Care Home: Ryton Towers

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What the care home does well This home is well managed and the registered manager encourages the people living here to be involved in the running of the home. Service users are encouraged to make their views known, and these are acted upon. Equal opportunities are promoted. Before a person moves here, the manager makes sure that Ryton Towers is able to meet the needs of prospective residents by getting a copy of theirsocial work assessment and also completing her own assessment before they move in. The staff also make sure that everyone who lives here is treated with dignity and respect. The activities available are excellent and everyday there is something for residents to do. There is good contact maintained with family and friends and relatives are able to visit anytime. Mealtimes are a very pleasant and everyone we spoke to commented positively about the food on offer. Dining tables are very well presented and there is always a choice of main meal and pudding. There are adapted dining chairs for people who need help to sit in at the table. The building, which has the appearance of a large country home, is set within its own grounds. It has been furnished to a very high standard. It is immaculately clean and well maintained and everyone benefits from being able to use the spacious garden area. This is enhanced by a range of colourful plants. The environment offers everyone, particularly those people with dementia, a therapeutic, calm place to live. The local park also adds interest. There is little turnover in staff. This means that staff have time to get to know the needs of the residents and therefore are able to provide continuity of care. Staff training is good and as well as being paid to attend every training course arranged for them, the manager regularly provides in-house training on topics such as the home`s policies and procedures There are regular checks by the manager and her area manager to make sure the good standard is kept up. The people living here and their relatives are asked for comments and suggestions about the service they receive. Their comments are used to continually make improvements to the service. What has improved since the last inspection? The manager has worked to make improvements, as highlighted at the last inspection. This has included work to further improve the way care is planned. Care plans are tailored to each person as an individual. Medication is also much better managed. Records are clear, and there are checks made to ensure medicines are handled in a safe way, stocks are up to date, and records are well kept. Staff have now received training on dementia care and awareness. This can help them to gain a deeper understanding of how dementia can affect a person, and how they can be supportive and understand each person`s changing needs. CARE HOMES FOR OLDER PEOPLE Ryton Towers Whitewell Lane Ryton Tyne & Wear NE40 3PG Lead Inspector Mr Lee Bennett Unannounced Inspection 10:50 2 and 4th June 2008 nd 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 Ryton Towers DS0000007432.V366829.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. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryton Towers Address Whitewell Lane Ryton Tyne & Wear NE40 3PG 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) 0191 413 8518 0191 413 7234 Wellburn Care Homes Limited Lynn Ree Care Home 41 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (41), of places Physical disability over 65 years of age (6), Sensory Impairment over 65 years of age (2) Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6th August 2007 Brief Description of the Service: Ryton Towers is a large adapted two storey building. It is registered to provide personal care for 41 people who are older, ten of whom may have a dementia type illness. The service cannot provide nursing care, however, district nursing services can be accessed as required. The building consists of 38 single bedrooms and two double rooms. There are two spacious lounges and separate dining facilities and an emergency call system is provided in all individual bedrooms, bathrooms and communal areas. Ryton Towers is set in its own grounds with good car parking facilities to the front and side of the building. The home has wide passageways and is suitable for people who use wheelchairs. A passenger lift enables the residents to access the first floor as well as an attractive stairwell, which is a positive feature of the home. The home is located in the heart of Ryton village within close proximity to a variety of village features such as shops, places of worship, the local park, tennis court and bowling green. There are also bus stops nearby which link with the main regional centres. The weekly fees range from £350-£535. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit in August 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 2nd June 2008. An announced visit was made on 4th June 2008. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. After the visit: We told the manager what we had found. What the service does well: This home is well managed and the registered manager encourages the people living here to be involved in the running of the home. Service users are encouraged to make their views known, and these are acted upon. Equal opportunities are promoted. Before a person moves here, the manager makes sure that Ryton Towers is able to meet the needs of prospective residents by getting a copy of their Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 6 social work assessment and also completing her own assessment before they move in. The staff also make sure that everyone who lives here is treated with dignity and respect. The activities available are excellent and everyday there is something for residents to do. There is good contact maintained with family and friends and relatives are able to visit anytime. Mealtimes are a very pleasant and everyone we spoke to commented positively about the food on offer. Dining tables are very well presented and there is always a choice of main meal and pudding. There are adapted dining chairs for people who need help to sit in at the table. The building, which has the appearance of a large country home, is set within its own grounds. It has been furnished to a very high standard. It is immaculately clean and well maintained and everyone benefits from being able to use the spacious garden area. This is enhanced by a range of colourful plants. The environment offers everyone, particularly those people with dementia, a therapeutic, calm place to live. The local park also adds interest. There is little turnover in staff. This means that staff have time to get to know the needs of the residents and therefore are able to provide continuity of care. Staff training is good and as well as being paid to attend every training course arranged for them, the manager regularly provides in-house training on topics such as the home’s policies and procedures There are regular checks by the manager and her area manager to make sure the good standard is kept up. The people living here and their relatives are asked for comments and suggestions about the service they receive. Their comments are used to continually make improvements to the service. What has improved since the last inspection? The manager has worked to make improvements, as highlighted at the last inspection. This has included work to further improve the way care is planned. Care plans are tailored to each person as an individual. Medication is also much better managed. Records are clear, and there are checks made to ensure medicines are handled in a safe way, stocks are up to date, and records are well kept. Staff have now received training on dementia care and awareness. This can help them to gain a deeper understanding of how dementia can affect a person, and how they can be supportive and understand each person’s changing needs. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 7 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. Ryton Towers DS0000007432.V366829.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 Ryton Towers DS0000007432.V366829.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): Standard 3. (Standard 6 does not apply). Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. On the whole, people’s needs are assessed to a good level before moving here, although this is not always consistent. By obtaining information about a person’s needs, everyone concerned can be confident that Ryton Towers is a suitable place to live. EVIDENCE: Before a person moves to a care home they are entitled to have an assessment of their needs carried out, either by social services or a health care worker, such as a nurse assessor. Even when a person pays for their own care, they are still entitled to such an assessment. Most people moving here have their care arranged by Social Services. As one person told us: “I found out about the home when I was in hospital. The social worker helped find the service, and visits six monthly.” Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 10 The manager of a care home must also obtain information about those people who would like to come here. This will include a copy of the assessment, and a summary care plan, which explains how each person’s needs are to be addressed. This is to make sure their needs are looked at and then can be properly met. For two people who had most recently moved here a social worker helped to arrange their admission. The manager had obtained a care plan for both, and an assessment for one. Based on this information a plan of care was then developed by senior staff working here. Staff working here also carried out their own detailed assessments after admission. The areas looked at included social interests and needs, diet and food preferences, and any help needed in getting around. These assessments look at each person’s needs in a way that would highlight any cultural or religious preferences, or how the service could ensure any barriers facing a person with a disability could be overcome. Ryton Towers DS0000007432.V366829.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): Standards 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 people living here generally receive the right level of care and support to meet their health and personal care in a well-planned way. EVIDENCE: To help guide the practice of staff, after a person has been admitted here a plan of care is written up. This is so that important areas of need, such as those around personal care, diet and social interests, can be clearly identified, and the support that staff are to provide is clearly explained. Everyone living here has a care plan file in place, and for the people whose files looked at these were, on the whole, relevant to the needs observed, or that had been assessed by the social worker. A care plan relating to the medical reasons why someone was at risk of falling had not be developed, and this person’s needs not reflected in their risk assessments. This was pointed out to the manager, who was also advised of some additional sources of advice for area of need. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 12 Where people do have medical needs, evidence is kept of appointments attended and other visits by healthcare professionals is kept. This can help ensure people’s health needs are regularly monitored and met, and proper advice and intervention sought. Furthermore, where personal care is needed this is written down in a care plan. During the inspection, there were no instances where personal care was carried out in the public areas of the home, which shows that staff are conscious of people’s privacy and dignity. The support offered by staff was carried out in a friendly, and pleasant manner. The people we spoke to told us that they are cared for in a good manner. Comments included: • • • “You get privacy and dignity.” “Very kind and good.” “The staff are nice here.” A common area where staff help people with their health care is in the way medicines are administered. The majority of people here have all of their medicines looked after for them. To keep them safe, medicines are stored in a secure way, but the room where they are kept can get too warm, being above the recommended storage temperature for some medicines. The fridge for medicines that require cold storage is also significantly too cold. When staff administer medication they tell the person concerned what medication they are receiving, and also follow good hygiene practices. There are clear records kept of the medicines administered by staff. The stocks held for one medicine did not correspond to the stock records, although they did for five other stocks of medicines that we looked at. On the whole, medicine records are accurate, and the reasons for medicines being missed is clearly recorded. To help ensure staff are aware of the importance of good record keeping, along with other aspects of medication management, most have attended accredited training on this topic. Those who haven’t are to attend this training in the near future. Ryton Towers DS0000007432.V366829.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): Standards 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living here are offered excellent opportunities to participate in a wide range of activities, maintain friendships and family contacts, express choice and control in their lives and receive varied, wholesome and wellpresented meals. EVIDENCE: There is an excellent activities programme available for the people living here. This includes in house activities, regular trips out, and visiting entertainers. A detailed record of activities is kept. On the morning of the visit some people were relaxing in the various sitting areas, including the recently refurbished conservatory. The main entrance hall is also a popular place to sit, where service users can observes the comings and goings in the home. During the inspection one of the activities included a visiting massage therapist. There were also some visiting church members. Indeed, one person remarked: Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 14 • “We get Roman Catholic, Methodist and Church of England services.” The garden, which is very well tended, offers an alternative space for people to spend some time, and the people living here also accompany staff on their errands into Ryton. Information leaflets are available for the people living here, as well as their relatives, on local advocacy groups, as well as information on enduring power of attorney to help them make decisions about their lives. People commented positively about the food on offer, and we heard many compliments about this. The comment “I’m well cared for, the food’s good and I’m settled here,” was similar to may we heard. A cooked breakfast is always provided and a choice of main meal and pudding is always offered. The dining tables were immaculately presented with linen tableclothes, napkins and condiments so that residents could help thesmselves. A lunchtime meal was shared with four of the people living here. Staff were courteous, encouraging people to be independent. A choice of dilute juice or water was offered followed by tea or coffee. Ryton Towers DS0000007432.V366829.