Care Home: Rosebank Residential Home Limited

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What the care home does well Rosebank provides a warm, homely, well maintained and well decorated environment for service users to live in. The atmosphere is very friendly and open and visitors are welcomed. Since the last key inspection care plans have improved and they reflect the needs of service users well. Health needs are well met and staff are knowledgeable about individual needs, a visiting GP complimented the home on its level of care and the service overall. Service users and relatives state that staff address any concerns they have before they could become a complaint. An enthusiastic and committed activities coordinator is employed three days a week; each service user is assessed as regards their ability and interests and appropriate individual or group activities offered. What has improved since the last inspection? The statement of purpose and service user`s guide has been updated. Further improvements have been made to care plans and to the environment and the safety of service users has been improved with the fitting of a new bathroom suite in the upstairs bathroom and new a call bell and fire alarm system. The home has continued with a programme of refurbishment that is now nearly completed. Two carers are being made up to senior level and more staff are undertaking an NVQ in Care qualification at Level 2 or above. Staff are receiving regular appraisals and supervision. Policies and procedures have been made more personal to the service. CARE HOMES FOR OLDER PEOPLE Rosebank Residential Home Limited Rosebank 56 Pelham Road Gravesend Kent DA11 0HZ Lead Inspector Debbie Sullivan Key Unannounced Inspection 3rd December 2007 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 Rosebank Residential Home Limited DS0000063433.V352748.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. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosebank Residential Home Limited Address Rosebank 56 Pelham Road Gravesend Kent DA11 0HZ 01474 537428 01474 823930 RosebankRH@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rosebank Residential Home Limited Mrs Aujla Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Mrs Aujla completes the Registered Managers Award within two years from September 2005. Up to date fire safety audit and water installations reports to be obtained. 11th December 2006 Date of last inspection Brief Description of the Service: Rosebank is a care home providing personal care and accommodation for twelve older people. The manager Mrs. Aujla owns the home, which is located close to the town centre in Gravesend. Bus and train services are nearby. Each service user is accommodated in a single en-suite bedroom; the bedrooms are located on the ground and first floors. There is a parking space for a few cars to the front of the premises. The garden to the rear of the home has a ramp to enable access for residents using wheelchairs. Rosebank employs care staff, working a roster, which gives 24-hour cover. Currently no staff are employed for catering and domestic duties. The home offers a variety of activities for service users and an activities coordinator works at the home part time. The fees currently range from £311 to £365 per person per week. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over five and a half hours. During the visit time was spent with service users, visiting relatives, the activities coordinator and care staff, a tour of the property took place and a range of records and documentation were read including care plans, medication records, and policies and procedures. The registered manager was not on duty during the visit so a telephone conversation took place with her, and feedback was given over the telephone the following day. The Annual Quality Assurance Assessment document completed by the provider also provided information to assist the inspection. Throughout the inspection service users and staff were helpful in providing information and visiting relatives made a valuable contribution. A random inspection undertaken on 11th December 2006 identified that there had been good progress on meeting the requirements made at the last key inspection and no new requirements were made. What the service does well: Rosebank provides a warm, homely, well maintained and well decorated environment for service users to live in. The atmosphere is very friendly and open and visitors are welcomed. Since the last key inspection care plans have improved and they reflect the needs of service users well. Health needs are well met and staff are knowledgeable about individual needs, a visiting GP complimented the home on its level of care and the service overall. Service users and relatives state that staff address any concerns they have before they could become a complaint. An enthusiastic and committed activities coordinator is employed three days a week; each service user is assessed as regards their ability and interests and appropriate individual or group activities offered. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The storage of medication must be relocated away from the kitchen and the medication cupboard must not be used to store other items. Service users need to be provided with more information about the daily choice of meals available and a record of meals provided must be maintained, with the choices of each service user being recorded daily. Where the home keeps safe money for service users the financial recording and storage systems must be improved upon. The manager must make sure that all documents relating to the running of the home are always available for inspection. Please contact the provider for advice of actions taken in response to this Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 7 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. Rosebank Residential Home Limited DS0000063433.V352748.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 Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have access to information about the home and are welcome to visit before making the decision to move in. Prospective service users can feel confident that their needs are assessed prior to their admission. EVIDENCE: The home has a statement of purpose and service users guide both have now been updated. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 10 The manager carries out a pre admission assessment of each potential service user and if their needs can be met a place is offered. The assessment of a recently admitted service user was in place on their care plan. Contracts were not available for inspection as the manager was not present, although the manager verbally stated that they are given to service users when they move in, the last key inspection had evidenced this. Prospective service users and their families are made welcome if they wish to visit before choosing the home. A relative of a service user who had recently moved in said they had visited several homes before making a decision and another relative that they had been through the same process and were pleased they had chosen Rosebank. The new service user said they were settling in and staff spoken with said they were doing their best to make them feel at home. A visiting GP said that they recommended the home to others and that it was one of the best they covered. