Inspection on 19/08/08 for 30 Broad Lane

This inspection was carried out on 19th August 2008.

CSCI found this care home to be providing an Adequate service.

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

30 Broad Lane 24/08/07

30 Broad Lane 06/06/06

30 Broad Lane 16/01/06

30 Broad Lane 25/07/05

30 Broad Lane 21/02/05

30 Broad Lane 17/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 07/11/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 30 Broad Lane Upper Bucklebury Nr. Reading Berkshire RG7 6QJ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kerry Kingston     Date: 1 9 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 30 Broad Lane Upper Bucklebury Nr. Reading Berkshire RG7 6QJ 01635 871191 01635 871191 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Milbury Care Services Ltd Jacqueline Rose McDowell-Mundy care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category of service only: Care home providing personal care - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) Physical Disability (PD) 0 0 Over 65 0 0 Date of last inspection Brief description of the care home This service provides care and accommodation to five residents, of both genders aged between 18 and 65 with learning and some physical disabilities. The Milbury group operates the home. The service aims to enable service users to live a fulfilled life underpinned by The Five Accomplishments of Ordinary Living (John OBriens). The home is a two storey detached house in situated in Upper Bucklebury. The house is located on a main road but is set back from this; it is close to local amenities. The home has a good-sized rear garden and ample parking to the front of the property. Care Homes for Adults (18-65 years) Page 4 of 28 Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: This is a report for the key inspection, which included a routine unannounced site visit to the service. This took place between 11.00 and and 6.00 pm on the the 19th August 2008. The information was collected from an Annual Quality Assurance Assessment, a document sent to the service from the Commission for Social Care Inspection and completed by the service manager. Surveys were sent to the people who are supported by the service. Discussions with the acting manager, a senior manager and one staff member took place. People who use the service have difficulty communicating with people who do not know them so observation of people and their interactions with staff took place during the visit to the home. Reviewing records of the people who use the service and other records and procedures was also used to collect information on the day of the visit. All information received by the Commission since the last inspection, Care Homes for Adults (18-65 years) Page 6 of 28 about this service was also taken into account when producing this inspection report. The current fees are £1067 to £1864 per week , depending on the assessed needs of individuals. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home have the admissions policies and procedures that detail how people are to be properly assessed so that they can be sure that their needs can be met. The people who,currently, live in the home have their needs reviewed so that the home is sure it can continue to meet them. Evidence: There have been no new admissions since 2002. The people who live in the home have been there since it opened in 2002. The home has an admissions procedure which includes overnight stays and/or if appropriate an individually tailored admission processes. A new Service user guide has been produced in a pictorial format. Existing peoples care plans are regularly reviewed to ensure that the home can meet their current needs. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home make sure that people know their assessed and changing needs, help them to make as many decisions as possible about their lives and support them to be as independent as they are able. Evidence: Care plans for all five people who use the service, were seen. They are detailed and comprehensive and include all areas of life such as communication,personal care, social skills, relationships, activities and holidays, living skills, cultural and spiritual expression, ageing/illness and death and decision making. Each area is broken down into smaller areas, as appropriate for individuals. Care plans are in a stage of transition from an old recording system to a new but both care planning systems are robust and enable people to know their assessed and changing needs and include Care Homes for Adults (18-65 years) Page 12 of 28 specific goals for particular areas. Care plans are reviewed regularly, an annual full review is held and key workers review them,as necessary. Each component of the plan can be reviewed individually, such as a communication or physical health , depending on the needs of the residents. Care plans include how people make decisions for themselves and staff are able to clearly describe how this is encouraged on a day to day basis and how staff are able to see (often by behaviours ) what decisions people are making. How people express themselves clearly detailed in care plans. Peoples cultural/religious /spiritual needs are specifically included in care plans, one lady attends church on Sundays. All care plans enable staff to meet peoples diverse and individual needs. Residents meetings are not held as they are not seen to be useful as people have very limited verbal skills and do not enjoy communicating in a group. Their views are sought in 1:1 situations and by observation of behaviours and well-being. People were observed, on the day of the inspection visit, being offered choices and staff were seen using skills to encourage appropriate behaviours, as detailed in guidelines on the care plans. Risk assessments are an integral and positive part of the care planning process and include detailed risk assessments/guidelines for community presence and daily activities. There was a discussion with the acting manager about streamlining the care plans by, for instance archiving old records, so that there is less paperwork, to make them a more practical working document. