Inspection on 07/08/06 for Whyke Lodge

This inspection was carried out on 7th August 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

Whyke Lodge 23/01/09

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Whyke Lodge 115 Whyke Road Chichester West Sussex PO19 8JG Lead Inspector Mr E Mcleod Unannounced Inspection 7th August 2006 09:30 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 Whyke Lodge DS0000067379.V301044.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. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whyke Lodge Address 115 Whyke Road Chichester West Sussex PO19 8JG 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) 01243 783989 Mr Abdullah Rajab Omar Mr Abdullah Rajab Omar Care Home 23 Category(ies) of Dementia (23), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (23) Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of persons accommodated must not exceed twentythree. This is a new service. Date of last inspection Brief Description of the Service: Whyke Lodge is registered to accommodate up to 23 residents over the age of 65 who have a diagnosis of dementia. The premises are located in an adapted building close to the A27 in Chichester, West Sussex. Accommodation is provided on ground floor and first floor levels. The premises do not have a passenger lift. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to assess how this new service is meeting key national minimum standards. The inspector was on the premises for 4.75 hours, and interviewed four residents, three staff, the registered manager/provider, and a visiting relative. A partial inspection of the premises took place, and some policies, procedures and records were sampled. Pre-inspection information sent by the provider has been included in this report, as have the written views of residents, relatives and visitors received by the Commission. The inspector would like to thank everyone who contributed to the inspection. What the service does well: The service is being well managed, with a plan for improvement in place for the service and the environment which will benefit residents. Arrangements are in place for the pre-admission assessment of needs to be carried out. The home maintains good relations with relatives and visitors. A choice of meals is provided for residents, and residents receive the assistance at meal times which they are in need of. The staff team are competent and caring, and help ensure there is a good atmosphere in the home. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The contract of residence should include (where applicable) who pays what part of the fee. Care plans need to set out how residents are to be assisted with their care needs, including social needs, and how a resident’s individual interests will be encouraged. Staff have not been receiving training in local adult protection procedures, which would assist them in responding to adult protection incidents and better protect residents. To ensure better privacy and safety for residents, toilets and bathrooms should have locks which staff can unlock in an emergency. The provider needs to assess what furnishings, flooring and decoration are in need of renewal, and prepare a plan of action to address the need for replacement and redecoration. The provider needs to ensure that all staff are receiving training in core topics and that a minimum ratio of 50 members of care staff are trained to at least level 2 or equivalent of the National Vocational Qualification (NVQ) in care. For the protection of residents, the provider needs to ensure that staff recruitment procedures are robust, and all required information on staff is held. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 7 Environmental risk assessments need to be carried out on a regular basis to ensure the safety of the environment for residents. The provider must carry out the refurbishment of the kitchen and food preparation areas required by the Environmental Health department at their inspection of 24.7.06 within the time scales provided. All policies and procedures must be signed and dated. 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. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 8 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 Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 6 Arrangements are in place for the pre-admission assessment of needs to be carried out. A statement of purpose and service user guide which give information on the service for residents and prospective residents are provided. The contract of residence should include (where applicable) who pays what part of the fee. Intermediate care is not provided. The outcomes for residents were seen as good. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 10 EVIDENCE: A statement of purpose dated April 2006 and a service user guide dated April 2006 were sampled. These provide information on the philosophy of the home and the services a resident would expect to receive. A sample copy of the service user’s contract of residence is included in the statement of purpose. Residents’ contracts sampled by the inspector do not advise the resident who pays what part of the fee. The current scale of charges is £389 - £420 per week. Intermediate care (short term rehabilitation support to prepare the resident for return to the community) is not provided. Since the provider took over the service, there have been two new admissions, and records of the assessments undertaken indicate that residents are being properly assessed before an admission is made. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Satisfactory arrangements are in place for the administration of medicines. Each resident has a care plan. However, care plans need to set out how residents are to be assisted with their care needs, including social needs, and how a resident’s individual interests will be encouraged. The outcomes for residents were seen as good. EVIDENCE: The home’s statement of purpose states that “self medication is not advised for our service users due to their mental frailty”. Arrangements for the administration of medicines were viewed. Recommendations made at an advisory visit by the contracted pharmacist in April 2006 have been met. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 12 Most residents have a high level of needs, due to dementia and physical frailty. Most residents have continence needs, and require assistance with bathing, toileting, dressing and undressing. Seven residents require help, supervision or prompts to eat meals. Four sets of care plans were sampled, which indicate that a care plan is in place for each resident and that care plans are being reviewed to take account of changes to the resident’s care needs. Some care plans seen did not clearly set out for staff how the resident was to be assisted with a particular care need. Plans seen often did not indicate how a resident’s social needs could be met, or how the resident’s individual interest would be encouraged. Registered provider and manager Mr Omar said a new format for care plans was being introduced which he hoped would address these areas, and a partially filled out example of the new care plans was seen. Whyke Lodge DS0000067379.V301044.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The home maintains good relations with relatives and visitors. A choice of meals is provided for residents, and residents receive the assistance at meal times which they are in need of. Activities and entertainments are being provided for residents. The outcomes for residents were seen as good. EVIDENCE: The home’s statement of purpose provides examples of games and activities that can be provided in the home, and outings, entertainments and activities with staff which can be arranged. Mr Omar advised that he has increased the music and movement exercises from once per month to once per two weeks, and that this is proving popular. Entertainers who visit are also popular with residents it was said. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 14 As indicated in the previous section, care plans seen did not show if and how an individual resident’s social needs and interests are being encouraged or met. Written feedback from relatives and friends indicates that visitors feel welcomed when they visit, and that staff are found to be friendly and approachable. A relative interviewed said that staff take an interest in the resident’s health and wellbeing, and that this is reassuring. A 2-week menu was sampled, and this indicated that residents have a choice of main meals, which are varied and nutritious. The cook advised the inspector that staff ask residents before the meal which of the choices they would like, and added that staff had got to know the likes and dislikes of individual residents. Alternatives for diabetics are being provided. The statement of purpose states that “menus will be varied and favourite dishes and diets can be catered for. Service users are encouraged to eat in the dining room but may eat in their own room if this is their choice”. A lunch was observed, and residents were receiving the support they were in need of at the table. The meal was unhurried, and residents were enjoying the food provided. Whyke Lodge DS0000067379.V301044.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The use of restraint has been reviewed in the home, and staff have been advised accordingly. Staff have not been receiving training in local adult protection procedures, which would assist them in responding to adult protection incidents and better protect residents. A policy and procedure for residents, relatives and others to make complaints is provided. The outcomes for residents were seen as good. EVIDENCE: A copy of the home’s complaints policy/procedure was sampled. The home’s protection of vulnerable adults policy/procedure was also sampled. Neither policy/procedure was signed or dated. The complaints record was seen, and no complaints have been recorded in the past year. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 16 The restraint record was seen. A restraint procedure dated 17.6.06 advises staff that “restraint must only last as long as the danger exists”. One resident had previously been restrained with a belt to prevent falls, and records for this were seen. Mr Omar advised that he has stopped this practice, and staff now remain in attendance with the resident concerned to help minimise falls. The local social services department has investigated a reported incident of restraint. Mr Omar advised that he was on holiday at the time the incident was brought to the home’s attention, and that the member of staff concerned had left the country previous to Mr Omar’s return from holiday. Mr Omar said that other staff had not been aware of the incident of restraint at the time it was alleged to have taken place. Five residents’ comment cards were received by CSCI in June 2006, which indicated a general satisfaction with the service provided. No residents handle their own financial affairs, this being handled by relatives or appointees. The home does not handle the financial affairs of residents. At present the home is holding some spending money for some residents, and records, receipts and balances for one resident seen were in order. Mr Omar advised that in the future the procedure will be that no spending money will be held for residents, but that the home shall pay for items required then invoice the relative or appointee for these. Training records seen did not evidence that all staff have received training in adult protection. Discussion with Mr Omar indicated that no staff have undertaken training in local adult protection procedures, but that he was aware that such training was currently being provided to introduce updated local procedures in adult protection. Whyke Lodge DS0000067379.V301044.