Inspection on 27/11/06 for Whitchurch House

This inspection was carried out on 27th November 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

Whitchurch House 22/07/09

Whitchurch House 27/05/09

Whitchurch House 25/11/08

Whitchurch House 14/12/05

Whitchurch House 19/05/05

Whitchurch House 25/10/04

Whitchurch House 14/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Whitchurch House Whitchurch Ross-on-wye Herefordshire HR9 6BZ Lead Inspector Wendy Barrett Unannounced Inspection 27th November 2006 09:40 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 Whitchurch House DS0000024747.V309585.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. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitchurch House Address Whitchurch Ross-on-wye Herefordshire HR9 6BZ 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) 01600 890655 F/P 01600 890655 Mr Keith Arnold Brown Mrs Heather Mary Jones Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Conditions of Registration 1. The home may admit one named service user who has a learning disability. 2. Staff must be trained in the needs of people with a learning disability. . Date of last inspection Brief Description of the Service: The Provider is registered in respect of Whitchurch House to offer residential services to older people over the age of 65 who may be too frail to continue to live in their own homes. Some may have developed some level of physical disability so for example may need to use a walking frame, some may experience occasional confusion associated with mild memory loss. Whitchurch House is a period property which has been extended and is registered to provide accommodation for up to 29 people. There are some bedrooms on the ground floor, others at first floor level. The first floor is in two separate areas, one served by a staircase and lift, the other by another staircase and chair lift.The home is situated in attractive gardens in a rural situation within walking distance of a church and nearby park attractions. It is within the flood plain and following extensive flooding in the area six years ago, in 2000 a floodwall protection system was installed around the home. There are folders of information about the service that are available in each bedroom. A supply of brochures describing the service is also displayed in the front entrance. In October 2006 the fees ranged from £375 to £450. Additional charges are made for hairdressing, chiropody, magazines and newspapers. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information referenced in writing this report was obtained from records about the service and held by the Commission, feedback survey forms returned by residents, relatives and visiting professionals and a pre-inspection questionnaire completed by the Home managers. An inspection visit to the service took place over 2 days in order to obtain additional evidence. What the service does well: What has improved since the last inspection? The premises have been improved by the provision of a safer facility for storing medication, new office and new staff room, external decoration and routine internal refurbishment and decoration. This is part of an ongoing programme to maintain the high standards. There is also ongoing work to improve everyday life for the residents e.g. amending supper menus in line with individual residents needs and wishes, developing medication records so they are in line with the most up to date pharmacy guidance. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 6 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. Whitchurch House DS0000024747.V309585.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 Whitchurch House DS0000024747.V309585.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): 1,2,3,4 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Potential residents, or their relatives, have the information they need to decide if the home will suit them. Senior staff make sure they gather information about each potential resident so that they can assess if the home will be able to meet their needs. The scope of this assessment work should be more consistently applied in all the essential areas and there should be more reference to consultation about the potential resident’s specific expectations and wishes. EVIDENCE: Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 9 Three residents were asked to speak about their admission experience e.g. how much information they were offered about the service, whether they had an opportunity to visit the home before deciding whether to become resident. All the residents said they had received written information about the service. One resident described a glossy brochure with a picture of the home on the front. Another resident referred to a pack of information in their bedroom. A copy of the pack was inspected. It included a Statement of Purpose (dated and signed by the Care Manager when last reviewed in October 2006), a`Service User Guide’, a Complaints procedure, quality assurance and whistleblowing policies and contact details for the Commission. The three residents were less clear about the provision of a contract of residence. One resident didn’t know, and the remaining two residents felt that their relatives would have dealt with it. None of the residents were aware of any changes made to the contract since their admission. It is very usual for residents to leave these type of arrangements to their families and the responses do not necessarily indicate a shortfall in the service provision. Copies of contracts for two of the residents were available at the home. The Provider and the relative representatives signed them. One contract specified a date of revision to the contract and fees