CARE HOME ADULTS 18-65
20 Windlesham Road 20 Windlesham Road Brighton East Sussex BN1 3AG Lead Inspector
Jenny Blackwell Announced Inspection 13th October 2005 10:00 20 Windlesham Road DS0000060477.V249685.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 20 Windlesham Road DS0000060477.V249685.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. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service 20 Windlesham Road Address 20 Windlesham Road Brighton East Sussex BN1 3AG 01273 735322 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) Brighton & Hove City Council Mrs Lillian Fafoutis Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th April 2005 Brief Description of the Service: The home is registered to support up to four adults who have a learning disability. The home is a detached three-storey building set in a residential part of Brighton. Although the home was not purpose built for people with disabilities some minor adaptations have been made to the home and one bedroom is on level access on the ground floor. The home is close to local shops, pubs and restaurants in Seven Dials. The home has its own vehicle which helps people to access their local community. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. During this summary the people who live at the home will be referred to as people/person, and the people who work at the home as staff or by their job title. This was an announced inspection of the home under the Care Standards Act. The people who live at the home, some of the staff team and the manager were present during the inspection. Time was spent with all of the people who live at the home. The manager was spoken to individually, the deputy and four staff were spoken to throughout the day. The people who live at the home and the staff were helpful throughout the inspection and contributed to the report where possible. What the service does well: What has improved since the last inspection?
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 6 Since the previous inspection the manager and organisation had addressed some of the previous requirements. The medication system had been revised and was now administered appropriately. The manager also demonstrated greater control of the stocks of medicines and the uses of P.R.N (as and when) medication. The manager has put in place protocols about agency workers induction to the home. Agency staff no longer work alone with the people who live at the home until they have undertaken shadow shifts and spent time getting to know the individuals. The staff were introducing different ways of communicating with the people. A project had been started by some staff to make a photo reference wallet for each person. A staff member had gone out and photographed place of interest and places where the people go. These will then be transferred to the wallet to use as a tool to help people choose were to go and to give them better information of where they may be taken, for example the doctors. What they could do better:
Although social work assessments were in place for the newest person who moved in, work to establish compatibility between the new person and existing people living at the home and if the layout of the building was suitable had not taken place. Reviews of the person’s placement had not happened. Serious issues about the people’s compatibility had arisen and the placing authority, organisation and manager had not taken adequate steps to protect the individuals concerned. At the previous inspection the manager was required to reduce the amount of restiction in the home. For example using a hatch to stop acess to the kitchen. The manager reported that the staff and the people who live at the home were making some progress at supporting supervised access. However it was noted that the staff are on occasions locking three of the people in the kichen to give them respite form the other person. This was not an aceptable practice and contrivenes the individuals rights. Although the medication had much improved it was noted that the staff had not had training from the pharmacist about the storage and handling of medicines. The manager reported that some conflict had developed between some of the pople who lived at the home, it was required that any incidence of abuse between people living at the home was raised appropriately under adult protection protocols. The manager and staff worked to the procedures for the handling of the people’s money and the staff had good knowledge of their
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 7 responsibilities when handling the monies. It was noted that when staff support a person outside of the home on a 2:1 bases the person pays for the staff’s meals out. This was inappropriate use of the people’s money and it was required that manager ensures that the people do not pay for staff from the own money. The majority of the staff working on the shift during the day were relief or agency members of staff. It was not clear how many staff were needed to support the people at the home and how many of those should be permanent members of staff. It was required that the manager forward information about the numbers of full time equivalent staff assessed as needed to support the needs of the current group of people. The organisation undertakes different audits in the home to check for the quality of service the home provides. It was not clear if the organisation and home has a quality audit tool to meet the quality assurance standard. 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. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 8 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 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 9 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): 1-4. A perspective person to the home would be provided with the appropriate documents to help them make a decision about moving to the home. The current peoples aspiration and needs have not been assessed appropriately and it was uncertain if perspective people’s needs would be assessed appropriately. The home is not meeting the needs of the most recent person to move to the home. The organisation and homes admissions policy made provision for new people to test drive the home before moving in. EVIDENCE: New people moving to the home would be given a service users guide and other information about the home, including the staffing levels and facilities in the home. As stated in the summary the focus of the inspection needed to respond to the situation found on the day so the standards focused on choice of home related to the requirements made at the previous inspection. The manager and staff were having continued difficulty in supporting a person who moved to the home. The impact on the other people, and one person in particular was severe. The funding authority had not carried out a comprehensive assessment since the person moved to the home although the manager had passed information about violent incidences to their attention. