CARE HOME ADULTS 18-65
High Lane Burslem Stoke on Trent Staffordshire ST6 7AE Lead Inspector
Irene Wilkes Unannounced 18 May 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service 535 High Lane Address 535 High Lane Burslem Stoke on Trent Staffordshire ST5 1EN 01782 836877 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Choices Housing Limited Awaiting registration Care Home 8 8 Category(ies) of LD registration, with number of places High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 2 LD(E) imposed 01 April 2002 Date of last inspection 11 January 2005 Brief Description of the Service: 535 high lane is a home for 8 people with a learning disability managed by Choices Housing Association.The house is divided into two separate flats, with one on the ground floor and one on the first floor. Each flat has four single bedrooms, with an assisted bath, lounge and dining and kitchen facilities. There is one laundry situated on the ground floor, and this has shared access with the service users living in the upstairs flat. The grounds are neat and tidy, with a parking area to the side, and lawned areas around the property for the service users to enjoy. The home overlooks the local hospital grounds to one side. There is good access at High Lane to local shops, pubs abd churches and the hospital. The home is very accessible by road and public transport, being on a main bus route. Burslem is only a few minutes drive away, with all the usual facilities of a small town. Some considerable upgrading work has been undertaken at the premises in the last 18 months, including refurbishement of both kitchens, redecoration of the lounges, and the purchase of new furniture. Both flats are now very homely and welcoming. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours by 1 inspector. A tour of the home and gardens was undertaken and 3 service users chatted to the inspector for some time and 1 service user had a brief discussion. There was only 1 other service user at home and she did not feel like conversation and this was respected. The home currently has 1 vacancy. One of the Deputy Home Leaders (there are 2 deputies) was on duty, and she and 3 other staff were spoken to. There were no visitors to the home on the day of the inspection. The care plans of the 3 gentlemen who talked to the inspector were examined in detail. The information contained in them was cross referenced with the service users to further confirm this evidence, and further clarification was sought from the staff about their role in supporting the service users. In this way a full picture of the service users’ needs and aspirations and if these were being met was built up. Staff practice was observed throughout the inspection. Staff records regarding recruitment, training and staff supervision were in locked cabinets and were not available at the visit. Verbal evidence for some of these areas was collected and this is shown in the report. What the service does well:
The service users spoken to all said that they were very happy at the home. They said that all of the staff treated them very well, and it was clear from observation at the visit that the staff on duty had an excellent rapport with each of them. The home ensures that the people living there are consulted about the life that they want to lead, and every effort is made to ensure that their wishes are met, with the use of pictures and symbols as well as the verbal and written word to tease out their ideas and preferences. This was seen in the excellent person centred plans, and the service users confirmed that staff assisted them to meet their goals and to undertake the activities that they chose for themselves. Staff were also asked about the needs and interests of each person and their aspirations, and all had a good understanding of the individuals, particularly those that they were a key worker to. All of the service users spoken with said that they enjoyed their meals at High Lane. Following the involvement of a dietician they have planned together a 4 week rolling menu for the main meal, with individual choices made at breakfast and lunchtime. Choices were confirmed available if on the day something different was wanted. Service users were seen making themselves drinks during the visit.
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 6 Each service user has a Health Action Plan that addresses both physical and mental health needs, and any professional appointments needed are followed up and acted upon. Records were seen for all health appointments and the follow up action needed. The premises provide a comfortably furnished and fitted home. The 2 flats have their own distinct style giving a true homely feel. It was clear that the service users feel very comfortable with the staff and manager and view them as their friends and important people in their lives. ‘I like all of them. They are very good to me’ was typical of the comments received. There was a particularly good rapport seen between key workers and service users. They also said that if they had any concerns about anything they would go to the manager or their key worker, and the complaints log, while not having any formal complaints recorded showed a number of instances of minor grumbles that had been taken seriously by staff and had been discussed and resolved with the involved parties. There was obvious trust by service users of staff and a feeling that their views were respected. What has improved since the last inspection? What they could do better:
There were 2 areas that the home must address (staff supervision and an application for the manager to be registered with the Commission) and 1 area that it is recommended that they look at to provide best practice (keep staff up to date with any new initiatives, in this case information on the POVA (Protection of Vulnerable Adults) register.
