Care Home: Macintyre Care - 12 Woodland Road

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What the care home does well Staff from the home carry out full assessments of need on people who may wish to live in the home, using the inclusive care referral protocol and `Moving into MacIntyre` assessment pack. Where appropriate copies of assessments/care plans are also received from the person`s care manager/social worker. This means that staff from the home and the person concerned can make a decision about whether their needs can be met at Woodland Road. There are good person centred plans drawn up for each person who lives at Woodland Road, covering their needs, likes, dislikes and preferred daily routines. People who live at Woodland Road and their families are involved in drawing up these plans so they can have a say in how the person`s care will be provided. People living at the home receive support from staff so they can use facilities in the local community. They are also supported to keep in touch with their family and friends This helps to make sure that they live a lifestyle of their choice. Because the people living in the home have specialist dietary needs the staff from the home have sought advice and guidance from healthcare and other professionals so as to ensure the people receive balanced diets. The way in which staff provide support forthe people living at Woodland Road ensures that their privacy and dignity. The person centred plans showed that the personal and healthcare needs of the person had been identified and how these would be met. There are policies and procedures so that staff at Woodland Road have clear guidance on how to give medications to the people living at Woodland Road safely and without errors. The complaints procedure for Woodlands Road is clear and is provided in picture format so it is easier for people to understand. There are policies and procedures from MacIntyre Care, the organisation that runs the home, on safeguarding people from abuse. These provide clear guidance for staff on what to do to make sure that the people living at Woodland Road are protected from harm. Woodland Road is well maintained, clean and tidy so it provides safe, comfortable surroundings for people to live in. Additional equipment such as lifting aids is provided for the people who have mobility problems. The manager and staff are committed to providing care and support to the people who live in the home so they can be as independent as possible and their privacy and dignity is maintained.Page 9 of 29Care Homes for Adults (18-65 years) What has improved since the last inspection? In the questionnaire the manager completed before our visit to the home, she told us that in the last twelve months, training for staff has continued, including training for senior support staff on being mentors, communication and the Mental Capacity Act. What the care home could do better: The staff training programme should be monitored to ensure all staff receive training/refresher training as required. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Macintyre Care - 12 Woodland Road 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Flannery Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Macintyre Care - 12 Woodland Road 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR 01512006847 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mail@macintyrecharity.org. MacIntyre Care Name of registered manager (if applicable) Alison Leadbetter Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home 12 Woodland Road is a care home for four adults with a learning disability. It is in a residential area of Ellesmere Port, close to shops, pub and the town centre. The home is a dormer bungalow and service users are accommodated on the ground floor. All the bedrooms are single and are individually furnished and decorated. Each of the bedrooms contains hoists and other lifting aids to assist service users. The home has one bathroom, one shower with toilet and two separate toilets. Communal space consists of a dining area in the kitchen, lounge and conservatory. Car parking space is available to the front and rear of the home. Staff are on duty twenty-four hours a day to care for service users. The current charge for living at the home is 1350 pounds per week. Please contact the manager for further details on accommodation and other changes. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home The overall quality rating for the home is two stars. This means that the people who live in the home experience good quality outcomes. This visit took place on the 25 February 2009. It was carried out by one inspector and took a total of 5 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Commission for Social Care Inspection. During the inspection we spoke with people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were made available to the people living in the home and staff so they could tell us what they think about it. The last inspection of this home was completed on the 17 January 2007. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well Staff from the home carry out full assessments of need on people who may wish to live in the home, using the inclusive care referral protocol and Moving into MacIntyre assessment pack. Where appropriate copies of assessments/care plans are also received from the persons care manager/social worker. This means that staff from the home and the person concerned can make a decision about whether their needs can be met at Woodland Road. There are good person centred plans drawn up for each person who lives at Woodland Road, covering their needs, likes, dislikes and preferred daily routines. People who live at Woodland Road and their families are involved in drawing up these plans so they can have a say in how the persons care will be provided. People living at the home receive support from staff so they can use facilities in the local community. They are also supported to keep in touch with their family and friends This helps to make sure that they live a lifestyle of their choice. Because the people living in the home have specialist dietary needs the staff from the home have sought advice and guidance from healthcare and other professionals so as to ensure the people receive balanced diets. The way in which staff provide support for Care Homes for Adults (18-65 years) Page 8 of 29 the people living at Woodland Road ensures that their privacy and dignity. The person centred plans showed that the personal and healthcare needs of the person had been identified and how these would be met. There are policies and procedures so that staff at Woodland Road have clear guidance on how to give medications to the people living at Woodland Road safely and without errors. The complaints procedure for Woodlands Road is clear and is provided in picture format so it is easier for people to understand. There are policies and procedures from MacIntyre Care, the organisation that runs the home, on safeguarding people from abuse. These provide clear guidance for staff on what to do to make sure that the people living at Woodland Road are protected