Inspection on 18/01/06 for 35 Worth Crescent

This inspection was carried out on 18th January 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

35 Worth Crescent 16/11/06

35 Worth Crescent 25/07/05

35 Worth Crescent 18/02/05

35 Worth Crescent 26/08/04

35 Worth Crescent 10/06/04

35 Worth Crescent 18/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Worth Crescent, 35 35 Worth Crescent Stourport on Severn Worcs DY13 8RR Lead Inspector P Wells Unannounced Inspection 18th January 2006 15:00 Worth Crescent, 35 DS0000037501.V278966.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 Worth Crescent, 35 DS0000037501.V278966.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. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Worth Crescent, 35 Address 35 Worth Crescent Stourport on Severn Worcs DY13 8RR 01299 822515 01299 829087 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) Worcestershire County Council Miss Tanveer Zahra Shah Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate people for short term care only. The home may provide day and evening care for up to five additional persons at any time. The home may accommodate existing service users who have an additional physical disability or mental disorder. 25th July 2005 Date of last inspection Brief Description of the Service: The home is a large, detached building located in a residential area on the outskirts of Stourport -on–Severn. Accommodation is provided on two floors and service users are accommodated in single bedrooms. The home does not have a lift. However, service users who have mobility problems or require the use of a wheelchair can be accommodated in the two single bedrooms on the ground floor. The home has ramped access at the front entrance and ramped access to the rear garden. The home is operated by Worcestershire County Council and the Responsible Individual is Stephen Chandler. Miss Tanveer Shah is the registered manager. The main purpose of the home is to provide a respite/short stay service for younger adults with mild to moderate learning disabilities. Some of the service users may also have physical disabilities or mental health problems. The home is able to provide accommodation and care for a maximum of ten service user or ‘guests’. In addition, the home is also able to provide day and evening care for a further five people at any given time. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection that took place during the afternoon and evening of 18th January 2005. Time was spent preparing for the inspection - reading the pre inspection information supplied by the manager and the monthly reports of the service managers and five hours at the home. The service has a new manager, Miss Tanveer Shah who has been registered by CSCI. A new service manager, Ms Amanda Nally commenced in December 2005. At this visit the inspector met with the manager, staff on duty and the six service users staying at the home. The focus of the visit was to learn how the service was developing. This report to be read alongside the previous report of visits to the home earlier in the year. The home was offering care and support packages to 42 service users within an age range of 18-57 years. The inspector appreciated the co-operation and time of the service users, staff and manager. What the service does well: The service provides a welcoming, relaxed and friendly atmosphere for the service users using the home for short stays. The service users indicated that they liked coming to stay, in particular the food, activities and staff. The home is always clean, safe, bright and well maintained with comfortable single bedrooms offered to each person. The permanent and relief staff are experienced and they know the service users well. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Worth Crescent, 35 DS0000037501.V278966.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 Worth Crescent, 35 DS0000037501.V278966.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): 1,2,3,4,5 Suitable information is available for service users and their families/carers to make an informed choice about the service and the care provided. An appropriate assessment and introduction process takes place for a prospective service user. The agreement is being introduced. EVIDENCE: There was suitable information about the home for prospective service users and their representatives. The statement of purpose had been updated and the service user guide was also in an alternative format for service users. One of the new service users’ files was viewed and it was apparent that an assessment had been provided by his social worker. The manager had also carried out an assessment and completed the home’s revised assessment form. It was evident from his file and discussion that his introduction and stays had been planned carefully with him and his family. The home now has an agreement statement of terms and conditions of the home), which is being introduced to service user and their families/carers who sign and return a copy to the home. Worth Crescent, 35 DS0000037501.V278966.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): 6,9 The individual needs and choices of the service users are known and respected. The documentation is being developed to evidence this and ensure consistent care and support is given to each individual. EVIDENCE: The service user plans were all being reviewed and a new format introduced. The new plans were being completed by staff with each service user and their family/carers. The senior support worker who was leading on this explained the new format and showed the inspector two completed plans. These were welcomed and contained more detail than the previous plans. Consideration should be given to the staff spending time (as suggested at a recent staff meeting), as soon as possible, as a group discussing the new service user plans to ensure there is consistent approach to the completion of the plans. Priority needs to be given to completing the plans for service users who are new to the service and without a plan, also for service users with special needs. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 10 A sample of risk assessments viewed indicated that these had been reviewed for existing service users in October 2005 or set up as new service users are admitted. The new service user plans and risk assessment, if needed, should detail the care and support required at night (if any) and be agreed with the service user and his family/carers. It was apparent from observations and discussion with staff that they knew the service users well and how to meet their individual needs. The service users were being consulted and making decisions about their individual routines. Worth Crescent, 35 DS0000037501.V278966.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): 14,17 Service users are able to continue with their own routines and/or participate in a variety of activities in and out of the home, respected and supported by staff. Service users are offered a variety of food and drinks, taking into consideration healthy eating and individuals’ dietary needs and preferences. EVIDENCE: These standards were assessed and met previously. At this visit it was apparent through discussion and observation that the service users continue to have opportunities to participate in a variety of activities in and out of the home and personal development is encouraged. At recent weekends the service user had been to the cinema and bowling. At this visit service users chose to stay in, go for a walk or to the local shops. During the day they had been at their day placements. The service would benefit form having it’s own transport rather than relying on staff who have cars to use them. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 12 The service users are provided with a varied, healthy and nutritious diet, taking into consideration any dietary needs, likes and dislikes. The meal on the evening of the visit was home made spaghetti bolognaise or quiche with salad, garlic bread and new potatoes. A record of food provided is kept for each service user staying. Drinks were freely available and service users, who were able, encouraged to make their own. Worth Crescent, 35 DS0000037501.V278966.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): 19,20 The personal and healthcare needs of the service users continue to be met. A suitable medication system is in place. EVIDENCE: The service users continue to be offered appropriate support with their personal and health care needs. These needs are being detailed in their new service user plans. Details of medical problems and treatments were also being included in the new service user plans. Protocols for service user who suffered with epileptic seizures, emotional problems or diabetes were in place. The staff had had a refresher course on the administration of an invasive treatment for epilepsy. The staff would benefit from training in diabetes including testing of blood sugars and the manager agreed to follow this up. The Worcestershire Health Action Plans would be beneficial for service users to bring with them for their short stays and this has been raised with the service manager. The home has an admission form that is completed by a relative/carer when a person comes to stay but it was not completed for the service users who use the service on a weekly basis. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 14 The medication system was viewed and found to be well organized with suitable checking and recording of medication received, administered and returned for each service user who came to stay and needed their prescribed medicines administered to them. Advice was requested with regard the storage and recording of a possible controlled drug and the pharmacist inspector has, since this visit, given guidance. It is strongly recommended, as previously, that two staff are involved with the checking and administration of the service users’ medications as a safeguard with so many service users staying for short periods and bringing different medications into the home. An error had occurred last month and, fortunately, without any adverse effect on the service user. Worth Crescent, 35 DS0000037501.V278966.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 The service use are listened to and any concerns acted upon. There are systems in place to ensure the service users are being protected. EVIDENCE: The complaints procedure had been revised by the manager and copies sent to the families, as well as a copy displayed on the notice board in the front hall. A record of compliments and complaints was being kept and for the latter details of the investigation and outcome. It was recommended to the manager that complaints were recorded separately rather than in one book to respect the confidentiality of the service user and complainant. It was pleasing to read the two compliments from families about the service and to note that the complaints had been dealt with quickly. County Council procedures were in the home relating to protecting vulnerable adults. The number of service users using the service who may have challenging behaviour had lessened. Any such behaviour was being outlined in the service user plans with guidelines for staff as to how to support the individual. Worth Crescent, 35 DS0000037501.V278966.