Inspection on 21/08/06 for 120 Feckenham Road

This inspection was carried out on 21st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

120 Feckenham Road 30/12/05

120 Feckenham Road 31/05/05

120 Feckenham Road 17/02/05

120 Feckenham Road 08/06/04

120 Feckenham Road 23/03/04

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

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Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

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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 Feckenham Road, 120 120 Feckenham Road Headless Cross Redditch Worcestershire B97 5AG Lead Inspector Martha Nethaway Unannounced Inspection 21 July & 7 August 2006 8:40 st th Feckenham Road, 120 DS0000018481.V305356.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 Feckenham Road, 120 DS0000018481.V305356.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. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Feckenham Road, 120 Address 120 Feckenham Road Headless Cross Redditch Worcestershire B97 5AG 01527 401974 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) www.mencap.org.uk Royal Mencap Society Mrs Larraine Ellis Care Home 5 Category(ies) of Learning disability (5), Physical disability (3) registration, with number of places Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home is for people with learning disabilities, but may accommodate up to 3 people with additional physical disabilities. The Home may also accommodate one person with additional dementia illness. The home may also accommodate one person with an additional visual impairment. Date of last inspection Brief Description of the Service: The care home at 120 Feckenham Road provides long term care for a maximum of five adults with learning disabilities. The conditions of registration also permit up to three service users with additional physical disabilities, dementia and/or visual impairment to be accommodated. Two people with mobility problems can be accommodated in ground floor bedrooms. The aim of the home is to support service users to lead as normal a life as possible with active involvement in the local community. The home was formerly a large family house that has been adapted for its present purpose. It is located in a pleasant residential area of Redditch and has a level, enclosed garden at the rear. Service users are accommodated in single bedrooms, two of which have an en suite bathroom or shower room. Golden Lane Housing Association owns the premises and the registered proprietor is the Royal Mencap Society. The responsible individual is Ms Janine Tregelles. The service manager is Andy Jennings who provides line management support and supervision to the registered manager. Larraine Ellis is the registered manager. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two half days. This was a key inspection and twenty-two standards were assessed on this occasion. The inspector had discussions with service users and the staff on duty. Staff interactions with service users were also observed. Records were examined. One service user provided a guided tour of the home. What the service does well: What has improved since the last inspection? • • • The provider has addressed all of the previous requirements and recommendations. The home has actively involved the self-advocacy service. This has lead to a positive outcome and staff are confident in accessing this resource. A number of rooms have been redecorated; carpet and soft furnishings have been purchased. This demonstrates the provider’s commitment to maintaining the building to a good standard. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 6 What they could do better: • • The provider needs to amend service user’s literature to reflect transparency related to fees and any additional on costs for placements. Record keeping should follow the home’s own policy and procedure in relation to signing and dating of case files. This will ensure all case records are accurately kept. The registered manager should instigate the safe food business manual to strengthen the home’s safety practices. The provider should consider adopting good practice measures to enhance the pre-employment checks as part of the recruitment and selection procedures. • • 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. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 7 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 Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 8 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. The home is able to assess and meet the needs of prospective service users. Staff are sensitive to addressing the needs of new service users and matching this with existing members of the group. The service user’s application form should be fully documented to comply with the provider’s internal procedures. The provider will need to amend service user’s literature to reflect transparency of fees and any additional on-costs for placements. EVIDENCE: A clear policy and procedure exists for the prospective admission of service users. One file was examined relating to a recent admission. This was a planned admission and the home had worked closely with the social worker and the staff group from the prior placement. This was considered a positive outcome for meeting the needs of the service user involved. The registered person had obtained all the necessary paper work including the core community care assessment. There was good evidence of staff monitoring and introducing the service users to the home by phased visits. Staff were paying attention to existing service Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 9 user needs. In the records there were narrative reports of the service user’s experiences of the trail visits and overnight stays. A total of nine separate visits had taken place. Discussion with the registered manager indicated that the Royal Mencap Service User Application form was not comprehensively filled in. The manager intends to rectify this matter. If the information is located in other documents, this needs to be cross-referenced and signposted clearly. Royal Mencap have provided a range of literature for prospective new service users, including a service user’s guide and a Statement of Purpose. This material is available in print format, personalised to include computer graphics and photographs of the home. The provider will need to amend existing guidance and literature to reflect the recent changes with legislation including greater transparency about fees and additional costs for services. The inspector has supplied this information to another home owned by Royal Mencap. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 10 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. The care plans are informing the day-to-day care practice of the home. The involvement of the advocacy service has lead to a positive outcome and staff are fully engaged with this resource. Safety issues and the assessment of risk are well considered and do not unnecessarily impede on the principles of providing quality care. Staff should give greater attention to certain aspects of recording to ensure accurate records being achieved. EVIDENCE: Each service user has a documented care plan. The registered person is in the process of introducing ‘Person Centre Planning’ (PCP). This has happened with one service user. The PCP is tailored to the individual needs and is an excellent example of progressive practice. The PCP also incorporates a circle of support network; these are significant people who are involved in the life of the service user. Staff were encouraged about the positive outcomes of this Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 11 approach. One of the objectives of the home is to adopt the PCP principle with all the service users accommodated. This will take a period of time and additional resources to implement this successfully. There was good evidence that care plans are being monitored through a number of formats including annual reviews, staff meetings and keyworker supervisions. All of the service users are allocated a keyworker. Monthly keyworker reports were available in the files. This records significant events and any anticipated needs that are not being addressed. Some of the records generated in the case files were not signed or dated. The internal quality assurance audits should address this area in order to maintain accurate record keeping. Since the last inspection visit the management team have proactively involved the local advocacy service. Information and correspondence notes were available in the case notes. One advocate was successfully identified to support a service user with complex needs. The advocacy service has provided a clear remit of how their involvement will happen. Records describing the financial management follows the home’s policy and procedure. Royal Mencap have suitable systems in place to ensure transparency and auditing of service user’s accounts. Staff are paying good attention to ensuring that risk assessments are carried out and kept under review. There was evidence of prompt responses to minimising significant hazards. Each service user is assessed with the tasks connected to daily living in the home and in the community setting. There is a formal structure in place to ascertain the views and opinions of service users. These meetings are documented and there is a selection of subjects discussed. Follow up actions are being recorded. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 12 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. Individuals are provided with opportunities to attend college courses. Service users are also attending the local day service and other satellite venues attached. Good arrangements are in place to access local facilities based in the community. Service users are able to retain contact with their relatives. The importance of healthy eating is recognised and planned for within the menus. EVIDENCE: Some of the service users are attending local adult college courses based at Redditch and Worcester. One service user spoken to liked the ‘talking drums’ sessions in particular. In the case files examined information on ‘learning plans’ were available, setting out the contents of the different courses and the Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 13 expected outcomes for learning. Service users use taxis and the house car for transportation to attend day service venues. Each service user has one day allocated as a ‘training day’ based at home. During this time service users avail of shopping, cooking and paying their weekly rent. Service user’s level of engagement is recorded in the home’s records. Leisure and recreational activities include trips to pubs, cinema, restaurants and theatre trips. A couple of the service users frequently use the local swimming pool. There was good evidence of local events being planned for in the house diary and cuttings from newspapers were also seen. The home has a designated room for a computer that can be accessed by service users. Also a range of craft materials and some board games were available. The local day service is due to close in December 2006. The registered manager is having discussions about alternative day opportunities. It is anticipated there will be a period of unsettlement, as routines will be disrupted and new venues and resources will need to be organised. The contact arrangement with relatives is set out in the case files examined. Records detailed the type of contact that is established including home visits, overnight stays and contact by phone or letter. Service users are encouraged to retain involvement with their family. On the day of the visit, one service users was about to visit his mother and expressed that he was looking forward to this. The day-to-day routines of the home involve service users where possible. The domestic cleaning tasks are divided up between the group. A two week planner details the daily tasks that service users have been involved in. Some service users require minimal supervision or prompts and others require more intensive support. The registered manager emphasised the purpose was to provide opportunity to learn new skills, creating a feeling of responsibility and a sense of achievement in the home environment. Records of menu planning were examined. The promotion of varied and balanced meals was evident and the content of packed lunches are also recorded. Service user preferred preferences are written down. Service users plan the menus on Sunday evenings and use cookbooks from the local library for reference. Mealtimes were described as sociable and relaxed occasions. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 14 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. Service users are receiving support that is consistent with needs identified in care plans. Service users independence and autonomy is recognised and respected. Health care needs are being supported and access to health professionals is taking place. The arrangements in place for the safe management and control of medications are good. EVIDENCE: The home has a clear policy available setting out, how personal support will be provided. The care plans assess service users needs associated with their personal care. As mentioned earlier, some service users require minimal support and supervision. Other service users need more direct support and the records reflect this need. Service user’s autonomy is encouraged with the choice of clothing and appearance with hairstyles and personal presentation. Service users arrange appointments to the local hairdressers and barbers. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 15 The home has adopted the ‘Health Action Plan’ that addresses health needs comprehensively. There was evidence of suitable records being kept. All service users access the local GP, dentist and opticians. Staff are able to promptly refer to other health care professionals including podiatry services and local ‘well person clinics’. The home operates the Boots MAR medication system. This ensures that medication errors are kept to a minimal. The storage of medication was appropriate and records examined showed no gaps with staff signatures. Each record included a photograph of the service user and also there was a staff identification signature list available. There is a clear process in place for household remedies and these had been signed by the GP. All staff have completed training in the safe control and administration of medication and this is an accredited course. The registered manager keeps staff competency under review. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 16 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. Good systems are in place to afford protection to service users and the complaint process is effective when used. EVIDENCE: The home has a procedure in place to address how complaints or concerns will be dealt with. Service users are provided with information that is accessible and available in widget format. There is also a ‘red card’ system that can be posted directly to Royal Mencap without having to refer to staff for support. Since the last inspection the Commission has received no complaints. The home has received one complaint from a family. Royal Mencap investigated the complaint externally and appropriate action was taking to resolve the concerns raised. One service user spoken to was clear that she could raise any concerns with the staff team or the manager. All staff receive training associated to protecting vulnerable adults. This is completed during the induction process ‘Protect and Respect’ and second level course called ‘Respond and Respect’. There are no live issues linked to Vulnerable Adults. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well maintained. Matters connected to health and safety is being addressed. The home should consider implementing the safe food for business manual. This will strengthen the existing practices in the home. EVIDENCE: Golden Lane Housing Association owns the home. It is located about one mile outside the town with good access to public amenities and transport. The home is a large detached house but retains the features of domestic style living. During the inspection visit a guided tour was provided by one service users. Since the last visit the hallway has been redecorated and new flooring laid. The sitting room carpet has been replaced and new furniture and curtains are on order. The kitchenette room that was off the main sitting is now used as a Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 18 computer/recreational room with service users. The service users view this as a positive use of the room and it offers them time to be on their own. The provider has a comprehensive health and safety policy and the registered manager is responsible for ensuring care practices are kept under review. There is a poster displayed in the kitchen to remind people of good hygiene routines. There is also a protocol that addresses infection control. It is advised that this document should be dated. The registered manager should adopt the ‘Safe food business Training Manual’ to continue to promote good practices in the home. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The training arrangements of the home are meeting the staff professional needs. The provider carries out effective pre-employment checks. The home should adopt further good practice elements to strengthen the recruitment process. EVIDENCE: The provider has a comprehensive induction programme underpinned by the Learning Disability Award Framework (LDAF). In the future, the provider is considering linking the probation period with the completion of the induction programme. Staff discussions indicated that they considered the training courses available as meeting their needs to carry out the role of supporting service users. The registered manager had proactively arranged for ‘Intensive Interaction’ a specific course that addressed working with service users with complex support needs. All staff have received training in Person Centred Planning in line with the providers aim as essential core training. There is a structure in place to monitor staff training needs and attendance of courses. The number of staff Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 20 qualified at NVQ in care is 10 . Four staff have been registered for NVQ level 2 or above with a start date in September 2006. The recruitment records of two staff were examined. The major elements of pre-employment checks were in place including, application forms, interview notes, written references and CRB checks. Discussions with the registered manager indicated that gaps in employment history should be explored fully during the interview process as outlined in the provider’s own policy. The take up of references should include at least one phone call to verify the authenticity of one of the referees. A written record should be retained. The provider is reminded that three yearly Criminal Records Bureau (CRB) checks should be taking place in line with good practice. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. The home is well managed and there is a process in place for quality assurance. Consultation is taking place with all major stakeholders and service users. Good attention is given to health and safety to ensure a safe environment is maintained. EVIDENCE: The manager was registered with the Commission in May 2006. She is appropriately qualified and has obtained her Registered Managers Award. The registered manager has substantial experience in the arena of learning disability and has worked for the provider for over 21 years. Her external line manager is confident with her management style and leadership and considers it a positive influence in the home. The registered manager has ensured her continual professional training is being addressed. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 22 The provider is introducing a new process to quality assure a service. This is still in its infancy. It is anticipated that greater scrutiny will be given to the outcomes experienced by service users. The registered manager has welcomed the move and positive comments were also heard from the external line manager. The registered manager has circulated stakeholder’s questionnaires. The vast majority of the responses were positive and any concerns that were highlighted have been acted upon. Each service user has an ‘improvement plan’ personalised to their needs. This record, identifies any areas where there are gaps and how the home intends to rectify these. The registered manager is responsible for full compliances with health and safety procedures as outlined in the provider’s operational guidelines. The records relating to fire safety checks were examined. A clear structure was in place for checking equipment and organised practice evacuation drills. All of the domestic installation checks are within the annual timescales. The provider is waiting for the certificate for the five yearly electrical checks. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 X X 3 X Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 24 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. Standard Regulation 5 (June, 2006) Requirement The provider must amend service users literature to reflect transparency of fees and any additional on costs for placements. This will ensure that information is in line with recent changes to the National Minimum Standard Regulation 5 June 2006. Timescale for action 30/09/06 1. YA2 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 1. YA2 2. YA6 3. YA30 4. YA30 Good Practice Recommendations The service user’s application form should be fully documented to comply with the provider’s internal procedures. The case records should be signed and dated in accordance with the home’s procedures. The protocol that addresses infection control should be dated and signed. The registered manager should adopt the ‘Safe food business Training Manual’ to continue to promote good practices in the home. DS0000018481.V305356.R01.S.doc Version 5.2 Page 25 Feckenham Road, 120 5. YA34 The recruitment practices should include the provider taking up telephone references. Any gaps in employment should be discussed at the interview stage. The Criminal Record Bureau checks should be renewed at three yearly intervals. This will support robust recruitment practices. Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Feckenham Road, 120 DS0000018481.V305356.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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