Care Home: Ivybank House Residential Home

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What the care home does well Ivybank continues to offer a comfortable homely and relaxed home to live in. There is a stable staff team who work well together to ensure that there are high standards of care. The people who live in and visit the service are consulted regularly about how the home is run, so that they can influence any decisions that are made. Those people living in and visiting the service said the following: "I feel that the care home looks after me extremely well twenty four hours a day" "Very satisfactory" "I am quite satisfied with the service, good company" "I am very happy living at Ivybank" "I am quite happy here" "I am quite satisfied" "My relative has benefited greatly from the company of other residents and staff. I visit regularly and they always seem cheerful and content. There is ample food and it is well presented and my relative has no concerns" "On the whole I am very happy and all the staff are lovely" "I am confident that the home will call me if there is a problem"There is a careful selection process for recruiting staff to make sure that they are suitable to work with vulnerable people. New staff have a comprehensive induction so that they are confident and competent. The manager recognises the importance of staff training so supports people to keep themselves up-todate. All of the staff observed during the inspection visit treated the people in their care with great respect. The staffing levels are adjusted to meet the dependency levels of the people living in the home. In order for people to be able to pursue their interests and hobbies an activity organiser is employed. Other staff, also work hard to make sure the people are supported to do something interesting for them. People we met told us about the friendships that they have formed since living at their home; this was very evident during our visit. The manager makes sure that any concerns complaints or allegations of abuse are dealt with promptly, and in a way that protects people living in the home. What has improved since the last inspection? There were no requirements made at the last inspection of June 2007. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Ivybank House Residential Home Ivy Bank Park Bath Bath & NE Somerset BA2 5NF Lead Inspector Jill Cornelius Key Unannounced Inspection 14th May 2008 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 Ivybank House Residential Home DS0000070952.V363042.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. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivybank House Residential Home Address Ivy Bank Park Bath Bath & NE Somerset BA2 5NF 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) 01225 837776 01225 830712 fourseasons@fshc.co.uk FSHC Newco 2 Ltd Mrs Karen Webb Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Ivybank House Residential Home DS0000070952.V363042.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 service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 43. New service Date of last inspection Brief Description of the Service: Ivybank House is a large extended period house situated in a quiet residential area on the south side of the city of Bath and close to the municipal golf course. The city centre is a short distance by car or bus and there are community facilities available in the local suburb of Bear Flat. The property is on two floors and has two large lounges, a dining room and an attractive conservatory. There are three passenger lifts that give access to all areas of the home. Aids and adaptation are provided where necessary. The service users have access to a spacious garden and there is ample parking for visitors and staff. The homes Ethos of Care says; We are committed to proving a good quality of care to each and every person receiving our services. We will listen to you to enable us to provide you with individual care and support based upon what you are telling us. Additional information about the home is available in a brochure kept in the entrance of the home and by request. CSCI reports are displayed in the entrance of the home and are available for all to read. The fees range from £400 to £900 per week with additional charges being made for hairdressing, chiropody, newspapers, escorts, toiletries and some transport. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 5 Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This was an unannounced inspection visit and formed the home’s key (main) inspection. Before the visit took place survey forms had been sent to the home for people living in the home, their relatives and health care professionals to complete-12 were returned. The information in these forms is used to help us decide upon the quality of life experienced by those who live in the home. The visit took one day and was spent talking with people, reading records and observing the way staff interacted with people in their care. The manager was present for this visit and had the immediate feedback about our findings. It was a very positive visit and this is reflected by one recommendation made. What the service does well: Ivybank continues to offer a comfortable homely and relaxed home to live in. There is a stable staff team who work well together to ensure that there are high standards of care. The people who live in and visit the service are consulted regularly about how the home is run, so that they can influence any decisions that are made. Those people living in and visiting the service said the following: “I feel that the care home looks after me extremely well twenty four hours a day” “Very satisfactory” “I am quite satisfied with the service, good company“ “I am very happy living at Ivybank” “I am quite happy here” “I am quite satisfied” “My relative has benefited greatly from the company of other residents and staff. I