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, 27,30 The premises have been improved. The home is well maintained and comfortable for the service users. It is also clean and hygienic. EVIDENCE: The home was warm, clean, safe and bright. The service users all had suitably furnished, single bedrooms. See previous reports for details of the accommodation. On this occasion a service user showed the inspector around the communal areas of the home and his bedroom. He liked the new look of the home, his bedroom and having the choice of bathing or showering. Since the last inspection parts of the home had been upgraded – all the communal bathrooms, shower rooms and toilets have been improved giving the service users a variety of bathing facilities. Also en suites have been fitted in two of the bedrooms. For staff there are three offices and a new shower room. The house had been decorated with new front doors and windows fitted. The laundry room was still being used by staff as a base. It has always been required that the laundry is a separate room with doors kept closed to Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 17 safeguard the service users. At this visit, as on previous visits, the laundry doors were open with both staff and service users going into the room but not for the purpose of using the laundry. It was expected that the ground floor office would become the base for the staff on duty when the other two offices were available and this needs to be actioned. There was an electrical installation report in the home for the upgrading. It was disappointing that there were no other documents to indicate that the alterations had been approved by building control, environmental health and the fire authority. Also commissioning certificates for the new call bells, smoke detectors etc. There was fire signage on the ground floor but not on the first floor and the manager agreed to address this within the week. At the time of writing this report, written confirmation had been received from the manager indicating that this had been completed two days later on 20.01.06, which was reassuring. A member of staff takes the lead on infection control and had carried out an audit of the home, which was commendable. Some minor aspects needed to be followed up and the manager was aware of this. Consideration should be given to the storage of commodes, towels and pads, which were currently stored/stacked in some of the bathrooms. Also rubbish bins with lids (swing lid or pedal bin for easy access) would be preferable in the bathrooms and toilets. The staff had an in-house refresher course on infection control in December 2005. Worth Crescent, 35 DS0000037501.V278966.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 The service users are being supported and cared for by a suitable number of staff, the majority of whom know the service users and are experienced. The staff files and training opportunities for the staff need to be developed. The service would benefit from a permanent, settled staff team. EVIDENCE: The home continues to have a staff group of permanent and relief staff who are experienced and know the service user and their individual needs. Since the last visit, the senior team have been appointed – manager, deputy and two seniors. The rotas and visit indicated that there are a minimum of three staff on duty when service users are staying and staffing is increased according to the needs and numbers of service users using the service. At night there are two members of staff on the premises, one of whom may be a waking member of staff, if service users need assistance at night. At the beginning of the visit, prior to the service users arriving late afternoon, there were four staff on duty during the day until 3.00pm. Consideration should be given to having a skeleton staff in the home when there are no service users, which would allow for a higher number of staff to be on duty when service users are staying. Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 19 It was of concern to hear that there is continuing long-term sickness within the staff team. As a result of this, relief staff continued to be used on a regular basis. Fortunately many know the service users and agency staff were not used. The staff on duty were clear about their roles and responsibilities. Information about the staff and their training had been submitted to the inspector. Also the manager has identified the training that staff need in 2006 and submitted this plan to the County Council. During the last six months staff have undertaken refresher courses in infection control, administering an invasive treatment for epilepsy, medication, my life plans, fire safety, moving and handling. They had also attended courses in challenging behaviour and MAPA (managing actual and potential aggression). The home has 33 of the staff with an NVQ in care and more staff should have the opportunity to undertake NVQ’s in care and are keen to do so. As yet the home were not meeting the standard recommendation that 50 of the staff have achieved an NVQ in care by 31.12.05. A sample of staff files were viewed and it was evident that there needed to more information kept to indicate that a suitable recruitment process was adhered to. This information may well be at the County Council’s human resources department. The manager advised that she was supervising all the permanent staff on a monthly basis, which was commendable, and that these sessions were recorded. Worth Crescent, 35 DS0000037501.V278966.