs of people in the home. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Concerns and allegations are responded to promptly and in accordance with the local adult protection procedures, which make sure that people are listened to and are kept safe. EVIDENCE: The complaints procedure is on display in the dining room and is understood by the people living at the home. All the surveys returned stated that people know who to speak to if they are not happy and how to make a complaint. People say that they would talk to the staff or the owners if they had any concerns. There have been no complaints since the last inspection. The deputy manager has notified us where there have been any serious incidents involving people living at the home. There has been one safe guarding referral regarding financial abuse. The police and adult protection are aware and involved and appropriate action has been taken by the owner to protect people at the home. Staff have attended local authority adult protection training. A copy of the local policy and procedure, “No Secrets,” is available for reference. The no secrets information is guidance that has been given to care homes telling people how they can make sure people are safe from abuse. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 17 There is a record of people’s personal allowances. These records show where people sign to confirm that they get their weekly allowance. People we spoke to said they got their money weekly and spent it as they wished. Some people receive other income from additional benefits. The management of these was discussed with the registered provider and followed up with the individual’s social worker. This is to make sure that everyone is getting all the money that they are entitled to. People also have locks to their bedrooms doors and the owner of the home is arranging for them to have a lockable cash box in their room. This is important to ensure that people can make sure their money is safe. One person said that another individual at the home had hit him on more than one occasion. It was clear from records that individuals at times can be frustrated and aggressive and people may not feel safe. Staff have not had any anger management or challenging behaviour training so they may not have the knowledge and skills to calm down difficult situations. Staff would benefit from training in the managing of aggressive behaviour; this is to make sure that people are protected from harm and feel safe living at the home. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 and 30. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People live in a comfortable and safe home. EVIDENCE: A tour of the building was carried out. Communal areas, bathroom, and bedrooms were visited. The home is clean and tidy and there are no noticeable odours. People who live in the home can walk around and use all communal areas. All the surveys from people who use the service stated that the home is always clean and fresh. People said they are pleased with their bedrooms and understood it was their personal space. A number of bedrooms are personalised and had a lot of items that reflected individual preferences. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 19 The first floor bathroom needs refurbishment; the owner said they are to fit a new bath and shower when they have completed work at their other home. The extractor fan is not working in the first floor single toilet and also needed cleaning. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. People who use the service experience adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The level and skill of staff restricts the ability of the service to deliver person centred support. There is little recognition of the importance of person centred support and personal care is seen as the limit of support needed. EVIDENCE: Staffing levels do not meet the needs of people living at the home. The way the staffing is structured is to provide a minimum of cover without providing support for people to engage in other activities or help them in their personal development. Comments received by a health professional indicate that there are times when staffing levels are insufficient. Staff have also said that they have difficulty in supervising one person who absconds from the home. One person told me that he thinks the staff are always very busy and do not always have time to help him with his problems. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 21 There has been no recruitment of staff since the last inspection and the staff records reviewed at the last visit were complete. The recruitment of staff to the home is therefore safe. Staff have completed adult protection training and four staff have NVQ (National Vocational Qualification) at level 2 and beyond. The home has a small staff team and they have exceeded the 50 of staff required to meet the standard. Staff have completed training and updates in food hygiene and first aid training. The deputy manager has completed a training plan for all the staff. This is good practice. This makes sure that important training and updates are not missed. Staff said they had attended staff meetings and some supervision had taken place. The deputy manager however acknowledged that supervision needed to be arranged more frequently. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 40 and 42. People who use the service experience adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The management of the home has improved and there is a responsible approach to the safety in the home, however the management must make sure that people’s health is sufficiently protected. EVIDENCE: The home is run on a day-to-day basis by the provider who calls in daily and a deputy manager who works full time and lives in the home. This provides consistency for the staff and the people living at the home. Copies of the electrical and gas safety certificates have been sent to the CSCI and are up to date. PAT (Portable Appliance Testing) testing has also been West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 23 undertaken recently. The home fills in their own fire safety assessment for the fire officer. The owners of the home undertakes their own quality assurance monitoring, updating the service user guide, policies and procedures and health and safety monitoring within the home. The home has produced their own quality questionnaires, which people living in the home complete. The staff have delegated responsibilities to check health and safety in the home and a monitoring record has been introduced. Health and safety information is available and the self-assessment form completed by the owner states that all the required safety checks are completed. Incidents and accidents are recorded and the weekly fire safety checks are undertaken and recorded. The management of the home must follow infection control guidance. Staff must have everything they need to make sure they are safe during their work. Appropriate equipment must be provided to staff i.e. gloves for the application of creams and paper towels should be in place for the kitchen laundry, bathrooms, and toilets for everyone. This is to make sure that the risk of cross infection is reduced. Environmental health officers have visited the home and awarded three stars out of a possible five on their environmental health inspection of the kitchen. West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 24 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 3 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 2 25 3 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 x 12 2 13 2 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x 2 x 2 x 2 x West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 25 no 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 YA6 Regulation 15 Requirement The care plans must provide sufficient detail about what care and support people require making sure that their needs are fully met. The care plans must be reviewed regularly in consultation with the individual to make sure that the plan is up-to-date and people receive the support and care they want. Where individuals make a decision to share a room this must be made with the support of a relative CPN, social worker or advocate and made clear they can have a single room at any time if they wish it. Previous timescales not met 30/04/07 There must be more person centred activities. This is to make sure that people have the opportunity to live fulfilling lives and have opportunities to reach their full potential. The first floor bathroom must be refurbished to provide comfortable and safe bathing facility for people living at the DS0000001145.V344901.R01.S.doc Timescale for action 01/01/08 2 YA6 15 01/01/08 3 YA7 12 01/01/08 4 YA12 16 01/04/08 5 YA24 23 01/04/08 West Bank Care Home Version 5.2 Page 26 home. 6 YA33 13 The staff must have training in mental health conditions and care planning. To make sure that people are protected from harm and feel safe living at the home. There must be adequate staffing levels to meet the needs of the people in the home. Previous timescales not met 31/03/07. The staff must have regular supervision this is to make sure they are properly supported to do their job safely. The staff must have training in the management of potential physical and verbal aggression. To make sure that people are protected from harm and feel safe living at the home. Previous timescales not met 31/03/07. The staff must make sure that they adhere to infection control guidance to make sure that everyone’s health is adequately protected in the home. 01/04/08 7 YA33 18 01/01/08 8 YA36 18 01/04/08 9 YA32 18 01/04/08 10 YA42 13 01/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI West Bank Care Home DS0000001145.V344901.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!