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 10 It was required that a full and comprehensive assessment of the persons needs be conducted to ascertain if the placement is suitable. Since the previous inspection the manager had spoken to a senior person in the person’s funding authority. She had written to the manager at the beginning of September ’05 committing to undertake a community care assessment for the person. It was observed during the inspection that the new person and the other people living at the home were not compatible. One person was being targeted by the new person and had appeared to change in his demeanour. It was required that a compatibility study be undertaken for the people at the home. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 11 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): 7,8,9 and 10. The manager and staff had made improvements on engaging the people to make decisions in their lives. The current group of people were not always consulted about the aspects of life at the home, although the staff have began to use different methods to gain their viewpoints. The manager and staff had written risk assessments about the individuals and their environment. Further work is needed to help the people move towards a more independent life style. Records were handled appropriately and kept confidential. EVIDENCE: Since the previous inspection, work had been undertaken to improve the range of communication tools available for the people. A project had been started by some staff to make a photo reference wallet for each person. A staff member had gone out and photographed places of interest and places where the people go. These will then be transferred to the wallet to use as a tool to help people choose were to go and to give them better information of where they may be taken, for example the doctors. The staff spoken to appear enthusiastic about helping the people to engage better and he said he had found the work interesting. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 12 The consultation process of the home is not formularised. The people do not have regular meetings to discuss issues. The manager said that the formularised approach would not suit the individuals due to their level of comprehension of the process. Also currently the staff were having difficulty in having all the people in one place because of the behaviour of one individual. During the inspection consultation with the people was limited. The other person interrupted discussion and interaction between staff and three of the people. The staff function on a task orientated bases with people although their interaction was respectful and polite. This was observed to be due to “policing the environment to ensure people were safe from outburst from one person. Risk assessment for the home is based on the environment and tasks. Again the opportunity for individuals to develop skills and move toward a more independent life style in the home is infringed on as there is a need to ensure the people are away from each other. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 13 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): 14,16 The manager and staff ensured that the people were able to pursue their chosen leisure activities. The staff and manager generally respect the people rights although their rights are not protected by the home. EVIDENCE: During the day people had a some activities. One person was out at a day centre another person stayed at home as he was unwell. A written activities plan was up in the kitchen with planned activities for each person. The staff talked to, had an understanding of what people enjoyed and what day they went out to particular activities. The person that was having difficulties settling in the home stayed in the home most days. The staff offered choices to the person based on knowledge of her interest but she often refused to leave the home. This meant that the person was often not engaged in an activity at the home which appeared to raise anxiety in her and the other people. At the previous inspection the manager was required to reduce the amount of restrictions in the home. For example using a hatch to stop access to the kitchen.
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 14 The manager reported that the staff and the people who live at the home were making some progress at supporting supervised access. However it was noted that the staff are on occasions locking three of the people in the kichen to give them respite form the other person. This is not an acceptable practice and contravenes the individuals rights. However due to the severity of the persons behaviours the use of other parts of the building could be used to ensure there is sufficient space between people. It was required that the use of the restrictions in the home are reviewed and evidence is provided on how often they are used. It was recommended to the manager that she utilises other areas in the home to offer alternative space for people that does not restrict their freedoms. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. The people in the home receive personal care as described in their care plans. The people’s physical and emotional wellbeing are not supported in the home. Medication systems have improved and staff support the people to attend health care appointments. EVIDENCE: The staff ensured that the personal care support of the individuals is conducted in a sensitive manner. The staff spoken to had knowledge of the support needs of the individuals and guidelines where in place in people plans. Each person has access to their own G.P’s and other community health care professionals. The staff ensure that the people attend regular health care check ups with dentist and district nursing staff. At the last inspection the staff team where having difficulty in balancing the needs of one individual with the request of a community health care professional. They had worked hard to negotiate a procedure acceptable to both parties that does not encroach on the person’s rights. The medication procedure had greatly improved since the last inspection. The manager had a better awareness of how the team where managing the storage and control of the medicines. The storage and recording of the P.R.N (“as and when”) medication was now controlled.