visit regularly and they always seem cheerful and content. There is ample food and it is well presented and my relative has no concerns” “On the whole I am very happy and all the staff are lovely” “I am confident that the home will call me if there is a problem” Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 7 There is a careful selection process for recruiting staff to make sure that they are suitable to work with vulnerable people. New staff have a comprehensive induction so that they are confident and competent. The manager recognises the importance of staff training so supports people to keep themselves up-todate. All of the staff observed during the inspection visit treated the people in their care with great respect. The staffing levels are adjusted to meet the dependency levels of the people living in the home. In order for people to be able to pursue their interests and hobbies an activity organiser is employed. Other staff, also work hard to make sure the people are supported to do something interesting for them. People we met told us about the friendships that they have formed since living at their home; this was very evident during our visit. The manager makes sure that any concerns complaints or allegations of abuse are dealt with promptly, and in a way that protects people living in 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 be made available in other formats on request. Ivybank House Residential Home DS0000070952.V363042.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 Ivybank House Residential Home DS0000070952.V363042.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, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one moves into the home without having his or her needs assessed and can be assured that these will be met. EVIDENCE: The home continues to do a comprehensive pre-admission assessment for each person who may be moving into the home. The manager does the visits and also uses any additional information from other health professionals. Information on the survey forms received from people living in the home were positive about this process. 9 people said that they received enough information about the home before moving in to make a decision about whether it was the right place for them, some people said on the forms that their families had helped to make a decision, and one person knew all about Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 10 the home as they have lived in the area. On the homes annual quality assurance assessment form the manager stated that they offer prospective service users/relatives various options to make them feel welcome. This could be a days trial, spending a holiday week with them so they could familiarise themselves with staff and the environment to see if it was right for them before they make a final decision, and also inform people about their website. The manager stated and staff confirmed that she informs them about anyone new who is moving into the home, and any difficulties they may experience. Ivybank House Residential Home DS0000070952.V363042.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 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from an individual plan of care. They can be confident that their healthcare needs continue to be well met, and that they are protected by a safe medication administration. People feel supported and are treated with respect. EVIDENCE: The care plans for four residents were examined. All gave clear details of the residents’ health; personal and social care needs and information for staff to enable them to deliver the appropriate care to the residents. Staff were seen accessing these documents throughout the inspection. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 12 All staff, including catering and housekeeping, continue to attend ‘handover’ meetings after each shift and each member of staff will give an update of the residents that they have cared for or had contact with to the rest of the team. Staff spoken with again confirmed that they value the opportunity to be involved in handovers and feel that this ensures that everyone is kept fully informed of any changes to residents and their needs. A system continues in place to record monthly reviews of care plans. All files examined had clear evidence that reviews are taking place and are up to date. Evidence was also available showing these reviews had included residents. One resident spoke of how they had been assisted to get over their recent knee operation and was looking forward to be going out and about. A new care plan had been developed to meet their changed needs. All files contained comprehensive risk assessments relating to falls, moving & handling and nutrition. They showed evidence of regular review and in one case the resident’s mobility had improved and she no longer required two workers for moving and handling. The risk assessment had been amended to reflect that change. Again there was clear evidence that the home works closely with local General Practitioners (GP) and District Nurses ensuring that resident’s health needs are met. A comment card received from a General Practitioner said “Staff always ask the district nurses for advice on nursing issues and make efforts to communicate with the GP in matters relating to their residents”. Medication is administered through a monitored dosage system arranged with a local pharmacy. A senior care worker administers the medication to the residents. All staff have undergone NVQ accredited training in managing medication through the local pharmacy. Staff were observed knocking on doors before entering the rooms, and communicating with residents in a friendly manner. Some comments relating to privacy and dignity include; “staff always knock and wait before they enter my room”, “ I see the GP or other health staff in the privacy of my room”. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a varied activities programme, which is both enjoyable and stimulating and meets individual preferences and expectations. People living in the home maintain contact with families, friends and the local community. People are offered choice in respect of meals and meal times. EVIDENCE: The activities organiser’s hours are 28 per week. The home continues to maintain a wide activities programme both inside and outside of the home. People living in the home are given information each month detailing the forthcoming events and activities and this is also displayed on the notice board in the main hall. These activities and events include exercise classes, bingo, sing-a-long, clothes sale, cheese & wine evenings, church services, pub lunches and trips to Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 14 local events theatre and museums. One person surveyed commented, “I like going shopping”, another commented “I am encouraged to take part in activities and do so from time to time”. A daily record is kept of the activities that take place and who takes part in them. People spoken with all confirmed that they felt that there was a good range of activities and trips on offer. Not all of those spoken with wanted to take part in every event but they confirmed that there was a good choice of activities and they also enjoyed sitting in the pleasant gardens and lounges and chatting to other residents and receiving visitors. This was observed throughout the inspection visit. Two relatives who were spoken with on the day of the visit to the home confirmed that they could “visit whenever they wish and they are always made welcome and offered refreshments”. The home has a mini bus that enables a greater flexibility for trips and for individual outings and transport to appointments. One comment was made “I have requested the mini bus to take me to the hospital for an appointment but was told this could not happen”. This was referred to the manager who immediately acted upon it and arranged for this to take place. The home has excellent catering facilities with a dining room that is staffed by a dedicated catering team. Residents are free to arrive for meals at their convenience and there is a choice of menu with every meal and individual preferences are also accommodated. Relatives spoken with also confirmed that they could have meals with the residents and when they have it had been enjoyable. The inspector observed residents having their lunch. The meal was relaxed and staff were attentive and chatty with residents and care staff assisted any residents requiring help with their meal. The head chef explained that he has a good budget for food and fresh meat and vegetables are purchased from the local butcher and greengrocer. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that complaints and allegations of abuse are taken seriously and investigated in accordance with the home’s own policies. EVIDENCE: The manager at home has been found at previous visits to take all concerns, complaints and allegations of abuse seriously and act upon them promptly. A complaints file is kept updated and shows that complaints are responded to in the time span detailed in the homes own complaints procedure. We looked at the response for a complaint received which replied in detail to each element of the complaint. This was resolved to the complainant’s satisfaction. People living at Ivybank are protected from abuse. There have been no protection issues forwarded to the CSCI. The manager stated that if there were she would contact the relevant agencies, for example Social Services, the Police and the Commission for Social Care Inspection. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 16 All staff are trained in the subject of abuse, which is started on their induction, and then after that they receive regular updates. The home uses a DVD about the subject, when staff have seen this they complete a questionnaire. The home accesses the free social services training about the subject of abuse. Ivybank House Residential Home DS0000070952.V363042.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Ivybank live in a safe, clean and well-maintained environment with comfortable bedrooms, that they are able to personalise with their own furniture and possessions. EVIDENCE: Ivybank continues to provide a relaxed and homely environment, which is light and airy. The home is on two floors with lifts to allow access to the upper floor. People have a choice of several communal areas to spend their days if they wish. Some of the bedrooms were quite personalised and included small items of furniture. The home has a rolling decorating program, replacement of carpets and some furniture when applicable. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 18 All but 6 bedrooms have an en suite, most with a shower and a few with only a washbasin and toilet. Each floor has a large well-equipped bathroom for residents that may need assistance with bathing or prefer a bath to having a shower. There were two negative comments whilst visiting the home; these were related to bed linen and carpet stains. This was discussed with the manager who was aware of these and had already investigated them. One comment relating to the cleanliness of the home was; “I consider the cleaning of all communal areas, shower/bathroom, bedroom etc to be first class”. During our visit the standard of cleanliness was very good. The home is well maintained and decorated to a high standard. The home continues to employ a maintenance person 5 days a week and is on out of hours call out. There are extensive landscaped grounds including several patio areas with seating for residents to sit in fine weather, as well as some rooms with doors leading out on to paved areas. Residents met in their rooms confirmed that they were comfortable and liked their bedrooms and that they were satisfied with the décor. There was evidence that residents are able to personalise their rooms and can bring in their own furniture is they wish. Maintenance records show that when faults are reported the work is quickly carried out. Ivybank House Residential Home DS0000070952.V363042.