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 26 Improvements made to the premises are of a good standard, and giving the house a brighter, more cheerful appearance. To ensure better privacy and safety for residents, toilets and bathrooms should have locks which staff can unlock in an emergency. The provider needs to assess what furnishings, flooring and decoration are in need of renewal, and prepare a plan of action to address the need for replacement and redecoration. The outcomes for residents were found to be adequate. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 18 EVIDENCE: There are 13 single bedrooms and 5 double bedrooms. A tour of the premises was carried out with Mr Omar, with all communal areas and most bedrooms being visited. The improvements carried out to the premises recently include a new roof, the repainting of three bedrooms and some communal areas, and the purchase of some new chairs in the reception area. Redecoration of the reception area and main stairway was taking place on the day of the inspection. Some new quilts and bedding have been purchased, and these were noted in some of the bedrooms. Where new furnishings have been purchased, such as chairs and some bedroom furniture, these are of a good standard. Where repainting has been carried out this has led to the premises looking brighter and more cheerful. Repainting and decoration is of a good standard. Two of the toilets and a bathroom were found not to have locks or to have locks which could not be opened by staff in an emergency. A number of radiators in communal areas and bedrooms were found not be guarded – Mr Omar advised that the fitting of radiator covers has been costed, and the work to prepare radiator covers for fitting was underway. A number of chairs in the dining room were found not to be in good condition – Mr Omar advised that it was planned to purchase five new dining room chairs. Some of the furniture and chairs in bedrooms was found not to be in good condition. Some of the shelving and worktops in the kitchen and food preparation area were found to be in poor condition. A report seen from the Environmental Health department dated 24.7.06 indicated that requirements have been made concerning the condition of worktops in the kitchen and food preparation area. All parts of the premises visited were clean and hygienic, and free of offensive odours. The garden is well maintained and accessible for residents. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 19 Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The staff team are competent and caring, and help ensure there is a good atmosphere in the home. There are gaps in the evidence of training provided for staff, and there is no clear record of what training staff have undertaken. The provider needs to ensure that all staff are receiving training in core topics and that a minimum ratio of 50 members of care staff are trained to at least level 2 or equivalent of the National Vocational Qualification (NVQ) in care. For the protection of residents, the provider needs to ensure that staff recruitment procedures are robust, and all required information on staff is held. The outcomes for residents were assessed as adequate. EVIDENCE: The provider has advised CSCI that staff are required to attend training in dementia, food hygiene, health and safety, first aid, fire instruction, and qualify at NVQ level 2 in care. New staff are expected to undertake induction Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 21 training. The provider advises that staff supervision will be undertaken a minimum four times a year, will be prearranged and recorded. The provider has advised that 15 care staff and 1 ancillary staff are employed. CSCI is advised that 5 care staff have achieved the National Vocational Qualification (NVQ) in care at level 2 or 3, and 1 care staff is presently undertaking NVQ2. Since the service changed ownership, CSCI is advised that 3 staff have left, and 2 staff have commenced employment. Duty rotas for four weeks commencing 5th June 2006 were sampled. On the day of the inspection, staffing numbers were adequate to meet the needs of the residents accommodated. Seven comment cards were received from friends or relatives previous to the inspection visit, and these indicated that staff are caring and a good level of care is being provided. One relative interviewed on the day of the inspection said “the care here is first rate”. Staff and residents advised the inspector that there was a good atmosphere in the home. Training records were sampled by the inspector. Mr Omar and the senior carer said that the training certificates found were not complete, but they were unable to locate the missing certificates and training information. Training certificates are being held together under the type of training, which made it difficult to identify without a long search which members of staff had undertaken what training and where, and therefore difficult for the manager to identify what refresher training a member of staff was in need of. The inspector suggests that the provider needs to be able to identify gaps in staff training, and have a recording format that allows him to do this at a glance. Induction records for a new member of staff were sampled. New staff advised the inspector that they were working alongside more experienced staff in all the tasks they were undertaking. Three sets of recruitment records were sampled. Recruitment records seen did not comply with the Care Homes Regulations 2001 schedule 4.6, lacking for example a copy of each reference obtained, the date employment commenced, and a record of all training undertaking. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 22 Where the need for a risk assessment was indicated by information given on one of the CRB checks, no record of this risk assessment was available on the day of the inspection. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 A system is in place for the views of residents, their relatives and others to be sought on the service provided. Environmental risk assessments need to be carried out on a regular basis to ensure the safety of the environment for residents. The provider must carry out the refurbishment of the kitchen and food preparation areas required by the Environmental Health department at their inspection of 24.7.06 within the time scales provided. All policies and procedures must be signed and dated. The service is being well managed, with a plan for improvement in place for the service and the environment which will benefit residents. The outcomes for residents were assessed as good. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 24 EVIDENCE: The quality monitoring policy in the home indicates that the views of residents, their relatives and visitors on the performance of the service will be sought. Mr Omar said that once the views of residents and others had been gathered, the views would be brought together in a report which would consider any action that would be undertaken. A current certificate of insurance, including liability insurance, was seen. The provider has advised the Commission of the most recent maintenance and service checks which have been carried out on the premises, including fire equipment, tests and drills. The provider has also advised that all applicable policies and procedures which are required to be held in the home are being held in the home. Not all of the policies and procedures sampled, however, had been signed and dated. No records of environmental risk assessments were available on the day of the inspection. Mr Omar advised that no environmental risk assessments had been undertaken since he took over the service. An inspection in July 2006 by the Environmental Health department has required the refurbishment of some of the kitchen and food preparation areas. Records of fire alarm tests, emergency lighting tests and fire drills were seen, and staff described how fire drills were carried out in the home. Training records seen did not evidence that all staff are receiving required fire and health and safety training. The service is being well managed, with planned improvements to the service and environment provided which will benefit residents. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 25 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 3 2 3 X X N/A 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 2 X X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 26 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 OP2 Regulation 5 Requirement The contract of residence should include (where applicable) who pays what part of the fee. Care plans need to set out how residents are to be assisted with their care needs, including social needs, and how a resident’s individual interests will be encouraged. The provider needs to ensure that all care staff receive training in adult protection, including training in local adult protection procedures Toilets and bathrooms should have locks which staff can unlock in an emergency. The provider shall provide in rooms occupied by service users adequate furniture, bedding and other furnishings, including curtains and floor coverings, and equipment suitable to the needs of service users and screens where necessary The provider needs to ensure DS0000067379.V301044.R01.S.doc Timescale for action 01/12/06 2 OP7 15 01/12/06 3 OP18 13.6 27/10/06 4 5 OP21 OP19 16 16.2 (c) 27/10/06 01/12/06 6 Whyke Lodge 18.1 (c) 01/12/06 Page 27 Version 5.2 OP28 7 8 OP38 OP38 13.4 16.2 (j) 9 OP29 17.2 that all staff are receiving training in core topics and that a minimum ratio of 50 members of care staff are trained to at least level 2 or equivalent of the National Vocational Qualification (NVQ) in care. Environmental risk assessments need to be carried out on a regular basis The provider must carry out the refurbishment of the kitchen and food preparation areas required by the Environmental Health department at their inspection of 24.7.06 within the time scales provided. All staff records required to held must be held 27/10/06 24/10/06 29/09/06 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 OP37 Good Practice Recommendations All policies and procedures must be signed and dated. Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whyke Lodge DS0000067379.V301044.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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