Inspection on 24/10/07 for 102B Brockhurst Road

This inspection was carried out on 24th October 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

102B Brockhurst Road 31/10/06

102B Brockhurst Road 13/12/05

102B Brockhurst Road 19/07/05

102B Brockhurst Road 02/02/05

102B Brockhurst Road 03/08/04

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Fairways

Treloar College

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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 102B Brockhurst Road Gosport Hampshire PO12 3DG Lead Inspector Ian Craig Unannounced Inspection 24th October 2007 14:15 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 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 102B Brockhurst Road DS0000029248.V347530.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 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. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 102B Brockhurst Road Address Gosport Hampshire PO12 3DG 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 9258 0607 Hampshire Autistic Society Miss Kerrie Louisa Clark Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 31st October 2007 Date of last inspection Brief Description of the Service: 102B Brockhurst Road is a semi-detached property situated up a short drive and is close to local shops and amenities, the home is close to a local bus route, which runs into the town centre of Gosport and also into Fareham town centre. The home is run by the Hampshire Autistic Society (HAS) and is registered with the Commission for Social Care Inspection (CSCI) to provide support and accommodation for four adults who have a Learning Disability. Contractual placement at home includes the provision of 35 hours per week day care at a centre run by Hampshire Autistic Society. The home was purpose built approximately 2 years ago and meets all of the national minimum standards with regard to the physical environment. The home’s fees range from £1296.89 to £1867.60 a week. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, examination of records, documents, policies and procedures. This included resident’s care plans and records. Discussions took place with the acting manager. Three residents were spoken to and one resident was interviewed in private. Staff were observed working with the residents. Survey questionnaires were sent by the Commission to residents, relatives and care managers. Five of these surveys were returned and information contained in them has been used as evidence for this report. The service also completed an Annual Quality Assurance Assessment, which has also been used for the purposes of this report. What the service does well: The home carries out a thorough assessment of those referred for possible admission to the home. There is a process whereby residents move into the home on a planned and gradual basis, which includes residents visiting the home to see if they like it. Records show that a service user planning to move into the home was able to choose the colours for his bedroom to be redecorated. Assessments and care plans are comprehensive with the exception of reviewing and updating challenging behaviour needs. Residents’ personal care and health needs are met. Residents are supported to develop independent living skills and are able to exercise choice in how they lead their lives. The home involves residents in various aspects of daily life including choosing individual menu plans and colour schemes for redecoration of communal areas and bedrooms as well as flooring and furniture. Each person attends a day centre run by Hampshire Autistic Society. Residents are also able to attend various social and leisure activities. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 6 The home has a system for dealing with and recording how complaints are dealt with. Staff receive training in how to deal with challenging behaviour. There is a variety of training courses for staff to attend including NVQ levels 2, 3 and 4 in care. A care manager made the following comment: “The manager and staff that I have met are all experienced in working with people with autism. Staff have been trained in how to deal with my client’s challenging behaviour.” A relative commented that the staff have a good understanding of the needs of the residents. Newly appointed staff have an induction, which is recorded. The home’s physical environment is of a on the whole of a good standard with each bedroom having its own en suite bathroom with a toilet, wash basin and shower. Residents’ bedroom are personalised with their own belongings. What has improved since the last inspection? What they could do better: Two requirements remain outstanding from the previous inspection report: • A care plan has not been updated to show how staff should deal with challenging behaviour where there is a pattern of physical contact. • Staff recruitment records are not available, nor is there a record that checks have been carried out to ensure residents are protected. A further requirement made in the last report has been partially met but the ground floor toilet flooring remains marked and discoloured. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 7 There have been many changes of staff and management in the recent past and a period of stability would allow the home to achieve more consistency in improving the areas highlighted in this report. A record of the date of admission of each resident to the home needs to be made. The quality assurance system needs to be developed to include surveys for relatives and professionals connected to the home and an annual development plan devised. 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. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 8 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 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The process of admitting residents to the home is well planned and includes a transition plan with opportunities for the service user to visit the home to see if it meets his or her needs. Thorough assessments of need are carried out in conjunction with professionals from health and social services. EVIDENCE: Surveys, discussion with a resident, and records, show that following a referral to the home for possible admission, the service user and his or her relatives visit the home to see if it suits their needs. Records also show that one person who recently viewed the accommodation was given the opportunity to choose a colour scheme for the redecoration of his/her bedroom. Records show that staff from the home attend multi agency Transition Planning Meetings to arrange the move to the home so ensuring that the placement is appropriate. The home also completes its own Referral Assessment, which was found to be comprehensive and includes the following: • Likes/dislikes 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 10 • • • • • Description Diagnosis Hearing/vision Mental health Life skills/communication The home also obtains copies of relevant assessments and reports from occupational therapy services, clinical psychologists and social services care management assessments. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ care plans are of a varying standard with most care needs assessed and planned for in some detail, but there is also an absence of review and care plan for challenging behaviour which was a requirement in the previous report. Choice is available to residents in their daily lives and there are opportunities for participating in decision-making. EVIDENCE: Care plans were examined for each of the residents accommodated at the home. These show that care needs are comprehensively assessed and plans put in place for staff to follow and include the following: • Support assessment 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 12 • • • • • • • • Managing medication assessment Communication assessment Life skills/activity and participation assessment Behaviour support toolkit Behaviour profile Risk level assessment and monitoring records Risk assessment Development/support programme In addition, there are systems for monitoring and recording each person’s needs. There is also evidence that residents record their own needs and wishes. A resident described his/her own care plan guidelines, which he/she had agreed to. Residents’ care managers made the following comments: • “There are good support plans in place for individuals. There are very clear, concise behaviour plans in place to promote independence and safety of both individuals and staff.” • “Assessments are in depth and accurate.” Risk assessments are recorded for activities such as going out and have guidance for staff to follow to ensure that risks are minimised. These include challenging behaviour. Following a recent incident there has been a change to a resident’s support plan for going out. This was referred to in the 6 monthly review but there no written evidence of the incident being recorded in the daily running records, nor of a review of the person’s needs in this area or of the revised care plan. The home involves residents in decision making about the menu plans with each person having their own individual menu plan. Regular residents’ meetings take place where issues about life at the home are discussed. Residents are involved in choosing décor and furniture in communal areas and in their bedrooms. Feedback from the residents confirms that they are able to spend their time as they wish. One service user stated that the residents are treated like adults. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities for developing independent living skills and take part in a variety of educational, occupational and leisure activities. Food is provided according to the individual taste of each person. EVIDENCE: Each person has his or her own menu plan which the resident devises with staff support. Residents were observed cooking an evening meal with the support of staff. There is a development support plan for each person, which gives details of the resident’s preferred daily routines. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 14 Each of the residents attends a day centre also run by Hampshire Autistic Society. A resident described how he enjoys the activities there. Records, discussions with the acting manager and observation also show that residents attend social clubs, visit families and friends and have an annual holiday based on their individual needs and wishes. Support is given in promoting residents’ religious and cultural preferences for instance in attending church. Residents have opportunities for educational and occupational activities at the day centre and one person attends a college course. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are met. EVIDENCE: Each resident’s personal and health care needs are recorded including guidance for staff in ensuring that these needs are met. These include detailed plans for oral hygiene and personal care. Records also showed that each resident has regular appointments with the dentist, optician and other medical professionals. Health checks are carried out at a local “Well Man Clinic”; the inspector viewed this as an example of good practice. A resident described the staff as supportive and helpful. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 16 Medication procedures were examined and found to be satisfactory with staff signing a record each time medication is administered. Staff receive ‘in-house’ training in medication procedures. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to and the home has a system for dealing with complaints. There are procedures for safeguarding residents and looking after their finances. Staff are trained in dealing with challenging behaviour. Care plans are not adequately maintained for giving staff guidance on how to deal with challenging behaviour. This has the potential that residents and other people are not always protected from possible harm. EVIDENCE: The complaints procedure is displayed in the hall. Residents and relatives state that they know who to speak to if they have a complaint. A complaints log is used to record any complaints made and the outcome of any investigation. The home has not received any complaints. Staff receive training in adult protection and a copy of the local authority adult protection procedures was in the home. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 18 Training is provided for staff in dealing with possible physical intervention, entitled, Strategies for Crisis Intervention Prevention (SCIP), which is accredited by the British Institute of Learning Disability (BILD). Procedures for staff to follow in dealing with an individual resident’s challenging behaviour were not recorded in sufficient detail to show that these needs had been reviewed following an incident and the how staff should support the person. There are procedures for safeguarding residents’ finances. The home assists those who need help and this includes maintaining records of any amounts being held by the home, and of any amounts withdrawn for use by the resident or deposited for safekeeping. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 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. The home offers purpose built facilities that are of a good standard and suited to providing residents with a homely place to live. EVIDENCE: Each resident has his or her own bedroom with their own en suite bathroom, which has a shower, toilet and wash hand basin. Residents are able to personalise their rooms with their own belongings. A resident who is planning to move into the home has been given the opportunity to have his bedroom decorated in a colour scheme of his choice. This is viewed as an example of good practice. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 20 In addition to the private en suite facilities there is a communal bathroom on the first floor and a toilet on the ground floor. A requirement remains outstanding from the previous report for the discoloured flooring in the ground floor toilet to be addressed. There is a communal lounge and dining room, which are comfortable but are beginning to show signs of wear and tear. There are plans for the dining room flooring and furniture to be replaced in the near future. Residents use the garden, which has a large lawn. The kitchen units are damaged and are due to be replaced. One of the residents described how he likes the environment including his bedroom. The home was found to be clean. Residents are given assistance with their laundry to help develop independence. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst there have been may changes to the staff team in the last year sufficient numbers of trained staff are deployed to meet the needs of the residents. Records are not available to show that each staff member has been subject to the required checks for the purposes of protecting the service users. EVIDENCE: The staff rota, observations and discussions with the acting manager confirm that the home maintains the staffing levels which the home has assessed as being required to meet the needs of the residents. This is generally 2 care staff when more than 2 residents are at the home and 1 if there is 2 or less. There are a 3 staff vacancies and the home utilises staff from its own pool of relief staff to cover these vacancies. These staff are regularly used by the home and are familiar with the residents’ needs and the operating practices of Hampshire 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 22 Autistic Society. A resident’s relative made a comment that there has been “continual change in the staff and management team.” Three recently appointed staff have left and the home is recruiting to replace these posts. The current staff rota shows that more than half the staff hours are provided by relief staff compared with permanently employed staff. The deputy manager does not feel that staff changes have affected the standard of care given to the residents but that it has created additional stresses for the other staff members. Records show that newly appointed staff have an induction, which is recorded. Staff have access to a variety of training courses. Records show that one staff member attended the following training courses in 2007: adult protection, challenging behaviour refresher and autism awareness intermediate level. The home’s deputy manager has attained NVQ level 3 in care. The home has not implemented the requirement made in the previous report for staff recruitment records to be held at the home, or, an arrangement with the Commission that a CSCI pro forma is completed and held at the home to show that these checks have been carried out. For a person who commenced work at the home one month before the date of this visit there were no records to show that written references had been obtained, or that criminal record bureau and protection of vulnerable adults checks had been carried out. These details are also not available for the relief staff employed at the home. Records were available for a staff member who has been employed at the home for some time. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the changes in the home’s management has not adversely affected the well being of the service users improvements are needed so that the outstanding requirements are addressed and the quality assurance system is developed. Measures are taken to ensure the health and safety of staff and residents. EVIDENCE: 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 24 There have been a number of management changes at the home in the last few years, prompting one relative to say that there have been 8 managers in 4 years. This could not be confirmed but the deputy manager acknowledged that there have been several changes with different ‘acting up’ arrangements. The current acting manager intends to apply for registration with the Commission indicating this may be a more permanent position than previous arrangements. The current acting manager is qualified to NVQ level 3 and is currently studying the NVQ level 4 in care and the Registered Manager’s Award. The home has a quality assurance file. Audits are carried out of service user’s records. A management representative makes monthly visits to the home to complete an audit report. The system of monitoring the home’s performance has not checked the progress to meet the requirements made in the last report. Thee are methods of obtaining the views of the residents about the way the home provides a service. This includes residents’ own meetings, and service user survey forms. It was not clear if these have been used to plan for the home’s future although a resident stated that he/she considers that the home takes account of the views of the residents. The quality assurance system needs to be developed by obtaining the views of residents’ relatives and professionals linked to the home, as well as by an annual development plan being devised. Records were satisfactorily maintained with the following exceptions: • Staff records as detailed in the Staffing section of this report • A record of the date of the admission of the residents to the home • Daily running records for an incident involving a resident and other agencies. • The home’s appliances and equipment are serviced by suitably qualified persons. There is a lone working policy to address staff safety. Staff are trained in first aid. The home’s fire log book shows that the fire safety equipment is tested in accordance with fire safety regulations. Staff receive fire safety instruction and fire drills take place regularly. 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 25 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 X 3 4 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 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X 2 3 X 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 26 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 YA6 Regulation 15 Requirement Care plans must detail how staff deal with specific behaviours of residents, especially where this involves a pattern of physical contact. This is outstanding from the report of 31/10/06. 2 YA9 13 Resident’s individual assessments of risk must be reviewed and updated when needs change and incidents occur so that risks are minimised. The following areas of the ground floor toilet must be addressed: Discoloured flooring This is outstanding from the report of 31/10/06. 4 YA34 19 A record of the recruitment checks for all staff must be available in the home in accordance with the Commission guidance. 24/01/08 24/12/07 Timescale for action 24/12/07 3 YA27 23 24/01/08 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 27 This is outstanding from the report of 31/10/06. 5 YA39 24 The home’s management should develop the quality assurance system to address the following: • Outstanding legal requirements made in inspection reports • Obtaining the views of relatives and professional linked to the home • Devising an annual development plan A record must be maintained of the date each resident is admitted to the home. Daily running records must detail any incident detrimental to the health and welfare of any resident including the date, time and circumstances. 24/01/08 6 YA41 17 Schedule 3 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 102B Brockhurst Road DS0000029248.V347530.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!