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Inspection on 30/11/05 for 18 Kings Park Road

Also see our care home review for 18 Kings Park Road for more information

This inspection was carried out on 30th November 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This inspection once again affirmed the commission`s view that this home operates efficiently. The atmosphere of the home was homely, friendly and welcoming. Kings Park offers a high standard of accommodation, each young person having their own bedroom and share of good communal facilities. Students are empowered to make choices and decisions about the way the home operates and their own lives. Students spoken to confirmed that they were listened to when they had a grumble and were supported when they required it. Records in general are well maintained. Staff recruitment although requiring some minor changes is fundamentally robust and thorough. The staff team are cohesive and committed to their work. Staff are well supported by an excellent training programme. Each receives 10 days training per year, which exceeds minimum standards. Students are supported by staff to develop their independent living skills. This is supported by an impressive array of risk assessments, which ensures that risks are taken safely. A survey of students undertaken by the inspector confirms that they are mostly satisfied with the care they receive. Most answered yes to questions such as, `Do you like living here?`, `Do the staff treat you well?`, `Do you like the food?`. Some students responded using the `sometimes` option. As all responses were anonymous the inspector was unable to seek further clarity. However, direct discussions with students confirmed that there were only minor issues of concern and that mostly students felt they were well supported and cared for.

What has improved since the last inspection?

There were no requirements or recommendations made following the last inspection and therefore no matters, which should have been addressed. However, the Manager showed the inspector the improvements, which have been made to the risk assessment system. This has reduced the burden of risk assessment whilst maintaining a reasonable approach to safety matters. Details of this can be found in the text of the report.

What the care home could do better:

Improvements need to be made to the recruitment procedures to ensure that gaps in employment history are explored at interview and that the candidate supports this with a written record. Also, where it comes to light via interview or a Criminal Records Bureau check that staff have a criminal record, a full and detailed account should be maintained of the reasons why it was considered that the person was suitable for employment. Some minor changes should be made to the complaints record to ensure that it includes an outcome i.e. whether complaint is substantiated or not. Although the inspector believes that students are encouraged to take an active part in the running of the home they did raise some matters which require some further discussion in order to address their wishes. This includes having visitors in their rooms, eating snacks in the lounge and more flexibility around supper times.

