Care Home: Gledhow Lodge

What the care home does well Pre-admission assessments are thorough and make sure the home can meet people`s needs. The home is well managed and run in the best interests of the people who live there. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedure is safe and accurate. There is good and friendly interaction between the people who live at the home and the staff. There are enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. People said they enjoy their meals and there were drinks offered throughout the day. The cook is aware of people`s dietary needs and preferences. The kitchen and the rest of the house is clean, safe and well maintained. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The laundry is well organised and people`s personal clothing and the other linen is well cared for and hygienically washed. The home has good hygiene procedures in place and the house is clean and well cared for. What has improved since the last inspection? All the requirements we made at the last key inspection have been met. The Statement of Purpose has now been updated to reflect the specialist dementia care service the home offers. Detailed pre-admission assessments are now being carried out, to make sure the home can meet people`s needs. The care plans have been improved to better reflect the individual`s care and support needs. The medication records and administration systems have improved and, although one administrative improvement is needed, they are safer and more accurate than at the last inspection. The staff recruitment process is more thorough and makes sure all staff have had a Criminal Records Bureau and Protection of Vulnerable Adults register check, as well as obtaining two satisfactory references, before starting work. Staff are now having regular one to one supervision with their line manager. CARE HOMES FOR OLDER PEOPLE Gledhow Lodge 51/53 Gledhow Wood Road Leeds West Yorkshire LS8 4DG Lead Inspector Liz Cuddington Key Unannounced Inspection 27th May 2008 10:55 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 Gledhow Lodge DS0000001454.V364911.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. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gledhow Lodge Address 51/53 Gledhow Wood Road Leeds West Yorkshire LS8 4DG 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) 0113 266 7806 Yorkshire Residential Care Limited Janice Lesley Stevenson Care Home 25 Category(ies) of Dementia - over 65 years of age (25) registration, with number of places Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th June 2007 Brief Description of the Service: Gledhow Lodge is situated in Oakwood, a leafy suburb in the north of Leeds close to the amenities of Roundhay Park and the canal gardens. It is only a short bus ride from the city centre. The home is well served by local shops, a library and numerous cafes. This establishment is a Georgian grade 2 listed building. The home is registered to provide specialised dementia care to older people. Accommodation is provided mainly in single rooms with some twin rooms for those who want to share. The home is on two floors and has a passenger lift. There are generous communal areas on the ground floor, offering a choice of lounges and a large dining room. The home has a large, well kept garden where residents can sit out or take a walk. The current charge is £441.00 per week. Additional charges are made for hairdressing, chiropody, newspapers, magazines, and other personal items. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Gledhow Lodge. The visit to the home was carried out over one day by one inspector. The last key inspection was in June 2007. Since the last key inspection no complaints or concerns have been made to us about the home. The methods used to gather information included conversations with the people living at the home, their relatives and the staff, as well as looking at care plans and examining other records. We received the home’s self-assessment questionnaire before the inspection visit. This gives us a lot of useful information about the home and helps us plan the visit. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: Pre-admission assessments are thorough and make sure the home can meet people’s needs. The home is well managed and run in the best interests of the people who live there. The staff understand the needs and preferences of all the people who live at the home. People’s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedure is safe and accurate. There is good and friendly interaction between the people who live at the home and the staff. There are enough staff on duty to make sure they have time to Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 6 spend with people in conversation as well as supporting people to take part in individual and group activities. People said they enjoy their meals and there were drinks offered throughout the day. The cook is aware of people’s dietary needs and preferences. The kitchen and the rest of the house is clean, safe and well maintained. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The laundry is well organised and people’s personal clothing and the other linen is well cared for and hygienically washed. The home has good hygiene procedures in place and the house is clean and well cared for. What has improved since the last inspection? What they could do better: The records for controlled drugs need to be improved in line with Royal Pharmaceutical Society guidance, to make sure their administration is accurately recorded. An improved programme of activities would be beneficial to the well-being of the people who live at the home. A training programme needs to be developed, to provide an overall view of the training staff have taken, to identify training needs and to plan the training Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 7 staff need to give them the skills and knowledge they need to carry out their role effectively. This should include training on the Mental Capacity Act. People’s personal information is stored in an office, which is not always locked when it is not being used. As this information is confidential, it is important that staff make sure these files are securely stored at all times. 