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable arrangements in place here to protect people form abuse, and this enables people to make their views heard, and to raise any concerns or complaints they have. EVIDENCE: A complaints procedure is available within the home, and informs service users that they can contact the Commission if they wish regarding complaints. A record of complaints and suggestions is maintained. Each complaint is responded to by the registered manager in writing. The outcome and action taken is documented. No complaints have been referred to the Commission since the last inspection. Staff have received training from the local Adult Protection Co-ordinator in the past. This was to help explain the role of adult protection, and to offer guidance to staff. The care provider has adult protection procedures, which are available in the home, should staff need guidance in this area. The local authority’s procedures are also available. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A very high standard of accommodation is offered here, which is clean, well maintained and personalised to suite individual tastes. EVIDENCE: Ryton Towers is an adapted care home, set within it’s own grounds. A high standard of accommodation is provided, that is kept clean throughout. A regular programme of re-decoration and maintenance ensures the home remains clean and fresh looking, and people can bring their own possessions and personalise their own rooms as they wish. There were no hazards observed during the inspection. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 17 The majority of bedrooms have en-suite toilets, and those that don’t have toilets located nearby. Bathrooms and showers are shared. They have domestic touches, and some are adapted, with hoists, to allow easy access. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28 and 29. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff working here are safely recruited, well trained, qualified and competent. This can help make sure the people living here are protected and receive the care they need. EVIDENCE: Before staff start working here they have to undergo a series of checks. This is to ensure they have the right skills, experience and approach for the job. There are also checks carried out to help make sure they are physically fit for the work they have to do, and do not have a criminal history that would make them unsuitable to work here. Since the last inspection was carried out here two staff have been employed. Suitable pre-employment checks, including the receipt of a Criminal Record Bureau Disclosure and two references have been obtained for each before they started duty. The standard application for does not ask for an explanation of any gaps in a persons’ employment history, and there is no record that this is discussed at interview, which would provide further evidence of robust recruitment practices. Once employed, staff have to receive regular training. This is to make sure they remain up to date with the requirements of their job, and with current good practice. The staff here initially attend induction training if they are new Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 19 to care work, and will also receive staged induction training specific to this home. Following this they will also be offered periodic training opportunities, and staff development is further enhanced by topics being discussed at team meetings. Topics covered include health and safety and care related subjects. Staff also receive dementia awareness training. Furthermore, those not already qualified will be supported to attain a vocational qualification in care. Well over two thirds of the staff here have achieved such an award, at NVQ level 2 or higher. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people here benefit from living in a well managed home. This can help make sure their views are sought and acknowledged, and that their health and safety is promoted. EVIDENCE: The manager has many years experience at a senior level within the organisation and has managed this home since January 2006. She has attained a number of care and management qualifications including the NVQ level 4 qualification in Management, the Registered Managers Award and the D32 and D33 NVQ assessor qualifications. She has also undertaken periodic training, such as equality and diversity as well as training in health and safety Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 21 matters, to ensure that her knowledge is kept up-to-date. Staff and residents said that they found the manager to be very approachable, and commented positively about her. The manager is supervised by an area manager, and supported by a deputy and team of senior carers. There are clear lines of accountability within the organisation. The area manager regularly visits the home, and was visiting at the time of the inspection. She makes her self known to residents and visitors and asks for their views about the service. She also completes a thorough monthly audit of the service. To complement this the organisation has a comprehensive quality assurance system that includes a number of audits of the homes practices, and also includes the views of the people living here, and staff. There are regular ‘residents meetings’ where people can voice their ideas, comments and suggestions. Satisfaction questionnaires are also used to gain the views of residents and relatives. The records kept at the home, were up to date, detailed, and held in a safe and secure manner. Financial records are subject to the scrutiny of the area manager. Staff in the home do not usually hold or manage service users finances, but where these are left with staff for safe keeping they are securely stored, with clear records in place.. The home was free of hazards to the safety of service users and staff. Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 2 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1) Requirement The manager must ensure that a care managers (social workers) assessment is obtained before a person moves here. This is so the manager is confident that a person’s needs can be met here. This is a new requirement. Residents care plans must be in sufficient detail to guide staff on the action they must take to meet the residents care needs. (Timescale not met 01/01/06, 30/09/06, 30/11/06, 31/07/07). The manager must ensure that all medicines are stored in line with the manufacturers instructions (appropriate temperature). This is a new requirement. Timescale for action 01/09/08 2. OP7 15 01/09/08 3. OP9 13(2) 01/09/08 Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP29 Good Practice Recommendations The manager should keep clear records of job interviews, and request a full employment history (with an explanation for any gaps) as part of the application process. This is a new recommendation. The home should produce an annual development plan. This so that information is available as to whether or not the service has met its stated aims and objectives. 2. OP33 Ryton Towers DS0000007432.V366829.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ryton Towers DS0000007432.V366829.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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