were specified in the contracts. The third resident had only recently been admitted to the home. The Care Manager confirmed that funding had been approved but the home was still waiting for documentation from the placing authority. A resident survey form included confirmation of a pre-admission visit – ‘visited for afternoon tea and cakes, to get to know the home’. The managers at the home visit potential residents so that they can assess whether the home will be able to meet their care needs. There are records kept of these exercises and a sample was inspected. The records were not always being fully completed and the scope of information was incomplete in some cases e.g. social history not completed in one case, a mental health assessment undated and unsigned in another. There was limited information about the potential resident’s expectations and wishes so the records did not clarify how much the resident and/or their relatives were consulted. The use of recognised assessment tools should be developed to expand the available information. Whitchurch House DS0000024747.V309585.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 and personal care is well managed and the staff safely handle medication. Care records need more development and consistency to reflect the good practices. EVIDENCE: Every resident has a written plan of care that guides staff in their everyday work. There are some good aspects in the plans e.g. use of a recognised assessment tool to decide if a resident needs particular support to reduce the risk of falls. These assessments are not always being reviewed to be sure they are still relevant e.g. a continence assessment was last reviewed in October 2005. It is important to regularly evaluate the information used in compiling everyday care plans because residents’ needs change over time and there may Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 11 need to be a change to the plan. Nutritional assessments need to be more thorough and a weight record had not been completed for some time. The way the records are kept does not make it easy to find the most recent care plans e.g. a key worker could only locate a bathing care plan in the file. There was an example of an excellent plan of care, signed by the resident and Care Manager, describing assistance needed with washing and dressing. The written records included positive evidence of attention to health care needs e.g records of G.P contacts. Reports made to the Commission between inspections reflect prompt attention to changing conditions and appropriate consultation with other health and social care professionals. Resident survey forms supported this view – ‘excellent care’, ‘staff are very attentive both in supply of appropriate care and, most importantly, socially’. A G.P. commented –‘very good at communicating and are easy to deal with’. All 7 survey responses from health care professionals confirmed confidence in the staff. Improved facilities for storing and securing medication have been introduced since the last inspection. The stock was inspected and records of receipt, administration and disposal identified a clear audit trail. Staff were following good practice guidance in their handling and recording e.g. double checking of handwritten entries, dating containers of medication when first used. The administration sheets were being fully completed e.g. allergy boxes completed, photographs of residents with the administration sheet. A controlled drugs cabinet was appropriately being used to store Temazepam tablets and staff were managing the resident’s specific request regarding the administration of this tablet in a safe, accountable manner. All survey forms received from residents and relatives indicated satisfaction with attention to respect and privacy – ‘residents appear to have some autonomy and choice’, ‘look after the residents with love and respect’. During a tour of the home, the Care Manager showed sensitivity around entering bedrooms that are residents’ private space. A system of identifying a special carer for each resident is operated at the home (key worker). This seems to be working very well – several residents referred to their key worker in survey forms or during discussion at the inspection visit. They clearly felt comfortable and well supported by the nominated key worker. A key worker also demonstrated a thorough knowledge and acceptance of a resident’s individuality. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 12 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 benefit from having a special, named staff member to help them live the way they wish. Relatives feel welcomed and efforts are made to retain links with the local community. Most residents are satisfied with the meals but there should be more assessment of nutritional needs for those who struggle to eat a normal diet. EVIDENCE: A large print notice in the main entrance listed a programme of social activities through November. This included Remembrance Sunday, one to one games, fish n’ chip lunch. The hairdresser was working at the home during the inspection visit. Resident survey forms indicated general satisfaction with social opportunities although one request was made for talks about ‘the olden days’. Care plans need to be extended to address individual social needs and preferences and there should be a daily record of participation (and opportunity, even if refused). A key worker described how she had been to Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 13 look for a resident’s old home and take a photograph for him to keep. This is a good example of responding to the things that are important to the individual. Many of the relatives’ survey forms contained compliments