Inspection on 17/08/05 for 3 The Droveway

This inspection was carried out on 17th August 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 The Droveway 20/11/08

3 The Droveway 31/01/08

3 The Droveway 19/06/07

3 The Droveway 12/10/06

3 The Droveway 06/03/06

3 The Droveway 27/01/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 3 The Droveway 3 The Droveway Hove East Sussex BN3 6LF Lead Inspector Jennie Williams Announced 17 August 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 The Droveway Address 3 The Droveway Hove East Sussex BN3 6LF 01273 563935 01273 563935 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Management Group Mr Lee Champion Care Home 5 Category(ies) of Learning disability (LD) 5 registration, with number of places 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 That a maximum of service users to be accommodated is five (5). 2 That service users should be younger adults aged between eighteen (18) and sixty-five (65) years on admission. 3 That service users to be accommodated have a learning disability, or a physical disability. Date of last inspection 27 January 2005 Brief Description of the Service: 3 The Droveway is one of many homes owned by Care Management Group (CMG). This company took over the running of the home in November 2004. 3 The Droveway is registered to provide accommodation for five residents with learning disabilities. Residents at this establishment have profound learning and physical disabilities. The home is located in the outskirts of Brighton/Hove. There is nearby access to some local amenities and access to public transport. There is no parking available at the home, but parking is permitted on the street. The home has access to its own transport. Residents are provided with an opportunity to attend a day centre provided through the use of the organisations development centre. All rooms are for single occupancy. The home is currently undergoing building works to increase the number of residents accommodated to six. Building plans also include improving and allowing access to the garden area. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 3 The Droveway will be referred to as ‘residents’. This report is based on the findings of the specified inspection date. This announced inspection took place over six and a half hours on the 17 August 2005. Staff files, some policies and procedures, records, care plans and medication procedures were inspected. A tour of the home was provided. The environment and some individual rooms were spot-checked. The pre inspection questionnaire was sampled and the Inspector received one comment card from a GP. Due to the disability of the residents, the Inspector had limited communication with them. Staff were spoken with throughout the inspection process. There were five residents residing at the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There are minor shortfalls in some of the documentation at the home. Documentation needs to be improved to demonstrate that care needs documented in the ‘all about me’ can be evidenced when tracking information. Some policies and procedures need to be amended to provide clear information for staff. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 6 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. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 & 4 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide had been amended as required at the last inspection. The Registered Manager is aware that these documents will require additional amending upon completion of the building works. Copies of these amended documents will need to be forwarded to CSCI. These documents incorporate the use of pictures and symbols. The organisation has a central assessment team based in Wimbledon who undertake the initial assessment of prospective residents. There have been no new admissions at this home. There are already plans to admit a sixth resident and the Registered Manager has been involved throughout the assessment period. Copies of previous care plans are taken wherever applicable. The home has good support systems in place through use of the organisations specialist health professionals eg. physiotherapist, speech and language therapists. Prospective residents/representatives are encouraged to visit the home prior to moving in. Due to the disability of the residents, admissions are generally well 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 9 planned and the transitional phase into the home takes as long as needed. Emergency admissions and short-term placements are avoided if possible. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 & 10 Residents’ needs are being met by the comprehensive information contained in the care plans. Due to the profound disabilities of the residents, limited risk taking can be initiated. EVIDENCE: The home has comprehensive care plans titled ‘all about me’. These are developed and reviewed with input from relatives, if applicable. Residents are involved in the process but are unable to comprehend a lot of the information. The ‘all about me’ are very detailed and includes photos throughout. They are written in a way that refers to the residents’ views and in a manner that is very clear and not insulting to the knowledge of the reader. Example: There is a section titled ‘Typical Daily Routine’ stating, “Nothing is strictly adhered to – I like to lead.” It was confirmed that care plans are reviewed every one to two months or as the needs of the individual changes. There was no evidence that all sections of the ‘all about me’ were being reviewed. The home must ensure and provide evidence that all sections within the ‘all about me’ are reviewed every six months. It was noted that one resident had a preference on how to be 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 11 addressed. This was not reflected in the care plan. This was discussed with the Registered Manager on the day. An ‘all about me’ reflected that an individual required chest physiotherapy three to four times a day. Although it was confirmed that this is always done, records inspected demonstrated that on one day it had been undertaken once. It was discussed with the Registered Manager the importance of ensuring staff provide evidence of any special needs and care provided. All residents have daily diaries that are kept with the individual to record daily activities and any changes in the needs of the individual. Keeping these diaries with the individual encourages good communication between the home care staff and the day centre staff and promotes continuity of care. Residents have complex needs and communication is limited. Staff working at the home are able to interpret an individuals’ subtle level of communication and will include residents in the daily routines of the home wherever possible. Decision-making is limited for an individual. Residents require supervision in all activities they participate in, so taking risks are very limited. There are suitable risk assessments in place to safeguard residents and staff in the activities of daily living. Personal information is kept confidentially at the home. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17 Residents are provided with opportunities for personal development and to be involved in the local community. Visitors are welcomed at the home. EVIDENCE: Residents are provided with a range of activities they are able to participate in. On the day of the inspection all residents went out for lunch and the afternoon. The development centre provided by the organisation provides opportunities for residents to engage in informative and creative activities should they wish. Due to the disability of the individuals, no one is capable of being involved in employment. The home has access to the mini buses provided by CMG. It was made a requirement at the last inspection that the home/CMG address the lack of a regular driver to transport residents. Head office of CMG have not recruited any additional drivers. The Registered Manager is currently organising BSM trainers to educate the staff on driving the buses. There are restrictions posed on resident outings due to a bus driver being unavailable, on occasions. This 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 13 has not been reflected as an outstanding requirement as the Registered Manager is taking action to address this shortfall. It was noted at the last inspection that residents’ personal finances are dealt with centrally by CMG and that access to personal funds ma be delayed as a result. It was recommended that the manager should be allowed more autonomy in relation to residents’ finances and allowances, therefore residents personal choice of what to purchase and when will not be compromised by procedure. Personal allowance was not inspected as the manager confirmed that the procedure for handling of residents’ personal allowance hasn’t changed. This remains an outstanding recommendation. All residents have a daily routine. These routines are flexible, but due to the complex needs of the individuals’, residents respond better when there is a familiar routine in place. Visitors are welcomed at the home. Residents may see visitors in their own rooms if they wish. There is a visitor’s book kept at the entrance of the home. Some residents have been provided with mobile phones and the staff will often assist the individuals’ to send text messages to their friends and families. The relatives of residents are not required to sign this when visiting the home. It was discussed with the Registered Manager that for Health and Safety reasons, all people visiting the home should sign the book. It is important that in the event of a fire, all people that may in the home can be accounted for. Meals are transported to 3 The Droveway that have already been prepared by another CMG establishment. The home has purchased a new trolley to transport the meals in. Menus are centrally planned and don’t reflect the residents likes/dislikes/allergies or preferences. This restricts the choice for individuals. The home keeps a supply of food at the home should the food be unsuitable. There are proposals for the preparation and cooking of meals to be done at the home. The Registered Manager is keen to commence this and have the residents be involved in this process. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Resident’s needs are being met by the skill mix of staff and support network of health professionals within the CMG organisation. Residents are safeguarded by the medication procedures within the home. EVIDENCE: Throughout the ‘all about me’ there are clear instructions on the preferred way an individual receives personal support. All residents require full personal care due to the complex needs. The home does not provide nursing care. Due to the complex needs of residents, staff are required to have a clear understanding of all needs. Health needs are also met with the good support network throughout the organisation. A comment card from a GP demonstrated that there were no concerns around the care being provided at the home. They stated that the overall care provided to residents within the home is ‘excellent’. There is no one capable of self-medicating at the home. There are policies and procedures in place to deal with all aspects of handling medication. MAR charts inspected demonstrated that medication was being signed for at the time of administration. All staff that administer medication have been trained and assessed as being competent. Suitable measures have been implemented to address the requirements and recommendations made following a visit from the CSCI Pharmacist Inspector in February 2005. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 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 standard(s) 22 & 23 Residents/representatives are provided with opportunities to air their views. Clear written policies will provide staff with clearer guidance on adult protection procedures EVIDENCE: There is a complaints procedure available at the home. This needs amending to include the contact details of the local CSCI office. There is a pictorial complaints procedure that residents have access to. There have been no complaints made since the last inspection. Staff are familiar with the residents residing at the home and are aware of an individuals’ distinctive communication if they are unhappy about anything. The adult protection policy and procedure needs to clearly state that all allegations of abuse must be referred to social services, who are the lead agency. Information regarding the POVA list needs to be included in this policy. The Registered Manager facilitated an inspection done at another CMG home and was aware of the shortfalls in the policies and procedures provided by the organisations head office. He has actively been in discussion with the head office to amend the policies and procedures in time for this inspection. This home has not received the amended documents to date. The Registered Manager has amended the whistle-blowing policy as discussed at a previous inspection he facilitated. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 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 standard(s) 24 & 30 Residents live in a homely environment. There are clear safety measures in place to safeguard residents during the building works period. EVIDENCE: The home is located on a main road on the outskirts of Brighton. There is street parking available. All rooms are for single occupancy. The environment was only spot-checked, as there are plans for building works to commence to increase the number of residents to be accommodated to six. The environment will be inspected upon completion of the building works. The Registered Manager has been pro active and has undertaken suitable risk assessments to ensure the safety of the residents. The building works will be undertaken with minimal disruption to the residents. Relatives/representatives have been consulted and kept informed of the building works and notified of the temporary changes/disruption that will occur. Rooms spot-checked were seen to be personalised to reflect the individuals’ choice and character. The Registered Manager is aware that there are currently no thermostatic controls installed on hot water outlets. A request has been placed with CMG’s head office for this work to be undertaken. No resident is able to use bathing facilities independently. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 & 36 Residents’ needs are currently being met with the number and skill mix of staff on duty. There has been no progress on staff working towards NVQ level 2 or equivalent qualifications. EVIDENCE: There are currently two staff members that have obtained NVQ level 2 qualifications and one currently undertaking these studies. The manager confirmed that provision of NVQ training has been delayed due to CMG head office and is beyond his control. This previous recommendation has now been made a requirement. 50 ratio of staff must be NVQ level 2 or equivalent by 31 December 2005. The home must provide evidence that there is work commencing towards achieving this target. Staff spoken with stated that they felt there were always sufficient numbers of staff on duty, unless there was short notice due to illness. The home has recently employed additional staff members who are due to start work very soon. There were some shortfalls in staff files that were discussed with the manager at the inspection. All staff files must comply with Schedule 2. A letter is received by the head office of the organisation stating that a CRB check has been undertaken. It is recommended that this letter provides information to 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 18 the manager if it was clear or not and that a POVA check has been undertaken. It is recommended that information regarding a prospective employees’ mental health status be expanded. Staff receive supervision on a regular basis. Staff spoken with confirmed that they are kept up to date with mandatory training. On inspecting staff files there was evidence that a staff member had not received manual handling training since September 2001. It was made an immediate requirement that staff with outdated manual handling training certificates are provided with an update. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40 & 42 Residents and staff benefit from clear leadership within the home. Residents are safe guarded by the systems in place to monitor the health, safety and welfare of residents. EVIDENCE: The Registered Manager is currently completing the Registered Manager Award (RMA) course. It should be recognised that he has been pro active in obtaining this award. There was a delay with CMG to arrange this course for him so he arranged this training himself. NVQ level 4 in care studies will be commenced upon completion of the RMA. The manager is registered with CSCI and has the appropriate skills and experience to manage the home. Staff spoken with were very complimentary about the manager and found him to be open, supportive and very approachable. A deputy manager has recently been employed at the home. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 20 The home has implemented a comment box and feed back book as recommended at the last inspection. There is also a ‘whinge board’ in the office for staff for any comments they have. CMG head office undertakes annual quality reviews. The home also has there own quality assurance and quality monitoring system. It is recommended that the views of visiting health professionals be sought during this process. Not all policies and procedures were inspected. Any shortfalls in policies and procedures have been highlighted in the relevant section of the report. The home receives policies and procedures from the head office of CMG. It is recommended that a quick reference guide be implemented so staff can quickly access the relevant policy they require. Staff sign a form to confirm that they have read and understood policies and procedures. This has been implement following a recommendation at the last inspection. The pre inspection questionnaire demonstrates that all relevant health and safety checks are undertaken. Any shortfalls noted in health and safety has been identified in the relevant sections of the report. It was noted that there were hazardous substances kept in a bathroom that was unlocked. Although the residents are unable to independently mobilise, it was discussed with the Registered Manager that these may be a hazard to young visitors to the home. 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x 2 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 The Droveway Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 x 3 x H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 22 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 YA1 Regulation 4&5 Requirement That the Statement of Purpose and Service User guide are updated following completion of building works. That a copy of this amended document is forwarded to CSCI. That evidence be provided that all sections care plans are reveiwed at least every six months or earlier if the needs of an individual change. That evidence be provided of any special needs and care provided, as reflected in the care plan. That all visitors to the home sign the visitors book. That the current system for the provision of meals be assessed in relation to service users and the homes level of choice and diversity. (Outstanding from previous inspection) That the complaints policy includes the contact details of the CSCI office. That the adult protection policy clearly states that all allegations of abuse must be referred to social services. Information about the POVA list needs to be included. Timescale for action 31.10.05 2. YA6 15 15.10.05 3. 4. 5. YA6 YA15 YA17 15 Schedule 4. 17 16.2(h&i) 15.10.05 30.09.05 31.10.05 6. 7. YA22 YA23 22.7(a) 13.6 31.10.05 31.10.05 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 23 8. YA24 13.4(a) 9. YA32 18 10. 11. YA35 YA34 18 19 Schedule 2 That all hot water outlets have indivdiual thermostatic valves fitted to ensure hot water temperature is regulated within acceptable limits. That the home commences working towards the 50 ratio of care staff with NVQ level 2 or equivalent qualifications. (This outstanding recommendation has now been made a requirement) That staff with outdated manual handling training certificates are provided with an update. That staff files comply with Schedule 2. 31.10.05 31.12.05 31.08.05 31.10.05 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 That the home/CMG develops a more service specific system for dealing with service users personal finances so as to enable more autonomy from the organisation and thus more individual choice to service users. (Outstanding from last inspection) That clearer information is provided to the manager regarding the suitably of POVA and CRB checks. That information regarding a prospective employees mental health status be expanded. That the views of visiting health professionals are obtained as part of the quality monitoring process. 2. 3. 4. 5. YA34 YA34 YA39 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 3 The Droveway H59 H10 S60763 3 The Droveway V229770 170805 stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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