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Inspection on 20/07/05 for Willowbank Residential Home

Also see our care home review for Willowbank Residential Home for more information

This inspection was carried out on 20th July 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere in the home was welcoming. Staff were observed to be pleasant and courteous with residents. Staff were seen to have good interactions with residents and were dealing with residents individual needs. The standard of cleanliness throughout the home was good. One resident said, ` its always kept clean`. The home appeared to treat residents with respect and dignity. The staff spoken to said that residents get choice with regard to their daily lives e.g. the residents can choose what they want for their meals. The residents spoken to confirmed this. Meals appeared to be nutritious, well balanced and nicely presented. The residents were asked each morning what they would like to eat for that day. Alternative meals are available on request. Comments from residents were positive and included things like `the food is really nice` and `there is always plenty of food to eat`.

What has improved since the last inspection?

The home has continued to make improvements to the staff files and the care plans were under review. The manager was obtaining Criminal Record Bureau checks, which included checking the applicant against the Protection of Vulnerable Adults List prior to them starting work. The hallway had been redecorated since the last inspection and was much brighter.

What the care home could do better:

The home provided social activities, however, there was no evidence that the residents had been involved in the planning of the activities and there was no written list of the activities that had taken place. The home had policies to protect residents from abuse but they must provide training to all staff so that they would know what to do if there was an allegation of abuse. The home must make arrangements for those residents who do not have relatives to act on their behalf to be referred to an advocacy service.