from harm. Woodland Road is well maintained, clean and tidy so it provides safe, comfortable surroundings for people to live in. Additional equipment such as lifting aids is provided for the people who have mobility problems. The manager and staff are committed to providing care and support to the people who live in the home so they can be as independent as possible and their privacy and dignity is maintained. Page 9 of 29 Care Homes for Adults (18-65 years) What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 10 of 29 If you want to speak to the inspector please contact Val Flannery 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples needs are assessed before they move into the home to make sure they can be met at Woodland Road. Evidence: During our visit to the home, we looked at the care files of the person who has moved in most recently. These showed that staff from the home had completed MacIntyres admission protocol procedure. Staff had visited the person and their carers as part of the process to ensure the persons care needs could be met at the home. The person was able to visit the home to meet the other people who live there and the staff. This process all helps to make sure that everybody has the information they need to decide if the home is the right place for the person to move into. We saw a copy of the statement of purpose and service user guide to the home. These had been updated to show changes to the management and staff team and to include the new contact details for the commission. Care Homes for Adults (18-65 years) Page 13 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this 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 living in the home are supported to take responsible risks so they are able to make decisions about their lives and be as independent as possible. Evidence: We saw the person centred plans of one person who lives at Woodland Road. These are very detailed and contained a wide range of information about the person, their care needs and how these were to be met. Included were health action plans, details on how they wished to be cared for, a list of daily activities, risk assessments and person centred plans. Staff we spoke with during our visit told us about how they support the person to make decisions about their daily lives and help them maintain their independence with, for example, using the bathroom and moving about the home. The person centred plans also showed how the persons care needs were to be met including support with meal times, using community facilities and with their medication. We saw risk assessments in the person centred plans which covered areas such as choking, shaving and using the hoist. All this information helped to make sure that staff had the Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: guidance they need to make sure the persons needs were being met in the way that best suited the person. Care Homes for Adults (18-65 years) Page 15 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this 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 people living in the home receive the support they need so they can take part in a range of activities both in the home and in the local community so ensuring they are enabled to live their chosen lifestyles. Evidence: During our visit to Woodland Road we saw staff take two of the people living there to use a local leisure facility. The person centred plans we looked at included a programme of weekly activities and on the day of our visit, the person was at a local day centre. The records we saw showed that people living at Woodland Road are given support by the staff to use local shops and other amenities. The home has a mini bus that has been adapted to carry people who have mobility problems, including those who use wheelchairs. This helps to make sure that people living at the home are able to get out and about in their local community and beyond. During our visit, we noted that people could move freely between the bedroom the Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: dining room and the communal lounge and conservatory. The staff we spoke with during our visit told us there were good relationships with the neighbours and the local community. Records we saw showed that people who live at Woodland Road receive regular visits from relatives and friends. Relatives are able to visit the home as they wish and are able to maintain contact by phone and by letter if they wish. We saw copies of surveys received from relatives that showed an overall satisfaction with the service offered by the home and the support given by staff. Because of the specialist dietary needs of the people living in the home advice and guidance has been sought from healthcare professionals that include learning disability specialists and dietitians. This helps to make sure that they have a nourishing diet so they can stay healthy. Records we saw showed that people are offered a choice of foods where ever possible. During our visit, two people who live at the home were having their midday meal. They were supported by staff who ensured the food was not too hot for them and helped them to eat their meal. Care Homes for Adults (18-65 years) Page 17 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 health and personal care needs of the people living at Woodland Road have been identified and staff have guidance to make sure that those needs are met in the way that people prefer. Evidence: The person centred plans we looked at during our visit to the home included details on how the person wished to be supported by staff with personal care such as dressing, undressing, eating and using the bathroom. We saw evidence to show that specialist advice had been provided by healthcare professionals as the person has special dietary requirements. We saw staff providing personal support for a person who lives at Woodland Road in a way that respected the privacy and dignity of the person. Records in the person centred plans we looked at showed the persons healthcare needs had been identified and that specialists had been consulted on how best those needs could best be met. We also saw letters from local hospitals and doctors confirming appointments. This showed us that the staff at the home were aware of peoples healthcare needs and provided support to make sure that these were being met. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: The support staff we spoke with during our visit talked about how the care needs of the people who live in the home are changing as they get older. They also told us about the action that had been taken at the home to ensure the changing needs of the people are been met. Copies of MacIntyre Cares policies and procedures on the administration of medication to the people living in the home are kept in the home. Medicine is stored in locked cabinets in the home to make sure it is kept safely. Support staff we talked with told us that all the people living in the home at the moment need help with their medication. The medication administration record (MAR) sheets we checked were completed satisfactorily to show that people had received their medicines as prescribed and no errors had been made. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are procedures in place to make sure the people who live in the home can raise issues of concern and be protected from abuse or harm. Evidence: Woodland Road has a Say Something book available that people who live at the home, their relatives and others can use to make comments, compliments, complaints and to raise concerns. This was on display in the entrance hall. There were no recorded complaints. There were compliments recorded from doctors, relatives and others on the quality of care delivered by the home. A copy of the updated complaints procedure was also on display in the hallway and the person centred plans we saw contained a copy of the homes Service User guide to making a complaint. According to the senior member of staff spoken with during the inspection the home has not received any complaints in the past twelve months. Copies of MacIntyre Cares policies and procedures on protecting vulnerable adults from abuse or harm are kept in the home together with a copy of the government guidelines No Secrets. These documents provide staff with guidance on how to make sure that the people who live at Woodland Road are protected from harm and abuse. The senior member of staff we spoke with during our visit told us that no referrals have been made from the home to the local authority under safeguarding adults procedures. Another member of staff told us that in the week before our visit, they had attended training on safeguarding adults. Training records provided by the manager showed that all staff will have received refresher training on safeguarding adults from Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: abuse or harm by May 2009. Care Homes for Adults (18-65 years) Page 21 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this 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 well maintained so that the people who live there live in safe, comfortable surroundings. Evidence: During our visit to Woodland Road we walked round it to see the rooms. The home was clean, tidy, well maintained and free from unpleasant smells. The areas used by the people who live there are located on the ground floor and include single bedrooms, bathrooms and toilets, kitchen and dining room and communal lounge and conservatory. The staff office and sleeping in facilities are upstairs. A section of the back garden and the front garden have been adapted to provide car parking. The remainder of the garden to the rear of the home provides a pleasant and secure area for the people who live in the home to use in good weather. The home is close to local shops and other facilities. The appearance of the home is in keeping with the local area so that it does not stand out as different, which helps to promote the aim of people living an ordinary life in the community. A copy of MacIntyre Cares policy and procedures on infection control is kept in the home so that staff have clear guidance on how to make sure that infections are not spread in the home. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this 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 who live in the home are supported by staff who know them and who have been through thorough recruitment checks so ensuring they are cared for and supported safely. Evidence: During our visit to Woodland Road, we observed staff supporting the people who live in the home with personal care, with eating their midday meal and moving about the home. It was evident that they were aware of the capabilities and the care needs of the people and how they wished to be cared for. Staff were seen talking with the people in a sensitive and caring manner. The people who live in the home were comfortable in the company of the staff and were seen approaching them for help and support. The manager provided us with a copy of the record of training provided/planned for staff. This showed that there is programme in place for staff to receive training/refresher training on safeguarding adults, medication awareness, infection control, manual handling and fire awareness. Staff spoken with during the inspection said MacIntyre Care provides regular training on a range of topics. The records showed that not all staff have attended/received refresher training within the time limits set out by the organisation. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: MacIntyre Care follows thorough recruitment procedures for staff working at Woodland Road. This includes obtaining all the necessary checks to make sure that staff are suitable to work with the people who live at the home and to protect them from possible harm and poor practice. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this 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 overall management of the home is based on respecting the rights of the people who live there so ensuring it is run in their best interests. Evidence: Since our last inspection of Woodland Road, there has been a change of manager for the home. The current manager has worked for the organisation for more then two years in a senior capacity. She has achieved an National Vocational Qualification (NVQ) Level 3 in Promoting Independence and has an assessors award, which means that she can assess staff who are undertaking NVQs themselves. Records we saw showed that she has also attended training on fire safety, medication awareness, health and safety, infection control and will be attending refresher training on safeguarding adults from abuse in May 2009. The manager told us she is due to start her NVQ Level 4 and specialist award for managers of registered care services. Staff we spoke with during our visit told us the manager is supportive and will address issues as they arise. They also said she will listen to concerns raised by the people living in the home, their relatives and by the staff and will take action to address these issues. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: We saw copies of completed survey questionnaires, called Improving our services that the home had sent to relatives. These showed that relatives were very satisfied with the level of service offered by the home to the people who live there. We saw the fire safety records which showed that fire equipment is regularly serviced and inspected, and that evacuation drills and staff training is carried out. Records were also seen to show that the tests were carried out on the portable appliances in November 2008. These tests showed us that safety is taken seriously at the home to make sure that the people living and working there are safe. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 35 Procedures should be in place to ensure all staff receive/attend training within the timescales set out by the organisation. This will help to make sure that all staff have received updated training so they can provide support in line with current good practice guidelines. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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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