Inspection on 05/09/05 for 151 Ratcliffe Road (Homefield College)

This inspection was carried out on 5th September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

151 Ratcliffe Road (Homefield... 14/09/06

151 Ratcliffe Road (Homefield... 11/01/05

151 Ratcliffe Road (Homefield... 26/10/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 151 Ratcliffe Road (Homefield College Limited) 151 Ratcliffe Road Sileby Loughborough LE12 7PX Lead Inspector Sharon Treadwell Unannounced Inspection Monday, 05 September 2005 at 15:30 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 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 Stationary 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. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 151 Ratcliffe Road (Homefield College Limited) Address 151 Ratcliffe Road Sileby Loughborough LE12 7PX 01509 816794 01509 815696 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Homefield College Limited Vacant Care Home for Younger Adults (CRH) 3 Category(ies) of Learning Disability (LD) - 3 registration, with number of places 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration apply at the time of this report Date of last inspection Tuesday, 11 January 2005 Brief Description of the Service: 151 Ratcliffe Road is a three bedroomed, detached property, situated on a busy thoroughfare in Sileby. The home does not stand out from its’ neighbours. The home is clean, comfortable and homely and currently accommodates three young people in single rooms. Shared accommodation consists of a lounge, dining kitchen and enclosed, lawned garden. The home is one of seven, which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer term placement. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or3 years. However, some young people receive continued funding from Social Services Departments and their placements progress to become long term. The college (and implicitly the seven houses) provide placements for adults with learning disabilities and those who have autistic spectrum disorder and some challenging behaviours. The college does not provide for students who require nursing care. The three young people accommodated at this home are all full time students funded by Social Services and all have now been accommodated at this home long term. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 3.30am on a weekday afternoon. Prior to the inspection the inspector had received a completed pre inspection questionnaire from the acting manager. No questionnaire responses were received from either the young people or their relatives. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting two of the young people currently accommodated at the home and tracking the care they received through looking at their records and observation and discussion with young people and staff at the home. This inspection took two and a half hours, during which the inspector spoke with two of the young people (one young person was absent from the home) and with the staff member on duty at the time of the inspection. What the service does well: What has improved since the last inspection? Recommendations were made during the previous inspection relating to a number of priority areas, which should be included in induction training for staff expected to work lone shifts at this home. These areas included first aid, food hygiene, risk assessment and complaints. Homefield College has begun to address this shortfall. One new member of staff has been appointed since the previous inspection. A requirement was identified during the previous inspection for the home to ensure that staff received appropriate supervision and performance appraisal. During this inspection the member of staff spoken to confirmed that she had individual sessions with the acting manager but there was clearly some confusion about these. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) 2, 5. The home ensures prior to admission, that it is able to fully meet the identified needs of any service user admitted and places heavy emphasis on compatibility with young people already in placement. EVIDENCE: The inspector is aware from previous inspections of all of the Homefield homes that the process of initial assessment at the point of admission to the college is an extremely comprehensive one. Admission is after an assessment process involving an interview, an initial assessment day and a two-day residential assessment. Subsequently, during the young person’s first term a thorough assessment is undertaken in four main areas of Independent Living, Basic Skills, Vocational; Learning and Social and Personal Development. Learning goals are then identified and a comprehensive personal programme compiled. The accommodation provided by the college has a clear route of progression for young people whose placements are long term, the final stage of which is one of the Homefield houses. The three young people currently accommodated at this home have been in placement for some years and there are no plans for any changes to the current client group. At the time of the previous inspection the home was required to evidence on young people’s files that a written contract was in place with each of the 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 9 service users detailing the terms and conditions of their placement. The files examined still do not contain this document 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9. Young people are actively involved in decision making. Young people’s written records are not reflective of appropriate care planning and review by the home. EVIDENCE: A young people’s meeting takes place at the home most Sunday evenings. Records evidence that the young people are involved in chairing these meetings and are actively encouraged to raise issues relating to either the home or their activities or educational programmes. The menu for the coming week is determined during this meeting. The care plan format utilised by all of the Homefield houses is of a commendable standard detailing the young person’s functional capacity and support needs in a wide range of areas. However the care plans examined on the files of two of the young people accommodated at the home were not current. Neither care plan was dated but both contained a computer print date of May 2003. Neither file contained a separate risk assessment but the care plan format, where the care plan is current, comprises a comprehensive risk assessment tool. In the case of young people accommodated at Ratcliffe Road 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 11 therefore, individual risk assessments (as contained in care plans) are not current. During the inspection the inspector discussed elements of one young person’s risk assessment, which detailed areas where she was able to operate without staff support and