Inspection on 02/11/06 for Woodside

This inspection was carried out on 2nd November 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodside 10/04/07

Woodside 18/07/06

Woodside 16/09/05

Woodside 04/04/05

Woodside 14/09/04

Woodside 01/06/04

Woodside 15/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodside The Old Vicarage Slip End Nr Luton Bedfordshire LU1 4BJ Lead Inspector Mrs Louise Trainor Unannounced Inspection 2nd November 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 Woodside DS0000014988.V315675.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. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodside Address The Old Vicarage Slip End Nr Luton Bedfordshire LU1 4BJ 01582 423646 01582 423646 vibhakiran@aol.com 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) Shires Healthcare (Woodside) Limited Teresa Vincent Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (28) Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2006 Brief Description of the Service: Woodside is a privately owned care home. It is registered to provide for twenty-eight older people who may also have physical disabilities and/or dementia. The registered providers are Shires Healthcare (Woodside) Ltd. Mrs V Khan is the sole director and the responsible person. The home now has a Registered Manager in place. The home is located in a rural area at the edge of a village. Public transport is limited but access to the M1 and Luton were nearby. The premises have been suitably adapted to meet the service users assessed needs at this inspection with the exception of access to ensuite toilet facilities, which is limited in most instances and suitable only for those without mobility problems. Single room accommodation is provided. Twenty-one of these had en-suite toilet facilities. A lift enables service users to access the second floor. The third floor is used as a laundry, storage area and for staff accommodation. The fees for this service vary between £420.00 and £480.00 per week. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second Key Inspection for this service this year. It was carried out by Regulatory Inspectors Louise Trainor and Katrina Derbyshire on the 2nd of November 2006, between the hours of 09:30 hours and 15:00 hours. Areas of particular focus for this inspection were identified as: Food preparation and service, medication, recruitment, the environment and maintenance, and the overall health, welfare and safety of service users. Three service users were case tracked, and four members of staff were interviewed during this inspection. Documentation including staff files, service user care plans/ files, maintenance reports and medication charts were examined Care practices were observed throughout the visit and a tour of the premises also took place. The manager was unwell on the day of the inspection, but still made herself available to assist for the latter part of the process. The inspectors would like to thank everyone involved for their assistance and support. What the service does well: What has improved since the last inspection? A new heating system is being installed in the home. The garden areas have been made safe by the removal of nettles and debris, and a fence has been put in place to prevent service users entering this area of the garden that overgrows very rapidly. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 6 Food appeared to be more appetising and menu s indicated that service users were being given choices, including fresh vegetables. Service users were complimentary about the new chef and the meals he was serving. Staff are now receiving 1:1 supervision, however this needs to continue on a more regular basis. 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. Woodside DS0000014988.V315675.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 Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a Statement of Purpose and Service User Guide in place for this home, so that service users can make an informed choice about where they live. However some of the information detailed in these documents remains incorrect and needs updating EVIDENCE: The Statement of Purpose and the Service User Guide both make reference to the complaints procedure, however one refers to the National Care Standards Commission, and the other to the Commission for Social Care Inspection. These require a review to ensure both contain the correct information. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 9 Information relating to this service is pinned on a notice board in the entrance hall making it easily accessible to service users and their representatives. A copy of the last inspection report is also on display. This home is not registered for intermediate care. Woodside DS0000014988.V315675.