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given opportunities to take part in interesting and rewarding activities, these need to be properly recorded. They are assisted to take part in the community and are offered balanced and nutritional meals that they are fully involved in choosing and preparing Evidence: Activity programmes showed that there is a variety of activities offered to people, such as swimming, trampolining, cycling and visiting the local shops and pubs. Activities can be limited by peoples complex needs, motivation and choices. The home is currently working on extending activity programmes, especially day to day, in Care Homes for Adults (18-65 years) Page 14 of 28 house activities. Some people attend day activities with external providers and staff encourage as much involvement in the community, as possible. In one week in July, one person had been recorded as going on three walks, the acting manager was confident that other activities had been undertaken, although not recorded. During the same week three people had been on a trip to the seaside and other peoples regular activities were also not recorded in their daily notes. One persons review had noted that they needed a more structured activities programme, but there had been no progress in this area in the months following the review. Two people indicated that they enjoy their activities. People have an annual holiday or have days out, as they choose or as staff assess their needs at the time. Most of the people in the home spent some part of the day out of the home on the day of the inspection visit. Four people who live in the home have family contacts, which are encouraged and supported by staff. One person has an advocate who has not been in contact for sometime, the acting manager has been trying to re-establish contact. The acting manager with the support of the care manager has been trying to re-establish contact with family members but not successfully, as yet. Peoples rights and responsibilities are formally recognised by a residents charter and people giving permission for the home to share information with third parties, as appropriate. Staff were clearly able to explain how they recognised peoples rights by respecting them and following care plans and guidelines. The menu is presented in a pictorial format and people help choose meals by this method. They are involved in shopping for the homes food and help with or observe meal preparation. Menus seen were balanced and nutritious. Lunchtime was observed and staff were seen to be helping people, as necessary, with sensitivity and respect. The dining tables are arranged in a way that is best suited to the needs of the individuals. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home, generally meet the personal care and health needs of the people who live there and have put procedures in place to ensure that there is no recurrence of people suffering from undiagnosed injuries or illnesses. Behvavioural guidelines are detailed and effective, but must be followed by all staff. The home ensure that medication is administered as safely as possible. Evidence: Care plans include detailed preferences/likes and dislikes and how people show their preferences. They detail preferred daily routines and any cross gender care issues. There are excellent communication guidelines such as interaction profiles being developed by the behavioural therapist. These direct staff on how to interact positively with people especially if they display difficult behaviours. Any equality and diversity issues are incorporated into the individual care plans such as excellent guidelines of how to deal with a person who displays behaviour that could compromise their freedom to access the community. On one occasion guidelines were not followed, this Care Homes for Adults (18-65 years) Page 16 of 28 resulted in a complaint from a member of the public, this is being properly addressed by the acting manager and the organisation. Each person has a detailed health care plan and good detailed records of any visits to health care professionals, for instance one person had visits to the psychiatrist, chiropodist, G.P, dentist and speech and language therapist, noted. One person suffered from an undiagnosed broken bone for several months, this has resulted in a full safeguarding investigation and robust procedures being put in place to minimise the possibilities of there ever being a recurrence of the situation. Appropriate action is being taken against staff involved in the incident. The new procedures include detailed communication guidelines, how people show pain and what behaviours to look for that could indicate pain or distress. The home now use the BOOTS Monitored Dosage System and the pharmacist will look at how it is functioning within the home, shortly. The home have changed to this system in the last month as it is safe, simple and effective. The acting manager advised that the pharmacy is very helpful, efficient and will offer advice as necessary. Medication is stored safely and administration records seen showed no errors. The acting manager said that there had been one error since the last inspection, the staff member was re-trained and re-assessed for competency. One of the stock control records for painkillers to be given as necessary was not correct but the number of pills in stock was accurate and they had been administered safely and properly recorded on the medication administration sheets. Staff have to be trained and assessed as competent before they can give medication. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a comprehensive complaints procedure and listens to people if they have complaints or concerns but need to record this and foster a positive view of complaints. Staff protect people from all forms of abuse but need to know who to contact outside of the organisation , to ensure the well-being of the people in their care. Evidence: The home has a robust complaints policy and procedure, this has now been produced in a pictorial format so that the people who use the service have a greater opportunity to understand how to complain. The acting manager advised that people would probably not be able to access the complaints procedure without help. The staff team are very aware of how people express their distress or concerns and this is included on the care plans, in the communication section. People were observed to be very comfortable with staff and staff were seen responding to peoples behaviours, which showed that people were making requests, decisions or were uncomfortable. The complaints book held very little detail about complaints received and what action had been taken. There have been two safeguarding referrals since the last inspection which have and Care Homes for Adults (18-65 years) Page 18 of 28 are being fully investigated by the appropriate bodies and the provider has taken appropriate action. The inter agency Protection of Vulnerable Adults procedures were not on display in the home. The member of staff spoken to was very clear about what she would do if she had any concerns about the well-being of the people in her care but was not sure of who to contact, outside of the organisation if it was necessary. Staff receive Protection of Vulnerable Adults (Safeguarding) training during the induction process and two new members of staff confirmed that they had received it. The Commission has received one complaint and information about two safeguarding issues (as above) since the last inspection. The home uses little restraint but all staff are trained in Non-violent crisis intervention techniques and record any instances where it is used. Incidents are passed to the psychology team and signed off by senior managers. There were no incidents noted since the last inspection. The home has detailed behavioural guidelines in place to protect the people who use the service and the staff team. Peoples finances were not seen but support needed with finances is included in the care plans, costs are noted in the contract and there is a method of ensuring people know their overall financial status on a regular basis. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The house is kept to a good standard of hygiene, is comfortable and meets the needs of the diverse group of people who live there. Evidence: The home is in a good state of repair and furniture and fittings are of good quality and comfortable. Residents bedrooms are individualised and well kept and any necessary aids for mobility or behaviours are provided. The bathroom and shower room have new flooring and the shower room has been adapted, on the advice of the physiotherapist, to provide a disabled person with better bathing facilities. Some kitchen units appeared ot be in need of repair but this is on the homes improvement plan for this financial year, as are new carpets throughout and redecorating the living room. There are also plans to add some more homely touches to the newly decorated areas. The home was seen to be clean and well cared for throughout. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a staff team with many new members who are supported by the experienced members of the team to fulfill their roles competently and effectively. The amount of new staff compromises the speed at which training opportunities can be offered and accepted by individual staff. The home makes sure that appointees are safe and of good character to work with the people who use the service but do not keep evidence of this in the home. Evidence: The home operates with four staff in the morning and three in the afternoon, with one waking night and one sleep in person. Additional staff are rotad on duty for any special activities or appointments. Some people are accompanied by two staff when accessing the community. The home has been short of staff for several months and agency staff have been used, the acting manager advised that because of new appointments the agency usage has decreased. There is a staff team of twelve, currently, with two more staff appointed. Four staff members have been recruited in the past three months. This is a new team but one Care Homes for Adults (18-65 years) Page 21 of 28 staff member said that they work together well and support each other in their roles. The team were observed, on the day of inspection to be carrying out their duties, enthusiastically and efficiently and it was evident that the team, on duty, had high morale and were committed to the care they were offering the people who use the service. The two