Inspection on 18/12/06 for West Heanton Ltd - Residential Home

This inspection was carried out on 18th December 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.

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

CARE HOMES FOR OLDER PEOPLE West Heanton Ltd - Residential Home West Heanton House West Heanton Buckland Filleigh, Shebbear Beaworthy Devon EX21 5PJ Lead Inspector Andy Towse Unannounced Inspection 10:00 18 December 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address West Heanton Ltd - Residential Home DS0000068101.V312709.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 Older People. 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 Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Heanton Ltd - Residential Home Address West Heanton House West Heanton Buckland Filleigh, Shebbear Beaworthy Devon EX21 5PJ 01409 281754 01409 281585 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) West Heanton Ltd Thomas Geoffrey Bond Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: West Heanton is an older style property which has been converted into a residential care home for up to 22 elderly people. The home is situated in a rural area in its own well maintained grounds. grounds. The home has various lounge areas and a separate dining room. All areas can be accessed either by stairs or by use of a chair lift. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over a period of seven hours. Prior to the inspection surveys were sent out by the Commission for Social Care Inspection (CSCI). These surveys asked residents about what it was like to live at the home and the perceptions of staff and professionals regarding the service. Responses to the surveys were received from 18 residents, 8 staff and 3 professionals. The registered manager also supplied written information prior to the inspection. This information was supplemented at the inspection, by a tour of the premises, inspection of records, including care plans and further discussion with staff, the management and the residents themselves. Copies of previous inspection reports were available for residents, visitors and staff as they were in the entrance of the home. Fees charged for residing at West Heanton vary from £340.00--£400.00 per week with additional charges being levied for things such as hairdressing, chiropody, aromatherapy, transport, toiletries and newspapers. What the service does well: The home has a good medication system and encourages residents to manage their own medication wherever possible. There are good relationships with healthcare professionals. The home ensures that visitors are made welcome. The home operates a good complaints procedure with residents feeling confident that they can approach the management and staff should they want to raise any concerns. West Heanton is a clean, well maintained home which meets the the needs of its residents. The manager is competent and the safety of residents is ensured by appropriate policies, procedures and the maintenance of equipment. West Heanton Ltd - Residential Home DS0000068101.V312709.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 Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good admissions policy however this needs to be more comprehensively recorded. Residents and their relatives can make informed choices about moving into the home. EVIDENCE: Three residents were case tracked. This means that their files were inspected and they were spoken to in order that a clear picture of their life at the home could be understood. One resident said that he/she had chosen which room to occupy. This resident was aware of the home having previously visited a West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 9 relative who had lived there. As part of the admissions process this resident’s son also came and looked around the home on his/her behalf. Another resident spoke of choosing the home has he/she knew the owners and knew that the home had a ‘good name’. This resident also spoke of having been given a booklet about the home which assisted him\ in making a decision about moving into the home. Another resident spoke of his/her son coming to look round the home on his/her behalf. One resident’s files showed that the home had received, prior to admission, full details from a general practitioner of the person’s medical history and needs together with a further assessment from healthcare professionals. This gave the home enough information to assess whether the home could meet this person’s needs prior to deciding whether to admit him/her. The file also showed that on the day of admission the home undertook a full assessment of the resident themselves. The needs of another resident were well known to the home as this person had previously lived in the sheltered accommodation run by the owners of the home, which is on the same site as the home. Another resident had been admitted from hospital and had a nursing referral compiled on the date of admission to the home and another who had been admitted from home had a referral compiled the day after admission. Both these resident were said to be known to the owners of West Heanton and although home visits were said to have been carried out as part of the admissions process there was no record of these on file. One resident’s file was seen to contain an assessment carried out five days after admission. This home does not offer intermediate care. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health needs are well met through care plans, good relationships with healthcare professionals and an appropriate medication policy. EVIDENCE: Residents have care plans. When spoken to residents were aware of their care plans. The registered manager said that either he or a named senior carer went through the care plans with each resident. One said that he/she was aware of the care plan and had seen it. Entries in records combined with discussion with both residents and staff confirmed that there was regular contact with healthcare professionals such as general practitioners, district nurses and specialist nurses. Specialist support was seen to have been obtained from psychiatric nurses and diabetic nurses. At the time of the inspection, the home was reviewing procedures relating to West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 11 the care of residents with diabetes and were working alongside a community nurse to do this. A response from a professional confirmed that the relationship between the home and healthcare professionals was ‘excellent.’ Care plans were were seen to be reviewed and where appropriate had been altered to reflect the changing needs of the residents concerned. This also included contact with general practitioners regarding changes in medication to meet changing behaviour of residents. The home does not operate a key worker system. This had been tried previously but discontinued as the registered manager did not consider that it was the most effective way of delivering care. The home has an appropriate medication policy. The registered manager said that it had been amended to incorporate advice and recommendations given by the CSCI pharmacist. The home encourages residents who are assessed as being capable of administering their own medication and who wish to take on this responsibility to do so. Such residents have on their files signed forms accepting this responsibility. All other residents have on their files forms which they had signed giving their permission for the home to assume responsibility for the management of their medication. Staff were seen preparing medication. This is done in pairs which means each preparation is double checked. The medication storage cupboard was well laid out with each resident’ s medication being kept in separate well labelled containers which ensures that medication is both kept safely and easily accessed by relevant staff. There is appropriate storage for controlled drugs and an appropriate procedure for its administration which staff are aware of. Records of administered medication were well maintained. In discussion staff showed that they were aware of how to ensure that residents’ privacy and dignity were maintained. A resident confirmed that the staff would call a doctor if required and that the doctors saw him/her in his/her bedroom thereby ensuring his/her privacy. This was further confirmed by the comment made by a general practitioner who wrote that, ‘staff at this home treat clients with dignity and great expertise’. Observation showed that this home obtained the necessary equipment to promote the health and welfare of residents. An example of this was one resident who had been supplied with a specialist bed to minimise the possibility of pressure sores developing. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 12 West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy activities and social life which meets their needs and expectations. Residents’ visitors are made welcome. Residents enjoy a varied and nutritious diet. EVIDENCE: Positive responses were received from most residents about activities in the pre inspection survey, with over half of the 17 respondents saying that they always enjoyed the activities available to them in this home. In their responses to the pre inspection survey, one member of staff when writing about what they considered the home did well, wrote that the home offered, ‘activities which the residents really love.’ West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 14 Residents spoke about being involved in the community and referred to trips out to Atlantic Village and a local village, going out shopping and for tea. Information supplied by the registered manger showed that residents had access to the local mobile library, regular visits by students from the local college and during the year trips out to events in the local village of Langtree, an arts centre at Torrington, various garden centres and to local village events such as Whist drives and flower shows. Discussions with residents confirmed that they are free to follow religions of their choice which is facilitated by visits to the home by clergy of different denominations. One resident said that he/she liked being at the home because of the freedom it gave him/her, saying that staff ‘didn’t interfere’. From observation it was seen that residents were free to go anywhere in the home. Individual rooms had been personalised and residents are encouraged to bring with them furniture and items of sentimental value. During conversation two residents said that they regularly had visitors and that their visitors were made welcome at the home. This was seen during the inspection when a visitor confirmed that he/she could visit at any time and later a member of staff was seen taking a tray of refreshments to a resident who was entertaining a visitor in his/her bedroom. The meal on the day of the inspection was seen to be well presented and looked appetising. Residents spoken to were complementary about the food available. This comments were confirmed by responses from residents to the pre inspection survey when 8 of the 17 responses said that they usually liked the meals in the home and 7 said that they always did. One resident said that having resided previously in several other care homes, this was the one which provided the best food. Residents were seen to be able to choose where to eat, with some confirming their choice of eating in one of the smaller lounges rather than in the dining room. Meal times were observed to be relaxed occasions in pleasant surroundings. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s complaints procedure and a staff group who are aware of what constitutes abuse and how to respond to it. EVIDENCE: The home has a clearly written complaints procedure. It is displayed in the entrance hall to the home so that it can be seen by both residents, their relatives and other visitors to the home. A copy of the complaints procedure is included in the Service User’s Guide which has been updated earlier in the year by the registered manager and circulated to all residents. The procedure for complaints is referred to as a ‘Complaints and Suggestions’ Policy and as well as offering residents or other stakeholders the opportunity to raise complaints it also gives them the opportunity to make suggestions which they feel would be of benefit in the running of the home. In discussion with three residents they all said that should they wish to make a complaint they would feel confident in approaching the manager. This was confirmed in their responses to the pre inspection survey when of the 16 West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 16 responses, all said that they would ‘always’ or ‘usually’ know who to speak to if they were unhappy or wanted to make a complaint. Another resident said he’d ‘tell them if things weren’t right’ and added that the registered manager was ‘easy to talk to.’ Three staff were spoken, during which part of the discussion was about protecting vulnerable adults from abuse. All the staff were able to give well thought out examples of what constituted abuse, which as well as physical and financial also included neglect and verbal abuse. They were also aware of who to contact should they suspect abuse was occurring. Staff however were not aware of the home’s ‘Whistle Blowing’ Policy and the protection it offered those who report bad practice. The home has however scheduled training in the protection of vulnerable adults to take place on 25th. January 2007 which will ensure that residents are cared for by staff who have received appropriate training to safeguard them from abuse. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, well maintained environment which meets their needs. EVIDENCE: West Heanton is a well maintained home. Residents occupy single occupancy rooms mainly with ensuite facilities. When rooms are shared this is only at the expressed wishes of residents. Bedrooms were seen to have been personalised and all have views over the surrounding countryside. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 18 The home has various communal areas where residents can choose to spend their time. Although building work is going on at the home, this has been done in such a way as to not inconvenience residents. The home is on two floors which can be accessed by use of stairs or a chair lift. Externally the home has its own level, well maintained gardens which can be accessed by residents. Internally the home has adaptations which make it suitable in meeting the needs of those who live there. Since the last inspection the kitchen has been improved with the installation of new units, cooker and floor. On the day of the inspection the home was seen to have a good standard of hygiene and cleanliness. This was substantiated by the responses received from residents to the pre inspection survey, where 15 of the 17 responses said the home was always clean, with the remaining two saying it usually was. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by appropriately trained staff in numbers sufficient to meet their care needs although staff perceive that for more 1:1 interaction additional staff would be required. The home’s recruitment procedure has now been amended to ensure the safety of residents. EVIDENCE: Of the eight staff who responded to the pre inspection survey, all commented on issues relating to staffing levels. Most were requesting higher levels of staffing to ensure that they could offer residents more 1:1 involvement. Of the seventeen responses received from residents regarding whether staff were available to meet their needs, twelve considered that they were ‘always’ available, three thought they were ‘usually’ available and two ‘sometimes’ available. Some residents however did make comments such as , I think this is a happy home but staffing needs to be kept high to maintain the standard,’ and that ‘staff rushed …’ and thereby overlooked certain work oriented issues. Discussion with staff confirmed that none considered that staffing levels put residents at risk but that they would like higher staffing levels to afford them West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 20 more quality time with residents, involving them in 1:1 activities rather than predominantly task oriented work. Residents spoken to confirmed that they were ‘pleased’ about the way they were looked after. One said ‘they’ll bath us, wash our hair, they’re good to us.’ They also said that they considered that there were enough staff to meet their needs. The registered manager was aware that some staff thought that additional hours should be available at peak times during the day and had made arrangements to meet this perceived need which, at the time of the inspection some staff were already aware of. Information supplied by the registered manager prior to the inspection showed that the home has less than 50 of its care staff with NVQ 2 qualifications, but will exceed the 50 target when those currently on undergoing training complete their NVQs. Staff have also undergone mandatory training in subjects such as fire safety, first aid, food hygiene and infection control with protection of vulnerable adults training scheduled for January 2007. The home had a generally effective recruitment procedure. The registered manager personally interviewed new staff. Examination of the files of three recently recruited staff showed that they had all produced two appropriate references, there were photographic and other items confirming their identities, and where police checks had been applied for but not received, the registered manager had carried out risk assessments regarding the suitability of staff to work whilst under supervision. He had not however applied to ensure that the newly recruited staff had been checked to see if they were on the Protection of Vulnerable Adult (POVA) register. This check should be carried out as anyone who is included on this register has been found unsuitable to work with vulnerable adults. It is now a requirement that prior to commencing employment all staff must be checked to see if they are on this register. The registered manager was made aware of this requirement and took immediate action to ensure that the recruitment policy would ensure that all newly recruited staff had POVA First checks before commencing work at the home. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a competent manager who has taken appropriate action to ensure the health and safety of residents and has sought their views regarding the development of the service. Staff would benefit from regular formal supervision. EVIDENCE: The registered manager had over 18 months experience of managing this home prior to his being registered. He is currently studying for his NVQ 4 and Registered Manager’s Award. He anticipates completion of these two qualifications in February and August 2007 respectively. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 22 He also has IT qualifications and expertise which he has put to good use in designing forms and anticipates introducing IT recording in the home which will simplify access to records and encourage staff to play an important role in record keeping. Since becoming the registered manager he has demonstrated competence in managing the home using both his experience and qualifications for the benefit of staff and residents. The registered manager has yet to introduce a system of regular, formal staff supervision. The registered manager has introduced a Quality Assurance system into the home. This comprises a questionnaire to residents about their perceptions of their rooms, the standard of food, the staff and the appropriateness of daily routines within the home, the complaints system and the activities available. This registered manager circulated this questionnaire in February 2006 and has collated the results. Some of the findings, such as those relating to activities within the home have been addressed at the Residents Forum. The Residents Forum takes place every 8 weeks and provides an opportunity for residents to be involved in discussing future events and developments within the home. The minutes of a recently held meeting showed that residents had discussed activities, flu injections, blinds and curtains for the conservatory and choices for meals. Feedback from these`meetings is contained in newsletters which are printed by the manager and circulated to residents. Residents’ financial welfare is safeguarded by the home’s policies relating to money, the acceptance of gifts by staff and the requirement that staff are not involved in the compilation of wills. Wherever possible residents take responsibility for their own finances and where the home holds valuables or monies on behalf of residents appropriate records of all transactions are maintained. Information supplied by the registered manager confirms that the home takes all necessary action to ensure the health, safety and welfare of residents. West Heanton Ltd - Residential Home DS0000068101.V312709.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 West Heanton Ltd - Residential Home DS0000068101.V312709.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 OP36 Good Practice Recommendations It is recommended that the registered manager introduces a system of regular, formal, written supervision for care staff. West Heanton Ltd - Residential Home DS0000068101.V312709.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Heanton Ltd - Residential Home DS0000068101.V312709.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. 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