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, 9,10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service user care plans are in place, however these are not all being reviewed on a regular basis, and some do not contain all the service users needs so that care maybe compromised. Insufficient care is being taken with recording of medication administered, so that service users may not always be protected. EVIDENCE: Medication Administration Record sheets were reviewed. One service users was prescribed medication for specific medical conditions. His tablets did not reconcile with records, and indicated that on two occasions in the past nine days medication had been signed for by staff but had not actually been given. This could have exacerbated his condition. During the inspection, medication was dispensed and delivered to a service user at the breakfast table. The service user was assisted to put the tablets in his mouth and then left to chew and swallow them. No one monitored this Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 11 confused service user, to ensure the tablets had been swallowed, nor was he offered a drink to help him swallow them more easily. The controlled drug cupboard was inspected. There was only one service user on Temazepam that was stored in this cupboard at this time. The records and tablets reconciled correctly. Three service users files were examined. The level of documentation and information recorded varied in them all. One service user that had been a resident in this home for some years, had various assessments in place relating to: his social needs, his mobility, nutritional needs and pressure area care. These had all been updated on a regular basis, the last time being on the 18/10/06. He had care plans in place for: mobility, unsupervised outings, chest infections and specific medical conditions relating to him, and these had all been regularly updated. His file also contained details of personal preferences / likes and dislikes, entries from other visiting professionals, details of a recent hospital admission and risk assessments for hazards which may affect him in his day to day life. Another service user that was residing here on a short stay basis, had various risk assessments in place, and contained sufficient personal history, however care plans failed to identify Vascular Dementia, or a regime of care and management for this. Information relating to this service users medication was also unclear. The third service user file, like the other two contained sufficient risk assessments and some care plans, but these documents had not been updated regularly. There was a review date on documents for 27/04/06, and then no further review until the 26/10/06. Care practices were observed throughout the day and service users were interviewed in order to ascertain how they felt about the care they received and the staff that provided it. The attitude of two care staff concerned the inspectors. One service user was asking for his cardigan, as he was cold. When the carer brought it for him he asked. “What are we doing today?” the carers’ response was. ”Why?” The service user then informed the carer that he was sore, the response was. “Well I ‘ll have to have a look then wont I?” The attitude was very dismissive and disrespectful. This service user later made a comment saying that he found that some carers told you what to do rather than ask, his example was “I’m taking you to the toilet” rather than. “Would you like to go to the toilet?” He also said, “some staff just don’t care”, and stated they were impatient. Woodside DS0000014988.V315675.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, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is an activities programme in place that is presently implemented by the care staff, and information is sought relating to individual preferences of pastimes and hobbies, however evidence indicates that not all service users social, cultural, religious and recreational needs are satisfied. EVIDENCE: Information is gathered on admission relating to individual preferences for activities, and each service user has an individual activity sheet. One service users sheet was viewed and entries included bingo and a sing-a-long. This corresponded with the times of activities advertised on a board in the dining room. This particular service user also had other personal interests that he has continued with since he has been living at Woodside, but still commented that at times “it was boring especially now it’s cold and we don’ t get out in the garden as much”. The home has recently appointed a new chef, and menus show a good variety of home cooked food, offering a choice at every meal- time. Fresh vegetables Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 13 are included on the menu daily, however the two week menu submitted to The Commission for Social Care Inspection, prior to the visit, showed no evidence of fresh fruit being on offer. Service users appeared satisfied with the food. On the day of the inspection the midday meal was presented in an appealing way and service users appeared to be enjoying it. One gentleman said. “I can have anything I like for breakfast from cereal to a full English, but I only have bran flakes as they are healthier, but the foods excellent ”. Another service user said. “The foods better now, he’s quite a good cook this new lad”. Woodside DS0000014988.V315675.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): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All staff have been trained in the Protection of Vulnerable Adults (POVA) so that service users are protected from abuse. However the attitude of some staff observed during the inspection, indicated that not all staff are aware that the way that they approach service users, maybe inappropriate and could constitute abuse. EVIDENCE: There is a complaints policy in place, and a brief summary of this is in both the Statement of Purpose and the Service User Guide, but details differ in these two documents. One document refers to the National Care Standards Commission, and the other to the Commission for Social Care Inspection. One document states there is a fourteen day time frame for the investigation and response of a complaint whereas the other does not make any reference to time frames. These documents require a review to ensure information is correct. There had only been one complaint recorded since the last inspection. All the appropriate paperwork was in place. This particular complaint had been referred to social services and various meetings had been held in an attempt to resolve the issues. The manager had kept CSCI fully informed throughout the process. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 15 All staff that were interviewed stated they had completed their POVA training, and one had completed the training for trainers, although she had not yet put her training into practice with other staff. An external company had recently delivered the training, but unfortunately certificates had not yet been issued due to a problem of payment previously to the training company by the home. The attitude of two care staff concerned the inspectors. One service user was asking for his cardigan, as he was cold. When the carer brought it for him he asked. “What are we doing today?” the carers’ response was. ”Why?” The service user then informed the carer that he was sore, the response was. “Well I ‘ll have to have a look then wont I?” The attitude was very dismissive and uncaring, and this service user later made a comment saying that he found that, some carers told you what to do rather than ask, their example was “I’m taking you to the toilet” rather than. “Would you like to go to the toilet?” They also said, “some staff just don’t care”, and were impatient. This service user was observed to ‘stiffen up’, their body language and tone of voice notably changed showing that they became anxious when one particular carer came near them. This was clearly indicative that there was a problem between them. This matter was bought to the attention of the manager during the inspection feedback. Woodside DS0000014988.V315675.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, 23, 24, 25, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This home provides a homely environment, although some areas, and furniture require cleaning, maintenance and /or replacement, to ensure the service users safety and well-being. Individuals’ rooms reflect their personal choices, personalities and life history. EVIDENCE: The reception area of the home was decorated for Halloween, and a poster in the lounge advertised a Halloween / firework party later that week. This was appropriate for service users orientation. The clocks had not been yet been adjusted in line with the winter hours. A member of staff altered the dining room clock mid way through the morning. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 17 This should have been done on the previous Saturday to avoid any confusion for the service users. A tour of the ground floor and first floor of the premises was undertaken during the inspection. Bedrooms were clean and furnished with personal detail. One service user had her tapestries’ framed on her wall; another service user had a canary in his room, which he said was a great companion for him. On the day of the inspection a new boiler/ heating system was being installed. Some areas of the home were very cold despite the presence of portable heaters, but towards the end of the inspection the building was getting warmer as the new system was beginning to work. However comments from service users indicated that this work was long overdue, and they were looking forward to having hot running water. The dining room had been painted since the last inspection however much of the furniture requires maintenance or replacement. The skirting boards were heavily damaged and the dining tables had varnish flaking off them. Every time staff opened the door on the sideboard in the dining room it fell off. The latter of these issues require urgent attention, as they could prove hazardous to the service users. During a tour of the first floor, the inspector found the bathroom to be clean, however it smelt of mildew and the flooring was sticky and bubbling. This could be a trip hazard for service users and requires attention to prevent accidents. The new chef had commenced a deep clean of the kitchen facilities, but some areas remained very dirty and some light fittings were found to be harbouring dead flies, requiring urgent cleaning. Records in the kitchen were in order, however the storage of dry goods, such as cereals, should be reviewed in line with Health and Safety regulations. The garden area that was previously overgrown with nettles had received some attention and now appeared less overgrown. A fence and gate had been constructed to prevent service user access to this area. During the inspection, service users were seen being transported from one area to another in wheelchairs. The equipment was dirty, and on two occasions staff were seen pulling the chairs backwards through doors without communicating their actions to the service users. Woodside DS0000014988.V315675.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff numbers have been increased in this service to ensure numbers and skill mix are improved in order to meet service users needs more efficiently. Evidence indicates that the recruitment policy in not being tightly adhered to, so that service users may not be protected. EVIDENCE: Staffing numbers have been altered since the last inspection. There are now four care staff on duty each shift during the day time, and the deputy manager is working a 10:00 – 16:00 shift Monday to Friday, to compensate for the loss of the activity worker that left her post after only a very short period of employment. All staff that were interviewed had completed training in moving and handling, however observations of service users being wheeled backwards in wheelchairs in silence, indicated that staff do not appreciate the importance of communication and explanation when assisting service users. Staff that were interviewed were able to discuss their role in providing recreation / stimulation for the service users. This included memory and recognition exercises for dementia sufferers. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 19 Two members of staff that were interviewed had completed training in dementia awareness. Other training that was common to all the staff included: Moving and Handling, Fire Safety, Medication Administration and Protection of Vulnerable Adults. Certificates for many of these staff had not yet been issued due to a problem with payment to the training company previously. It was of concern that not all kitchen staff had evidence of Food Hygiene training. All staff that were interviewed clearly demonstrated that they were knowledgeable about the service users, giving the inspector detailed information relating to the needs of one service user that the inspector had ‘tracked’. Criminal Records Checks had been obtained for all staff prior to commencing work. However one member of staff had recently started work without appropriate references being obtained. Recent employers had not been contacted for references, and references that were present were photocopies ‘to whom it may concern’. These are insufficient. Woodside DS0000014988.V315675.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, 36, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are comfortable with, and have confidence in the manager, who has worked hard, trying to improve facilities, and to protect the rights and best interests of the service users. However delegation of management responsibilities is very limited so that the day to day running of the home may be compromised and disrupted in the event of her absence. EVIDENCE: Staff and service user interviews during the inspection indicated that the manager is supportive, and has worked hard to make changes and improvements that are long overdue, such as the heating system. Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 21 Staff records show that supervision of staff is on going although it needs to be more regular. On the day of the inspection, the manager telephoned mid morning to inform staff that she was unwell and would not be at work today. Until this time no one had any idea of her whereabouts, and no one had any access to the office. This meant that service users money, photocopier, fax machine, staff files and various other documentation was completely inaccessible, even to the deputy manager. The manager did come into the home later in the day and discussed this matter with the inspector, and decided a second key for this office, for the deputy manager may be acceptable. There were two typed notices on the wall in the dining room, in full view of service users and visitors. These were relating to a forthcoming inspection, and contact details of the manager out of hours. Both were ‘abruptly’ written, and made reference to her personal exhaustion and frustration with the lack of support and commitment from the staff. It was inappropriate that these notices should be on view in this area of the home. Woodside DS0000014988.V315675.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 20 21 22 23 24 25 26 2 X 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 2 2 2 3 3 2 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X 2 X 2 Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 12(1)(a) 15(2)(b) 12(1)(a) 13(2) Requirement The registered person must ensure that all service user care plans are kept under review. Timescale for action 30/11/06 2. OP9 3. OP10 4. OP18 Medicines must be stored, 30/11/06 administered and recorded as detailed by the safe practice guidelines issued by the Royal Pharmaceutical Society. (Previous timescale of 31/07/06 is unmet) 12(4)(a) The registered person shall make 30/11/06 suitable arrangements to ensure the care home is conducted in a manner, which respects the dignity and respect of service users. 12(1)(a)1 Personnel must not commence 30/11/06 9 Sch 2,1- duties in the home until all the 7 necessary checks in relation to employment have been obtained. This must include appropriate references. (Issued at the visit on 18/07/06 as an immediate requirement). 23 (2) The registered person must ensure that the premises, furniture and equipment are DS0000014988.V315675.R01.S.doc 5. OP19 30/11/06 Woodside Version 5.2 Page 24 6. OP25 12(1)(a)2 3(2)(p) 13(6) 18(1)(a) (c)(i) 7. OP30 maintained so that they are safe and in good working order. Light fittings must be clean and in working order. Previous timescale of 30/07/06 only partially met. The manager must undertake comprehensive training in the care of those with dementia. (Previous timescale of 31/10/06 has not been met. 30/11/06 31/12/06 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 OP28 Good Practice Recommendations The home should show on its training plan how it intends to support its care staff to achieve NVQ awards to the standard where 50 of the team are qualified. Staff should receive supervision at least six times each year. 2. OP36 Woodside DS0000014988.V315675.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Woodside DS0000014988.V315675.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!