Inspection on 30/05/08 for 186 Meadow Way

This inspection was carried out on 30th May 2008.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

186 Meadow Way 18/04/07

186 Meadow Way 09/05/06

186 Meadow Way 04/11/05

186 Meadow Way 29/06/05

186 Meadow Way 26/02/05

186 Meadow Way 26/08/04

186 Meadow Way 15/03/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 178 Meadow Way 178 Meadow Way Jaywick Clacton On Sea Essex CO15 2SF Lead Inspector Jane Offord Unannounced Inspection 30th May 2008 09:20 178 Meadow Way DS0000017724.V365657.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 178 Meadow Way DS0000017724.V365657.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. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 178 Meadow Way Address 178 Meadow Way Jaywick Clacton On Sea Essex CO15 2SF 01255 431301 F/P 01255 431301 meadowviewcarehomes@hotmail.co.uk 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) Mr S T Lewis Mr S T Lewis Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2007 Brief Description of the Service: 178 and 186 Meadow Way are registered as one care home to provide support for up to seven people with a diagnosis of mental disorder. The two houses are in a residential area of Jaywick Sands and only two doors apart. They are in close proximity to local shops, a public house and the beach and back onto wide, open areas of meadowland. A local bus service provides access to the nearest town of Clacton on Sea, approximately 2 miles away, for local amenities such as day centres, local hospital, sports centre, swimming pool, library, colleges and the town centre for shopping. Information about the service is provided to prospective service users in the home’s Statement of Purpose. The current fees are £700.00 per week, all-inclusive. Previous inspection reports are available from the home and from the CSCI website www.csci.org.uk 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this home is two star. This means that people who use this service experience good quality outcomes. This key unannounced inspection looking at the core standards for care of adults took place on a weekday between 9.20 and 14.00. The registered manager was present throughout and assisted with the inspection process by supplying records and information. This report has been compiled using information available prior to the visit such as the annual quality assurance assessment (AQAA), which is a self-assessment completed by the service, as well as evidence found on the day of inspection. During the day the care plans and files for two of the residents were seen as well as two staff files, the policy folders, the medication administration records (MAR sheets), some maintenance records and the fire log. The manager also supplied a copy of the duty rotas, the menus, finance records of residents’ personal monies and minutes of meetings held between residents and staff. A tour of 178 Meadow Way was undertaken but as there were only three residents in the home 186 Meadow Way is not being used at present so was not visited. One resident and two members of staff as well as the manager were spoken with. The home was clean and tidy offering homely accommodation to the residents. The residents seen were relaxed and clearly felt at home in the environment using all areas of the building. All the records and files were well maintained and easily accessible. Interactions between staff and residents were friendly and appropriate. What the service does well: What has improved since the last inspection? A programme of redecoration has been taking place and three residents’ bedrooms have been redecorated and new flooring has been laid. One room has also had new furniture purchased. A toilet has been installed downstairs off the entrance hall. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 6 Staff spoken with and the training records seen show that induction training takes place and staff are encouraged to undertake further qualifications. 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. The summary of this inspection report can be made available in other formats on request. 178 Meadow Way DS0000017724.V365657.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 178 Meadow Way DS0000017724.V365657.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. Quality in this outcome area is good. People who use this service will have an assessment of need undertaken prior to being offered a place to ensure the home can meet their needs and have a contract of terms and conditions drawn up for living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose and service users guide both contained a lot of information about the service offered and the environment of the home. They both need updating with the details of the variation to registration that was successfully applied for last year. The documents contain details of the manager’s experience in residential care working but none of the qualifications of any other staff member. The admission policy was seen and offers prospective residents the opportunity to visit the home prior to moving in. There is the possibility of day care visits or a trial period. Residents are encouraged to bring personal items of furniture, ornaments and pictures with them when they move in to use in their own rooms. Both the files seen contained a copy of a contract of terms and conditions of residency between the resident and Meadow Way home. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 9 Both files contained a pre-admission assessment document that looked at areas of daily life the resident may need support with. These areas covered mobility, personal hygiene, diet, continence and any health problems. They also assessed the resident’s comprehension, looked at social needs, their likes and dislikes, whether there was any substance dependency or if the resident was a smoker and any known allergies were recorded. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. People who use this service will have an individual plan of care so their needs can be met as they would choose and they will be encouraged to make choices about their chosen lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the files seen contained a care plan assessment for daily activities and a care plan developed from the assessment. There was a heading for daily routine and night time routine as well as daily occupations and personal hygiene preferences. Other headings included orientation and social activities. The level of skills for managing daily tasks and occupations were recorded such as ‘can prepare snacks such as sandwiches’, ‘can navigate the care home and local area well’. Each file also had a section to record the final wishes of the resident. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 11 The care plans reflected the individual’s ability and interests although there were some interventions that were common to both the files seen such as management of medication. Each intervention had a space to complete the ‘service user’s understanding’ (of the intervention), ‘the carer’s understanding’ and the ‘resource support’ needed to achieve the desired outcome. One, in relation to managing personal hygiene preferences said, ‘staff and key worker have scheduled time twice a week for XXXX’s shower’. There was evidence of three monthly reviews taking place of the individual plans. One resident had a keen interest in gardening and had an allotment and potting shed that the home had acquired for them. Another had an interest in horse riding and some lessons had been accessed for them. There were risk assessments in place for some activities and areas of potential concern such as alcohol use or attempted suicide. One resident spoken with said they could go out shopping if they wished but they enjoyed sitting in the conservatory looking at the meadowland behind the house where there were a number of horses grazing and a lot of birds to watch. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. People who use this service will have opportunities to be part of the local community and be able to maintain contact with their family and friends following a lifestyle they would choose. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files seen had recorded any particular interests of the residents. They both noted that the residents enjoyed regular contact with different members of their family and went on outings and overnight stays with them. One resident had been on holiday with their family and spent time over Easter at the family home. One resident has an interest in gardening and spends a lot of time in their allotment and potting shed. It was recorded that they also enjoy books about plants and birds. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 13 Two residents attend an evening club, called ‘The Buzby club’ every week. One of the residents said they can go to the local shop when they choose but they ‘enjoy sitting in the garden in the nice weather’. Residents are encouraged to help with the light daily domestic tasks and will help with washing up and preparing drinks. The parent of one resident is involved with the staff to help develop daily living skills and encourage independence with tasks such as managing their own laundry. Another resident manages the tea rota and can prepare light snacks. The menus were seen and showed that the main meal of the day is taken in the evening with a hot light snack at lunchtime. The menus always offer a vegetarian option such as cauliflower cheese or Quorn and the main meal could be steak and mushroom pie or spaghetti bolognaise. At lunchtime the snack could be sausages, quiche or jacket potatoes. On the day of inspection the carer was preparing hot dog sandwiches followed by yoghurts or fruit for the midday meal. In questionnaires that were sent out by the service to residents and relatives in February 2008 several of the respondents had ticked ‘excellent’ for the food provided by the home. Records in the kitchen showed a cleaning regime that was followed during each shift so the cleanliness of the kitchen was maintained. There were stock control records completed for the rotation of dry stores to ensure they did not go over their ‘use by’ dates. The temperatures of refrigerators and the freezer were recorded to make sure they were functioning within safe limits for food storage. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. People who use this service will have their health needs met and are protected by the home’s management of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ files seen both contained contact details of all the health professionals involved in their support such as the GP, dentist, optician, chiropodist, community psychiatric nurse (CPN) and the consultant psychiatrist. There were records of appointments with health professionals and out patient appointments. One resident has a medication that requires close monitoring and there were records of regular blood tests that were taken. There was evidence of health screening checks being made for gender specific conditions. Note was made of past health issues that could resurface such as alcohol and substance misuse and risk assessments were in place. As some medications can have an effect on weight residents were weighed regularly and there was a weight record in each file. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 15 The medication policy was seen and contained full guidance on the management of medicines including ‘homely’ remedies and covert administration of medication. The home has also compiled a folder containing the information leaflet from the medicine boxes and other information from the Internet about all the medicines presently used in the home. This is a resource folder for use by staff or residents who wish to know more about the effects or side effects of a specific drug. The home has no controlled drugs (CDs) in stock at the present time. The medication administration records (MAR sheets) were inspected. The folder had an identification photograph of each resident attached to it and contained a specimen list of signatures of staff authorised to give out medication. No signature gaps were noted on the MAR sheets and there were ‘carry forward’ figures recorded allowing for an audit trail of medicines. The manager said all the staff had had training in the management and administration of medicines and this was confirmed in discussion with a staff member. One member of staff had been enrolled on the NVQ level 2 course and said they would cover medication again during the course. It was noted that on a list of future training dates posted up on the notice board that medication management was one of the subjects to be covered again. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. People who use this service will have their complaints taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a robust complaints policy that forms part of the service users guide. The complaints log has the correct documents for making a record of a complaint but the home has not received any over the last twelve months since the previous inspection. One resident spoken with said they had not made a complaint but were clear about how to go about it if they needed to. They said that staff are approachable and responsive. There is a policy giving staff guidance on the protection of vulnerable adults (POVA) based on the guidelines issued by the Essex POVA committee, however the most recent guidance has been issued by the joint scheme between Social Care services, the Police and CSCI and called Safeguarding Adults. The manager was aware of the new initiative and on the training programme it was noted that a session had been planned for staff. Staff records seen showed they had had previous POVA training. Evidence was seen that all the present residents have their money paid directly into their bank accounts and no member of staff manages any of their financial affairs. If residents require help they have family members to guide them. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality in this outcome area is good. People who use this service will benefit from living in a clean homely house that is well maintained and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: 178 Meadow Way is a detached, two storey house with a loft conversion that is situated in a quiet residential area of Jaywick. It benefits from local amenities and the proximity of Clacton on Sea, which is a larger town and has more attractions and facilities. The ground floor consists of an entrance hall, kitchen, laundry, lounge/diner and a large conservatory. There is also a newly constructed toilet off the entrance hall. The first floor has the three residents’ bedrooms, a bathroom and separate shower room. The loft conversion, accessed by a set of very steep stairs, has an office and the sleep-in room with a toilet and shower for staff. The manager said that all relevant documents relating to the loft conversion had been presented to the registration team of CSCI. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 18 A tour of the home was undertaken with the manager and everywhere looked clean and tidy. The furnishings and decoration were suitable for the client group and created a homely feel. The conservatory, which is also the designated smoking area for residents, has a lovely outlook over meadows and is bright. The manager said that following the change of legislation last year staff now smoke outside the building, however, there was evidence that some staff had been smoking in the sleep-in room and this was brought to the manager’s notice. The infection control policy was seen and gave full guidance on the prevention of cross infection. It included details of good hand-washing techniques, the use of protective clothing and the safe management of soiled linen. The toilets and bathrooms seen had liquid soap and paper towels available for hand washing. A member of staff spoken with explained the procedure for the management of soiled linen and the use of the high temperature programmes on the washing machines. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is adequate. People who use this service will be supported by suitably trained staff but cannot be sure that there is evidence that all recruitment checks are carried out before employment commences to protect them from unsuitable staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that for the three present residents there was always one member of staff on duty during waking hours and one member of staff sleeping-in over night. On occasions a second staff member did additional hours between 8.00 and 12.00 or 12.00 and 18.00. The early shift was from 6.30 to 13.00 and overlapped the late shift that commenced at 12.00 until 22.00. Staff were responsible for the running of the home and all the domestic duties that that entails such as cooking, cleaning, shopping and laundry. They supported residents to help with tasks as they chose to develop their life skills. All members of staff have either achieved or are enrolled to study an NVQ level 2 qualification or equivalent. Staff spoken with confirmed this. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 20 The home has not recently recruited any new staff but the manager said they were aware that new staff would be needed when the numbers of residents increased following the variation in registration. The staff files seen were for staff who had worked in the home for a period of time. There was evidence that checks on identity had been carried out as well as a criminal records bureau (CRB) check but neither file had evidence of any references being taken up. This was raised with the manager who said more recent staff had had references taken up and they were aware of the importance of doing this to protect the residents. There was documentary evidence of an induction programme being undertaken covering domestic tasks, daily care and health and safety issues including fire awareness. Other training records showed first aid, care planning, management of challenging behaviour, POVA and moving and handling were all areas that had been covered by courses. A training programme showing planned courses was on the notice board and showed the future sessions included health and safety, infection control, management of medication, record keeping, moving and handling, safeguarding adults and nutrition. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. People who use this service will live in a well managed home and have their opinions sought and their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management structure of the home remains unchanged with Mr. Lewis leading the team as proprietor/manager. There was evidence during the day of the good working relationship that has been established between the staff members and the manager and also between the manager and the residents. Staff spoken with enjoyed working in the home and a resident said that they thought the staff did a ‘good job and were friendly and approachable’. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 22 The home had undertaken a quality assurance survey with questionnaires given to residents and relatives in February 2008. Overall the responses were that the service offered was good. There were some responses where ‘excellent’ had been ticked for food and laundry. Two residents had ticked ‘fair’ for social activities but when questioned about that response the manager said these residents often refused to participate in planned activities preferring to spend time alone. Some entries in the daily records confirmed that residents had been offered choices and refused. The minutes of a meeting that took place in January 2008 between residents and staff were seen. They showed that a number of issues that concerned all people in the home were discussed including meal provision, smoking and activities. A book that recorded weekly health and safety checks that were carried out in the home showed that defects that were recorded one week such as faulty light bulbs or cracked tiles were addressed and replaced within the week. External tradesmen completed larger jobs such as a broken sink. A fire officer had completed an inspection in March 2008 and left a record that the home met regulations. Regular fire drills and fire equipment checks were recorded. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes. 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 YA24 Regulation 23 (4) Requirement The recent ‘no smoking’ legislation must be enforced and staff not permitted to smoke except in designated areas outside the building to ensure residents are not put at risk. Staff recruitment procedures must include obtaining two references for each member of staff to ensure residents are protected. This is a repeat requirement from 18/04/07. Timescale for action 30/05/08 2. YA34 19 (4) (b) Sch 2. 30/05/08 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 YA1 Good Practice Recommendations The home’s statement of purpose and service users guide should be updated to reflect the change in registration of the home to ensure that prospective residents have sufficient information to make an informed choice. Training should be progressed to give all staff up to date information regarding the Safeguarding Adults initiative to DS0000017724.V365657.R01.S.doc Version 5.2 Page 25 2. YA23 178 Meadow Way ensure that residents are protected. 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 178 Meadow Way DS0000017724.V365657.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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