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 16 During a discussion with the manager it was noted that the staff team had not received training from the community pharmacist for sometime. It was required that the manager ensures that all staff have access to training about the safe storage, administration, handling and recording of medicines. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The people who live at the home and their representatives had access to a complaints and comments procedure. This procedure ensured that the peoples views where acted on. The people who live at the home where generally protected from abuse by the organisations procedures. However the people are not fully protected from abuse from other people who live at the home. EVIDENCE: The organisation has a complaints policy that is robust and transparent. The homes service user guide tells people how to make a complaint and what they should expect from the home or organisation when they are investigating a complaint. Since the previous inspection the home or the commission had not received a complaint. The organisation has a protection of vulnerable adults policy that covers the recruitment of suitable staff, definitions of abuse and the expectations that staff should report all suspected abuse. The manager ensures that all staff have suitable clearance before they work in the home. Most of the staff team have undertaken training in the protection of vulnerable adults. During the inspection the manager and some staff raised concerns about the wellbeing of one of the people living at the home. They felt he was being targeted by another person and was becoming withdrawn. Some time was spent with the people at the home and it was noted by the inspector that the person’s demeanour had changed since the last inspection.
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 18 It was required that any incidence of abuse between people living at the home is raised appropriately under adult protection protocols. The home had clear procedures for the handling of the people’s monies. A daily check of the individual’s monies was observed. The staff member demonstrated a good level of understanding of the checking process and why it was important to ensure there was no discrepancies with the people’s monies. It was noted that when staff support a person outside of the home on a 2:1 bases the person pays for the staff’s meals out. Some staff spoken too where asked about this practice. They understood the agreement to be a house or organisational policy. The manager also believed this was a company policy. This is an inappropriate use of the people money and it is required that manager ensures that the people do not pay for staff from the own money. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The people who live at the home live in a homely and comfortable environment. The environment was generally safe and only compromised when conflict arose between people who lived there. The home was clean and well presented. EVIDENCE: During a tour of the building it was noted the house was in a good state of repair and decoration. The shared spaces in the house were kept in good order and generally had a homely feel. The hatch in the kitchen and double doors on the dinning room door are the exception to this. One person’s en suite bathroom has been adapted to better suit her needs. The laundry facilities are suitable for the people needs and the staff handle washing appropriately. Those spoken to had good understanding of infection control procedures. All the people at the home use the communal areas. A room that used to be a bedroom is now used as a small second lounge. This space and other areas will need to be better used to ensure that the people have suitable time away from
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 20 each other when in the house. The manager and inspector discussed the alternative ways in which the manager could achieve this aim, and it was required that in order to provide a safe environment the manager ensures the staff help people to make use of alternative space in the home. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 21 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): 31-36 The staff had an understanding of the roles and limitations of their job description. The staff team was often made up from relief or agency workers who do not have as much access to training as permanent staff. There were gaps in specialist training for permanent staff. The recruitment procedures protected the people living at the home and staff received regular supervision and attended staff meetings. EVIDENCE: The majority of the staff working on the shift during the day were relief or agency members of staff. An agency member of staff was spoken to. She had worked at the home on several occasions and said she enjoyed coming to the home. She appeared knowledgeable about the people and their support needs. Other agency staff were seen to interact respectfully with the people and appeared confident when dealing with challenging behaviours. A senior member of staff was spoken to and she described several incidents were staff were struck by a person living at the home. On most occasions staff needed to leave their shift to recover. The senior was concerned about the cumulative affect this was having on staff moral in the permanent staff team. Since the previous inspection the manager ensures that all new agency or relief staff have shadow shifts with an experienced member of staff and do not
