Inspection on 04/05/06 for 25-27 Haymill Close

This inspection was carried out on 4th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

25-27 Haymill Close 29/08/07

25-27 Haymill Close 19/12/05

25-27 Haymill Close 24/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 25-27 Haymill Close 25-27 Haymill Close Greenford Middlesex UB6 8HL Lead Inspector Sarah Middleton Unannounced Inspection 4th May 2006 10:00 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 25-27 Haymill Close Address 25-27 Haymill Close Greenford Middlesex UB6 8HL 0208 998 8856 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) Ealing Consortium Limited Mr Peter Lee Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: 25-27 Haymill Close was registered in 2004. It had been formally registered as Perivale Supported Housing and had comprised of four houses linked by an administration block. The service is for nine adults who have learning disabilities. One house, number 25 is for four female service users and the other house, number 27 is for five male service users. Male and female staff work in the male service users house and female only members of staff work in number 25. A small office connects the houses. There is some parking to the front of the home and a communal garden that is shared with another registered home. This is mainly a lawn with a patio area. All bedrooms are single and are on both the ground and first floor of the home. The staff team consists of one Registered Manager for the two houses and one senior member of staff for each house and support workers. Number 25 & 27 Haymill Close is situated on a housing estate near to the Ealing Consortium Activities Resource Centre. Several service users attend this local resource centre where they take part in sessions such as Drama therapy. The houses are near to a main road into London and a short walk to a main road where there are buses into the towns of Ealing Broadway or Greenford. Ealing Broadway has good rail links for both in and out of London. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. The inspection was from 9.35am- 2.50pm. The Inspector carried out a tour of the home and inspected service user files, staff files and maintenance records. A total of two service users and two members of staff were spoken with as part of the inspection process. It must be noted that it is sometimes difficult to ascertain the views of service users with learning and communication needs. There were no visitors at the time of the inspection. The Registered Manager was present and assisted with this inspection. All of the previous six requirements had been met and three new requirements were made at this inspection. All of the key Standards were assessed at this inspection. There is one outstanding adult protection investigation, which has been noted in the two previous inspection reports. This case is due to be completed within the near future. The organisation and the Registered Manager had taken all the necessary steps regarding investigating this incident. What the service does well: What has improved since the last inspection? Medication systems are improving and medication errors had greatly reduced over the past year. Medication is checked and monitored on a regular basis. There are quality assurance systems in place to monitor the care provided in the home and areas are reviewed and improved where appropriate. The testing for Legionella had occurred and areas identified with small samples of Legionella were to be addressed. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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 Service users are assessed prior to admission to ensure the home can meet their needs. EVIDENCE: There have been no new admissions for several years. The Inspector viewed the pre-admission assessment that would be used for any prospective service user. This document covers various areas such as the service user’s background, their physical and mental health needs and mobility needs. This document would assist the Registered Manager in making a decision about whether they could offer a place to the prospective service user. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The personal and social care needs of service users had been identified and were being met. Service users were encouraged and supported to make decisions about daily life. Risk assessments had been completed to ensure staff were aware of any issues or areas of concern. EVIDENCE: Individual service user plans were available and samples were viewed. Overall these were detailed and outlined how the service users’ identified social and personal care needs would be met. Service user’s files also included guidelines for the individual service user, such as seeing a GP and using the stairs. These demonstrate that staff have considered the important details regarding a service users life and have recognised the need to share this information with other members of staff. The Inspector made a recommendation for the guidelines to be dated to ensure they are up to date and reviewed on a regular basis. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 10 The care plans are reviewed every six months and goals, aims and objectives are considered for the forthcoming six months. Monthly summaries are also completed to ensure staff monitor service users needs and are aware of any significant events. Daily records detailed the care and activities service users had taken part in. One service user had a draft version of their essential lifestyle plan, that eventually all service users would have. This plan aims to be more personal about the service user and detail such things as their likes and dislikes and the exact support they need for every day living. The Registered Manager was enthusiastic that these lifestyle plans, along with communication passports, will offer more relevant and personal information and will assist staff members, especially agency or new members of staff who need to be aware of how to effectively support and communicate with the service users. The Inspector noted that in some of the files there were old documents and this made the files large and difficult to easily identify recent and relevant information. Discussions took place with the Registered Manager and staff regarding reviewing the information that needs to be in service user’s files and a recommendation was made for staff to ensure service users files are well maintained. Staff described how they encourage service users to make decisions within their capabilities. Staff spoke about how they knew when a service user, who might have limited verbal communication, liked or disliked doing something or eating something. Service users make sounds, gestures or movements and staff members, through working with the service users over a period of time, become familiar with what these forms of communication might mean. Service users are not able to manage their own finances. Samples of risk assessments were seen and these had been reviewed on a regular basis. They covered a wide range of subjects such as moving and handling, using the bathroom and using transport. Risk assessments were now completed for service users going on holiday with members of staff. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Social activities were in place and staff provide stimulation and occupation for the service users. Community facilities are accessed to promote social inclusion. Visiting is encouraged for service users to maintain contact with family and friends. The meal provision provides service users with choice and variety thus aiming to ensure service users receive a nutritious and healthy diet. EVIDENCE: The majority of the service users attend various day centres for part of the week. In addition the local activity resource centre is also accessed for dramatherapy and massage sessions. Staff described how they try and use public transport with some of the service users, although there is a car belonging to the house, which is used if there are drivers working in the home. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 12 Some service users attend the local church and one service user attends the temple with their family. Other community resources are used, such as the local parks and restaurants. Discussions took place with the Registered Manager regarding staffing numbers and activities. The majority of activities are provided by staff working in the home. Local colleges and other structured day provision is not provided, other than what is noted earlier. Staff aim to provide activities, but there is an awareness that service users rarely receive regular one to one time with a member of staff when taking part in an activity. The Inspector was satisfied that staff provide as much stimulation and occupation for service users, as they are able to. Staff were seen to interact with service users to ensure they were happy and occupied. Those service users who have family or friends are encouraged to maintain contact with them. Service users are able to visit family or see them in their home. One service user has an interest in the mail that is delivered to the home. Staff members were seen to read this service user’s personal mail to them, as none of the service users living in the home are able to read. The Inspector observed staff interacting with service users throughout the inspection in a positive and appropriate manner. Staff were aware of when service users want to be alone and respect their choice and privacy. The kitchens were viewed and found to be clean and tidy at the time of the inspection. Fresh produce was seen in fridges and food opened had dates of opening written on it. Fridge and freezer temperatures had been taken and were within an appropriate range. Menus were viewed and incorporated service user’s preferences. Individual meals had been recorded so that staff were aware of each individual’s diet. Staff informed the Inspector that where possible service user’s are encouraged to take their plates into the kitchen and/or assist in preparing the meals. Those staff members asked, were aware of service users capabilities and interests and promoted service users to take part with meals as much as they were able to. Service users said they liked the food offered in the home. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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 Service users receive personal care in the way they prefer and in private. The health needs of service users had been identified and were being met. Overall the medication systems in place were robust and protected service users health and safety. EVIDENCE: All the service users require support and assistance with their personal care and this is offered in private. The female service users receive same gender care. Staff members stated they encouraged service users to choose their own clothes and times for getting up and going to bed were flexible. The health needs of the service users were documented on care plans and where necessary, guidelines were in place. Service user’s weight had been taken, although it was noted that it had not been recorded for one service user for several months. Discussions took place with the keyworker of this service user regarding this lack of evidence and a recommendation was made for this to be addressed. Service users have access to GP’s, optician’s, dentists and any other relevant health professional. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 14 Once a service user has attended an appointment this is recorded on a form that includes details of any outcome or treatment plan. The medication administration records were tracked and had been correctly completed. Liquid medicines had dates of opening written on them and a sample of loose medication was counted and found to be correct. There had been a medication error the previous week and the Registered Manager had met with this member of staff. Medication errors are looked at on an individual basis and various action is taken depending on whether this is a first mistake or whether it is deemed serious enough to remove the member of staff from administering medication. Since the last inspection the number of medication errors had reduced. Staff, including the Registered Manager, had recently attended a medication refresher course run by a Doctor. The Registered Manager stated this had been helpful in reminding staff about the importance of administering medication as prescribed. Staff members also work through medication competency forms and the Registered Manager checks these once they are completed. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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 a clear complaints procedure and complaints are taken seriously and acted on. Systems were in place and followed for the protection of vulnerable adults. EVIDENCE: The Registered Manager had three complaints made to them since the last inspection. The Registered Manager explained they were trying to encourage service user’s and family members to make complaints if they were unhappy about something in the home. It is difficult to ascertain whether some of the service users could make a complaint however those that could were promoted to do so. Two complaints had been dealt with appropriately and a new complaint had been made by a service user, this was being looked into by Management. Any action taken, regarding investigating a complaint is recorded by the Registered Manager. Staff had recently received training on the protection of vulnerable adults, (POVA). There is one outstanding POVA investigation that has been ongoing for several months. The Inspector was satisfied that appropriate procedures had been followed and that this was due to conclude in the near future. The Inspector had been notified the day before the inspection of another potential POVA incident. Once again the Registered Manager informed the relevant professionals and the incident was at this stage informally investigated. It would seem following a visit to the GP on the day of the inspection that this recent incident was not deemed to be through any form of abuse or neglect. The Inspector advised the Registered Manager to ensure all care plans and risk assessments were amended to reflect this potential issue relating to this service user. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 & 30 The environmental standard of the home continues to improve, with furnishings and décor being updated thus making the home feel comfortable and welcoming for service users and visitors. Service users bedrooms offer the space for service users to relax in and have their personal possessions around them. The shortfalls in providing refresher health and safety training for staff members are to be addressed. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These showed signs of further improvements. The living room had new sofas and the bathrooms had new flooring. The Registered Manager informed the Inspector the home would be continuously making improvements regarding the décor and furnishings to make the home more appealing and inviting for the service users and those visiting the home. Rooms were light, bright and tidy at the time of the inspection. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 17 Samples of service users bedrooms were viewed. The two service users bedrooms that are located on the top floor of the home had been installed with air conditioning, as these rooms became hot during the warmer weather. Service users bedrooms were single rooms, spacious and had been personalised. Due to the nature of their disabilities service users do not lock their bedrooms. The home was clean and tidy at the time of the inspection. The laundry rooms are separate to the kitchens and staff support those service users interested or able to carry out their laundry tasks. A joint requirement was made with Standard 35 that health and safety training, that must include infection control guidelines, must be up to date for all members of staff. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Staff members are committed and competent to meet the needs of the service users. The team is effective and works well together in the interests of the service users. The systems for the recruitment of staff were robust and safeguarded service users. The provision of refresher training is required to ensure staff have the up to date skills and knowledge to perform their role effectively. Staff members receive one to one support and supervision to enable them to work to support service users in their every day life. EVIDENCE: Staff were observed throughout the inspection and were seen to interact in a supportive way. Those staff members spoken with were committed to supporting the service users and working to meet their needs. One member of staff is a key worker to a service user who has particular cultural and religious needs. They are from a similar background and seek to meet the service users specific needs. The majority of staff have either obtained, or are in the process of obtaining an NVQ. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 19 Currently there are several staff vacancies and these vacant hours are covered by a combination of permanent and regular agency members of staff. The Registered Manager explained there were new members of staff due to commence employment once the necessary checks had been completed. Staff confirmed the team meets on a regular basis. In addition the message book and handover meetings are also used for staff to share important information regarding the home and service users. As noted earlier in the report, overall staff felt confident they could understand if service users were happy or unhappy, although there were some difficulties in always recognising exactly what a service user might be communicating to staff, in particular when the service users had little verbal communication. Staff spoken with stated they did not always have administration time to complete reports and any relevant documentation regarding the service users. This was brought to the attention of the Registered Manager who confirmed the amount of administration time available for staff had been reduced. He is conscious of this shortfall for staff but there are no current plans for this to be re-introduced. This situation should be reviewed on a regular basis, as staff need to complete various administrative tasks. The staff employment files viewed contained completed application forms, Criminal Record Bureau disclosure number, medical declaration, two references and a photograph of the members of staff. A detailed induction is available for new members of staff and those asked confirmed they had attended courses and information days before they begun working in the home. They also confirmed they had worked in a supernumerary capacity for some time whilst their Criminal Record Bureau checks were being completed. This had given them time to shadow existing permanent member of staff and to familiarise themselves with the service users routines and abilities. New members of staff then work through the Learning Disability Award Framework before going on to study for an NVQ. Staff members receive mandatory training and additional relevant training on an going basis, although the Registered Manager informed the Inspector there were several training courses, for some members of staff, that were out of date. These had been requested but at the time of the inspection there were no confirmed dates. A requirement was made that staff must have up to date training and that refresher training must be put in place. Staff asked were happy with the type and level of training offered to them. Staff receive regular one to one supervision and those asked felt supervision sessions were useful and offered them the opportunity to seek advice or guidance where necessary. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Service users benefit from a well managed home, with a Registered Manager who maintains a visible presence in the home. Systems are in place to review the quality of care offered in the home. The shortfalls in the servicing records could pose a risk to service users, staff and visitors safety. EVIDENCE: The Registered Manager has been in post for over two years and had obtained the Registered Manager’s Award. Staff asked stated the Registered Manager was approachable and flexible and maintained a visible presence in the home. The Registered Manager informed the Inspector that he works one morning a week directly with the service users and members of staff. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 21 Various systems are in place to monitor the care offered in the home. On an annual basis a customer satisfaction survey is carried out with as many service users who are able to take part in it. The organisation is currently looking at ways to improve gathering the views of the service users. Monthly Regulation 26 visits are carried out and these reports are forwarded on to the CSCI. In addition the Registered Manager carries out quarterly reports that are sent to their line manager. These reports include information on staffing, training, finances and any investigations that have taken place. Servicing records were viewed at random. The recent testing for Legionella had identified small samples of Legionella in one area of the home. This was to be addressed the following week of the inspection and this room was not currently being used. The Gas Safety record and fire equipment were up to date with their testing and servicing. Fire drills had not taken place for almost five months and a requirement was made. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 3 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 2 x 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA35YA30 Regulation Requirement Timescale for action 01/09/06 2. YA42 18(1)(c)(i) Training, including refresher training must be available and up to date for all members of staff. 23(4)(e) Fire drills must be held at regular intervals and at various times of the day/night. 31/05/06 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 YA6 YA6 YA19 Good Practice Recommendations Guidelines should be dated to ensure documents are up to date and reviewed on a regular basis. Service users files should be well maintained with relevant and up to date information easily available for staff and the inspection process. Service users weight should be clearly recorded on a regular basis. 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 25-27 Haymill Close DS0000044301.V288860.R01.S.doc Version 5.1 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. 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