Inspection on 12/06/06 for 138 to 138a Mason Way

This inspection was carried out on 12th June 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 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

138 to 138a Mason Way 28/06/07

138 to 138a Mason Way 02/11/05

138 to 138a Mason Way 03/05/05

138 to 138a Mason Way 09/02/05

138 to 138a Mason Way 24/09/04

138 to 138a Mason Way 11/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 138/138a Mason Way Waltham Abbey Essex EN9 3EJ Lead Inspector Jane Greaves Key Unannounced Inspection 12th June 2006 10:30 138/138a Mason Way DS0000017721.V300114.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 138/138a Mason Way DS0000017721.V300114.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. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 138/138a Mason Way Address Waltham Abbey Essex EN9 3EJ 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) 01992 769113 01992 769113 Redbridge Community Housing Limited [RCHL] Manager post vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) 2nd November 2005 Date of last inspection Brief Description of the Service: 138/138a Mason Way is a residential care home for people with learning disabilities located in a residential area of Waltham Abbey. There are eight tenants living in this home. The primary aim for this home is to support the tenants to lead independent lives. The accommodation comprises two semidetached houses that provide 4 single bedrooms and communal space in each house. The tenants of the two houses share a rear garden. There is a local bus service to the nearby town of Waltham Abbey and a parade of neighbourhood shops is available close by. Inspection reports produced by the Commission for Social Care Inspection were kept in the office and were made available to the tenants and their families/representatives. The service was not able to provide information regarding the range of fees payable. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection site visit took place on 12th June 2006 over 6 hours. The 22 key National Minimum Standards were assessed during the inspection process and 17 were met. Documents including Regulation 26 visit reports, previous inspection reports, complaints records and the Pre Inspection Questionnaire provided a bank of evidence to inform this report. At the site visit the inspector appreciated the welcome and the assistance received from the tenants, manager and the support staff. The tenants invited the inspector to view all communal areas of the home and individuals were keen to show how comfortable and homely their bedrooms were. Documents were sampled on this day and discussions took place with the tenants, the service manager and support staff on duty. Overall the care and support offered to the tenants at Mason Way was good and tenants confirmed they were happy to be living there. What the service does well: What has improved since the last inspection? Medication administration procedures had improved since the previous inspection visit, external competency assessed training had been provided for the support staff team to protect the health, safety and well being of the tenants. Overall the cleanliness and freshness of the houses had improved since the previous inspection visit. Some redecoration had taken place and soft furnishings had been cleaned/replaced and no offensive odours were present on this day. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 6 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. 138/138a Mason Way DS0000017721.V300114.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 138/138a Mason Way DS0000017721.V300114.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. Tenants could be confident that their personal, spiritual and healthcare needs were assessed as part of the pre-admission procedures. EVIDENCE: The home had not received any new tenants since the previous inspection visit where this standard was met. RCHL has robust policies and procedures for the admission of new tenants. Tenants were able to confirm they were invited to visit the home on a trial basis before making the decision to move in permanently. Established tenants confirmed they were consulted when a new tenant was considering moving to Mason Way. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 9 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home deleivered a service that treated the tenants with respect, staff engaged positively with residents and demonstrated a good understanding of their needs, tenants were encouraged and supported to take risks as part of an independent lifestyle. EVIDENCE: Two care plans sampled at the site visit contained all relevant information regarding the personal, social, emotional and healthcare needs of individuals. The plans contained evidence to show that one review of needs was undertaken annually. Areas of change required to meet individual’s needs were identified at annual reviews however there was not always a clear audit trail to evidence that changes in the support provided were taking place. The reviews seen at this visit were not signed or dated and did not include evidence of family/representative input or indicate who was present at the review. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 10 The manager and staff demonstrated good knowledge of individual’s needs and choices however documentary evidence was not always available to show how these needs were met. Risk assessments contained within the tenants files sampled were clear and concise and reviewed regularly. Records of tenants meetings with their key workers were available to demonstrate that tenants were consulted regarding the support they received. The service is developing Person Centred Planning. Discussions with tenants and observation of staff/tenant interaction confirmed that their rights to make decisions were supported and encouraged. All tenants spoken with were confidant that their opinions mattered and that their care and well being was paramount with the staff and management at Mason Way. Where individual’s rights or choices had been limited through the risk management framework this was clearly recorded with evidence to show that tenants were involved with the decision making process. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 11 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants were supported to take part in age, peer and culturally appropriate activities both within the home and as part of the local community. Tenants were supported to engage in appropriate leisure activities. Tenants’ rights were respected and responsibilities recognised in their daily lives. Tenants’ enjoyed a varied and healthy diet. EVIDENCE: 7 of the 8 tenants accommodated at Mason Way attended college for various courses. Other daily activities undertaken by the tenants include part time work at a pub, charity shop volunteers, and working at a garden centre. A tenant had requested support in finding paid work, the manager had involved the tenant’s social worker and the support was being provided. As at the previous inspection visit to the home the tenants were still involved within the local community. The community local to the home holds an annual ‘Cavalcade of Light’ in which the tenants participate and thoroughly enjoy. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 12 Tenants reported how much they had enjoyed a trip to the local fair the evening before this visit and were happily planning a return visit. Other community facilities accessed by the tenants included the cinema, bowling alley, local pubs and theatres. Opportunities for religious observance were encouraged and community members often accompanied tenants to church. Sampling care plans and discussion with tenants and the staff confirmed that the tenants were supported in their personal and social relationships. All the tenants spoken with spoke warmly of the staff team and how comfortable and confident they felt discussing personal issues with them. Visitors were welcome at any time convenient to the tenants. Some tenants invited the inspector to view their bedrooms, each room was personalised and clearly portrayed their individual characters. Tenants had keys to their personal space and reported that staff members respected their privacy and did not enter their rooms in their absence or without their permission. Tenants had unrestricted access to the communal areas of the house and the garden, the ethos in the home promoted respect for each other and each other’s space and belongings. The kitchens in both houses were overdue for refurbishment and it was reported that the unit tops and door/drawer fronts were to be replaced. A copy of menus was provided for the inspector, the tenants formulated these with support from the staff. Tenants reported that if they did not fancy the meal that had been chosen they were able to have an alternative, records confirmed this. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants received personal support in the way they preferred and required. Tenants were protected by the home’s medications procedures. EVIDENCE: Staff members were observed providing sensitive and flexible support to tenants with many day-to-day issues. Tenants were treated with dignity and were encouraged to have control over their lives. Tenants confirmed they received care in the way they preferred. Each tenant had key workers selected by the process of observing dynamics between tenants and staff members and with input from the tenants. Tenants were supported and facilitated to manage and take control of their own healthcare needs. Healthcare appointments were documented and tenants were provided with support supported to attend them. Tenants demonstrated they had a good knowledge of their own healthcare issues and how to manage them. Each individual’s medication was administered at appropriate intervals at a time to suit the tenant. Some were supported to administer some or all of their medication themselves by means of a monitored dosage system. After receiving instruction and training from a pharmacist the staff team prepare cassettes for individuals to maintain themselves. A system of signing for these 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 14 medications had been agreed with the local pharmacist. One person made up a cassette for the week and dated and signed the cassette and the medication record. The tenant then kept these in a lockable cupboard In their bedroom and self-administered. Others were aware of when their medication was due and approached staff on a strictly individual basis. Medication administration records were complete and clearly showed where medication had been omitted or refused. Medication storage was appropriate. Competency assessed training in the safer handling and administration of medicines had been provided for all staff since the previous inspection. Consent regarding the administration of medicines was present on the tenants’ care plans. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 15 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 and 23 Tenants could be confident their views were listened to and acted upon. Tenants were not adequately protected from abuse and harm. EVIDENCE: There had been no complaints received at the home or by the Commission for Social Care Inspection since the previous inspection visit. Mason Way operated under the Redbridge Community Housing Limited robust complaints policy and procedure. All policies and procedures received an annual review. Tenants spoken with confirmed they could speak to any member of staff if they had a complaint to make and some mentioned that they had a complaints policy and procedure to follow if they needed to. Redbridge Community Housing Limited had robust policies and procedures regarding the Protection of Vulnerable Adults from abuse. Training records had not been updated and it was reported that some certificates had not yet been received consequently it was not possible to confirm if training in Protection of Vulnerable Adults from abuse had taken place for the whole staff team. Discussion with various team members did demonstrate a good awareness of adult abuse and staff reported they would be confident to report any suspicion of abuse under the Whistle Blowing policy and procedures. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The tenants lived in a pleasant, safe and well-maintained environment that appeared clean and hygienic at the site visit. EVIDENCE: A Redbridge Community Housing Limited housing manager visited the unit during the course of the inspection. It was confirmed that the kitchens in both houses were to have new cupboard fronts and one was to have a new work surface. The kitchen walls had been painted since the previous visit giving a much fresher appearance. The house overall was clean, fresh and homely at this visit. It was a warm day and the tenants enjoyed having the doors and windows wide open. As mentioned previously in this report some tenants invited the inspector to view their bedrooms and these were very homely and personalised in many different ways. Each house has a ‘quiet room’ and each of these is to be custom decorated to suit the leisure needs of the tenants. One staff member reported some of the creative ideas that tenants had suggested. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 17 The home offered good access to the local community with a doctor’s surgery and shops close by. The communal lounge areas were beginning to show signs of wear and tear, staff reported that these areas were due to be freshened up in the near future. Residents were happy with the décor in their rooms however some reported they would like the chips of paint ‘touched up’ The property has a small garden to the rear. There was a hammock swing and a table and chairs for tenants. At the back of the house were re-cycling boxes and residents were involved with saving items for recycling and informed the inspector about the importance of this for the protection of the environment. The manager and the staff team demonstrate good knowledge of infection control and the procedures to follow in the case of an outbreak of infection however not all had received infection control training refresher courses. A staff member that had attended the training had pinned her workbook to the notice board as an information resource for the staff team. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 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 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Tenants’ individual and joint needs were met by a staff team that had not received all training appropriate to the work they performed. Redbridge Community Housing Limited recruitment policies and procedures safeguarded the tenants’ safety and well being. EVIDENCE: Redbridge Community Housing Limited had made arrangements from some staff documents to be retained at the unit. The files contained many of the items required for scrutiny by the commission however, one file sampled did not contain a completed application form and another did not contain a record of interview. There was evidence that new staff members completed a robust induction process including induction units from the Learning Disability Framework Award. Files contained a document from Redbridge Community Housing Limited stating that a satisfactory Enhanced Criminal Records Bureau disclosure had been received for the applicant and whether there were any concerns, however the CRB was not available for inspection. Training records were not up to date. Certificates were reported to be late being issued therefore there was no evidence to confirm staff members had 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 19 received the mandatory training and annual refresher courses. Staff team verbally demonstrated good awareness of adult abuse issues and infection control. Staff and manager had all reported the service had been struggling with staff shortages over recent months, which had hampered the delivery of training. It was reported at the previous inspection that just one staff member at Mason way had achieved NVQ2 in care. It was reported that Redbridge Community Housing Limited were not currently supporting the NVQ 2 training programme. Some staff members had undertaken Learning Disability Framework Award induction foundation training. The manager was not able to report any change in the organisations plans. The manager reported that a course in Valuing Diversity and a Manual Handling refresher course had been booked however there was not an annual training and development plan in place for the home or for individual staff members. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants benefited from a well run home and could be confident that their views underpinned all self-monitoring reviews of the home. The Health, Safety and Welfare of Tenants were protected and promoted. EVIDENCE: The manager had a registration application form prepared to submit to the Commission for Social Care Inspection however was advised to submit her CRB first. The manager reported difficulty in sourcing NVQ 4 training or a place on the registered manager award training. Apparently places were scarce as a result of a shortage of qualified assessors. The manager has recently attended a course in Diversity for managers. As a result of the unit suffering staff shortages over recent months some of the manager’s admin shifts have had to go by the wayside in favour of support shifts. This has impacted on areas such as training and development, staff 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 21 supervision and tenants’ reviews. It was reported that the post of deputy is not to be filled; a project worker will undertake any duties attached to the post of deputy. The home operated under the organisation’s corporate quality assurance policies and procedures. There was an annual internal audit taken of each service. Monthly ‘person in control’ visits took place and a resulting regulation 26 report was sent to the Commission for Social Care Inspection. Tenants, their families/representatives and other stakeholders were surveyed as part of this quality assurance process. Redbridge Community Housing Limited had robust policies and procedures relating to Health and safety of the tenants, the staff and the building. The unit had a designated staff member as a Health and safety representative who attended Organisational Health and safety meetings and cascaded information through the staff team by means of staff meetings. The Health and Safety representative undertook a monthly Health and Safety inspection of both houses accompanied by a tenant and a report was made of any identified shortfalls. The Redbridge Community Housing Limited housing officer undertook a three monthly Health and Safety inspection of the premises. Regular monthly regulation 26 reports have been submitted to the commission and these including monitoring of Health and safety matters. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15(2) Requirement The registered person shall keep the service user’s plan under review and where appropriate after consultation with the service user and/or a representative of his, revise the service user’s plan and notify the service user of any such revision. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that 1) at all times suitably qualified and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of the service users. 2) Persons employed to work at the care home shall receive training appropriate to the work they are to perform. This specifically refers to the provision of mandatory training and refresher courses. YA 32 and YA 35 training are outstanding requirements with original agreed timescales for action of 31/03/06 Timescale for action 30/09/06 5. YA23YA30 YA32YA35 18 1(a) and 18 1 (c) (i) 30/09/06 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA32 YA35 Good Practice Recommendations It is a recommendation of good practice that each staff member has an individual training and development assessment and profile and that a training needs assessment is carried out for the staff team as a whole, and an impact assessment of all staff development is undertaken to identify the benefits for service users and to inform future planning. 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 138/138a Mason Way DS0000017721.V300114.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!