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 The home has an experienced, registered manager. A quality assurance system is being introduced. The home has suitable systems in place to ensure the service users’ health and safety are protected. Staff are familiar with safe working practices. A few aspects of health and safety needed developing. EVIDENCE: The home now has an experienced, qualified, registered manager who commenced in August 2005. She has reviewed all the documentation in the home and had prepared well for this inspection. The manager had identified which policies and procedures needed reviewing and where additional policies and procedures needed to be introduced. A copy of the County Council’s new quality assurance programme was in the home and implementation had commenced with the surveys having been sent out. An analysis of the surveys was not yet available, the responses having been sent directly into the County Council. Service managers had completed Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 21 monthly visits to the home and were sending reports to CSCI. The new service manager was also proposing monthly audits of the home. In-house there were health and safety checks in place. The standard on safe working practices was fully assessed with the manager. It was apparent that there were good systems in place to ensure the health and safety of the service users and staff. Equipment, gas and electrical services were being checked regularly. Risk assessments for safe working practices and accident book were in place. The manager had introduced an emergency and crises pack for staff. Water temperatures were being checked and a legionella assessment carried out last year. The manager agreed to follow up on the recommendations and a shower head that was not in use in one of the bathrooms. Staff had received some up to date training in safe working practices but needed training in food hygiene, health and safety. Six of the staff were first aiders and four had completed a course in emergency first aid. The home should aim at a member of staff trained in first aid being on duty at all times, preferably a first aider, when service users are staying; or a risk assessment carried out. The fire precautions were being regularly checked and staff had received training in fire safety with the majority of staff having undertaken the fire warden’s course in October 2004. The fire risk assessment had been reviewed but a copy was not available in the home. The manager agreed to follow this up and ensure a copy was in the home by 24.01.06. At the time of writing this report, written confirmation had been received from the manager indicating that this assessment was in the home by 23.01.06, which was reassuring. It was unclear whether all the staff were receiving in-house fire awareness training quarterly, as required and the manager agreed to ensure this occurred and is recorded. Worth Crescent, 35 DS0000037501.V278966.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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X 3 X 3 X X 2 X Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 23 Yes 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 YA6 Regulation 15 Requirement The new service user plans, covering Standards 2.3, 6-21 must be completed and introduced for the service users that stay regularly. For other service users, prior to their next admission. The upgrading of the two bedrooms, staff facilites and bathrooms, toilets and laundry facilities must be approved by the relevant agencies. Written evidence of this be sent to CSCI and available in the home for inspection. This must include commisssioning certificates for installed equipment. (previous timescale of 30.09.05 not met) The laundry room must be used solely as a laundry and staff on shift must be allocated a separate room/office. Aspects of infection control identified in the audit and at the inspection must be improved. Fire signage must be re-installed on the first floor of the home. The staff files in the home must include the information outlined in Schedule 2 & 4. (previous DS0000037501.V278966.R01.S.doc Timescale for action 28/02/06 2 YA24 23,13 31/03/06 3 YA30 13 28/02/06 4 5 6 YA30 YA24 YA34 13 23,13 19 28/02/06 24/01/06 31/03/06 Worth Crescent, 35 Version 5.1 Page 24 7 YA35 18,13 8 YA42 23,13 timescale of 31.10.05 partially met) The proposed training programme must be implemented to ensure that staff have training in NVQ’s in care, safe working practices and caring for service users with special needs. The fire risk assessment must be in the home and available for inspection. 31/03/06 24/01/06 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 YA9 YA14 YA19 Good Practice Recommendations Risk assessments should be carried out with regarding the care that individual service users need at night. Consideration should be given to the home having a mini bus or people carier(s) to take the service users out. An admission form should be completed for each occasion a service user stays to ensure the home has up to date infromation about the person’s situation, in particular health and medication. The staff should have training in diabetes including testing for blood sugars. Respite service users would benefit from having health action plans. Complaints should be logged individually (rather than in one book) to respect the confidentiality of the service user and complainant. Team building sessions involving the manager and all the staff should be held, led by an external facilitator. The records kept of all the service users’ incoming and outgoing finances/payments should be independently audited/monitored. (not assessed on this occasion) Service users and their families should be assured, preferably by the inclusion of an appropriate statement in the complaints procedure and in the service users’ guide, that they will not be victimised for making a complaint. (not assessed on this occasion) DS0000037501.V278966.R01.S.doc Version 5.1 Page 25 4 5 6 7 8 9 YA19 YA19 YA22 YA33 YA23 YA22 Worth Crescent, 35 10 YA23 11 YA34 A policy should be developed and implemented regarding service users’ money and financial affairs, ensuring service users’ access to their personal financial records, safe storage of money and valuables, consultation on finances in private, and preclude staff involvement in assisting in the making of or benefiting from service users’ wills. (not assessed on this occasion) In-house Induction for all new staff should be recorded. (not assessed on this occasion). Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Worth Crescent, 35 DS0000037501.V278966.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!