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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home continue to have their needs met by the numbers and skill mix of the staff. They are supported and protected by staff that are carefully recruited and trained. EVIDENCE: Evidence from the rota again showed that good staffing levels are maintained at the home and there are adequate housekeeping and catering staff. As previously mentioned the home also employs an activities organiser and a maintenance person. Residents and relatives spoken with at the visit confirmed that staff are competent to carry out their work. Comments made; “On the whole I am very happy and all the staff are lovely” “Good staff celebrating diversity” One comment made was “I have concerns regarding the language barrier which at times is confusing. I do think it would help if their English skills were a little better” Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 20 There was clear evidence that staff retention is good. The manager has been working with the skills for care project and has been instrumental in setting up ‘staff development and resident support workshops’. An external trainer has facilitated these workshops and notes from the meetings showed that the content has been flexible and lead by the needs and wishes of the staff. The aim of these workshops has been to create an environment where staff feel valued and are able to talk freely about their work and any problems that they may have. From these workshops staff complete a course in clear communications skills. Most staff have accessed the clear communications training course. The manager continues to feel that these workshops, with clear communication training and keeping up with other training has directly achieved the improved staff retention. The home also has an on-going programme for NVQ and all staff have either completed or are working towards their NVQ award. When looking at the home’s recruitment documentation, four personnel files were examined. These demonstrated good employment practice and necessary checks being carried out. The home’s induction programme is robust and comprehensive. All new staff members have an individual record of induction and the training given covers all areas of service provision including manual handling and health and safety. Ivybank House Residential Home DS0000070952.V363042.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home and staff continue to benefit from good leadership and management. Management practice offers protection to the health and safety of residents. EVIDENCE: The manager has her Registered Managers Award (RMA). The deputy has completed her NVQ level 3 and is working towards her RMA. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 22 On the day of visit there was a friendly and interactive atmosphere in the home. Residents looked well cared for and were seen talking to staff in an informal way. The manager had a clear understanding of her role and responsibility within the home and was able to demonstrate understanding of the needs of the residents. The staff were positive and motivated throughout the visit and there was evidence that the home is committed to maintaining and improving services. There is a detailed ‘hand over’ time between staff at shift change and the home maintains a daily diary where all communications and any actions required by staff in relation to residents’ health and welfare are recorded. There was evidence that relatives feel that they have good access to the manager and staff to discuss their person’s care. Two relatives were spoken with on the day of the visit. All were very complimentary about the home and management and said that they were regularly informed about activities in the home verbally when they visited and through the newsletter. Evidence from staff records showed that staff have received regular supervision. Staff spoken with confirmed that they have received supervision and their training and development needs are discussed at these meetings. It is clear that the home has invested and budgeted for staff training, including staff development and resident support workshops set up to support and counsel staff in their work. There was evidence of risk assessments on various areas of the home. The home also maintains individual residents’ accident reports from the first day of admission to date. The 3-monthly check of wheelchairs and commodes is up to date. Fire drills are being routinely carried out and staff continue to be up to date with fire training. The home does not keep money on behalf of residents but submits invoices to their representative on a monthly basis for any purchases made. The home makes arrangements via relatives or representatives for residents that wish to have cash made available to them. Ivybank House Residential Home DS0000070952.V363042.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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x x 3 3 3 Ivybank House Residential Home DS0000070952.V363042.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. Standard Regulation Requirement Timescale for action 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 OP29 Good Practice Recommendations The home needs to focus on helping staff whose first language is not English to achieve a good level of conversational and written English. Ivybank House Residential Home DS0000070952.V363042.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Ivybank House Residential Home DS0000070952.V363042.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. 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