Inspection on 13/03/06 for 55a Beech Avenue

This inspection was carried out on 13th March 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

55a Beech Avenue 26/03/07

55a Beech Avenue 30/06/05

55a Beech Avenue 16/12/04

55a Beech Avenue 16/06/04

55a Beech Avenue 24/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 55a Beech Avenue 55a Beech Avenue Gatley Stockport Cheshire SK8 4LS Lead Inspector Kathleen Mcall Announced Inspection 13th March 2006 13:40 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 55a Beech Avenue Address 55a Beech Avenue Gatley Stockport Cheshire SK8 4LS 0161 428 7413 0161 456 2922 lcunliffendependentoptions.org.uk 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) Independent Options (Stockport Limited) Elizabeth Cunliffe Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users to include: * up to 4 service users in the category of LD (Learning disability). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th June 2005 Date of last inspection Brief Description of the Service: 55a Beech Avenue is a care home owned by Independent Options (Stockport) Limited and is one of two short stay homes that provide respite care to service users with a learning disability. 55a Beech Avenue is registered to accommodate up to four people between the ages of 18 and 65 years at any one time. Service users are referred to as guests and are encouraged to see their break at the home as a holiday. The property is a detached dormer bungalow; accommodation consists of four single bedrooms, one of which is situated on the first floor. A combined lounge and dining room, kitchen and two bathrooms. The kitchen has been designed with facilities that enable worktops to be lowered for those service users in wheelchairs to prepare their own meals and drinks. The downstairs bathroom has a Kingcraft bath with hoist facilities and an electrical sink that can be lowered to suit individual service users. There is car parking space to the front of the property and a large enclosed garden with ramp access to the rear. The home is suitable for wheelchair users. The home is located within the quiet residential area of Gatley, Stockport. Local shops, banks and public houses are approximately a 15 to 20 minute walk away. Stockport town centre and motorway network are easily accessible by car. Gatley train station is situated approximately a mile from the home. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over an afternoon and early evening period. The registered manager accompanied the inspector throughout the inspection process. Care plans, assessment documentation, medicines and their storage were examined. The inspector met several residents, and two members of staff who were in the home at the time of the inspection. 55a Beech Avenue is best suited for those residents who have higher dependency care needs due to their learning and physical care needs. Five relatives comment cards were returned; all five indicated that they were satisfied with the overall care provided. All five cards indicated that they were made welcome at the home at any time and that they were kept informed of important matters concerning their relatives. All five cards indicated that relatives were aware of the home’s complaints procedure and none had made a complaint. All five cards said that they felt there was always a sufficient number of staff on duty. Comments from relatives included, ‘my son…. uses Beech Ave for respite care. He is very well cared for and although he cannot communicate he appears to enjoy his stay’. Four service user comment cards were returned; four cards indicated that residents like living at the home and that residents felt well cared for, that staff treated them well, and that their privacy was respected. Four service users comment cards said that the home provided suitable activities and all said that they liked the food provided. Four service users comment cards indicated that they felt safe whilst staying at the home. In response to question do you wish to be more involved in decision making within the home, one responded yes, two said no and one did not answer. This information was passed onto the registered manager. Three service user comment cards indicated that service user knew who to speak to if they were unhappy with their care and one answered by writing ‘no speech’. What the service does well: Beech Avenue offers comfortable, homely accommodation; service users are encouraged to enjoy their stay at the home and to view their time spent at the home as a short holiday break. The home is clean and well maintained throughout with specialist equipment in place to assist service users and to maintain their independence. The kitchen 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 6 has been designed so that those service users’ who have an interest or enjoy cooking, can use the kitchen. The staff group at the home is a trained, experienced and competent group who are supervised and supported by the registered manager. Procedures for the recruitment of staff, training and support were well established within the organisation. Assessment and care planning procedures in the home are well very good. What has improved since the last inspection? What they could do better: The registered manager has not yet completed specific risk assessments for those service users who use bed rails during their stay. A new risk assessment format has been introduced and there were plans to use this document in respect of the use of bed rails. All staff with responsibility for administering medication to service users during their stay at the home must up date their training in medication administration. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 7 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. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 the following standard(s): 1, 2 and 5. Service users were given sufficient information to enable them to make an informed choice about respite care services provided at the home. Assessment procedures were good and all service users had a statement of the terms and conditions with the home. EVIDENCE: Independent Options had a Statement of Purpose for 55a Beech Avenue and a Service User Guide, which was produced in both written and pictorial format for service users and their relatives. The Statement of Purpose was under review to up date and reflect changes to staff complement. Service users care needs were fully assessed before they could access the services of Beech Avenue and risk assessments were completed as part of this process. Service users, their families and significant professional were involved in the assessment process and social work assessments were also obtained. Collectively all assessment information was reviewed to establish if the home was able to meet a service users needs. The home did not offer a place to a service user unless they were completely satisfied that they were able to meet the service users needs. As part of the inspection a selection of service user files were examined. Assessments were detailed, comprehensive and provided sufficient information in respect of each service user. At a previous inspection it was observed that not all service users had an up to date contract that detailed the terms and conditions of their stay. The 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 10 registered provider was required to ensure that all service users had an up to date service user contract that detailed the terms and conditions of their stay. At the time of this inspection it was observed that ISA’s (Individual Service User agreements) were in place for those service users new to the service and that service users and or their family signed these. However it was observed that ISA’s on the files of longstanding service users of the service were several years old. The registered manager had a discussion with the inspector and advised that staff from Stockport Metropolitan Borough Councils Adult and Community Directorate and Adult Social Care did not routinely update ISA’s on an annual basis and that cases open with ongoing social work input tended to be reviewed and up dated. All service users were given a copy of the Service User Guide that detailed the terms and conditions of their stay, which for the purposes of meeting this standard was acceptable. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 11 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 and 9. Service users health and personal care needs were identified through care planning and met by care staff. EVIDENCE: Since the last inspection the registered manager had reviewed the majority of service users care plans and care plans were observed to have improved significantly. Care plans seen were detailed and individualised to each service users’ care needs. Care plans were reviewed every six months or sooner depending on a service users input to service. Care staff had responsibility for reviewing care plans and this occurred when a service user was visiting the home. In addition to care plans each service user file had an ‘important points checklist’ which summarised a service users likes, dislikes, presenting risks, their weekly timetable of events ie day care attendance, arrangements for monies and a brief summary of the care plan. Care planning and assessment documentation and processes were interlinked. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 12 Service users’ were encouraged to make their own decisions and choices whilst they were staying at Beech Avenue. Staff discussed individually with service users what food they would like for their teatime meal and how they spent their evening. Those service users who required assistance with day-to-day choices and decisions, due to their disability were assisted in an appropriate and sensitive manner. Risks were considered and identified as part of the assessment process. Specific risk assessments were in place to address moving and handling issues, and each service user had a fire risk assessment of their needs and how they would be managed in the event of a fire at the home. Risk assessments were reviewed every six months. Since the last inspection the registered manager had introduced new risk assessment documentation, as the previous format had not provided sufficient detail on risks and the management of risks identified. The registered manager was required to complete risk assessments in respect of those service users who required the use of bed rails during their stay. This requirement remains outstanding. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 13 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): 12, 14, 15, 16 and 17. Service users were able to take part in peer and culturally appropriate leisure activities. Service users were offered a healthy diet. EVIDENCE: Service users could stay at the home for up to a two-week period of respite. Consequently any activities engaged in prior to their admission were continued, this may be attendance at day care, adult education or one to one support from support workers. All the service users had a single room and if they wished to they could spend time alone. There were a small number of service users whose first language was not English. Staff met their cultural needs. Service users were encouraged to continue to participate in activities that they enjoyed at home; some service users brought music and Bollywood movies to watch during their stay. Records of what activities service users’ had participated in were recorded on care plans, continuation sheets or in the homes communication book. Letters accompanied service users home informing relatives and carers of how they had spent their time during the visit. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 14 Service users who visited 55a Beech Avenue for a short break usually lived with a main carer or long-term adult placement carer, consequently the time service users spent at 55a Beech Avenue was as much for the carers as it was for the service user and, as such, the service user may not receive visits from family and friends. The home did not have a set menu, meals were planned around the group of service users visiting the home, and it was the usual practice of the home that the meal choice was discussed with the service users. Records of choices were kept. Halal meat was purchased from an appropriate butcher to support those service users who required a Halal diet. Depending on their abilities, service users were encouraged to make drinks and snacks for themselves. On the day of the inspection, the Inspector observed staff interacting with the service users, in a warm, relaxed and positive manner. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 15 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 and 20. Service users received personal support in privacy and in a way in which they preferred and their health needs were met during their stay. EVIDENCE: Detailed assessments were undertaken prior to admission and information obtained was transferred to a care plan. As part of the assessment process service users likes and dislikes were recorded, and their preferred styles of receiving personal care. All service users had a single room and personal care was given in privacy. Whilst resident at the home service users were temporarily registered with a local GP. At the previous inspection the registered manager was required to review the way medication was administered in the home. Since the last inspection the registered manager had taken advice from a pharmacist inspector from the Commission for Social Care Inspection and Independent Options had reviewed its medication policy and procedures. A number of changes had been put in place to meet the requirements. The home now only accepts pharmacy filled dosettes, nomads or blister packs or will dispense medication directly from original packaging or bottles. If medication instructions had been altered or 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 16 PRN instructions were in place the home sought clarification directly from the prescribing GP. Staff with responsibility for the administration of medication to service users needed to update their medication training. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 17 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 and 23. The home responded to complaints in an appropriate manner. Staff had undertaken training in adult protection, to assist in the protection of service users. EVIDENCE: The home had a complaints policy and procedure, which responded to complaints made by relatives on behalf of service users. There had been no complaints since the last inspection. Since the last inspection Independent Options had reviewed the way in which complaints information was held and stored at the home. The registered manager had introduced a new complaints record that detailed the complaint and how this had been resolved. Complaints records were stored separately. The home had a procedure for responding to allegations of abuse and the majority of staff had completed training in the protection of vulnerable adults. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 29 and 30 The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: A number of service users rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants. The grounds and garden areas were kept tidy, safe and accessible. At the time of the inspection the home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. Service users had the use of specialist equipment to maximise their independence. The kitchen had been designed to assist service users in wheelchairs and had incorporated adjustable work surfaces into its design, enabling service users to make hot drinks. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 19 Specialist equipment was in place at the home to assist service users and to maximise their potential for independence. The bathroom on the ground floor had a King Kraft Easi bath with an overhead multirail to hoist service users into the bath. In addition to this there was a sink, which had the facility to be lowered and raised to suit individual service users needs with electrical controls for turning on and off the water flow. A second bathroom was situated on the first floor; this bathroom had a bath with an over the bath shower for those service users who were more independent. At a previous inspection it was observed that a number of fire doors throughout the home were wedged open. Since the last inspection the registered manager had taken advice from the local fire authority and there were plans for a number of automatic door closures to be fitted on the 27th March 2006. Fire safety signage had also been fitted within the home in response to a previous requirement. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. The home was sufficiently staffed with a competent staff group that was trained to undertake their duties, and recruitment procedure ensured that service users were protected. EVIDENCE: A selection of staff files was seen at the inspection. Files seen were well organised and structured. All files contained a job description with a person specification for senior care staff positions within the organisation. Independent Options had a designated person with responsibility for training and development of staff within the organisation. Each member of staff had a training and development plan. Training completed by staff included POVA, autism and basic sign language. 40 of care staff employed at the home held an NVQ qualification in care or an equivalent qualification. A further three members of staff were working towards completion of an NVQ qualification. At the time of the inspection the home was sufficiently staffed with a staff that was trained to meet the assessed needs of service users. A staff rota showing, which staff were on duty and in what capacity, was kept at the home. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 21 Since the last inspection three new members of staff had commenced employment at the home; the registered manager had followed appropriate recruitment procedures. Staff recruitment files were also well organised, these included a full employment history since leaving school and all care staff had a contract which detailed the terms and conditions of their employment. All new staff completed a six-month induction period with a review at the end, before being offered a permanent contract of employment. Independent Options had an induction programme and policy in place. All staff that did not hold a professional qualification were expected to complete an induction and foundation portfolio. This could either be the Learning Disability Award Framework (LDAF) or the Skills for Life Induction and foundation portfolio. Staff received regular supervision to support them in their work and records of such meetings were made available at the time of the inspection. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 and 42. The home was well run and service users view were listened to and acted upon. EVIDENCE: Ms Elizabeth Cunliffe was appointed as the registered manager on the 19th July 2005. Ms Cunliffe is responsible for the ‘short breaks service’, which includes 55a Beech Avenue and Hallfield Guest House. Ms Cunliffe is qualified, competent and experienced to run to home. She holds a Masters Degree in Social Work, a Diploma in Social Work, an assessor’s award and holds the registered managers award. Effective quality assurance programmes were in place, which sought the views of service users, their relatives and other significant stakeholders. Independent Options used the PQASSO (Practical Quality Assurance System for small organisations) to review and monitor its ongoing performance. Independent Options had a number of means of obtaining service user feedback, these included service users feedback forms that were available in word and pictorial formats. A service users forum, which was held on a 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 23 quarterly basis throughout the year and informal feedback from service users’ and families, was also taken into account. In addition to this a newsletter for staff, carers and service users was produced that provided up to date information on developments within the organisation. The service manager also undertook quality reviews of the service. A business strategy plan and an annual plan were published annually and made available to service users and significant others. A number of policies and procedures have been put in place and reviewed since the last inspection including the management and prevention of violence in the work place. Staff had updated their training in safe handling and moving procedures, fire safety and food hygiene; however a number of staff needed to up date their health and safety training. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. The home recorded information in respect of accidents by service users. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 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 4 3 X 4 X 5 3 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 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 4 32 2 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 4 3 X 3 X 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA9 Regulation 13 Requirement The registered providers must ensue that specific risk assessments are in place for all service users who require the use of bed rails during their stay at the home. (Timescale of 16.02.05 not met) The registered providers must ensure that staff with responsibility for the administration of medication to service users receive appropriate training in medication administration. Timescale for action 13/03/06 2. YA20 13 13/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA32 Good Practice Recommendations The registered providers should continue to work towards 50 of care staff trained to NVQ level 2. 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 55a Beech Avenue DS0000008533.V283747.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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