CARE HOMES FOR OLDER PEOPLE Willowbank Residential Home 134/136 Seymour Road South Clayton Manchester M11 4PS Lead Inspector Sue Jennings Unannounced 20 July 2005 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 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. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Willowbank Residential Home Address 134/136 Seymour Road South Clayton Manchester M11 4PS 0161 370 9080 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Nageeb Aubdool Mrs Nazmah Aubdool Mr Nageeb Aubdool Care home only (PC) 13 Category(ies) of Old age, not falling within any other category registration, with number (OP) (13) of places Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The numbers of service users accommodated must not exceed thirteen (13) service users who require personal care only by reason of old age (OP). 2 Staffing arrangements at the home must be maintained in line with minimum levels specified in the Residential Forum guidance ` Care Staffing in Care Homes for Older People`. 3 The home must employ, at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 21 February 2005 Brief Description of the Service: Willowbank is a residential care home offering accommodation and personal care for up to 13 elderly persons. At the time of the inspection there were 9 residents accommodated with 4 vacant places. The home is situated in Clayton in the north of the city in a quiet residential area close to local amenities. The home was previously two semi-detached houses, which have been adapted to form one property with ramp access to the front of the building. The home has small well-maintained gardens and a patio area accessed by patio doors from the lounge. Parking is available on the road and at the side of the building. The home offers accommodation in 3 double and 7 single bedrooms. There are two lounges with combined dining space. The designated smoking area is situated in the hallway. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection, which took place over the course of 5 hours on Wednesday 20 July 2005. During the course of the inspection time was spent talking to the manager, several of the residents and some members of staff to find out their views of the home. Time was spent examining records, documents, the residents and staff files. A tour of the building was also conducted. A number of the requirements from the previous inspection had been addressed and there was evidence that the home was continuing to develop the service. The home and the Commission for Social Care Inspection had not received any complaints about the home in the past 12 months. During this inspection only a selection of the key National Minimum Standards were assessed therefore in order to gain the full picture of what it is like to live in the home this report should be read with the previous and any future reports. What the service does well: The atmosphere in the home was welcoming. Staff were observed to be pleasant and courteous with residents. Staff were seen to have good interactions with residents and were dealing with residents individual needs. The standard of cleanliness throughout the home was good. One resident said, ‘ its always kept clean’. The home appeared to treat residents with respect and dignity. The staff spoken to said that residents get choice with regard to their daily lives e.g. the residents can choose what they want for their meals. The residents spoken to confirmed this. Meals appeared to be nutritious, well balanced and nicely presented. The residents were asked each morning what they would like to eat for that day. Alternative meals are available on request. Comments from residents were positive and included things like ‘the food is really nice’ and ‘there is always plenty of food to eat’. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 5 and 6 The home undertakes an assessment of prospective residents’ care needs prior to their admission and they and their relatives/friends are able to visit the home before making the decision to move in. EVIDENCE: The manager had developed a pre-admission assessment form this was used to ensure prospective residents are only admitted on the basis of a full assessment. For residents who are referred through Care Management arrangements the home obtains a summary of the Care Management Assessment prior to admission. The assessment included the involvement of the prospective resident, his/her representatives and any relevant professionals. The registered manager visited the prospective resident in his/her own home or in hospital to undertake the pre-admission assessment. The home’s records and direct observations indicated that the home was able to meet the assessed needs of the residents. The residents’ personal records demonstrated that access to specialist healthcare professionals was available when required. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 9 At the time of the inspection, there were no residents from a minority ethnic background living at the home. However, the manager and staff had a wide range of experience in caring for older people and it was reported that these specific needs were understood and could be met. Prospective residents were invited to visit the home prior to making a decision to move in. One resident said, “I went round and looked at a few homes, I went to look at one around the corner but it was too big”. Another resident said, “It is nice here, small and more homely”. The manager reported that it was usually the relatives/representatives who visited on the prospective residents behalf. All placements were made on a trial basis after which a review meeting was held and a decision regarding permanency would be made. The home is small and therefore does not provide intermediate care services. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Overall the health and personal care needs of the residents were being met at the home. The home was continuing to review and improve the care planning process to ensure that the health and personal care needs of the residents are identified and met. EVIDENCE: The manager reported that the home had a new Medication Administration Recording system. However this system was not yet implemented and therefore the medication systems will be examined in depth at the next inspection. It was noted however, that the metal medication trolley was freestanding and not secured to the wall when not in use. A requirement has been made that the trolley is secured to the wall when not in use. The staff had received in-house training from the manager regarding the safe administration of medication. However, staff must receive accredited training, which must include a basic knowledge of how medicines are used and how to recognise and deal with problems of use and the principles behind the home’s policy on the safe administering and handling of medication. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 11 A random sample of care plans was examined. Each resident had an individual plan of care, which had been generated from a needs assessment and the homes own care planning process. The care plans required some improvement to ensure they provided comprehensive and detailed information regarding the level of care required to meet resident’s individual needs. There was some evidence to show that residents were involved in developing care plans. The daily records required more detail to fully reflect the care plans. The manager reported that a staff meeting was to be held on 21 July 2005 to discuss recording methods. All residents were registered with a local General Practitioner (GP). Residents said they were able to see their GP when they needed to and were seen in the privacy of their own room. One resident said ‘I don’t have to ask to see my GP, the boss knows when I am not well’. The manager reported that he had recently experienced some problems with the out of hours GP service where he was advised they would not be visiting and he should ring for an ambulance. This resulted in the resident spending a prolonged period of time waiting in the Accident and Emergency department for treatment they should have received from a GP. This issue was being taken up by the GP of the resident involved. There were arrangements in place for dental and optical services for all residents. The manager reported that access to a chiropodist was more difficult. A number of resident spoken to said that staff treated them with respect and dignity and that when being given personal care dignity was maintained. The residents said they did not feel uncomfortable when staff assisted them to have a bath. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents were able to maintain contact with family and friends and were able to exercise choice and control over their lives. The home provided a good environment for the residents who live there with some activities available. EVIDENCE: All the residents spoken to during the course of the inspection confirmed that they able to exercise their own choice in relation to all aspects of daily living. The resident’s personal file contained information in relation to personal history, significant life events, religious and spiritual observance. The manager and his wife stated that a variety of activities were available on a daily basis however, the home did not produce a planned programme of activities. The manager reported that some residents wanted to play dominoes or bingo but the most effective activity has been discussions about current affairs and news items, which have instigated reminiscence sessions. The manager and his wife work as carers from 1pm until 5pm. During this time they sit with residents and read newspapers, provide manicures and hand massages or any activity that involves speaking to residents and encouraging them to participate in group discussions. This appears to work well in the small home environment. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 13 Residents spoken to said that they were able to have visitors when they wanted and one resident said ‘It was my birthday last week and the boss paid for a man to come in and sing for us’, they also said that ‘I had a party with a cake and my family were here it was lovely’. The residents spoken to all said that they were able to choose what time they get up and go to bed ‘there are no rules’. Standard 15 was not assessed during this inspection and it will be fully examined at the next inspection however, residents said that ‘the food is always nice and there is plenty to eat’. The meal served on the day of inspection was fish in parsley sauce, mixed vegetables and potatoes. Since the last inspection the boilers had been replaced and the kitchen required some refurbishment. The manager reported that this was being reviewed. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 There was a policy in place for the protection of vulnerable adults ensuring the safety and well being of the residents. The home had amended the complaints procedure since the last inspection and a copy had been given to each resident. EVIDENCE: The home had a complaint procedure and residents had been given their own copy. A record was kept of all complaints made and included details of the investigation and any action taken. The Commission for Social Care Inspection had not received any complaints about this service and the manager reported that the home had not received any complaints. One resident spoken to said ‘I have nothing to complain about but if I did have a complaint I would speak to the manager’. Another resident said ‘I have never had any complaints but I would tell my daughter or one of the staff’. Other residents spoken to said that they would not feel uncomfortable making a complaint. It was noted that advocacy services were not generally used. Families would advocate on a service users behalf if necessary. There were a number of residents who did not have anyone to act on their behalf and it was strongly recommended that the manager contact an advocacy service or the funding Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 15 authority to arrange advocates for those residents who were unable to manage their own financial affairs. The home had an adult protection policy in line with the Manchester MultiAgency policy for the Protection of Vulnerable Adults from Abuse and the Department of Health ‘No Secrets’ guidance and a ‘Whistle Blowing’ policy. The Manchester Multi-Agency policy for the Protection of Vulnerable Adults from Abuse was kept in the policy file with the homes’ own Adult Protection policy. The manager reported that all staff employed to work in the home had received in-house training in relation to Adult Protection issues. It was strongly recommended that the manager approach Manchester City Council with regard to the availability of Adult Protection training. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22 and 26 The premises are safe and the home’s environment including the standard of hygiene was well maintained both internally and externally. Specialist equipment was made available as required by individual residents to meet their needs. EVIDENCE: A lounge/dining room was available and located on the ground floor. This room was appropriately furnished, decorated and provided a comfortable environment for residents. The lighting to the communal areas appeared to be sufficiently bright. The furnishings were domestic in character and appeared to be of adequate quality. The manager reported that all bedrooms would be re-decorated when they become vacant. The manager must provide a programme of renewal of the fabric and decoration of the communal areas within the home. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 17 The home appeared to have ample toilet and bathing facilities to meet the needs of the residents accommodated. Toilets and bathrooms were situated in close proximity to communal areas and bedrooms. The home had well maintained grounds with a patio area which are accessible to residents in wheel chairs. Access to the first floor was via a passenger lift or a central staircase. To aid the residents and a variety of electrical hoists were available. Appropriate aids were fitted i.e. assisted baths, handrails and raised toilet seats for residents who required assistance. Privacy locks were fitted to bathroom and toilet doors and an emergency call system was available. Any individual aids would form part of the assessment carried out prior to admission. Resident’s bedrooms were seen to be comfortable and some were personalised. One resident said ‘I have my own room, it is very nice and I have brought some of my own bits and pieces’. The laundry was situated away from food preparation areas and contained a washing machine and a tumble dryer. Hand washing facilities were available. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The numbers and skill mix of staff appeared sufficient to meet the needs of the residents accommodated and the homes recruitment policies and procedures promoted the safety and wellbeing of the residents. EVIDENCE: A random sample of staff files was examined and found to contain the items required in Schedule 2 of the Care Homes Regulations 2001. At the time of the inspection there were 9 residents accommodated and 4 vacancies. The homes staffing levels were in line with the minimum requirements of the previous registering authority. There were two staff on duty from 7:30 am until 1:00 pm, the manager and his wife lived on the premises and worked on care from 1:00 pm until 6:00 pm management duties were undertaken before 1:00pm and after 6:00 pm and two staff from 6:00 pm until 10:00 pm when there was one waking night staff and one sleeping night staff on duty. The manager reported that additional staff were on duty if he and/or his wife were not in the building. The skill mix, experience and numbers of staff appeared to be appropriate to meet the needs of the residents accommodated. A sample of staff files were inspected and it was noted that one new member of staff only had one written reference. This member of staff was an overseas Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 19 worker and had previously been employed in Poland and although there was evidence to show that a reference request had been made there was no response from the referee. The manager had therefore spoken to the last employer to discuss the person’s previous work history and appropriate security checks had been made to ensure the person was safe to work with vulnerable people. The manager provided evidence that two members of staff had been undertaking Health and Safety training. The manager must produce a method of identifying when mandatory training is due to be updated to ensure that staff working in the home have the up to date skills and knowledge to safeguard the health and welfare of residents. The manager reported that one member of staff had achieved the NVQ Level II award and two staff had just started NVQ Level II training. The manager must produce an action plan detailing how they intend to meet the requirement of 50 of staff trained to NVQ Level II. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36 and 38 The home had systems and procedures in place, which safeguards and protects residents’ financial interests and the home was seen to promote the health, safety and welfare of the residents and staff. EVIDENCE: The home managed some of resident’s finances and it was strongly recommended that the manager arrange for an independent advocate to represent those residents who are unable to manage their own financial affairs. The manager reported that he would contact Manchester Social Services and request advice regarding advocacy/court of protection for one resident who has no representatives. Families assisted other residents who are unable to manage their own finances. All residents were in receipt of their personal allowances and all Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 21 DSS payments are paid directly into a bank account, the fees were transferred to the homes business account and all personal allowances withdrawn on a weekly basis and handed to residents who signed for receipt. There was no evidence to show that staff supervision was being carried out at prescribed intervals. Staff supervision ensures residents receive a high quality service therefore the manager must ensure staff receive the appropriate level of supervision/support needed to assist staff in their work and personal development. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 2 x 3 Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement The daily report sheets must reflect the care plans and must be more detailed to accurately reflect the events over a 24-hour period. (a) The metal medication trolley must be secured to the wall when not in use. (b) The home must arranged for staff responsible for the administration of medication to receive accredited training. 3. 19 23 The damp patches on the walls in bedroom 10- and the first floor bathroom must be redecorated. 30.9.05 Timescale for action 30.9.05 2. 9 13 30.9.05 4. 30 18 The home must produce 30.10.05 individual staff training plans and retain them on individual staff files. Formal recorded supervision must be provided to all staff at least 6 times per year. 30.11.05 5. 36 18 6. Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 24 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 18 Good Practice Recommendations It was strongly recommended that the manager approach Manchester Social Services Department with regard to staff training in relation to Manchester Multi-Agency Adult Protection Procedures. It was strongly recommended that the manager arrange for advocates for those residents who do not have a representative to assist them with managing their financial affairs. It was strongly recommended that a photograph of residents be held with the Medication Administration Record sheets. 2. 35 3. 9 Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 9th Floor, Oakland House Talbot Road Manchester M16 0PQ 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 Willowbank Residential Home F55 F05 s61407 Willowbank V240847 D200705 Stage 4.doc Version 1.40 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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