Inspection on 06/06/06 for 1 Ford Road

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Ford Road 02/07/07

1 Ford Road 07/02/06

1 Ford Road 26/07/05

1 Ford Road 07/12/04

1 Ford Road 05/05/04

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Dalewood Respite Care

Orchard,The

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Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Ford Road Gosport Hampshire PO12 3ET Lead Inspector Laurie Stride Unannounced Inspection 6th June 2006 10:15 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 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 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 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 Adults 18-65. 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. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 1 Ford Road Address Gosport Hampshire PO12 3ET 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) 023 9250 1001 nikkiey.hobbs@hos.org.uk Hampshire Autistic Society Miss Nicola Charlotte Hobbs Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: 1 Ford Road is home for up to 5 younger adults, with autism and associated learning disabilities. It is run by the Hampshire Autistic Society (H.A.S). The home is situated in a quiet residential area of Gosport and is close to local shops and is on a regular bus route to both Gosport and Fareham town centres. Accommodation is over two floors with all service users having their own bedroom on the first floor. There is a large fitted kitchen, dining room and large lounge, which provides communal space in excess of the National Minimum Standards (NMS). There is an enclosed rear garden laid to lawn with a patio area, which has a table and chairs for use in the warmer months. The current range of weekly fees is £1,091.88 - £1,138.84. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit as part of the key inspection of the home, during which the inspector met and spoke with the acting manager and three members of the support staff. The inspector also observed staff working with two of the residents but was not able to obtain comment from the residents on this occasion. A tour of the premises was undertaken and samples of the home’s records were read. The visit lasted approximately six hours. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that residents’ aspirations and needs are assessed before they move into the home. EVIDENCE: The acting manager confirmed that there have been no new residents admitted since the last inspection. Records of needs assessments made prior to people moving into the home are held on file. Prospective residents’ needs are assessed using a questionnaire including information on all aspects of daily life and the assessment continues throughout the three-month probationary period. The acting manager also confirmed that care manager / health authority assessments for the person are obtained before they move in. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs and personal goals are reflected in their individual plan of care and kept under review. Residents’ are given suitable support to make decisions about their lives, participate in daily life in the home and to take responsible risks as part of an independent lifestyle. EVIDENCE: Since the last inspection further improvements have been made to residents’ care and support plans and evidence was also seen of regular care reviews. A sample number of three residents’ care plans were inspected. A new system of support assessment was seen being introduced and this included a range of skill areas that each resident is supported to maintain and develop. Skill areas included, for example, community participation, managing personal finance relationships, self-awareness, daily living skills, self-advocacy, communication and managing medication. A previous requirement, that care plans must be reviewed monthly and for this to be recorded, had been met. Documented evidence was seen in all five of the 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 9 residents’ care plans of the regular evaluation and updating of existing care plans. Formal reviews continue to be carried out at approximately six monthly intervals with residents’ relatives and carers invited to attend according to residents’ wishes. Resident’s terms of residence state that they should have a three-hour one-toone session with their key-worker once per month. A previous recommendation had been identified with regard to providing documented evidence of this happening. The new care planning documents now showed clear evidence of key-worker sessions taking place, with details of the activity and analysis of each event providing further information for evaluating each resident’s progress. The inspector spoke with a member of staff about how residents’ choice is promoted in the home. Residents have their own meetings and this gives them the opportunity to be involved in decision making within the home. One resident confirmed that they are able to decide agenda items for their meetings. There was evidence that residents are consulted on a one-to-one basis during their sessions with key-workers and staff members were observed interacting and consulting with residents. Staff training in ‘service user engagement’ was planned on the rota and the acting manager said that this was linked with the principles of person-centred planning. Care plans promoted the development of residents’ skills in self-advocacy. Individual risk assessments and behavioural profiles were on file at the home and these gave guidance to staff on how to minimise any potential risks involved in various activities such as residents’ self-care and promoting their independence. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home’s arrangements for providing opportunities to take part in appropriate activities, access the community and maintain relationships. Residents’ rights and responsibilities are recognised in the daily routines of the home and healthy eating is promoted. EVIDENCE: All residents have opportunities to attend a developmental day service and all have individual programmes, which include woodwork, arts and crafts, needlecraft, cooking, community participation, swimming and gardening. Care plans contain copies of day service reports on individual residents’ participation in the various activities and these provide information for continuous assessment of the person’s needs and goals. Through observation, talking with staff and reading care plans, it was evident that residents are able to access the community on a frequent basis if they choose. This is promoted through individual programmes and one-to-one 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 11 sessions that include walks, personal shopping trips and outings to chosen community venues. Staff reported that the home had a good relationship with neighbours. Visitors to the home are welcome at any time and the home has a visiting policy, which gives clear