areas where support was needed and the list was found to no longer remain reflective of the young person’s functional capacity. Observations during the inspection and discussions with staff and young people did however confirm that young people were well monitored and supervised where this was necessary. One young person told the inspector that she was only able to cook when a member of staff was there. The files examined contained no evidence of any care planning reviews at all, either by the home, the College or the placing authority. The two young people spoken to during the inspection were not able to tell the inspector whether they had attended a review during the last year and the member of staff on duty was also unable to confirm whether reviews had taken place and, when questioned by the inspector was unaware of the required frequency of care planning review. At the time of this inspection neither of the files examined contained a copy of the young person’s proposed programme for this academic year. Neither of the young people nor the member of staff were able to clarify what the proposals were apart from one young person telling the inspector that she would be doing art at night school. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 16, 17. Service users are encouraged and facilitated to make full use of community facilities and to participate in a wide range of social, leisure and educational activities of their choice. EVIDENCE: During term time all of the young people accommodated attend local colleges of further education for programmes, which are either education or skill based. Although the inspector was unable to examine the young people’s programmes for the coming year, one of them told the inspector that she had spoken with staff at the home about her preferences for college courses. Young people at this home are able to access a range of leisure opportunities, which are available to all Homefield students such as a Tuesday evening club and regular day trips as well as annual holidays. Two the young people at the home have recently taken part in a group trip to Euro Disney, which they told the inspector they had really enjoyed. One of the young people has also spent a holiday at Skegness. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 13 At the time of this inspection one young person was on holiday with his family and all young people confirmed that they were encouraged and assisted to maintain good contact with families. The inspector was present at the home during preparation of tea and noted that the young people were actively involved in deciding what they would have to eat and in preparing the meal. One of the young people told the inspector that there was a rota for cooking and that they took turns. The inspector was concerned that the dining table, which is in the kitchen, seats only three people and this does not provide for staff to eat meals with the young people. On the evening of this inspection the member of staff on duty had brought sandwiches and was not eating with young people but she confirmed that this was her choice and did not happen regularly. One young person expressed concern to the inspector regarding the requirement to ‘compromise’ by ‘having to eat what the others have chosen’ and the home is reminded of the need to ensure that young people are always offered choices. All of the young people have a key to their own bedroom. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) 18, 19, 20 Young people’s individual health and personal support needs are clarified within the care planning process and medical interventions are appropriately recorded. EVIDENCE: The files examined contained a full record of all medical appointments and prescribed treatments. A standard pro forma is completed by staff in respect of each medical appointment attended by a young person at the home, which details the reason for the appointment and the action resulting from it. These forms were examined in relation to the young people tracked. The inspector noted that where communications were received from medical professionals subsequent to an appointment that these were attached to the record of the appointment for clarity. The managers of all of the Homefield houses have undertaken training on the storage and administration of medication with the local pharmacist. The managers cascade this training to care staff in the homes. The member of staff on duty at 139 Homefield Road confirmed that she had been subject to assessment by the manager prior to being able to administer young people’s medication. During this inspection the inspector viewed a record of observed administrations of medication completed by the acting manager in relation to a 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 15 newly appointed member of staff. The home’s policy requires that twenty administrations are observed to be appropriately completed. Whilst the inspector notes that this is good practice, none of the current training is accredited. Two of the young people currently accommodated at the home self-medicate under staff supervision but all medication is centrally retained and staff remind young people when medication is due. Each young person has an allocated support worker at the home and individual sessions are held weekly and are recorded. A weekly checklist is also completed by the support worker, covering the fulfilment of the young person’s personal care and health needs. In the two files examined neither of these records were not fully up to date. The inspector observed good relationships between the young people and the member of staff on duty and one of the young people spoke positively of relationships with other members of staff. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) None N/A EVIDENCE: No standards were inspected. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 standard(s) 24, 25, 26, 28, 30 The home is decorated and furnished to a good standard and service users are provided with well equipped personal and shared space. EVIDENCE: Two of the young people showed the inspector their bedrooms during this inspection. Both were highly personalised and young people are encouraged to bring personal belongings, to put up posters and to display certificates and medals evidencing personal achievements. Shared areas of the home were found during the inspection to be clean and comfortable. Laundry facilities at the home are sited in a separate small room off the hallway and not in the kitchen. The member of staff on duty was working on the rear garden when the inspector arrived and young people were being encouraged to take an interest. A shed has been erected in the garden since the previous inspection and safety railings erected around a raised seating area. The member of staff told the 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 18 inspector that young people had made good use of the seating area during the summer months. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35. Staff are encouraged and supported to undertake training relevant to the client group accommodated. EVIDENCE: During the previous inspection the inspector recommended, in light of the lone working situation within the Homefield houses, that certificated training in certain areas (for example first aid, food hygiene and restraint) was crucial to the health, safety and welfare of the young people and should therefore form an integral part of induction/foundation training for support staff employed in the houses. Homefield College Limited has begun to implement this. The member of staff on duty at the time of this inspection confirmed that she had undertaken training in first aid, health and safety, challenging behaviour, autism and aspergers, protection of vulnerable adults and food hygiene and that she had completed induction training within the Learning Disability Award Framework (LDAF) and was now undertaking the LDAF foundation course. In the pre-inspection questionnaire the acting manager confirmed that two of the five staff at the home had completed National Vocational Qualification training to level two or above. The acting manager is currently studying for the Registered Managers Award. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 20 Rotas supplied by the acting manager prior to this inspection indicate that appropriate cover is provided to meet young people’s needs. During the previous inspection a requirement was identified in relation to appropriate staff supervision and performance appraisal. The inspector was unable to examine these records during this inspection, as the acting manager of the home was not present. The member of staff on duty confirmed that she did have individual meetings with the acting manager but she was very unclear about what constituted an individual supervision session and whether or not she had undergone an appraisal. The acting manager should ensure that staff at the home are fully aware of what their expectations should be in relation to formal support and that these are in line with standard 36. The Home should additionally address the very limited knowledge of staff of the Care Standards Act and of the National Minimum Standards and of the their implications for care practice. The staff member spoken to did not have a full appreciation of the role of the Commission for Social Care Inspection. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41. The home has been without a Registered Manager for more than twelve months and is not therefore operating in full compliance with the Care Standards Act. EVIDENCE: The acting manager of the home has been in post now for the last year. The inspector has spoken with the Responsible individual and with the acting manager regarding this shortfall. It has now become urgent that an application is submitted to the Commission for Social Care Inspection for manager registration in order for the home to operate in compliance with the requirements of the Care Standards Act 2000. The home has a wide range of Quality Assurance systems to enable appropriate monitoring of service provision. A quality assurance checklist is issued to the acting manager of the home detailing records and practices to be monitored and a weekly report sheet is completed by the acting manager in line with this checklist and submitted to the Homefield Directors. The acting 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 22 manager is additionally required to complete a weekly house maintenance report, which is also forwarded to the directors. Provider monitoring visits under Regulation 26 of the Care Homes Regulations are taking place and reports of these visits are comprehensive, are available at the home and have been forwarded to the Commission for Social Care Inspection as required under Regulation 26. The visits are not always being made at the required frequency (once a month) Young people’s individual records are securely stored. As detailed earlier in this report, some of the information contained in these records is not current (care plans) or appropriate (risk assessments). The member of staff spoken to during this inspection told the inspector that staff do not receive specific training regarding the retention of and required content of young people’s files. A better awareness of the Care Homes Regulations and National Minimum Standards would enhance staff knowledge in this area but there is also a managerial responsibility to monitor appropriate file retention. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 151 Ratcliffe Road (Homefield College Limited) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 1 x 3 x 2 x x C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 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. 1. Standard 6, 9. Regulation 15 Requirement The Registered Persons must ensure that young people’s records contain a current care plan as well as written evidence of appropriate review of that plan. Care planning reviews should be inclusive of an updating of young peoples individual risk assessments. The Registered Persons are required to submit an application for registration of a manager to the Commission for Social Care Inspection. Timescale for action October 31st 2005 2. 37 8 October 31st 2005 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. 2. 3. Refer to Standard 22 20 39 Good Practice Recommendations The home should develop a contractual agreement with each service user detailing the terms and conditions of placement. The home is recommended to implement accredited training for all staff responsible for administering medication. The home is recommended to ensure that monitoring visits C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 25 151 Ratcliffe Road (Homefield College Limited) 4. 35 5. 42, 33 by the provider are undertaken at a minimum frequency of one per month. The home is recommended to develop staff awareness of the role of the Commission for Social Care inspection and of the implications of the Care Standards Act and the National Minimum Standards for care practice. A copy of the Care Standards Act and the National Minimum Standards should be available at the home. The home is recommended within this report to complete a written risk assessment in relation to lone-working, which should be shared with all staff. 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 26 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby Leicester LE19 1SX 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 151 Ratcliffe Road (Homefield College Limited) C51 C01 S1672 151 Ratcliffe Road (Homefield College) V247378 050905 STAGE 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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