Care Home: Heathermount

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What the care home does well Residents` needs are assessed to ensure they receive the correct level of care. When a resident moves into the home a plan of how they are to be looked after is drawn up. Residents confirmed the staff respond promptly to any health care issues and they see their GP or any other health care professionals involved in their care when necessary. Residents spoken to during the visit said `the staff are very kind and I couldn`t say a word against anyone`. Another resident said `the staff are very good. They are very discreet when they help me with my personal care`. A relative`s questionnaires returned to us stated ` the staff are thoughtful and considerate to all my relative`s needs`. A varied and nutritious diet is provided to ensure residents` interest and good health. Residents` questionnaires returned to us indicated they like the meals that are provided. One questionnaire recorded `the meals are excellent` another recorded `very good choice of meals, great variation and always hot`. All of the residents spoken to said they enjoy their meals and always have plenty to eat and drink. One resident said `the food is excellent, if anything I get too much`.A range of social activities are provided during the week to ensure residents do not become bored and to provide them with social interaction. One resident said `I like the activities and always join in`. Another resident said `I join in some activities but I also like to stay in my own room as I enjoy my own company`. Residents` questionnaires returned to us indicated their are `usually` and `sometimes` activities arranged by the home. One questionnaire recorded `more activities are needed on a daily basis for example making things, film shows and outings in the summer`. All of the residents spoken to during the visit confirmed they are happy with the home`s routines. Residents know their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure residents are protected from abuse The standard of furnishing at Heathermount remains very high and provides a comfortable and pleasant environment for residents to live. Thorough recruitment procedures are carried out to ensure suitably qualified and competent staff are employed to work at the home. Staff confirmed they have completed and are encouraged to attend training relevant to their role. Quality assurance systems are in place to ensure the efficient and ongoing improvement of the home. Safe working practices are promoted throughout the home. What has improved since the last inspection? Staff have been provided with more training to keep them up to date with changing care practices. An improved range of daily activities are provided and the lounge has been extended to provide more communal space. What the care home could do better: Some improvements need to be made to the risk assessment documentation to ensure staff know how to look after the residents properly. Some changes need to be made to the staffing arrangements. The training programme needs to be developed to include more specialist training to meet residents` particular care needs CARE HOMES FOR OLDER PEOPLE Heathermount Mount Avenue Heswall Wirral CH60 4RH Lead Inspector Inger Moynihan Key Unannounced Inspection 13th March 2008 09:00 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 Heathermount DS0000018893.V360812.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. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathermount Address Mount Avenue Heswall Wirral CH60 4RH 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) 0151 342 1102 0151 342 1102 Abbeyfield Heswall Society Limited Elaine Jones Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to residents of the following gender: Either, Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of residents who can be accommodated is: 15 Date of last inspection Brief Description of the Service: Heathermount is registered to provide accommodation for fifteen older people. The home is a detached three storey house set in its own grounds. The gardens are mature with a level footing which provides a safe environment for the resident s. Patio furniture is also provided. There is a small car park with parking space for four cars at the front of the building. Accommodation for residents is provided on three floors with a passenger lift to all floors. Resident s bedrooms have en-suite facilities which comprise of a toilet and washbasin. Specialised bathing facilities are provided on each floor. The communal facilities comprise of a lounge / dining room which has access to a small patio area and the garden. The standard of decoration throughout the home is very high. Heathermount is within walking distance of Heswall town centre which has a selection of shops, banks and restaurants. The town also has a bus station which gives easy access to Liverpool and other parts of the Wirral. Heathermount DS0000018893.V360812.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 3 star. This means the people who use this service experience excellent quality outcomes. Information about the home was obtained through an Annual Quality Assurance Assessment (AQAA) and discussion with the Manager and members of the staff team. Policies, procedures and supporting documentation were looked at along with a selection of residents’ case files. A part of the inspection process includes sending questionnaires to residents, staff and health care professionals to obtain their views on the standard of the service. Comments made in these questionnaires are included in the report and contribute to the basis of any judgments made. Fees - £376.85 and £410.03 per week (privately funded) £369.74 per week (local authority funded) What the service does well: Residents needs are assessed to ensure they receive the correct level of care. When a resident moves into the home a plan of how they are to be looked after is drawn up. Residents confirmed the staff respond promptly to any