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 7 Staff were questioned about the support they receive from senior managers and whether they receive formal 1:1 supervision on at least 6 occasions per year, as outlined in the minimum standards. Staff considered that they are well supported, with management providing leadership in an open management style which made them feel they could openly ask questions and not feel afraid of looking ‘silly’. The term ‘supervision’ was not generally understood and when asked if they had planned, formal discussion on a 1:1 basis with someone more senior, and if this was recorded they could not confirm this. As staff files were not accessible at this visit there was no other evidence available. The deputy said that she provided supervision when she was last at work, but due to her maternity leave that was some 12 months previously. She considered that if this had not been taking place in the interim it would be due to resources and now that the management team was back at full strength formal supervision would again be provided. The manager is experienced in management at other Choices homes, and has also been at High Lane for some considerable time now. Repeated requests have been made to him and other staff at the head office for a full application for the registered manager to be submitted. An application was eventually made but was incomplete and in spite of requests this has still not been rectified. The outcome is that registration regulations are being broken. This must be addressed. Staff were unaware of the introduction of the POVA register that came into force in July 2004. It is recommended that in the promotion of best practice staff are kept up to date with all changes that occur and any initiatives that affect service users or staff. 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. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The needs and aspirations of the current service users who have each lived at the home for some time now were assessed prior to admission. EVIDENCE: The home is registered for 8 people, but due to the recent death of a service user there is currently a vacancy. All of the remaining 7 service users have lived at the home for some time, and their personal files have been seen previously which showed that a full assessment had been made of their needs prior to admission. There is consideration being given currently to the vacant placement. The standards relating to best practice in the admission of any prospective service users will therefore be addressed at a later inspection. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 There is an individual plan in place for each service user that reflects their aspirations and the support that they will receive to help them pursue an independent lifestyle. EVIDENCE: 3 of the 4 service users who were at home for part of the visit were happy to chat and their personal files were also looked at. The files showed that each had taken part in a full review of their person centred plan (PCP) in November 2004, and that progress towards their aspirations and a review of their needs were looked at monthly. For each person there were individual plans of care related to personal care needs and goals that they were working towards to enhance their community presence, ensure valued lifestyles etc. The service users themselves had some understanding about their plans and had taken part in getting pictures and photographs to support the comprehensive text available and to help them to be involved fully in the discussions. Their key workers spoke at some length about how they went about seeking the views of the service users and trying to get an understanding of their needs and wishes. It was clear that the staff
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 11 work hard to try to create an individual recorded plan for each person that can be understood by them. The plans also reflected that each service user makes decisions about their lives that staff respect and provide assistance to achieve. For example, one service user had chosen to give up smoking and documentation showed that every effort had been made to provide support for this to be achieved, and nicotine patches had been purchased. This had worked for some time until the service user decided that she wished to start smoking again, which was also supported as her choice. Another service user likes to go out socialising alone, and every effort is made to support this and to promote his safety by discussing the risks involved with aspects of this, and developing a plan to manage these. It was clear from all discussions with them that service users make their own decisions about their lifestyles and are supported by staff to achieve the things that they want for themselves. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16, and 17 Service users have an enjoyable lifestyle based around their own interests and wishes, and they enjoy good relationships with staff and their family and friends in the community. EVIDENCE: 3 of the service users spoke at some length about their lifestyles and it was clear that each has a pattern of life linked to their own wishes, strengths and interests. 1 service user was waiting for a taxi to take him to his window cleaning job at another Choices home. He chooses to do this to get additional money to buy cigarettes and to go out socialising at the local café, which he accesses alone. He talked about going out for lunch after finishing his work, and spoke about a planned holiday in Blackpool. His individual plan stated that he wanted to stay in a hotel on holiday and this had resulted in the Blackpool trip. Another young man had just been elected on to the committee at the Grocott Centre and talked about his responsibilities within this role, to call out bingo numbers at the social evening on a Wednesday and other jobs that it entailed. He also spoke about doing jobs around the house, and that the staff were trying to help him get a part time job. ‘I like it here. They’re all good to