CARE HOME ADULTS 18-65 Kings Park Road (18) Boscombe Bournemouth Dorset BH7 7AE Lead Inspector Susan Harvey Unannounced Inspection 30th November 2005 15.00h Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kings Park Road (18) Address Boscombe Bournemouth Dorset BH7 7AE 01202 729911 01202 397384 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) Cambian Asperger Syndrome Services Ltd Miss Ayshea Louise Mussell Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of young men to be accommodated to be between 16 years and 19 years. 10th May 2005 Date of last inspection Brief Description of the Service: 18, Kings Park Road is a large detached house situated in a residential area of Boscombe. It provides term-time education and care for nine young men aged between 16 and 19 years with a primary diagnosis of Asperger Syndrome. There are nine single bedrooms, one being en-suite, other bedrooms share bathroom and shower facilities. There is a lounge, dining room, kitchen, living skills area, laundry and garden. The library, shops and recreational facilities are within fifteen minutes walking distance and bus and train routes are similarly close. The students all attend The Wing Centre, a residential and educational resource specialising in meeting the needs of young men diagnosed with Asperger Syndrome. Educational programmes include a curriculum coordinated at The Wing Centre, work experience and college courses organised by the Educational Vocational Manager who links with all local colleges assessing special educational needs on an individual basis. Some of the curriculum is delivered at 18, Kings Park Road where there is scope for the young men to practice independent daily living skills. Kings Park and The Wing Centre are part of Cambian Services, an independent provider. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection although three hours notice was given to ensure that recruitment records were on site and available for inspection. The inspection took place over two days, 30th November and 5th December. The first visit began at 3pm and concluded at 7.30pm and the second day between 1-3.30pm. This inspection included a review of fourteen core standards, the remainder having been reviewed at the first inspection for this inspection year in May 2005. Inspection methodology included; a sample review of care files and recruitment records, a medication review, discussion with the Registered Manager and the Care Services Manager, a limited tour of the home and an interview with two staff members. The inspector spoke at some length with four young men and two more briefly. Following the on site inspection days the inspector met with the Head of The Wing centre who brought to the Commissions offices, records in support of assessments made prior to admission to the service. What the service does well: This inspection once again affirmed the commission’s view that this home operates efficiently. The atmosphere of the home was homely, friendly and welcoming. Kings Park offers a high standard of accommodation, each young person having their own bedroom and share of good communal facilities. Students are empowered to make choices and decisions about the way the home operates and their own lives. Students spoken to confirmed that they were listened to when they had a grumble and were supported when they required it. Records in general are well maintained. Staff recruitment although requiring some minor changes is fundamentally robust and thorough. The staff team are cohesive and committed to their work. Staff are well supported by an excellent training programme. Each receives 10 days training per year, which exceeds minimum standards. Students are supported by staff to develop their independent living skills. This is supported by an impressive array of risk assessments, which ensures that risks are taken safely. A survey of students undertaken by the inspector confirms that they are mostly satisfied with the care they receive. Most answered yes to questions such as, ‘Do you like living here?’, ‘Do the staff treat you well?’, ‘Do you like the food?’. Some students responded using the ‘sometimes’ option. As all responses were anonymous the inspector was unable to seek further clarity. However, direct discussions with students confirmed that there were only Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 6 minor issues of concern and that mostly students felt they were well supported and cared for. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 Care needs are well assessed prior to admission ensuring that care staff have sufficient information to develop accurate care plans to meet students needs. EVIDENCE: Two care files were randomly chosen for review. The Manager and staff confirmed that information for the initial assessments is gathered from a variety of sources including, past schools, psychologists, parents, students and the Statement of Educational Need. The majority of the core paperwork is held on file at the Wing Centre. The Head of the Wing Centre brought to the Commissions office, records requested by the inspector, to demonstrate the pre-admission assessment process. This showed that a thorough multidisciplinary assessment is undertaken, which ensures that only the most appropriate students are admitted to the service. The home retains on the students Focus File a copy of the Statement of Educational Need. A baseline care plan is developed prior to admission from known information. The plan is added too over the period of time immediately following admission as the staff become more aware of specific needs. A 12-week assessment process is the norm. Care records showed clear evidenced of the assessment process. Students spoken to remembered and confirmed the assessment and admission process, which they had gone through. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 A written plan of care is developed, which ensures that staff are aware of the students assessed needs, although greater detail is required to ensure that all known needs are well documented. EVIDENCE: Two care files were reviewed for the purpose of this inspection. Although the format of the files is good several sections were found to be empty. For example copies of review papers written by the home had to be faxed from the Wing Centre as evidence of their completion. Sections on education were found to be empty, although back up copies were available in the main file held in the home. The home follows a base template for the development of each care plan. This includes visual prompts and simple language, which aids students understanding. Staff and students confirmed that they had helped in the development of these plans. However, a thorough review showed that the plans did not contain all information of relevance. For example, some matters raised at student reviews had not been included, both plans were left blank in the area of sexuality and there was no reference to managing finance or family contact. The home has a good array risk assessment but there was also no reference to these in the plan. Although, all the required information could be Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 10 found at either the home or from the main file at the Wing Centre it would be prudent to ensure this is collated together into the one plan. The plan format could easily be adapted to include prompts under each of the current core headings to ensure that all areas are included in the future. Students are fully aware of their care files and are key contributors to the development of their care plan. Care plans are reviewed regularly. Copies of review documentation support that this is maintained. Staff confirmed their role in preparing for a review, which includes writing a progress report. Staff spoken to were fully aware of the students needs. For key standards not reviewed on this occasion the reader is referred to the last inspection report dated 10th May 2005. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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): 13, 15, 16 & 17 Services users are well supported and encouraged to access community resources ensuring they are active participants in the local community. Students are supported in maintaining and/or developing appropriate relationships, which supports and encourages emotional maturity. Kings Park Road respects and supports students in achieving or maintaining their rights, which also encourages responsibility for actions. Service users are offered a balanced diet, which supports and encourages good attitudes to healthy eating. EVIDENCE: Students spoken to told the inspector of the many local resources they access and use. One said, ‘If it’s out there we can use it’. Care plans and the many varied risk assessments seen support this to be the case. On the evening of the inspection a group of students were preparing to go out to the local pub. One student is a regular church attendee and many spoke of the variety of Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 12 activities they engage in. Students are never restricted unless risk factors are indicated. In these circumstances staff would support students until such time as risks could be minimised. Students are supported to maintain family links. As a term time only resource this is important as students return home during holidays. Students are also encouraged to build and maintain friendships from within the college and the community. Students spoken to confirmed that they are supported in this and are encouraged to have friends visiting the house. However, some commented on the fact that they are disallowed from having female friends in their room. Although they do have access to communal space for receiving visitors this does not allow for privacy. The inspector raised this for discussion with the Manager and asked that this be further explored in the future in the hopes of finding a satisfactory solution. Kings Park Road encourage students to take responsibilities within the home and to be active participants in the daily routines of the home. This includes laundry, cooking and cleaning. Independence is encouraged in all aspects of their lives and is one of the key outcomes expected of student’s time at the home. Students have keys to their rooms and staff respect their privacy by knocking before entering a bedroom. Smoking is forbidden in the home and students are well aware of this expectation. Students develop menus during their house meeting. Menus seen offered a healthy balance whilst incorporating their choice. Students supported by staff cook meals on rotation. Students were satisfied with meal provision although had two grumbles related to food. They told the inspector that they are barred from eating food anywhere other than in the dining room and have a very short time slot for supper between 9-9.30pm. Despite raising this several times in house meetings it had not been resolved. The inspector spoke with the Manager and asked that this matter be discussed again as neither requests for change seemed to be excessive. For key standards not reviewed on this occasion the reader is referred to the last inspection report dated 10th May 2005. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 & 20 Students receive a high level of personal support with physical and emotional health needs in a manner which is flexible and meets their individual needs and wishes. The home’s policies and procedures support good care practice in relation to medication. Where possible this encourages students towards independence. EVIDENCE: Although none of the students receive personal care they are well supported in their needs. Students are designated with a personal tutor/key worker, which ensure continuity of care. Care records support that student’s needs are identified and met accordingly. Kings Park offers a high level of support with sensitivity ensuring privacy and dignity. Routines of the home, although somewhat dictated by their college schedule, are flexible and afford each student the scope to receive support according to their needs at a time, which is suitable for them. Students and staff spoken to confirmed this. Students health needs are assessed on admission and incorporated in a plan of care. Care plans seen identified where specific support or care is required. Students are registered with a local GP, dentist and optician as required. Some maintain dental and optical care at their homes. A choice of practitioner is Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 14 available. Students said that they are supported to visit the GP but are able to see the doctor in private if they wish. None of the current students hold and administer their own medication other than creams and lotions. Staff prompt as required and review these regularly to ensure that any treatment is being maintained. All other medication is held securely in the staff office. The senior on duty administers medication as required. Records seen support a full audit trail. This includes records of medication entering the home, being administered and returned home at the end of a stay. Parental permission is sought to give staff permission to administer medication and first aid as required. Signed permission forms were seen on care files. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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 & 23 The home has effective complaint procedures that ensure that complaints are handled effectively and swiftly. The home have robust protection procedures in place, which ensures that students are protected from abuse, neglect and self-harm. EVIDENCE: The home has access to a full complaint procedure, which includes the expectation that complaints are handled swiftly and within 28 days. The procedure includes stages and supports complainants in referring the complaint forward if they remain dissatisfied. Students have access to several contacts should they wish to raise a worry or complaint. The inspector saw simplified complaint leaflets and posters. On admission each student is given this information. A record of all complaints received is held. A logbook showed that there have been no complaints received since the last inspection. However, a review of previous complaints indicated that an outcome had not been recorded. It is important that the record clearly indicates whether a complaint has been substantiated or not and whether the complainant was happy with the outcome. The Manager reviews all complaints. The home is party to full and detailed child/adult protection procedures, including links with Area Child Protection Committees and the availability of No Secrets Policies and Whistle blowing procedures. The Manager confirmed that all staff receive induction, foundation and refresher training in this respect. Staff confirmed that they had received this training and records evidenced this. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 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): EVIDENCE: For key standards not reviewed on this occasion the reader is referred to the last inspection report dated 10th May 2005. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 17 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): 34 & 35 Robust recruitment procedures protect services users, although some minor improvements would enhance this. Staff are well trained and effective in meeting service users needs. EVIDENCE: Kings Park subscribes and follows excellent corporate procedures. Staff recruitment files of all staff who have been recruited since the last inspection and evidence of Criminal Records Bureau (CRB) checks were made available for inspection. A random sample of three were reviewed which evidenced that the procedures had been followed. Two areas of minor concern were noted. Where staff have declared a past criminal record and this is confirmed by the CRB check a form is completed by a Manager. Although the forms ask specific questions many of these had been answered with a tick only. It is essential that a thorough and complete record be maintained of the reasons why, despite a conviction, that a person has been employed. Also, several gaps in employment history were noted. Although the Care Services Manager confirmed that these would be explored at interview there was no record to evidence this having taken place. Staff records evidence that all staff have undergone an induction that reflects Skills for Care induction standards and the Learning Disability Assessment Framework. All staff also receives a wealth of training opportunities, which Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 18 exceed minimum standards. Standards indicate that staff should receive a minimum of five days per year; staff at Kings Park receives 10 days per year. A wide variety of topics are covered specific to service delivery. Staff confirmed that this is one of the very positive aspects of being employed by this company. All staff receive supervision which includes appraisal and the development of training development plans. For key standards not reviewed on this occasion the reader is referred to the last inspection report dated 10th May 2005. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 19 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): 42 Good attention is paid to health; safety and welfare to ensure that services users are protected. EVIDENCE: Kings Park is subject to corporate health and safety procedures. These are robust and inclusive of all expected areas. This inspection confirmed that fire safety is well addressed by the satisfactory completion of a fire risk assessment, in house fire drills and checks and specialist servicing of fire warning systems. Records confirm that these are maintained and up to date. Staff and students confirmed their involvement in fire drills and training. Records seen also confirm that water temperatures are checked and recorded, that gas and electrical safety has been checked in the past 12 months and that risk assessment is taken seriously. An expansive array of risk assessments have been completed, which relate to individual student safety as well as environmental safety. Those reviewed at random were detailed and up to date. Accident records are well maintained and reviewed regularly. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 20 For key standards not reviewed on this occasion the reader is referred to the last inspection report dated 10th May 2005. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 21 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 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kings Park Road (18) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000004027.V257627.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? No 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 Requirement Timescale for action 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 YA6YA6 YA15YA15 YA17YA17 Good Practice Recommendations The current care plan format should be reviewed and updated to ensure that it includes all relevant detail. It is recommended that further discussions be held with students with reference to exploring a satisfactory solution on the matter of female visitors to the home. It is recommended that further discussions be held with students with reference to exploring a satisfactory solution on the matter of where snacks can be eaten in the house and supper times. The outcome of any complaint received should be made clear in the records. Specifically whether the complaint was substantiated or not and whether the complainant was satisfied or referred to a further stage of the procedure. A detailed written record should be made and retained of the reasons why an employee has been employed despite them having a criminal record. A written record of explanation should be sought from prospective employees for any gaps in their employment DS0000004027.V257627.R01.S.doc Version 5.0 Page 23 4 YA22YA22 5 6 YA34YA34 YA34YA34 Kings Park Road (18) history. Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Kings Park Road (18) DS0000004027.V257627.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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