newest staff records were checked. The organisation keeps personnel records in head office (these were not accessed) but supply the home with a pro forma for the information that they hold (personnel file cover sheet), however these were not accurately or fully completed to evidence that the correct information had been obtained to ensure the safety of the people who use the service. The acting manager was able to verify details of the information held by the personnel department in head office and it was evident that staff had been recruited according to the robust recruitment policies. Of the 12 staff only two have an N.V.Q. 2 (or above) qualification. One staff member who has been in post for approximately nine weeks said that she was to be put forward for N.V.Q. 2 shortly. Another member of staff who had been working in the home for two years said that she had been put forward but has no firm dates, as yet. The acting manager has a training summary that lists all training completed by staff. Most of the core Health and Safety training is completed and up-dated as necessary. All staff complete Protection of Vulnerable Adults training during the induction period or shortly afterwards and all complete medication training before they are able to administer medication. There are some shortfalls in training as many of the staff team are new and the acting manager is trying to fit in the necessary training around the staffing needs of the home and the day -to-day care of the people who live there. Staff are supervised monthly by the acting manager or another senior member of staff and staff confirmed that they are supervised regularly, records are kept of the supervision sessions. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently, well managed by the acting manager but the future management of the service is not clear. The home is looking at the needs of the people who live there and improving the standard of care offered. Health and Safety is taken seriously and people are kept as safe as possible. Evidence: The Registered manager is not available in the home , currently, and there is no firm news about what is happening with regard to the long term management of the home. An acting manager been in post since April of this year. The acting manager has appointed staff and staff morale is high. The staff member spoken to said that the acting manager is very supportive and it is a very good team. The acting manager has a development plan that he is working to and said that he receives alot of support Care Homes for Adults (18-65 years) Page 23 of 28 from manager colleagues. He has two years experience as a deputy manager, has completed NVQ 3 and is completing a management development programme. Staff said that the residents needs are always his priority. The acting manager and peoples care plans noted improvements in health and behaviours over the past few months, this is believed to be because of a more person centred approach to the care given to the people who live there. There are regular monthly visits from service manager who completes regulation 26 forms and checks on progress of any development plans, aswell as checking on the day -to-day running of the home. A Quality Assurance system is in place that includes an Annual Service Review, questionnaires are sent to residents (who are supported to complete them) relatives and other professionals. The results are collated and generated into an improvement plan with time scales and priorities. There is evidence that the development plan is being completed throughout the year such as improved communication (interaction profile), redecoration and improvement of the home and access to broadband within the home. Health and Safety Maintenance checks are up-to-date as noted on the AQAA and confirmed by the acting manager. The home completes its own regular Health and Safety audit. Incident and accident report forms are completed, a monthly audit is completed (accident/incident evaluation log) and action plans to minimise recurrence are generated, if necessary. Incident reports may be more useful if they included more detail. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 15 That staff adhere to the care 01/09/2008 plan guidelines. To ensure the safety and well being of the service user. 2 32 18 To ensure that staff are given access to qualification courses in an appropriate time frame. So that staff know how to fulfill their role in the best way. 02/03/2009 3 34 17 To ensure that the information, as detailed in schedule 4(6) is available in the home. To show that people who are appointed to work in the home are safe to work with the people who live there 06/10/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. Care Homes for Adults (18-65 years) Page 26 of 28 No. Refer to Standard Good Practice Recommendations 14 12 To record activities undertaken by people and note if it is successful or not, so that there is evidence for developing activities programmes that people will be motivated to complete in the future. To include more detail in the complaints book about the complaint and the action being taken as a result of the complaint. This will encourage an open ethos where complaints can be used as a positive influence on the care of the people who use the service. To have the inter agency Protection of Vulnerable Adults Procedures easily accessible to staff so that they know who to contact (outside of the organisation) if they have any concerns about the well-being of the people in their care. 15 22 16 23 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!