information. Evidence was seen that residents are supported to maintain contact with family and friends through visiting and sending cards and emails. Residents’ family and carers are able to take part in the six-monthly care reviews if this fits with the residents’ wishes. There are appropriate policies and procedures in place with regard to sexuality/sexual relationships. Residents have responsibilities and participate in the daily routines of the home, such as helping with cleaning and preparing food. This is included in the home’s statement of purpose and service user guide. There are individual care plan programmes for domestic and daily living skills and staff respect residents’ right to refuse to take part. Staff were observed interacting with residents and residents could choose to be alone if they wished. Residents were seen to have unrestricted access to the communal areas of the home and garden. A member of staff confirmed that residents’ receive their mail unopened and are supported by staff as required. Residents have keys to their bedrooms and staff confirmed there are spare keys for use in an emergency. There is a non-smoking policy within the home. There is a set menu in the home and evidence was seen that some alternatives to this are available. A record is kept of residents’ food intake and their individual dietary needs are assessed and reviewed. Residents are involved in the planning and preparation of meals. Staff members also support residents to make up their own packed lunch, which they take with them to day service. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal and healthcare support to meet their individual needs and are protected by the home’s medication policies and procedures. EVIDENCE: Staff provide personal support to residents in private and residents’ needs in this respect are documented in individual care plans. Written programmes supporting resident’s self-care contained clear guidance for staff and were linked to a risk assessment where applicable. The service aims to offer same gender care where possible and there is a policy on cross gender care. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 13 Residents at the home are registered with different GP’s attached to the same practice and there was evidence of GP, nurse, dentist and optician appointments. Care plans contained records of individual healthcare needs and how these were being met. Relevant healthcare professionals, such as a consultant psychiatrist, attend the six monthly care reviews when resident’s medication needs are also reviewed. Residents also receive other specialist support from the local learning disability team if needed and staff support residents to any appointments when required. The home ensures that residents have access to all available healthcare facilities. At the time of the inspection visit, two residents were having massage therapy. The home operates a blister pack system and the local pharmacist has provided training to staff at the home with regard to medication. There is a corporate medication policy and the home has developed an “in house” medication and administration policy. This gives clear guidance to staff on the procedure to be carried out when administering medication. Medications are stored in a locked cabinet in the office. Two members of staff were observed giving medication to residents and completing the records and explained the procedure for reporting any errors or for giving ‘as required’ medication. The staff communication book showed that some recent medication recording errors had been picked up and the minutes of a staff team meeting indicated that these issues are addressed. Staff handover sheets include checks on medication records and provide a further safeguard. Staff are provided with protective gloves to wear when assisting residents with applying skin creams and lotions and these were being worn. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has effective systems for ensuring that residents’ views are listened to and responding to any complaints. Residents are protected by the home’s policies and procedures for responding to any form of abuse. EVIDENCE: The home has a comprehensive corporate complaints procedure, which includes details of who would investigate complaints together with timescales. The complaints procedure also gave details of how to contact the Commission for Social Care Inspection. There is also a simple to follow “in house” complaints procedure for residents, which has pictures and symbols and this is used in conjunction with the corporate policy. Residents meetings also provide opportunities for residents to raise issues and concerns. The home’s complaints book indicated that there had been no complaints in the time since the last inspection and, that where complaints had been received these had been responded to in accordance with the policy. The home has a copy of the Hampshire Adult Protection procedure, a whistle blowing policy and a copy of the department of health guidelines “No Secrets.” Staff receive training with regard to protection of vulnerable adults (POVA) as part of their induction. The acting manager said that there were plans for this training to be provided to longer-serving members of staff who would not have had the newer form of induction. The procedure was discussed with a member of staff who was aware of the importance of recording and reporting any adult protection issues. There was a lack of clarity, however, about whose responsibility it is to investigate such matters. It is therefore advised that the 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 15 registered person ensures that all staff members currently working in the home are aware of whose role it is to investigate adult protection matters. Records were seen in relation to residents’ finances and there is a system to enable residents to ‘top up’ their personal allowances when they wish. The acting manager is the only person with access to residents’ money, however there is an alternative arrangement in place if she is absent. Residents’ monies are stored individually and balances are checked and signed for on each staff shift. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and comfortable environment. EVIDENCE: The home was bright and well ventilated and the furniture and fittings were in a good state of repair, however the bathrooms at the home would benefit from re-decoration. The lounge had recently been re-decorated and the acting manager said that quotes had been obtained in relation to doing the dining room. The home has a maintenance person and there are also regular contractors employed by the organisation. A keypad had been fitted to the front door and this is connected to the fire alarm to enable a quick exit in an emergency. Members of staff accompany all of the residents when leaving the home for reasons of safety. Bedrooms were decorated according to the residents’ own choice and this was confirmed by one resident. Rooms had been personalised with personal items and photographs. All doors have locks and staff confirmed they are able to gain access in an emergency if required. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 17 The laundry is done in the kitchen as part of normal domestic arrangements and this area has washable floors and walls. Details of washing times for residents are displayed and procedures are in place for the washing of soiled laundry items. Covered laundry baskets are used and items such as resident’s towels are colour coded. The home has an infection control policy and training for staff is provided. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s staff recruitment procedure and are supported by trained and supervised staff. The home supports and encourages staff to undertake relevant care qualifications. However, the registered person must ensure that all staff members work in a manner that respects residents at all times. EVIDENCE: There is a good mix of both male and female staff at the home and all staff are encouraged and supported to undertake NVQ training. Out of the nine staff members at the home, one has obtained an NVQ qualification, three others are currently undertaking NVQ training with a further two staff members waiting to start. Through discussion staff demonstrated understanding of issues relating to their duty of care and residents’ choice. Staff were observed interacting with and providing support for residents. During the inspection visit to the residents’ home two members of staff were overheard talking in an inappropriate way on separate occasions. This was discussed with the acting manager who said that she would take action in 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 19 relation to the matter. This was confirmed through a telephone conversation subsequent to the visit. Staff records were viewed in relation to three members of staff and recruitment procedures had been appropriately undertaken and recorded. These records included proof of Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults) checks carried out by the head office, two written references for each employee, completed application forms with employment histories, rehabilitation of offenders and health declarations. All staff received written terms and conditions of employment and job descriptions. Staff recruitment records are completed by head office before being held in the home. The acting manager was in the process of updating the staff training record, however the current written record provided evidence of continuing relevant training being provided. This showed that staff receive training in, for example, person centred planning, health and safety, medication, risk assessment, behaviour management, autism awareness and epilepsy. SCIP (Strategies for Crisis Intervention and Prevention) is updated every six months and this and adult protection training are mandatory for staff working in the home. Induction training, which is linked to the NVQ programme, is carried out in the first four weeks of working in the home. A completed induction checklist was seen in relation to a recently employed staff member, including an individual behaviour management questionnaire with regard to each resident. The acting manager had sole access to staff supervision records that were held in confidential files. The office notice board and staff rota showed when staff supervisions were taking place. A sample of individual records were seen and showed that formal supervisions were being carried out within the timescales specified in the National Minimum Standards. This meets a previous requirement. Staff appraisals were being carried out in June. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is at risk without a registered manager although there is evidence of good practice, better record keeping is needed of safe working practices with regard to fire safety as well as other issues referred to in this report. Residents’ views are sought although the home’s quality assurance system would be improved through a survey for stakeholders. EVIDENCE: The registered manager of the home has completed the registered managers award (RMA) and has been running the home for the past 2 years. Both the homes’ manager and her deputy are currently on maternity leave and an acting manager is in place to oversee the running of the home. The acting manager has worked for the Hampshire Autistic Society for eleven years and is nearing completion of an RMA / NVQ4 qualification. She is also in the process of doing SCIP instructor training and will be cascading to staff the training she recently undertook on service user engagement. The acting manager is 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 21 supported and supervised by a locality manager. Staff confirmed that the management team were accessible and supportive. The views of residents are obtained through regular residents’ meetings and reviews and records of these were seen. The acting manager confirmed there is regular dialogue with residents’ relatives; however it is recommended that a confidential survey of relatives and other stakeholders’ views on how the home is achieving goals for residents be carried out. The home’s records of property and appliance maintenance, gas and electrical safety checks and certificates were inspected and found to be up to date. There are hazard report and maintenance request forms for staff to use and there is a risk assessment for the building. The fire safety logbook included records of staff training, fire alarm tests, emergency lighting and fire fighting equipment tests. However, these were not up to date at the time of the visit. The last recorded weekly fire alarm check was for 10/05/06. Monthly emergency lighting tests were recorded up until 19/04/06 and there was no record of visual inspections of fire extinguishers since the fire safety representatives last entry on 24/04/06. One member of staff had been recorded on the register for fire safety instruction and drill training in 2006, on 04/01/06. A requirement was made for the logbook to be kept up to date. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 23 NO 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 YA32 Regulation 12 (4) (a) Requirement Timescale for action 31/07/06 2. YA42 The registered person must ensure that all staff members are competent to work in a manner that respects residents at all times. 17(2)&(3)(a) The fire safety logbook must be kept up-to-date with records of staff instruction, drills and equipment checks. 31/07/06 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 YA39 Good Practice Recommendations It is recommended that the home develop a relatives/stakeholder survey as part of its quality assurance system. 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 1 Ford Road DS0000011676.V292686.R01.S.doc Version 5.1 Page 25 - 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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