20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 22 work unsupervised. The home has some vacancies and one person on longterm sick leave. It was not clear how many staff were needed to support the people at the home and how many of those should be permanent members of staff. It was required that the manager forward information about the numbers of full time equivalent staff assessed as needed to support the needs of the current group of people. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43 The home was not currently run well in some aspects. The manager ensured that the staff team receive supervision and support. The manager’s ethos of the home to support people as individuals was reflected in the staff team. The home did not have a clear quality assurance tool although audit checks such as health and safety were carried out. Health and safety of the people living at the home and the staff is not fully protected. The organisation monitors the financial viability of the home. EVIDENCE: The staff reported that the manager was approachable and supportive. They reflected the manager’s ethos for the home in their own work practices. The staff had access to the manager through supervision and staff meetings and shift work. The manager ensured that she worked several shifts per week. This enabled her to have a good understanding of how the home was running. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 24 Throughout the inspection the issues of compatibility between the newest person to the home and the others where looked at. In several areas the organisation and manager needed to have responded better. Incidences of people and staff being hit by a person at the home were not being reported to the commission. The manager and staff had not been proactive enough in using the spaces in the home to separate people form each other and had not raised adult protection alerts when a person was being targeted. The organisation had provided support from community teams and the behaviour support team for the person, but had not considered fully the level of mental health support the person required. The organisation undertakes different audits in the home to check for the quality of service the home provides. It was not clear if the organisation and home has a quality audit tool to meet the standard. It was required that manager provides a quality audit tool to demonstrate the organisation and home monitors the quality of service provide. The home’s health and safety records were viewed. The fire detection tests, drills and fire risk assessment all met the required standards. Contractor’s appointed by the organisation, carry out health and safety checks. They visit the home to check on the fire system, water temperatures and general repair issues. Further examination of records will be viewed at the next inspection. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 25 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 1 1 3 X Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 2 2 2 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 2 17 Standard No 31 32 33 34 35 36 Score 3 2 2 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
20 Windlesham Road Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 3 2 3 DS0000060477.V249685.R01.S.doc Version 5.0 Page 26 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 YA2 Regulation 14(1)(a,c) Requirement The manager shall not provide accommodation to a person without a full assessment and that it is kept under review. (form previous inspection 15/4/05) It is required the manager ensures the people who live at the home make decisions in respect of their health and welfare and take their wishes and feelings into account. (From previous inspection 15/4/05) It is required the manager undertake a review of any restriction to the areas of the home. (From previous inspection 15/4/05) It was required that the manager ensures that all staff have access to training about the safe storage, administration, handling and recording of medicines. It was required that any incidence of abuse between people living at the home is raised appropriately under adult protection protocols. It is required that manager ensures that the people do not
DS0000060477.V249685.R01.S.doc Timescale for action 13/10/05 2 YA7 12(2)(3) 13/10/05 3 YA16 12(2)(3) 23(2)(a) 13/10/05 4 YA20 13(2) 31/01/06 5 YA23 13(6) 13/10/05 6 YA23 13(6) 13/10/05 20 Windlesham Road Version 5.0 Page 27 7 YA33 18(1)(a) 8 YA39 24(1-3) pay for staff from the own money. It was required that the manager 31/12/05 forward information about the numbers of full time equivalent staff assessed as needed to support the needs of the current group of people. It was required that the manager 31/01/06 provides a quality audit tool to demonstrate the organisation and home monitors the quality of service provide. 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 YA16 Good Practice Recommendations It was recommended to the manager to utilises other areas in the home to offer alternative space for people that does not restrict their freedoms. 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 20 Windlesham Road DS0000060477.V249685.R01.S.doc Version 5.0 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