about the attitude of staff and the welcoming atmosphere. A relative commented ‘they give care way beyond their duties to my mother and I can’t thank them enough’. Most relatives confirmed that they can visit residents in private although two did not think they had this facility. The Care Manager informed the Commission of changes and improvements to the service in a letter received in May 2006. This included reference to the amendment of supper menus so that they better reflected the individual needs and preferences of the residents. Some information about dietary needs and preferences is obtained prior to admission. There should be more use of recognised tools to assess nutritional balances for those residents who have eating difficulties or small appetites, because there is a risk of very frail, older people becoming under-nourished. A sample of menus reflected a varied, attractive diet. Most of the resident survey forms confirmed that meals were always or usually enjoyed – ‘wholesome, balanced diet’. One response referred to ‘lack of appetite, lack of choice for dinners and sweets, lack of fresh vegetables, portions too large’. This is a good example where more robust nutritional assessment (in consultation with the resident) could achieve more positive results for the individual. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 14 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, 17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know who to talk to about their concerns and are confident they will be listened to. The staff have the knowledge they need to protect the residents from abuse. EVIDENCE: Three residents were asked if they have enough information to help them make a complaint if they wish. Two residents were not aware of a written procedure although one thought it was probably ‘in the paperwork we were given’. The third resident knew that this could be found in her pack of information in her bedroom. All the residents knew who they could talk to if they wanted to raise concerns. The Care Manager, Deputy Manager and a key worker were all identified as people they felt able to talk to – ‘Yes, I think they’d listen’, ‘everybody’s been nice’. A pack of information was inspected and did contain a copy of the home’s complaints policy and procedure. This had been reviewed and signed by the Care Manager in October 2006. In addition, the pack contained a large printed Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 15 sheet giving the name of the lead Inspector and contact details for the Commission. Staff have received training in abuse awareness and they have written guidance to help them raise concerns relating to the protection of the residents. This includes details of the local multi-agency protocols. Residents also receive a copy of the home’s Whistleblowing procedure so they know how staff are expected to deal with their concerns. The Commission is consulted and informed when accidents and incidents occur at the home. The managers demonstrate a strong commitment to protecting residents in all aspects of their life e.g. a resident was helped to obtain support from an independent advocate, the reasons for falls are explored and action taken if further work is needed to reduce the risk of future incidents e.g. fitting a new carpet to offer the resident more ‘purchase’ when standing up. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 16 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 excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from high quality accommodation that is carefully managed to ensure their safety and comfort. EVIDENCE: The building is maintained to a high standard. The exterior had been decorated since the last inspection and there were a number of examples of refurbishment, redecoration to the interior e.g. new, round dining tables to encourage social interaction, new curtains in downstairs lounges, new fire exit door. There is a new facility for secure storage of medication and a new facility for locking away cleaning materials. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 17 Hygiene and safety factors around the premises are being well managed e.g. a hoist available each end of the building for easy access, supplies of liquid soaps and paper hand towels throughout the building, records of mattress turning, linen changes. The Care Manager pointed out a potential hazard from a gap in a handrail on a stairway. Plans were already in place to fit more rail and this is a good example of a pro-active approach to risk management. The Provider also has future plans to continue improving the accommodation and facilities e.g. new laundry, greenhouse to be sited near the main building and fitted with call bell. All parts of the home were clean, tidy and well presented at the time of the inspection visit. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are generally enough staff but there should be a review of the reasons why sometimes staff and relatives feel this is not always the case. The staff are receiving training opportunities but the way this is managed needs to be more robust. EVIDENCE: There were enough staff on duty at the time of the inspection visit and duty rotas submitted to the Commission reflect an overall satisfactory level. Four relative survey forms questioned the adequacy of staffing levels and two staff felt that there were times when they could do with an extra member of staff. Sometimes this happened when staff didn’t turn up for a shift at short notice. One of the staff commented ‘we could sometimes do with an extra person to address quality areas. Safety is O.K.’ The picture is, therefore, not entirely clear and would be an appropriate area for the managers to explore more thoroughly as part of a self-assessment exercise. This should include consultation with all staff and residents. Notices about training arrangements were seen on the office wall. These related to imminent health and safety training for some listed staff. A preWhitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 19 inspection questionnaire listed various health and safety and professional practice training provided during the previous 12 months e.g. infection control, fire safety, Parkinson’s awareness, in-house hoist training. It also listed proposals for future training e.g. moving and handling, first aid, health and safety. The questionnaire did not include any details of the number of staff currently holding a national vocational qualification although one staff member confirmed she held this qualification and a second was being put forward for it. A matrix of individual staff training histories was not fully completed so it was difficult to assess the general situation. It is essential that statutory health and safety training is provided at the recommended or required intervals. Planning, programming and recording training opportunities should be more robustly managed so that the management can target future training to those staff who need it most. Health and safety guidance and regulatory requirements should be referenced as part of the planning process e.g. first aid requirements. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed by people who understand their responsibilities and work well to achieve the best outcome for residents. EVIDENCE: The Provider, registered Care Manager and Deputy Manager work as a team in addressing the various aspects of the management of the service. There is an open approach and the Commission is kept well informed of events and incidents. There are effective methods for identifying potential risks and taking appropriate action to reduce or eliminate them. Other care professionals are Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 21 also consulted when necessary. This attitude strengthens to safety of the residents and helps the management to achieve the best outcomes for the residents. There are various examples of the good outcomes for residents as a result of their combined efforts. A relative’s comments reflect the general feedback from other relatives – ‘I am extremely happy with the care she receives at Whitchurch House. She is well fed and looked after with great kindness and compassion by a dedicated staff. I am kept fully informed of my mother’s condition and if an emergency arises I am phoned at once. Whitchurch House is always clean and tidy as is my mother’s room and bathroom. I am made to feel welcome and can see my mother any time I choose’. The way that residents’ financial interests are protected was satisfactory at the last inspection and there has been a more recent example of work done to provide independent support from an advocate in managing personal monies. Staff who were met during the inspection visit spoke about staff meetings and individual appraisal exercises. Reports of routine one to one supervision sessions with staff were seen at the home. Supervision meetings had been completed in September 2006 and were next due in December 2006. Due to the programme of Christmas/New Year activities and events these meetings had been postponed to January/February 2007. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 22 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 3 3 2 3 3 x 4 x x x x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 20 21 22 23 24 25 26 STAFFING Standard No Score 27 3 28 2 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 2 3 3 Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP3 Regulation 14(1) and (2) Requirement Timescale for action 31/03/07 2 OP7 15(2) 3 OP30 18(1)c. So far as it is practicable the needs of potential residents must be assessed by a suitably qualified or suitably trained person and there must be consultation regarding the assessment with the resident or representative. Assessment records must, therefore, be developed through more use of recognised assessment tools and more evidence of the resident or representative’s contribution to the exercise. Other professionals must be consulted where appropriate. The residents plans of care must 31/03/07 clarify how the resident’s needs in respect of health and welfare are to be met. The plans must be kept under review. Action must, therefore, be taken to regularly evaluate and review initial assessments and risk assessments on which the plans are based. The plans must be extended to include attention to all identified needs in respect of health, personal and social care. Persons employed at the care 28/02/07 DS0000024747.V309585.R01.S.doc Version 5.2 Whitchurch House Page 24 home must receive training appropriate to the work they are to perform. Training must, therefore, be planned, monitored and provided to ensure all staff receive relevant health and safety training at the required or recommended intervals. 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 2 Refer to Standard OP3 OP33 Good Practice Recommendations It would be advisable to explore the availability of professionally recognised assessment tools that may assist in the care planning work. The Provider and Care Manager should familiarise themselves with the proposals for self assessment (AQAA). Information can be found on the CSCI website. This will help them plan future quality monitoring work. Whitchurch House DS0000024747.V309585.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Whitchurch House DS0000024747.V309585.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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