health care issues and they see their GP or any other health care professionals involved in their care when necessary. Residents spoken to during the visit said the staff are very kind and I couldnt say a word against anyone. Another resident said the staff are very good. They are very discreet when they help me with my personal care. A relatives questionnaires returned to us stated the staff are thoughtful and considerate to all my relatives needs. A varied and nutritious diet is provided to ensure residents interest and good health. Residents questionnaires returned to us indicated they like the meals that are provided. One questionnaire recorded the meals are excellent another recorded very good choice of meals, great variation and always hot. All of the residents spoken to said they enjoy their meals and always have plenty to eat and drink. One resident said the food is excellent, if anything I get too much. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 6 A range of social activities are provided during the week to ensure residents do not become bored and to provide them with social interaction. One resident said I like the activities and always join in. Another resident said I join in some activities but I also like to stay in my own room as I enjoy my own company. Residents questionnaires returned to us indicated their are usually and sometimes activities arranged by the home. One questionnaire recorded more activities are needed on a daily basis for example making things, film shows and outings in the summer. All of the residents spoken to during the visit confirmed they are happy with the homes routines. Residents know their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure residents are protected from abuse The standard of furnishing at Heathermount remains very high and provides a comfortable and pleasant environment for residents to live. Thorough recruitment procedures are carried out to ensure suitably qualified and competent staff are employed to work at the home. Staff confirmed they have completed and are encouraged to attend training relevant to their role. Quality assurance systems are in place to ensure the efficient and ongoing improvement of the home. Safe working practices are promoted throughout the home. 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. The summary of this inspection report can Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Heathermount DS0000018893.V360812.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 Heathermount DS0000018893.V360812.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care needs are assessed to ensure they receive the correct level of support . EVIDENCE: Before a resident moves into the home, an assessment of their care needs and any risk factors affecting their wellbeing is carried out. More detailed information needs to be included in the risk assessment documentation to ensure staff have all the information they need on how to keep the residents safe. Intermediate care is not provided at Heathermount. Heathermount DS0000018893.V360812.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health care is monitored to ensure their good health and wellbeing. EVIDENCE: When a resident moves into the home a plan of how they are to be looked after is drawn up. This care plan covers a range of issues relating to residents care needs and gives staff guidance on how to look after the person in accordance with these needs. While the care plans had been reviewed, some of the documentation lacked sufficient detail to demonstrate that a thorough review had taken place. Residents’ health care needs of monitored and reviewed. Residents confirmed the staff respond promptly to any health care issues and they get to see their GP or any other health care professionals involved in their care when necessary. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 11 A record is maintained of this information along with any visits to the chiropodist and dentist etc. Appropriate aids are provided for residents when necessary, and residents are supported around any issues relating to their continence. All of the residents questionnaires returned to us indicated they always receive the care and support they need and staff act and listen to what they say. All of the questionnaires indicated they always receive the medical support they need. One of the residents spoken to during the visit said the staff are very kind and I couldnt say a word against anyone. Another resident said the staff are good although some staff do not have a good manner. Another resident said the staff are very good. They are very discreet when they help me with my personal care. One of the relatives questionnaires returned to us stated the staff are thoughtful and considerate to all my relatives needs. Systems are in place for the safekeeping and handling of residents medication and only trained staff are allowed to administer medication. A policy and procedure in relation to the administration, safe handling and recording of medication is available for staff reference; staff confirmed they have access to this information. All of the residents spoken to during the visit confirmed they receive their medication as prescribed by their GP. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes routines are flexible which means residents can exercise choice and control over their lives. A varied and nutritious diet is provided to ensure residents interest and good health. EVIDENCE: The homes routines are flexible which means residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. A range of person centred activities is provided during the week to ensure residents do not become bored and to provide them with social interaction. The residents spoken to confirmed they enjoy the activities and acknowledged the staff respect their decision not to join in. One resident said I like the activities and always join in. Another resident said I join in some activities but I also like to stay in my own room as I enjoy my own company. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 13 Residents questionnaires returned to us indicated there are usually and sometimes activities arranged by the home. One questionnaire recorded more activities are needed on a daily basis for example making things, film shows and outings in the summer. One of the relatives questionnaires recorded staff work well with residents, encouraging them to pursue activities and lead them to new experiences. Thus helping them in the lifestyle they choose. All of the residents spoken to during the visit confirmed they are happy with the homes routines. A number of residents confirmed they have their own routines and are free to go about their day as they wish. Relatives and friends can visit the home at any time so they can maintain personal relation ships. Mealtimes are relaxed and informal and staff are on hand to help when necessary. Staff are aware of residents dietary needs and ensure their individual preferences are catered for. Residents questionnaires returned to us indicated they like the meals that are provided. One questionnaire recorded the meals are excellent, another recorded very good choice of meals, great variation and always hot. All of the residents spoken to said they enjoy their meals and always have plenty to eat and drink. One resident said the food is excellent, if anything I get too much. Another said the food is very good indeed. Heathermount DS0000018893.V360812.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents know their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure residents are protected from abuse. EVIDENCE: Residents are given a copy of the homes complaint procedure which is also displayed in one of the communal areas. We have not received any complaints about this service. The residents spoken to said they know who to contact if they wish to make a complaint, this was further supported in the residents’ questionnaires returned to us. Staff are aware of the action they should take in the event of them receiving a complaint, this was supported in the staff questionnaires returned to us. The home has not received any complaints. None of the residents raised any concerns about the standard of care they receive. All staff have completed training on how to safeguard residents from abuse and harm and through discussion they demonstrated a basic understanding of the different types of abuse that can occur. They were clear on the action they should take in the event of them suspecting or knowing an incident of abuse has happened. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 15 A policy and procedure relating to the investigation of allegations of abuse was in place along with a copy of the Wirral adult protection procedures. This ensures allegations of abuse are investigated and dealt with properly. The residents spoken to during the visit confirmed the staff are always kind and caring and they are never treated badly. Heathermount DS0000018893.V360812.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of furnishing at Heathermount remains very high and provides a comfortable and pleasant environment for residents to live. EVIDENCE: The standard of furnishings throughout the home remains very high and the grounds are well kept. A programme of routine maintenance is in place to ensure the home is well maintained and provides a comfortable and pleasant environment to live. All of the residents questionnaires returned to us indicated the home is always fresh and clean. One questionnaire commented the standard of cleanliness is outstanding. This was further supported in one of the relatives questionnaires returned to us. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 17 The standard of hygiene remains very high and there are sufficient laundry facilities to cater for the number of residents living at the home. Systems are in place to control the spread of infection along with supporting policies and procedures, which staff can refer to when necessary. Heathermount DS0000018893.V360812.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are suitably qualified and competent in their role. Improvement need to be made to the staffing arrangements to ensure the smooth running of the home. EVIDENCE: The Manager reported there are currently insufficient permanent staff working at the home. However, the existing staff group covers these staff vacancies and occasionally agency staff are used to ensure the staffing levels do not drop to an unacceptable level. She outlined that this situation was having some impact on the management of the home. Two of the relative questionnaires indicated that the home usually meets their relatives care needs. Two questionnaires indicated this was always the case. One questionnaire noted the staff are very caring to residents at the home but at times there is a shortage of staff. Six of the eight staff questionnaires returned to us indicated there are sometimes insufficient staff to meet residents care needs. The other two questionnaires indicated there are usually and always enough staff to meet the needs of the residents. Questionnaires noted there are insufficient staff at weekends and in the morning. This issue was discussed with the Responsible Individual who was aware of the staffing issues and agreed to address them as a matter of priority. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 19 Four of the five residents questionnaires returned to us indicated the staff are usually available when needed. One questionnaire indicated they are always available when needed. There is a rolling programme of training to the National Vocational Qualification (NVQ) standards. Documentation indicated that 75 of the permanent care staff are trained to NVQ level 2 or above. More staff are also working towards this award. Thorough recruitment procedures are carried out to ensure suitably qualified and competent staff are employed to work at the home. Documentation examined indicated that appropriate checks had been carried out on all staff. Staff are provided with induction training when first employed to ensure they know how to care for the residents in accordance with the particular needs and are aware of the homes routines and management structure. This is in line with Skills for Care. Five of the staff questionnaires indicated their induction training covered everything they needed to know to do their job well. Two questionnaires indicated the induction training partly and mostly covered all the necessary areas. Staff confirmed they have completed and are encouraged to attend training relevant to their role. This was further supported in the staff questionnaires returned to us. Training records indicated that most of this training was in relation to health and safety. While it is acknowledged that this training is relevant to the running of the home and the care of older people, the training programme needs to be developed to include training around the conditions of old age. This is also given the residents are becoming more frail. Training around equality and diversity has not yet been provided. Without this training staff may not fully understand the complex nature of issues relating to residents age, disability, gender, faith or religion, race and sexual orientation. Three of the relatives questionnaires indicated the staff always have the right skills and experience to look after people properly, one questionnaire indicated this was usually the case. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed and run for residents best interests. EVIDENCE: There are clear lines of management and accountability within the home which is run for residents best interest. Mrs Elaine Jones is qualified to NVQ level 4, which is the recognised qualification for a Manager of a residential care service and also holds the Registered Managers Award. Since Mrs Jones has been in post there have been some changes to the way the home is managed. All of the residents spoken to during the inspection spoke well of Mrs Jones although a number of them said they didnt see her very often. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 21 The AQAA documentation also identified the need for staff to integrate more with residents. One resident said since Mrs Jones arrival there has been an enormous difference to the home for the better. Staff had mixed comments about the way the home was managed with some saying they had good support and others saying they did not get the support they need. This issue was discussed with the Responsible Individual during the visit and it was agreed that some changes would be made to improve this area, including improved support for the Manager. Quality assurance systems are in place to ensure the efficient and ongoing improvement of the home. Residents are consulted on their views of the home and the care they receive and the Responsible Individual visits regularly to ensure good standards of care are maintained. Staff meet regularly with their Manager and regular training is provided. Policies and procedures are updated and reviewed. There are clear lines of accountability within the organisation. Given the issues that have been raised in this report, the quality assurance systems need to be changed in order to address any shortfalls in the service provision. One of the residents questionnaires returned to us stated very happy and lucky to be here, staff were very friendly, another stated on the whole a very nice place to live. One resident spoken to during the visit said Heathermount is a lovely place to live, another said Heathermount is a super home and I am very happy living here. Relatives questionnaires indicated they are always kept up-to-date with important issues and they always give the support and care to their relative that is expected. Residents manage their own money and fees are dealt with through the companys head office. The Manager was holding a small amount of money for two residents. The financial records for these two people were in good order. Safe working practices are promoted throughout the home. Staff are provided with ongoing training in this area of care such as moving and handling and food hygiene, and are given sufficient materials to carry out their work and ensure residents safety. Regular health and safety checks are carried out around the building such as the fire equipment, the lift and the electrical wiring. The electrical wiring certificate indicated that further work needs to be carried out. This is currently being looked into. Staff can access policies and procedures relating to health and safety to ensure they are clear on their responsibilities with regard to keeping themselves and the residents safe. Heathermount DS0000018893.V360812.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 x x 2 x x n/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 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 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 3 Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 13 Timescale for action More detailed information must 13/06/08 be collated when carrying out a risk assessment to ensure staff have all the information they need on how to keep the residents safe from the risk of harm Care plans must be thoroughly 13/06/08 reviewed to ensure staff have all the information they need on how to care for the residents appropriately. More specialist training must be 13/09/08 provided to ensure staff are up to date with residents particular care needs. Requirement 2 OP7 15 3 OP30 18 Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 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 OP28 Good Practice Recommendations A programme of training to the National vocational qualification standards should be introduced with a view to ensuring 50 of the staff at trained to NVQ level 2 or above by the end of 2008. Heathermount DS0000018893.V360812.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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. 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