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 13 me. I like all of them’ was repeated frequently throughout the conversation when he had a big smile on his face. His interactions with staff throughout the visit also displayed his pleasure with life at the home. Another gentleman agreed to a chat in his room. His care plan showed that he likes his own company and he confirmed this in conversation, but also spoke about Stoke City Football Club and that he has a season ticket for home matches. He said ‘I please myself what I do’ but also added that he went out to the pub when he wanted and joined in with the others in the house if he felt like it. The home records all of the activities undertaken by each service user in a dedicated activity book. Records in this confirmed the varied lifestyle of each person, and also act as a prompt for staff to ensure each person takes part in additional leisure outings that they have identified that they want to do in their planning review meetings. The conversations with the men also evidenced that they have family and friends to visit and that they are also assisted to make visits to them. 1 man visits his ageing mother every other week, and another goes out with his brother. Friendships are also forged at the Grocott Centre and visitors from there are encouraged. Meal times were discussed and it was obvious that people living at High Lane enjoy their food. A dietician had been consulted about healthy eating and from that information the service users had worked out with staff a 4 week rolling menu that was being followed for the main meal of the day. Service users confirmed that if there was something on the menu that they didn’t feel like they chose something else. Individual choices are made at breakfast and usually lunchtime, dependent on people’s activities and where they are at mealtimes. The record of meals was seen and confirmed the above. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users are encouraged to remain independent in their personal care. All aspects of their physical and mental health are assessed and referrals are made to other health professionals as required. EVIDENCE: Examination of individual plans and discussion with staff and service users showed that personal care and healthcare support is provided on an individual needs led basis. Each person had a 24 hour plan of care in place in their person centred plan with appropriate risk assessments for areas of need linked to these, e.g. nutrition screening where needed, management of aggression and violence. Each also had a Health Action Plan with full information about all aspects of physical and mental health, including dates for reviews and follow up appointments. The service users generally require prompting only with personal care and one of the ladies explained what the staff helped her with and confirmed that this was in accordance with her wishes. Information about all of the support given was recorded clearly in each care plan, and 2 key workers who were questioned had an excellent understanding of the individual needs of the people they supported. None of the service users at the home currently self medicate. 1 person had tried this but after further discussion he had decided that he would prefer staff
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 15 to be in charge of his medication. The service user confirmed that he was more comfortable with this arrangement. Procedures for the storage and recording of all medication given were looked at by sampling and were satisfactory in each case seen. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users feel comfortable about raising any concerns and know that any issues they raise will be addressed. Staff have a good understanding and are aware of their responsibilities in protecting service users from any form of abuse. EVIDENCE: The home has an appropriate complaints procedure and a copy is available in each service user’s file that they have full access to. A Complaints Book is kept by the home and examination of this showed that while minor grumbles about day to day living with each other had been made by the service users, there were no complaints about the service received from staff or the organisation. The service users spoken with said that if they were not happy with anything then they would speak to their key worker or the home manager, and this was borne out in the records seen in the complaints book. 3 staff members were spoken to about their understanding of signs of abusive practice and how they would deal with any untoward incident that they saw or were told about by a service user. Each staff member had a good understanding of their responsibilities, and confirmed that issues about abuse were thoroughly covered at their induction. It is recommended that all staff are kept up to date in any new initiatives that are developed to further protect vulnerable people. In this instance staff did not have knowledge about the POVA (Protection of Vulnerable Adults) list. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 High Lane provides the service users with a comfortable, safe and well furnished and decorated home. EVIDENCE: The home continues to maintain a high standard of decoration and fitments to make High Lane a comfortable place to live. A tour of both flats was made and everywhere was pleasantly decorated and finished in a domestic style. Each has an attractive and spacious lounge and well fitted dining kitchen, and bathrooms too are spacious and suit the needs of the service users. There is only 1 laundry on the ground floor, but arrangements are in place that ensures that the use of this is appropriately managed. The grounds are tidy and safe and accessible to service users, who confirmed that they enjoy their home and help to care for it. This was seen at the visit when a number of service users were doing jobs around the house, such as putting the rubbish out, tidying the lounge, mopping the floor. All of these activities supported the staff who were also undertaking cleaning duties to ensure that the home was clean and hygienic. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 36 Staffing levels are suitable to meet the needs of the service users. The staff team work well together to respond to known needs and unexpected incidents. Staff are well supported overall but planned formal supervision on a 1:1 basis is not taking place. EVIDENCE: Records relating to recruitment, personal staff files and training were not seen as the manager was not present in the home due to participation on a training course and had not left the key to the locked filing cabinet. Discussions were held with 3 care staff and a deputy home leader, and evidence was also gained from observation of staff interactions with service users and each other during the visit. The deputy dealt admirably with the unannounced inspection, particularly in the light of having only returned to duty the day before following 12 months maternity leave. An incident arose during the early part of the visit when she had to unexpectedly deploy 2 staff to bring a service user back from the Adult Training Centre, and arrangements were quickly made to deal with this without any undue affect on the plans of the other service users for the day. All of the staff worked together to re-arrange things and there was effective teamwork. Staffing on the day was 3 staff on duty on each shift, plus the deputy between 9am-4.30pm. Discussion and records showed that since the beginning of May 2005 a minimum of 3 day staff are on duty at all times. This had been
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 19 approved due to the service users’ increased needs. The sleep in member of staff had been changed to 1 waking night staff. The Commission is pleased about these arrangements, particularly the move to have waking nights, as the night staffing has been raised as a concern in the past. Staff were questioned about their key worker role, abuse issues, training received and support received from senior staff and supervision arrangements. Each had a good understanding of their work and the needs of the service users, said that their individual mandatory training was up to date (records were not seen) and were very clear that they felt well supported and could ask the manager for advise at any time. It became apparent, however, that formal supervision on at least 6 times per year on a 1:1 basis is not received, and this must be addressed. All of the service users were complimentary about the staff and there was clearly a good rapport between them and the staff on duty. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 42 The home is well run and the service users benefit from a safe environment where their welfare is promoted. The organisation, however, has been very slow in meeting the requirements to register the manager with the Commission, leading to registration regulations not being met. EVIDENCE: Service users were full of praise for the manager and spoke about how he helped them to achieve their goals. The staff were equally supportive and said that they benefited from an open door policy where they were never afraid to ask about anything that they were unsure of, and that they were always given every help to work with the service users to meet their needs. Some maintenance and other mandatory records were looked at and these showed that maintenance of fire systems, cleaning logs, food temperature storage etc. were up to date and appropriate. COSHH (Control of Substances Hazardous to Health) storage and data sheets were satisfactory. Fire bell tests and fire drills were up to date.
High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 21 The manager has been in charge of the home for some considerable time now. An application was made for him to be registered by the Commission but it was discussed at the last visit, both with the manager and the staff at the head office that the fee for this application was required before it could be processed. This has still not been addressed. The home is therefore in breach of registration regulations in that the certificate of registration is not accurate, and the Commission has not had the opportunity to undertake a ‘fit person’ interview for the manager. This must be addressed. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 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 x 3 x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 4 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
High Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 23 NO 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. 2. 3. Standard YA 36.4 YA 38 Regulation 18(2) 8 Requirement Staff receive recorded supervision sessions at least 6 times per year That a complete application for the registered manager is received by the Commission Timescale for action 31/7/05 30/6/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 35 Good Practice Recommendations That staff are brought up to date with all initiatives regarding employment and care practices. High Lane E09 E51 S8214 535 High Lane V228664 180505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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