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of service users are well met and clearly set out in care plans. Service users can feel confident that their privacy and dignity will be respected. The safety of service users could be compromised because medication storage needs to be improved upon. EVIDENCE: Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 12 Three care plans were read including that of a very new service user. The home has continues to work on making sure that each service user has a care plan and that they are well kept. Each service user has two care plan folders one is for day to day working and easy access and the other contains more comprehensive information. “Emergency” packs are prepared giving necessary details should hospital admission be needed. The care plans were well maintained and included risk assessments and information on interests, needs and preferences. Care plans contained evidence of contact with health care professionals, a GP visiting was positive about the level of care provided and pointed out the system used by the home to record visits by health professionals, finding this useful in providing continuity of care. Established staff spoken with were aware of the health care needs of service users, one discussed imminent treatment to hopefully improve one service user’s hearing, and of the need to monitor diabetic diets. A chiropodist visits the home regularly and the activities coordinator includes activities including some gentle movement into their programme. Staff assist with escorting service users to medical appointments if necessary. Service users spoken with felt that their needs in terms of personal care were well attended to, one service user stated, “Everybody is ever so kind and helpful”. Staff on duty responded promptly to call bells and a new call bell system has been fitted that monitors response time. Some service users are much more independent than others with personal care, staff give support according to needs and respect preferences such as preferring a shower to a bath. Medication is stored securely although the cupboard is in the kitchen, which is not a suitable place. MAR sheets were examined and were correctly completed. There is the option to self medicate, one service user partially self medicates. Secure storage is available in bedrooms should service users wish to self medicate. Service users’ petty cash is stored with medication, which is not appropriate; it needs to be kept securely somewhere else. Rosebank Residential Home Limited DS0000063433.V352748.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in activities of their choice and are offered opportunities to make choices about their daily lives. Service users know that contact with their friends and relatives is welcomed and supported. Whilst the meals are nutritious whilst service users would benefit from more information on choices available. EVIDENCE: Service users were spoken with throughout the visit either separately or in communal areas. Those spoken with liked living at the home and felt it met Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 14 their needs. A service user said that “There is nothing much wrong with this place, I would not be here if there was”. An activities coordinator works at the home three days a week, their involvement is very important in motivating service users and the enthusiasm and commitment of the coordinator is to be commended. Each service user is individually assessed by the coordinator and activities provided according to interests and abilities. Those less active or able are given one to one time, for instance to do an easy jigsaw puzzle during the inspection or just to chat. Earlier in the visit a quiz took place followed by a beanbag throwing session involving some competition and scoring. Both were well received. Other activities include craft, bingo with prizes, and dominoes. An entertainer comes in for each birthday and outings are organised for those wishing to attend, a trip to a Christmas show is planned. The coordinator is exploring new activities such as gentle exercise and records activities on a daily basis for each service user in detail. Service users can pursue individual interests; one attends an Age Concern day centre one day a week and another goes out independently to the bookies daily. Consideration is given to the inclusion of appropriate activities for those with sensory impairment, craft being one of these. A hairdresser and a manicurist visit the home weekly; manicures are funded by the service. Several relatives visited during the visit and clearly felt welcomed, a small sitting area has been made within the lounge for more private discussions and the dining room can also be used for this purpose. Staff were aware of relatives usual days to visit and visits were recorded. Service users spoken with confirmed that they had the opportunity to make choices such as when to get up and go to bed and whether to socialise or spend time in their rooms. One service user who prefers to stay in their room and take meals there said this was their choice. Service users said they liked the meals, the lunch served was well presented and nutritious including fresh vegetables. If service users did not like the main meal offered there was choice available, service users are asked every day what they would like to eat although information on choices needs to be made more available and the menu should be displayed. A variety of meals such as pies and freshly cooked meals such as casseroles and roasts are provided. Meals had stopped being recorded a few weeks ago; a record must be kept of daily meals provided and in respect of each service user. Rosebank Residential Home Limited DS0000063433.V352748.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure and can be sure that any concerns will be addressed. Procedures are in place to protect service users from abuse. Systems for the recording of service users’ personal finances need some improvement. EVIDENCE: The home has a clear complaints procedure that is on display in the entrance area. Service users spoken with felt confident that they could address any concerns to the manager or staff as did a relative spoken with who said that any niggles were sorted out before they could become a complaint, they had never had any major concerns. One service user said, “I can ask questions and talk to anybody”. There are no adult protection alerts open in relation to the service and there is an adult protection procedure in place. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 16 All staff were booked on Adult Protection training for the week after the inspection. The home does not manage service users finances, some service users are independent financially, and relatives support others. Service user’s petty cash is locked within the medication storage cupboard if they do not wish to keep it in their rooms, alternative storage space must be found. There was a discrepancy in the amount of cash recorded as held for one service user and the amount actually counted, this was resolved when it was found in their other purse. The petty cash recording book did not always use the full names of service users, using shortened or preferred names instead. The manager stated their intent to improve the systems for this financial recording and to remind staff of their responsibilities for recording accurately. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe, comfortable and homely environment. Refurbishment has improved the quality of the environment. Service users have access to equipment to aid mobility and independence. EVIDENCE: Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 18 Since the last key inspection work has continued on the refurbishment of the home. This work is nearly completed and the manager plans on converting the shower room to a walk in bathroom early next year. Service users spoken with were happy with their rooms, all the bedrooms are very attractively and individually decorated and personalised. They contained personal furniture, ornaments, pictures and other items reflecting individual interests. A visitor said that their relative had been consulted about their choice of colour scheme, as had other service users. Those with less mobility are as far as possible accommodated downstairs; the home has been assessed for a stairlift although the constraints of the stairs do not allow for one to be fitted. A relative spoke of a service user being moved from upstairs to a ground floor room due to their mobility. Communal areas and the kitchen have also been refurbished. Service users have access to equipment for shared or personal use. The garden is well maintained and is accessible having a ramp and rails and there is a patio area where service users can sit. The activities coordinator said they made a shed into a summerhouse area in the summer to encourage service users to use the garden for some fresh air, as they could be reluctant to go outside. Throughout the visit service users were accessing their rooms and communal areas freely if they wished, staff visited the service user who chose to remain in their room regularly and the location of their room allowed them to see various comings and goings. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-trained and competent staff team supports Service Users. The staffing compliment needs to be kept under regular review to ensure that needs can continue to be fully met. EVIDENCE: Two well established members of staff will become senior carers in the New Year to enable them to take on extra responsibilities and assist the manager in her role. Staff meetings are held monthly and a meeting was to be held shortly to outline the senior role to other staff. Staff are well trained, core training is updated, Adult Protection training for all staff was booked for the following week, with Mental Capacity Act training due in the New Year. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 20 New staff receive recorded induction and a staff and health and safety handbook. Staff have supervision and appraisal meetings and new staff are subject to a probationary period. It was not possible to read staff files as the manager was not present and they were locked in her office. All the staff on duty said that they had had a CRB check before they started at the home, one was hoping to soon complete their NVQ 2 in care and the activities coordinator had enrolled on the training, established staff felt well supported. Service users and relatives spoken with said that they were happy with their carers and care provided. The home does not employ any catering or domestic staff and the care staff are responsible for domestic duties. Additional shifts are arranged for any extra cleaning or tasks, a shift was arranged for the evening after the inspection so that Christmas decorations could be put up. During the inspection staff coped well with a busy day, several visitors and providing information for the inspection and attended promptly to service users needs. The activities coordinator spent time talking with service users and engaging them in activities. Should the service user group become more dependant consideration will need to be given to employing a cook/cleaner to release carers from these duties. The manager stated that on the coordinators’ days off staff spend more time chatting with service users individually. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of staff and service users. Improvements made over the past year have benefited service uses and staff and further investment is being made. EVIDENCE: Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 22 The manager is undertaking her RMA with an agreed extended timescale for completing the training during 2008. The manager has brought about change within the home since taking over as provider and whilst initial inspections identified that there were a number of shortfalls in the service over the past year positive progress has been made and there has been investment in improvements, not least environmentally. Staffing and staff training are the other main areas of improvement. Although the manager was not present for the inspection information gained from her during the telephone feedback, during the inspection and on the AQAA provided verbal evidence that backed up information provided by staff, service users and relatives. The home is well run in the best interests of service users and staff and there is a friendly welcoming atmosphere. Near the end of the inspection several relatives and service users were all sitting together chatting, which led to a family feel. One relative commented that the home was “brilliant” The views of service users are sought and they are consulted about aspects such as meals, activities and décor. Safety and maintenance checks take place and there is a valid insurance certificate displayed. Improvement is needed to record keeping regarding service users monies, and money needs to be moved from its current storage. Records examined were well maintained. Due to the absence of the manager not all records were available for inspection. With the introduction of two senior posts to share some management responsibilities the manager intends there will always be access to all records. Throughout the inspection staff observed safe working practices. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 15 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 2 2 3 3 3 2 3 3 3 Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement “The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home.” In that the medication cabinet must be removed from the kitchen and located elsewhere” Timescale for action 31/01/08 2. OP15 16(2)(i) “The registered person shall provide, in adequate quatities, suitable wholesome and nutritious food which is properly prepared”. In that a record must be kept of meals taken by each service user and service users must be provided with an accessible daily menu and daily choice of meals. 14/12/07 3. OP35 16(l) Schedule 4(9)(a) “The registered person shall 14/12/07 provide a place where the money and valuables of service users may be deposited for safe DS0000063433.V352748.R01.S.doc Version 5.2 Page 25 Rosebank Residential Home Limited keeping” In that service users monies must not be stored in the medication cupboard, and a proper record must be kept of money deposited and withdrawn with full details of each service user’s name. “The registered person shall ensure that records are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the home” 4. OP37 17(3)(b) Schedules 2,3, 4 14/12/07 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 OP27 Good Practice Recommendations It is recommended that a regular review of the staff compliment takes place to ensure that the needs of service users continue to be fully met. Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Rosebank Residential Home Limited DS0000063433.V352748.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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