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. Gledhow Lodge DS0000001454.V364911.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 Gledhow Lodge DS0000001454.V364911.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Statement of Purpose reflects the range of services the home offers. People are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: The Statement of Purpose has been updated to include information about the specialist dementia care services offered at the home. People are given enough information about the home before deciding to move in, and they had also received a contract. Where possible the home encourages people and their families to visit the home and talk to the people who already live at the home and their relatives. The home invites them to come and spend time at the home, before reaching a Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 10 decision. This means that the home can get to know the person’s needs and also the individual and their relatives have the information they need to help them make such an important decision. If this is not possible, a senior member of staff visits people in their own home or in hospital to carry out an assessment and make sure the home can meet their needs before offering a place. The care plans included the pre-admission assessments completed by the home and Social Services, where this applies. This assessment forms the basis for the person’s individual plan of care and support. Gledhow Lodge DS0000001454.V364911.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: From observation, and discussions with staff and people living at the home, it was clear that the staff are aware of each person’s needs and preferences. The staff make sure they provide the help people need in the way they prefer. There is a ‘pen picture’ of each individual, which is valuable in helping staff to get to know and understand the people they support and care for. People receive the medical and healthcare support they need. Any concerns about people’s health are followed up and a daily diary is kept of important information that staff need to know. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 12 People said the care is good and the staff are kind and helpful. Relatives said they are very satisfied with the care provided. Three care plans were looked at, to make sure that people’s health and personal care needs are being met in the way each person prefers. The plans cover each area of the individual’s care needs. They all contain enough information to guide staff in how to care for and support each person. The care plans have been improved, to make them clearer and easier to use. The plans contain healthcare assessments, such as assessments for skin integrity and nutrition. Plans also include risk assessments, to show that potential risks have been considered and ways to minimise risk have been identified. The care plans are reviewed regularly and showed that, where possible, the individuals and their families are involved in developing and reviewing their plans. One relative confirmed they are always involved in the care planning process, although not all the plans have been signed to confirm that people and/or their relatives have been consulted. The daily records are kept up to date and include information on significant occurrences. There are systems for highlighting information that needs to be passed onto the next group of staff, including staff handover meetings. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. During the inspection the member of staff administering medication observed each person taking their medicine and signed the chart immediately afterwards, to confirm this. The records of amounts received, administered and in stock of some medicines that were supplied in their original packaging accurate. However, a ‘brought forward’ system would make it easier to check all quantities of medicines, to confirm that administration is always accurate. The records for controlled drugs need to be improved in line with Royal Pharmaceutical Society guidance, to make sure that their administration is accurately recorded. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 13 When controlled drugs are being administered, a second member of staff should observe and also sign the MAR chart to confirm the dose had been taken. In addition, it is a legal requirement to keep a record in a separate controlled drugs book. This is to keep an up to date record of the quantities received, administered and in stock of each controlled medicine for each person. Both members of staff must also sign this book, to confirm that the quantities administered and in stock are accurate. At the time of our visit this was not being done, but the manager said this would be put right straightaway. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. People’s relatives confirmed this. Everyone said the staff listen and act on what they say. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The staff provide a range of activities for people to take part in, if they wish. People said there were things to do, but would like more. The management is aware that this is an area where improvements can always be made. At present the activities include singing and music, games and other activities that people choose. An external activities organiser comes into the home three times a week and one member of staff has attended an activities course. Entertainers are also brought into the home. The home hires a minibus so that people who wish to can go out to places of interest, such as the White Rose shopping centre, local parks, garden centres and nearby towns such as Otley. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 15 Part of the garden is going to be re-designed to include a raised bed. This will make it possible for people to do some gardening, if they wish. The manager said they would include people in choosing what they would like to grow and planning the planting. People said they always or usually like the meals. One person said they are ‘Very good’. The cook explained how the menus are planned, to include the wishes of the people who live at the home and to meet any special dietary needs. A diary is kept of what people eat and drinks are available throughout the day. People seemed to be enjoying their meals and staff were on hand to discreetly assist people who needed some help and to gently encourage people to finish their meal. The tables were laid with tablecloths and cutlery and drinks of juice and tea were provided. Visitors are always welcomed to the home. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. A copy of the complaints procedure is kept in people’s bedrooms. Staff said they know what to do if anyone has concerns. The relatives said the home always or usually responds appropriately to any concerns. Most people said they know what to do if they have a concern or complaint. One relative said that any concerns they have are dealt with. Newly employed staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. The majority of care staff have had adult protection training, and further training is planned. All the appropriate policies and procedures are in place to guide staff. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable and well-maintained environment. EVIDENCE: The home is clean and generally well maintained and there is an ongoing refurbishment programme. The manager said they are on target with their programme of re-decoration for this year. There were some unnecessary odours that the home is aware of and is taking steps to eliminate. The gardens are safe and well looked after and people enjoy sitting out or walking around them when the weather is good enough. The plan to put in raised beds with paved footpaths in one part of the garden will give people who enjoy gardening an extra interest and occupation. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 18 The home has been given planning permission to build a conservatory leading from one of the three lounges. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet people’s care, social and leisure needs. The home is now at full occupancy and there are four care assistants and the care manager on the day shift and two staff during the night shift. Staff confirmed that staffing levels are adjusted to meet people’s needs. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Staff have a copy of the terms and conditions of their employment. The staff files are well organised and all the information needed was clear and easily available. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 20 Staff confirmed that they have plenty of training opportunities to support them in their roles. Staff said their training was relevant, helped them understand their role and kept them up to date. Four of the care staff have completed a suitable National Vocational Qualification (NVQ) in care at level 2. Two staff are currently taking the level 2 award and two are working towards achieving the level 3 award. One of the anciliary staff has an NVQ at level 2 and two are taking a relevant level 1 NVQ. All new staff take induction and foundation training which meets the Skills for Care criteria. This gives them good training to help them do their job effectively, and provides a sound basis for taking an NVQ course. Currently all staff take the mandatory health and safety and adult protection training, and have regular refresher training to keep their knowledge and skills up to date. In addition staff training includes infection control, nutrition and health, medicines administration, dementia care and the principles of care and person centred planning. Some staff have taken a foundation course in palliative care. The staff files contained certificates for the training courses they have taken. In order to keep staff up to date, training in the implications of the Mental Capacity Act is advised. The home’s management is currently working on developing an annual training plan for the staff. This will make sure all staff have completed all the mandatory training and refresher training they need, as well as other training courses to help them fulfil their role. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed. EVIDENCE: The owner of the home and the care manager are both registered with us as suitable people to run a care home. This means that there is always a manager with the necessary experience and qualifications to make sure the home is run in the best interests of the people who live there. The home also employs an administration manager. The records and the staff confirmed that all staff are now having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 22 discuss any areas of concern in a confidential setting. The registered provider takes one supervision session and appraisal with all the staff each year. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home’s kitchen has recently had an Environmental Health Officer’s inspection. The kitchen was awarded four stars and, when we looked, the kitchen was clean and hygienic. The laundry is well organised and people’s personal clothing, as well as bedding and towels, are properly cared for. People’s personal information is stored in unsecured cabinets and open shelves in the offices, which are not always locked when unoccupied. To protect people’s confidentiality, all records about the people who live at the home and the staff must be securely stored in accordance with the requirements of the Data Protection Act. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 3 Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement To keep an accurate and correctly maintained record of any controlled drugs, all controlled drugs received and administered must be recorded in a separate controlled drugs book, in accordance with the Royal Pharmaceutical Society guidance. To protect the confidentiality of people’s personal information, all the records about people who live at the home and the staff must be securely stored, in accordance with the requirements of the Data Protection Act. Timescale for action 31/07/08 2. OP37 17(1)(b) 31/08/08 Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP30 OP30 Good Practice Recommendations An annual training plan, that identifies when mandatory training updates are due, should be developed. To keep their knowledge up to date, staff should be given training on the Mental Capacity Act. Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Gledhow Lodge DS0000001454.V364911.R01.S.doc Version 5.2 Page 27 - 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!