Inspection on 06/03/07 for 3a Grosvenor Road

This inspection was carried out on 6th March 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

3a Grosvenor Road 13/09/05

3a Grosvenor Road 25/04/05

3a Grosvenor Road 23/11/04

3a Grosvenor Road 15/06/04

3a Grosvenor Road 08/10/02

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

CARE HOME ADULTS 18-65 3a Grosvenor Road Seaford East Sussex BN25 2BL Lead Inspector Nigel Thompson Key Unannounced Inspection 6th March 2007 10:50 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3a Grosvenor Road Address Seaford East Sussex BN25 2BL 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) 01323 890435 grosvenor2@onetel.com Southdown Housing Association Limited Trudy Bryan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is three (3). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Only service users with a learning disability are to be accommodated. Date of last inspection Brief Description of the Service: 3a Grosvenor Road is a Southdown Housing Association service registered to provide care to three younger adults who have a learning disability. The home is an attractive, detached property located in a residential area close to the Seaford town centre amenities, including main line railway station and bus routes. On the ground floor, there are three single bedrooms, a large bathroom, kitchen, lounge and dining room. On the first floor is a self-contained flat with a bedroom, lounge and bathroom. There is a large, well-maintained garden to the rear of the property. Information about the service, including the recently updated Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees at 3A Grosvenor Road, as of 6 March 2007, is £1295.49 - £2,000 per week. Additional charges are made for hairdressing, magazines, toiletries, certain day services and holidays. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three and a half hours in March 2007. It found that the majority of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were three service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with the service users, two members of staff and the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: 3A Grosvenor Road is a well-managed service. The relaxed, homely and welcoming environment has evolved over many years and reflects the stability and commitment within the staff team. The dignity and rights of service users to lead an ordinary life in the community underpin the ethos and development in the home. Through working closely, sensitively and consistently with service users, staff have clearly developed a sound understanding of their individual care and support needs. Service users are encouraged and supported to make decisions about their lives. Where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Documentation, including a comprehensive ‘Statement of Purpose’ and ‘Service Users’ Guide’ ensures that prospective service users and their relatives have sufficient information about the home and the services provided. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. EVIDENCE: Information is available to prospective and existing service users in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. The Statement of Purpose provides the reader with an introduction to Southdown Housing Association, details of the Registered Manager, staffing structure and overall service provision including: the accommodation, the arrangements for residents to engage in social and leisure activities together with any therapeutic techniques, the arrangements for dealing with concerns 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 9 or complaints and the systems for ensuring that residents’ needs are identified, met and reviewed in accordance with person centred planning. The Service Users’ Guide is presented in an easy to read and understand format, which incorporates the use of pictures and symbols. It gives an overview of the philosophy of care, purpose of the service, accommodation and outlines what support and care individuals can expect from the home. It was noted that there have been no admissions to the home since the previous inspection. However during that period, one service user has moved out of the home and the registered number has subsequently been reduced to three. As part of the service’s thorough admission procedure, a detailed preadmission assessment form has been developed and includes information relating to the individual’s personal, medical, social and psychological care and support needs. Prospective service users and their relatives are encouraged to visit the home and have the opportunity to look around and meet with members of staff and existing residents. The manager confirmed that new service users undergo a flexible trial period at the home, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: High quality, ‘person centred’ care plans (Support Plans) have been thoughtfully developed for each service user and are clearly linked to the individual’s assessed needs. The plan, covering in detail ‘the person’ and ‘the support’ is formulated by the key-worker, manager and evidently with the direct involvement of the service user or family member, as appropriate. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 11 Staff spoken with during the inspection confirmed that, despite the variable and limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting service users in a professional, sensitive and respectful manner. All of the service users are encouraged to take responsible risks where necessary in order to promote their independence. Detailed risk assessments and guidance are in place for all activities of daily living, based on the needs of individuals. Examples of those seen include: self-medicating, going out in the car, managing finances, going out into the community unsupported and maintaining personal relationships with others. All risk assessments were found to have been recently reviewed and updated as necessary. In accordance with the person centred approach to care planning, it was noted that such assessments are recorded in the first person and provide evidence of regular and effective consultation with service users. Individuals are enabled to make decisions about many aspects of their life and are made aware of and sensitively supported to understand the reasons for specific action being taken. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 13 Service users are supported to access a range of activities and facilities to meet their individual needs and preferences. Activities include going to college, exercise sessions, shopping, going to clubs, pubs and cafes and various trips out. Activities are tailored for each service user and take account of personal choice, age, health and need. Activities are provided in the home and in the community. The manager confirmed that, where appropriate, service users’ family links continue to be supported, however not all service users have regular family contact. Menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available. All meals are prepared within the home by care staff who have attended a Food Hygiene course. Service users are encouraged to participate in food preparation to their best of their abilities. Individuals are evidently offered discreet support as necessary at all mealtimes. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, service users were observed being supported in a sensitive, professional and respectful manner by members of staff. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 15 Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. Individual care plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of service users and their relatives. The manager confirmed that close and effective working relationships between service users and their key worker (and co-key worker) ensure that any subtle change in an individual’s mood or behaviour can be identified and addressed at an early stage. She acknowledged that service users had ‘good and bad days’ but emphasised that ‘communication is the key – without doubt’. All service users are registered with local GPs and have access to other health care professionals, including physiotherapists, psychologists, speech and language therapists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: It is evident from direct observation and through discussions with staff that the close working relationships, effective and ongoing communication and consultation and regular service users’ meetings provide adequate opportunities for any concerns to be raised and discussed, before they become complaints. Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that no complaints have been received by the home since the previous inspection. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 17 The home ensures as far as is practicable that service users are safeguarded from all forms of abuse and policies and procedures relating to Adult Protection, including a policy on alerting, ‘Whistle Blowing’, are in place. The manager confirmed that staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. However this was not supported through discussions with members of staff during the inspection or evidenced through individual training records examined. To ensure that all staff training needs, including adult protection, are identified and that appropriate training is provided and effectively recorded, it is recommended that a staff training matrix be developed and implemented. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: The physical environment of the home remains largely unchanged since the previous inspection and the well maintained décor and reasonable quality furniture and furnishings provide a generally comfortable, pleasant and homely environment for service users. The manager confirmed that individuality and independence continue to be promoted within the home, as far as is practicable. This was evident from the 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 19 personalising of service users’ rooms, which clearly reflects individual tastes, preferences and interests. Adequate communal areas are provided to meet the individual and collective needs of the service users, including a pleasant dining room and a spacious lounge. All communal areas are decorated and furnished to a satisfactory standard. Furniture and lighting throughout the home is domestic in character. During the inspection, the proposed refurbishment and upgrading of the first floor bathroom was discussed. The manager is aware of the potential unsettling impact on service users and their routines. She is keen to minimise the disruption and will closely monitor the situation. Staff are responsible for cleaning the home. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. A programme of routine maintenance, renewal and redecoration is in place. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected from the home’s thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of service users within the home. All new employees are provided with a comprehensive job description and staff spoken with during the inspection demonstrated a sound understanding of their individual role and responsibilities. The manager confirmed that Southdown Housing Association recognises the importance of a skilled and competent workforce. In addition to the comprehensive induction programme undertaken by all newly appointed staff, 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 21 appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff: ‘There is always opportunities for training here’. However, as previously recorded, the current system for recording staff training is unsatisfactory and could be improved. As discussed with the manager, information relating to such training should be readily accessible and it is recommended that a training matrix be developed and implemented, to provide a detailed ‘at a glance’ guide as to what training has been undertaken by which staff member and when. A current duty rota was made available for inspection. In addition to regular staff working at 3A Grosvenor Road, the manager confirmed that the home has developed a bank of reliable relief staff who are well known and liked by the service users and who are aware of individual care and support needs. The manager confirmed that formal supervision is provided for all care staff every two weeks, either by the manager herself or her deputy. Through direct observation and discussions with members of staff, it is evident that the manager is ‘very approachable’ and operates an ‘open door’ policy, with staff feeling confident and able to discuss any concerns or issues at anytime. In accordance with organisational policy, it is evident that the home continues to operate thorough and robust recruitment procedures, to ensure the protection of service users. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective management, comprehensive quality monitoring systems and are protected by thorough health and safety checks and guidelines and generally efficient record keeping. EVIDENCE: The registered manager has been in her current position since June 2006. She holds the Registered Manager’s Award (RMA) as well as the NVQ level 4 in Management and Care. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 23 She evidently continues to maintain a relaxed, open and inclusive atmosphere within the home. Members of staff and a service user, spoken with during the inspection confirmed how approachable and supportive the manager is. ‘The manager is on the ball. She knows what’s going on and is always very helpful and supportive’. The manager is effectively supported in her role by an experienced deputy manager. As previously documented all formal staff supervision is shared equally between the two. A comprehensive quality assurance file is in place, which has been produced by Southdown Housing Association. The modules contained within this file are based on meeting the outcomes of the National Minimum Standards (NMS) in addition to ensuring that regular health and safety checks including the maintenance of the home’s vehicle are undertaken. Additional quality monitoring systems are in place, including regular satisfaction questionnaires for both service users and their relatives. Following discussion with the manager, it is understood that the current satisfaction questionnaire is to be extended to seek the views of advocates and other stakeholders. The manager confirmed that the health, safety and welfare of service users and staff remain of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling, fire safety, food hygiene and first aid. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 24 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 YA35 Good Practice Recommendations It is recommended that a training matrix be developed and implemented, to provide details of what training has been undertaken by which staff member and when. 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 3a Grosvenor Road DS0000021006.V325823.R01.S.doc Version 5.2 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!