Inspection on 27/09/05 for 40 School Road

This inspection was carried out on 27th September 2005.

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

The inspector found 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

40 School Road 21/03/07

40 School Road 22/02/06

40 School Road 03/02/05

40 School Road 22/07/04

40 School Road 24/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 40 School Road Brislington Bristol BS4 4NN Lead Inspector Sandra Gibson Unannounced Inspection 27th September 2005 1:00pm 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 40 School Road Address Brislington Bristol BS4 4NN 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) 0117 3772543 Bristol City Council To be appointed Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Respite care is for no longer than 6 weeks. Occupancy for over 6 weeks requires a formal application for variation. All rooms will have ensuites by 31st August 2005. Date of last inspection 3rd February 2005 Brief Description of the Service: 40 School Road is operated by Bristol City Council and is registered by The Commission for Social Care Inspection to provide short-term accommodation to seven adults (male and female) with a learning disability between the age of 18 years and 64 years. A condition of the registration is that accommodation is not offered for a period longer than six weeks. The property is detached and is set in its own grounds. There are disabled facilities on the ground floor. There is also one double room, which would be suitable for a couple. The home is arranged over two floors, but all communal areas are on the ground floor. There is no lift facility. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was attempted on Saturday 24th September 2005, but the inspector was informed that the staff had arranged an outing for the residents and the time of their return was not known. It was agreed that an alternative inspection date would be arranged with the manager present so that the residents outing was not disrupted. This unannounced inspection took place mid week between the hours of 1pm and 6.15 pm. The inspection focussed on general care and welfare of service users and three were spoken to at the visit. Several staff members and the manager were seen during the inspection the manager and a range of different records were examined including care files, health and safety, complaints and quality assurance records. What the service does well: What has improved since the last inspection? The information provided to service users and their representatives has improved. It now ensures that service users can make an informed choice about whether they wish to have a short break at School Road. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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 The information provided to service users and their representatives has improved since the last inspection. It now ensures that service users can make an informed choice about whether they wish to have a short break at School Road. Arrangements for fully assessing prospective service users’ needs must be improved to ensure that the service users and their carers know that the School Road can fully meet their individual needs. EVIDENCE: The statement of purpose and service users’ guide was seen during the inspection. It was noted that clear detailed information is provided to prospective service users written in plain English. Photographs and symbols are also used appropriately. Both documents have recently been reviewed and up dated and now include information about the care planning procedure. Contracts of care are in place and a new one is drawn up before each admission. These contracts now inform the service user of their weekly fees and room number A sample of two needs assessments were examined and it was noted that they had both been completed over one year ago. There was no evidence to confirm that they had been recently reviewed. It was noted however that consultation with service users and their representatives had been sought appropriately at the time the assessment was completed. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 On the whole the care planning system in place has improved considerably since the last inspection. However,further attention needs to be given to the completition of care plans with service users and their representatives to ensure that all residents’ needs are identified and met. Service users are well supported by the staff team of School Road who enable them to take risks so that they reach their own highest level of independence and achievement. Confidentiality safeguards are in place, which protects service users’ personal information. However, further developments must be made to ensure service users best interests are fully protected. EVIDENCE: The staff currently devises pen portraits and personal profiles for residents on short-term stays of less that seven days. Care plans are developed for residents who stay at School Road for longer periods or who have complex needs. It was noted that all personal profiles and care plans are in the process of being reviewed. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 10 Two care plans were examined. Both were noted to be up to date and there was some evidence of service user and their representative being involved in compiling this information, but neither care plan had been dated or signed. There was information to confirm that detailed risk assessments are carried out with individuals and where appropriate clear contracts are drawn up so that service users and their representatives are aware or their rights and responsibilities during their stay at School Road. It was noted that all service users files are held securely in the office. It was observed that service users are aware they can access this and during the inspection one service users asked about his personal file and was told by a member of staff that he could see this information if he chose to and he was also reassured that it was safe. There was evidence in place to confirm that the staff respects information given by service users, which is handled in accordance with the Data protection Act 1998. However, there is no confidentiality policy in place, which details the practice for storing accessing and sharing information. This is an outstanding requirement from the previous inspection 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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): 11,12,13,14.15,16,17 School Road provides service users with the opportunity to experience a stimulating and varied lifestyle during their short stay away from home. Various informal activities are made available and meals are well managed and provide daily variation, good nutrition and social contact for service users. EVIDENCE: The inspector attempted to visit unannounced the Saturday before this inspection, but found all the service users and staff about to go out for the day. According to the manager this is quite usual as the home has its own a minibus. Staff said “We try to take get service users out as much as possible when they stay at School Road as this may not always be possible at home”. On that occasion the service users and staff went for a drive in the countryside. They had lunch out followed by game of pool 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 12 On the day of the inspection many of the service users were attending their usual day centre as part of their plan of care. Three service users were present at School Road during the inspection. One service user had enjoyed a lie in that morning and the other was observed spending time talking to staff and watching Television and videos. Records confirmed that decisions are made on a daily basis about what activities service users want to do for example going shopping, or a trip to the cinema or ten-pin bowling. It was noted that there is a key worker system in place and the manager said that the same key worker is designated on each visit to ensure consistency of care. It was observed that both service users appeared very relaxed in the company of the staff members on duty that day. Two service users seen during the inspection said “I like it here, the staff look after us and we go out shopping or to the pub to play pool” and “I like my room and all the staff”. It was noted that service users are supported and encouraged to access the large enclosed gardens following a risk assessment. BBQs are held regularly in the summer months. The manager said that the staff team had plans to hold a community fete to which service users and their families would be invited Service users are encouraged to bring personal items like radio, videos. DVDs and pictures of family, friends and pets during their stay at School Road. Visitors are made welcome. However there are rules about visitor’s behaviour whilst on the premise and service users are advised about these rules on admission. Service users are also encouraged to clean their own room if they are able. Otherwise they are informed that a cleaner will come into their room between 9am and 12pm depending on the time they choose to get up. A communal lunch is provided for service users who remain at home during the day unless a risk assessment states otherwise or the service user is unwell. This meal is held in the dining area of the communal area. The inspector was invited to join in the meal but declined on this occasion as she had already eaten. However, it was noted that the light lunch of sandwiches was of a high standard and provided choice and a range of fresh ingredients. Service users and their guests are informed that they are not allowed in the kitchen unless individually assessed due to Health and Safety legislation It was observed as the inspector was leaving School Road several of the service users who had returned from the day centre chose to accompany a couple of the staff team to buy a fish and chips supper for everybody who wanted one. It was understood that there was an alternative if somebody did not like fish and chips. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Service users’ physical care and health care needs are fully met and personal care is delivered in a way that meets the individuals’ assessed needs. The medication administration system was on the whole satisfactory, but further safeguards must be put in place to protect service users and safeguard staff. EVIDENCE: Records confirmed that health professionals such as General Practitioners, Psychiatrists, opticians and chiropodists are contacted at the appropriate time. It was also noted that service users are assisted to attend regular hospital appointments such as the eye clinic, and speech therapy whilst they are staying at School Road. The medication administration system was examined. It was noted that service users are informed prior to admission that any medication a service users has been prescribed must be held in the box or jar that it came in and labelled by the service users general practitioner or pharmacist. No medication is accepted into the home that has been completed by service users / parents/carers. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 14 The manager informed the inspector that as School Road is a respite facility there is no community pharmacist who has responsibility for visiting to conduct regular medication audits. Bristol Social services and Healthy Medication Policy and procedure were not readily available to advise staff. There is however a medication policy and procedure in place that was drawn up by the manager. The manager told the inspector that both herself and the deputy manager were trained as nurses and they currently provide medication training to all staff. There is currently no accredited medication training in place. A sample of medication administration records was examined and was noted to be up to date and accurate. It was observed that two members of sign when medication is administered. This is good practice. However, it was observed that staff and residents share the same homely remedy supply of paracetamol. The manger was advised that this practice could lead to confusion and inaccurate records. It was noted that service users are encouraged to self-administer medication if this is a task they normally do at home. A risk assessment is carried out prior to admission and there is a lockable safe facility available in each residents room which can hold medication if required. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The system for dealing with complaints and the arrangements for protecting service users from harm are not satisfactory which place service users at possible risk or harm. EVIDENCE: Bristol City Council has a complaints procedure that has also been translated into a pictorial format for the benefit of service users. This pictorial format was seen in the office. It was noted that it had not been updated with The Commission for Social Care inspection details. The Complaints procedure is found in the statement of purpose but not in the service users guide so may not be accessible to everybody. The time scale for responding to the complaint has now been included following the last inspection. There is currently no complaints log in place in the home. The manager said that she had received no complaints since she returned to manage the home in August 2005. The commission for Social Care Inspection have received no complaints since the last inspection. Two service users seen during the inspection said “I like it here, the staff look after us and we go out shopping or to the pub to play pool” and “I like my room and all the staff”. There is a copy of ‘No Secrets in Bristol’ held in the home. This is the Local Authority guidance on adult protection. The manager informed the inspector that all staff have received basic training in adult abuse awareness but no members of staff including herself and the deputy manager have completed adult protection training set up as a direct result of the multi agency guidance “No Secrets in Bristol”. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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): 25,26,27,28,29,30 A comfortable, clean, safe standard of accommodation is provided for the Service users of School Road. EVIDENCE: In general, the environment is well maintained and suited to service users needs. Accommodation for disabled residents is available on the ground floor. School Road is decorated and furnished to a standard that creates a comfortable homely atmosphere. There is a programme of redecoration and refurbishment to further improve the environment. It was noted that the peeling wallpaper at the rear stairwell and the crack in the wall of bedroom three have now been repaired following the last inspection. There are plans in place for a new boiler to be installed in the kitchen with improved ventilation. An area of mould found growing in the laundry area has been reported to property services. The communal lounge/ dining area on the ground floor is very comfortable and homely. Service users were seen using this area and appeared comfortable and relaxed. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 17 Service users bedrooms looked homely and were personalised with their personal possessions. The toilet and bathroom facilities are sufficient to meet the needs of the service users. Equipment to support disabled service users is available. The home smelt fresh and the rooms were cleaned to a high standard. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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): 31,32,33,35,36 There has been improvement in formal staff support since the last inspection with a result that service users are benefiting from a more effective staff team. However this improvement needs to continue along side an urgent review of staffing numbers to ensure that service users are supported by alert efficient staff at all times. EVIDENCE: There has been a change in management of School Road since August 2005. The registered manager was working in another department in Social Services whilst she was completing further training. During her absence an acting manager was in post. Throughout the eight months the manager was absent Team meetings did not take place on a regular basis and supervision was not regularly provided. The manager informed the inspector that she was dealing with these gaps in support to the staff team. There was evidence to confirm this information. Regular staff meetings have now recommenced. A copy of the last meeting was available for inspection and another meeting has already been booked. A member of staff confirmed that she was now starting to receive supervision on a regular basis. Information about the reintroduction of regular supervision was also noted in the nominated responsible individual’s monthly report. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 19 Staff demonstrated that they are aware of their roles and responsibilities. The manager of the home confirmed this information. All staff have completed basic specialist training in working with people with learning disabilities (LADAF) There is a staff development and rolling training programme in place which ensures staff receive all statutory training such as manual handling basic food hygiene and first aid and foundation training is also taking place. The manager has invited introduced guest speakers to the team meetings. At the last meeting a speech therapist spoke about a new picture book that was being introduced to improve communication with one service user. She also gave out information about a form of Makaton another service user uses. Plans for other health professionals to provide training at team meetings are also in place. On the day of the inspection it was noted that there were the appropriate members of staff on duty including extra support for one service user who has been assessed as needing extra support at night. However, the staff rota indicated that there were staff shortages at times due to sickness and holidays. There is no relief budget for bank staff or agency staff to fill these gaps. Consequently, all staff including the manager are expected to work creased hours to full the gaps in personal care provision. The manager confirmed this information and told the inspector that this was affecting staff morale and also affecting her role as a manager since she had less time to carry out her managerial responsibilities such as staff supervision. It was noted that if the manager and staff team did not fill these gaps then the staffing levels would fall below the minimum requirements. This information was also confirmed in the nominated responsible individual’ s monthly report to The Commission for Social Care Inspection. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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): 37,38,39,40,41,42,43 On the whole School Road is well managed but the time the manager has to carry out this role must be reviewed to ensure that service users benefit from a consistently well run home. There has been an improvement in health and safety records since the last inspection. However further improvements are required to ensure that service users and staff are fully protected from risk of harm at all times. EVIDENCE: As stated previously the registered manager has recently returned to School Road in August 2005 following a period of professional training within Social Services and Health. There has been no formal application received including updated references and criminal records bureau check. 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 21 Evidence confirms that she is settling back into her role well, but the time to manage the home has been reduced as a direct result of staff shortages. This situation is having a direct impact on the effectiveness of the manager to carry out her tasks as efficiently as she would normally be able to. The nominated responsible individual confirmed this information. A sample of four discharge questionnaires was seen and they were all noted to be very positive. Comments received were “I like it here”, “I like the food” and “I like the staff” The inspector examined a sample of records, which are maintained for the protection, and safety of residents and staff. The records examined included the fire log. It was noted that the majority of these records were up to date and accurate. It was observed that day staff are now receiving six monthly fire safety training. However, it was observed that the majority of night staff are still not receiving three monthly fire safety training. The fire risk assessment was noted to be in place but has not been reviewed since October 2003 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 3 3 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 40 School Road Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 2 DS0000053613.V252735.R01.S.doc Version 5.0 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 YA2 Regulation 14(2) Requirement All needs assessments must be kept under review and revised at any time following consultation with the service users and or their representative. Review. There must be an up to date assessment in place Care plans must be compiled with services users and or the their representatives A confidentiality policy that details the practice for storing, accessing and sharing information must be devised and must include data protection guidelines Timescale for action 27/01/06 2 3 YA6 YA10 15(1) 12(4) 27/01/06 27/01/06 4 YA20 13(4)(c) This is an outstanding requirement of the previous inspection held 3/02/05 The medication administration 27/01/06 system including policies and procedure must be reviewed with a qualified pharmacist. Accredited medication training must be organised for all staff involved in handling and administering medication 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 24 5 YA22 22 Details of the Commission for Social Care inspection must be included on all complaints leaflets. This information must be included in the service users guide. A complaints log must be reintroduced An urgent review of the staff shortages at School Road must take place. A plan of action detailing how this situation is going to be improved must then be sent to the Commission for Social Care Inspection All staff must receive adult protection training provided by Bristol City Council An application and criminal records bureau check must be received from the current manager. All care staff must receive supervision at least six times a year The registered provider must ensure that the manager has adequate time to fulfil the responsibilities of her job description in line with the aims and objectives of the statement of purpose All night staff must receive three monthly fire safety training This is an outstanding requirement from the last inspection report 3/02/05 27/01/06 6 YA33 18(1) 27/11/05 7 8 YA23 YA37 13(6) 8 27/03/06 27/11/05 9 10 YA36 YA43 18(2) 4 27/01/06 27/11/05 11 YA42 23(4) 27/11/05 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 25 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 Refer to Standard YA20 YA42 Good Practice Recommendations A separate supply of homely remedies should be used for residents and staff All fire risk assessments should be reviewed annually 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 40 School Road DS0000053613.V252735.R01.S.doc Version 5.0 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. 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